
Assessment
We establish whether your concern is volume, structure or skin quality. Collagen stimulators answer the last two. If it is the first, filler is the better tool and we will recommend that instead.

Radiesse and Sculptra work by prompting your own collagen rather than adding volume directly. The change is gradual, structural, and almost impossible to spot as treatment.

Nobody notices collagen stimulators, which is the entire point. The change arrives slowly enough that people assume you have been sleeping better.
Collagen stimulators are not fillers in the usual sense. Rather than sitting in the tissue to create volume, they prompt the skin to build its own collagen over the following months. The result builds slowly, peaks around three months, and lasts considerably longer than hyaluronic acid.
That slow build is why they suit some people and not others. If you want a change for an event in three weeks, this is the wrong treatment and we will say so. If you want structural improvement nobody can date, it is often the right one.
What it treats
And a few things they do not. If your concern is not here, the consultation is where we work out what would actually help.
Injectables and FillersBroad loss of structure across the midface, treated as a whole rather than area by area.
Thin, crepey skin that no amount of filler will improve, because the problem is the skin itself.
Building support along the jaw over a course, rather than outlining it with gel.
Areas where traditional filler is rarely appropriate but collagen loss is obvious.
Restoring the padding on the back of the hand, where the result is gradual and looks natural.
How it works
Four steps, in this order. Nothing is treated until it has been assessed, and nothing is repeated until it has been reviewed.

We establish whether your concern is volume, structure or skin quality. Collagen stimulators answer the last two. If it is the first, filler is the better tool and we will recommend that instead.
Results
Mild swelling and occasional bruising. You may look slightly fuller for a day or two from the carrier fluid, which is not the result.
The initial fullness has gone. This is expected and does not mean the treatment failed. Collagen has not been built yet.
New collagen forms and the change becomes visible. This is when the treatment starts to show, and when the second session usually happens.
Results hold considerably longer than hyaluronic acid. Maintenance is typically a single session rather than a full course.
Before and after
This treatment does not photograph usefully, so the gallery carries no pair for it. What it does and does not do is set out above, and the consultation answers it for your own case.
View the gallery
When we say no
We do not treat in these situations, and we will say so in the consultation, which you are not charged for.
Questions

Filler adds volume directly and you see it immediately. Collagen stimulators prompt your own tissue to rebuild, so the change takes six to twelve weeks and looks like your own face improving rather than something added.
Usually two or three, spaced four to six weeks apart. We plan the whole course before starting so there are no surprises partway through.
No, and that is the trade off for the longer duration. It is a reason we assess more carefully before using them than we do before using hyaluronic acid.
They behave differently. Radiesse gives some immediate structure as well as building collagen. Sculptra is purely gradual. The choice depends on the area and on how much patience you have.
A day or two of mild swelling. Most people work the same day. Massage after treatment matters and we will show you exactly how.
Six weeks before most people notice, twelve weeks for the full effect. If that timeline does not suit your plans, tell us and we will suggest something else.
Also in this room
Wrinkle RelaxersBotox, Dysport and Xeomin, placed by a physician led team to soften expression lines without switching them off.
Dermal FillersHyaluronic acid placed for structure rather than volume.
BelkyraAn injectable that permanently reduces fat under the chin.
Hyperhidrosis TreatmentA medical treatment for excessive sweating of the underarms, palms and soles.Mississauga, Ontario
A consultation is a clinical examination, not a sales appointment. Bring your questions and expect straight answers about what will and will not work, including when the answer is that you do not need us yet.
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