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Everything you need to know about Dermal Fillers

What is Dermal Fillers?

Fillers, or Dermal Fillers, are injections used to fill out wrinkles and creases in the skin, and to increase the volume and definition of the lips and cheeks.

Why do people have Dermal Fillers?

People choose to have dermal filler treatment to add volume, alter the contours of the face, and/ or to fill in wrinkles. Most common sites for dermal fillers are Glabellar wrinkles (or the Elevens refer to the lines and creases between the eyebrows), tear trough (areas under our eyes), cheek volume, lip volume, marionette lines (also known as nasolabial folds or laugh lines are creases or folds that run vertically from the corners of the mouth down to the chin) and chin wrinkles.

Ultimately, most people see dermal fillers as a way to get a fuller, smoother and more youthful appearance, resulting in an external look which matches with how they feel inside.


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How much does it cost?

The cost in the UK usually cost around £150 – £300 per session. Click here to find medical practitioners and their treatment prices.

What are the key drivers for Dermal Fillers cost?

The cost for dermal filler treatments can widely vary depending on the medical practitioner’s experience, the geographic location, and the amount and brand of product used.

Generally, higher medical practitioner’s experience and location in an area with a high cost of living, would generally mean higher costs. At the same time, higher experience may translate into lesser risks for you.

Dermal fillers are administered with a syringe to various areas of the body, primarily the head, face and neck. The number, location and depth of the injections depend largely on the desired results. As such the cost of the treatment varies depending on the number of areas treated, volume of product used and time taken.

Am I a good candidate?

If you believe you have lines or wrinkles around your mouth, eyes or forehead, or would like to enhance the volume in areas such as the cheeks, jaw line or lips or you have scars and depressions in the skin resulting from acne, injury or congenital imperfections, then you may want to consider dermal fillers.

However, if you are pregnant or breastfeeding, it is not advisable to have filler injections since the effects on the baby aren’t known.

What are my options?

Filler treatment takes only a few minutes and doesn’t require anaesthesia though some fillers contain a local anaesthetic like lidocaine to enhance comfort. The results are visible immediately following the procedure and can be temporary, semi-permanent, or permanent.

Temporary Fillers

These are Collagen-Based Fillers (Collagen is a naturally occurring protein that adds strength and structure to the skin), or Hyaluronic Acid-Based Fillers (Hyaluronic Acid is a naturally occurring substance and primarily used to promote fullness and volume) or Calcium Hydroxyapatite Based (Calcium Hydroxylapatitea is also naturally occurring material and is usually found in bones). Effects of collagen fillers last from 2-4 months and HA fillers last from 6-12 months

Semi-Permanent Fillers

These typically contain thicker substances, such as the biodegradable synthetic filler known as poly-L-lactic acid. These types of soft tissue fillers are used to treat deeper facial lines, and the results last for 12-18 months.

Permanent Fillers

These are made of polymethylmethacrylate (PMMA), which are microspheres that are not absorbed by the body. The filler also contains collagen and is only recommended for thick-skin areas such as the nasolabial folds. It is not recommended for any areas around the eyes or for the lips. The results last for up to five or more years.

HA Fillers are most common. Popular HA fillers include Juvederm, Restylane, Belotero, Teosyal and Vivacy. Popular non-HA fillers include Radiesse and Sculptra.

How long does the procedure take?

The procedure usually takes less than 1 hour depending on the number of sreas treated.

Is Dermal Fillers painful?

Dermal filler treatment is generally not painful as its a quick procedure and some fillers even contain a local anaesthetic like lidocaine to enhance comfort. However, if you have any prolonged pain and swelling this could be a sign of infection or an allergic reaction. If you notice any sign of this, you should contact your doctor.

Are there any risks I should look out for?

Although all procedures have some degree of risk, dermal filler injections are relatively low risk in the hands of a good medical practitioner. The most common side effects are scarring and infection. In rare instances, patients may experience:

  • Blocked blood vessels in the face, which can cause tissue death and permanent blindness,
  • The filler moving away from the intended treatment area, which may need to be removed using surgery,
  • A lumpy appearance under the skin, which might need to be treated with surgery or medicine

How do I find a medical practitioner I can trust for my dermal filler treatment?

Non-surgical is not non-medical, and hence it is essential that you find an appropriately educated, trained and experienced healthcare professional for your treatment. Dermal filler injections are relatively low risk in the hands of a good medical practitioner.

  • Qualifications: There are no prescribed minimum qualifications for dermal filler treatment providers. However, make sure the treatment is provided by a suitably qualified medical practitioner, such as a doctor, dentist, or nurse prescriber. You should avoid practitioners who have no training or have only completed a short training course.
  • Experience: Make sure your doctor is experienced in dermal filler treatments. The field of cosmetic medical treatments is rapidly advancing, whether it is the latest treatment techniques, products or services, an experienced doctor is the best way to ensure comfort, safety, and satisfaction.
  • Connection: You are putting your trust in another individual and that means you need to find a practitioner that makes you feel in safe hands. Personality and respect is key, make sure you have a strong connection with your practitioner and that they listen to you and give honest, open advice in good measure.

We can help you find a medical practitioner you can trust. Click here to get started.

Would I be required to do anything prior to the procedure?

In the weeks before your injections, you’ll be asked to avoid taking certain medications, such as aspirin, that could cause bruising. Be sure to inform your physician of any medicines you are taking. Your doctor may ask you to stop smoking before the procedure. Regardless of the type of procedure to be performed, hydration is very important before and after treatment for safe recovery.

What is the recovery like?

You will likely see the results of your injections immediately following the procedure. You may experience swelling or minimal bruising in the area of the injection, which usually disappears within a week.

Aftercare is vital when it comes to your wellbeing and achieving the very best result, so stick to these rules and you’ll thank us later:

  • To help alleviate swelling you can apply ice for the first 45 minutes after the injection and continue to do this on and off for an additional hour or so
  • Keep your head elevated for the first night (sleeping on your back with extra pillows) to prevent additional swelling
  • Avoid touching the treated area for at least 6 hours. Refrain from massaging the lip – the injected product can be malleable so make sure any issues are resolved with your practitioner
  • Make up should be avoided for at least six hours after treatment
  • Avoid blood thinners for 2 days after treatment as these can increase the risk of bruising and swelling
  • Until the initial swelling has subsided, do not expose the treated area to intense heat (e.g. sunbathing, sauna) or extreme cold.
  • Refrain from taking aspirin as this can increase bruising
  • Avoid alcohol and excessive caffeine for at least 24 hours after treatment
  • Your doctor may advise you to avoid wearing hats or other headgear for the first few days.

How long do the results last?

The results are visible immediately following the procedure and generally last anywhere from three to eighteen months for non-permanent fillers and upto five or more years for permanent fillers.

Are dermal fillers same as Botulinum toxin?

Botulinum toxin relaxes the muscles while dermal fillers add volume. Generally, Botulinum toxin has been used to erase wrinkles above the nose, while dermal fillers have been used to fill wrinkles below the nose.