TM Aesthetics

The same treatment doesn’t always create the same result on every face. Facial ageing is influenced by much more than skin and volume — our underlying bone structure, teeth, dental support and natural anatomy all affect how the tissues around the mouth and lower face are supported. This is why simply copying a filler treatment you’ve seen on someone else may not give you the same outcome.

Good aesthetic treatment starts with understanding your anatomy, identifying where support has been lost and, importantly, recognising when filler alone isn’t the answer. A personalised treatment plan will always give a more balanced and natural result.

The interesting part about regenerative treatments is what is actually happening beneath the skin.

Treatments based on PLLA or PDLLA don’t simply “add collagen”. They create a controlled biological response that encourages fibroblast activity, new collagen formation and gradual remodelling of the extracellular matrix — the supportive framework around our skin cells.

Over the following weeks and months, this can improve the quality, density and structural support of the tissue. And importantly, as new tissue develops, we can also see a gradual, natural improvement in volume — rather than simply placing volume with a traditional filler.

So when we talk about collagen stimulation, it’s really part of a much bigger process of tissue regeneration and remodelling.

Lines around the lower face aren’t always simply caused by a lack of volume. As we age, changes in skin elasticity, collagen, facial movement and the underlying support of the tissues can all contribute to the folds and creasing we see, particularly when we smile.

That’s why I always assess what is actually causing the line before deciding on treatment. Sometimes replacing volume is appropriate, but in other patients the priority may be improving the quality and resilience of the skin rather than adding more volume.

Often, the most natural result comes from treating the cause rather than simply filling the line.

The best pre-event results usually come from having a plan rather than trying to squeeze in one last-minute treatment. Starting early gives us time to assess what will actually make the biggest difference for you — whether that’s improving skin quality, treating pigmentation or redness, restoring hydration, or subtly refreshing facial features.

It also allows treatments to be spaced appropriately and adjusted along the way, so the final result looks fresh, natural and well settled by the time your event arrives. Plan your glow, rather than rush it.