Dermal fillers

Dermal fillers are gels injected under the skin to add volume, define contours or soften lines. We use hyaluronic acid (HA) fillers from Revolax, Juvéderm, Restylane and Stylage.

As well as lips and our face packages, we treat single areas: the cheeks, chin, jawline, temples or mid-face, the lines from your nose to your mouth (nasolabial lines) or below the corners of your mouth (marionette lines), the nose, the earlobes and the backs of the hands. We'll plan the area, the product and how much you need with you.

HA filler results show straight away, and any swelling settles over the following days. Results aren't permanent: HA filler usually lasts from several months to about a year, depending on the product, the area and you.

If needed, HA filler can be dissolved with an enzyme, for example to treat a complication. We'll explain how we manage complications at your consultation.

We aim for subtle, natural-looking results. If filler isn't the right choice for what you'd like to change, we'll tell you.

Not sure which area would help? We'll talk it through honestly at your consultation.

1. 1

   Step 1: Consultation and assessment

   We talk through what you'd like to change, go through your medical history and look closely at your face, so your plan suits your features.

2. 2

   Step 2: Preparing your skin

   Your skin is cleansed. A numbing cream may be used, and many fillers also contain a local anaesthetic.

3. 3

   Step 3: The treatment

   The filler is injected in small amounts and shaped as we go. You may feel some stinging or burning.

4. 4

   Step 4: Straight afterwards

   Some redness, swelling or bruising is normal. You'll get aftercare advice, including the warning signs to look out for.

Common and expected

Redness, swelling, tenderness and bruising, usually clearing within 7 to 14 days. Filler in the backs of the hands can make some everyday tasks harder at first.

Less common

Lumps or ridges, over-filling, skin discolouration, infection or an allergic reaction. These are more likely with inexperienced providers.

Rare but serious

Filler can block a blood vessel. This can damage the skin and, very rarely, cause loss of vision. It needs urgent treatment, which is why we explain the warning signs to look out for. The risk varies by area: one guideline rates the nose as very high risk, and the temples, nasolabial lines and under-eyes as high risk. The U.S. Food and Drug Administration advises against filler in the nose. We'll talk this through with you before you choose an area.