Dermal Fillers

What are Dermal Fillers?

Dermal fillers are substances that are injected in to the skin to fill or add volume to an area of the face or body or smooth out lines. There are a range of dermal fillers available and the majority contain hyaluronic acid (HA). Juvederm® and Restylane® are some of the well known brands of fillers. Currently dermal fillers are listed as medical device and are not categorised as a medicine.

Hyaluronic acid is produced naturally in our bodies and is found in our skin, eyes, and joints. Approximately 50% of the total HA in our bodies is found in the skin. HA has the unique ability to retain water and HA is the key molecule involved in skin moisture.

Dermal fillers are manufactured through a fermentation process (non-animal origin) and cross-linked with proteins to produce a sterile gel for injection.


How do Dermal Fillers work?

Whilst skin ageing is a multi-factorial and complex process, ageing is associated with loss of moisture. Hyaluronic acid is naturally found in the skin, but diminishes with age. By injecting this into the skin, it can plump the area to smooth out lines.

With age, there is also a loss of soft tissue and re-distribution of facial fat, which causes sagging skin and folds. By injecting HA in to the appropriate areas of the skin, volume can be restored to lift and rejuvenate the face.

Dermal fillers can be used to rejuvenate the skin and create a more youthful appearance. They can be used to:

  • Enhance or define and volume to lips
  • Add volume to cheeks
  • Smooth and soften wrinkles or folds
  • Contour the cheek, temples, chin, nose and jawline
  • Improve the tone and texture of the skin

There are a variety of fillers available, which have differences in properties such as degree of cross-linkage, particle size and concentration. These properties determine the clinical performance of the filler when injected in to the skin.

Following a thorough consultation to understand your aesthetic goals, we will select the most suitable product to restore or add volume, re-define and contour areas of the face. This will also help to ensure natural and long-lasting results.

How long do Dermal Fillers last?

Results of dermal fillers can last between six to eighteen months. However, the duration of results will depend on the product and volume used and individual metabolism.

What are the side effects?

As hyaluronic acid is a naturally occurring substance in the body, it is absorbed into the body over time and side-effects are rare.

However, you may experience slight pain at the injection site, bruising and minor bleeding. Redness, swelling and small lumps under the skin at the injection site are also possible and some people may experience an allergic reaction. Rarely, granulomas can develop.

Side effects may take two to three days to resolve, but may take longer in some patients

Is the treatment painful?

You may experience slight pain at the injection site from the injection needle, but as most dermal fillers contain an anaesthetic, pain is minimised. We also offer anaesthetic cream prior to treatment for more sensitive areas such as the lips or if you are particularly sensitive to pain.

What is the recovery time?

Recovery time may vary from one to three days, but this his will vary from person to person. If side-effects persist for more than a few days or you experience unknown side-effects, please contact us for advice.

Can anyone have Dermal Filler treatment?

No, dermal fillers are not suitable for all people. At our clinic, we do not treat anyone under 21 years old.

In addition, dermal fillers may not be suitable for people with:

  • Known allergy to the dermal filler ingredients or excipients
  • History of severe allergies or anaphylaxis
  • Prone to scarring
  • Have an active skin infection, acne or cold sores
  • Are generally feeling unwell

We will assess your medical history and advise you on an individual basis. In some cases, it may be necessary to refuse treatment or refer you to a medical expert.

It is also our clinical policy to ensure your psychological wellbeing and if you are suffering from body dysmorphic disorder (BDD) or are showing signs of this or any other mental health problem, we will not be able to treat you. We will give you appropriate advice and refer you for further support and help.

How to prepare for treatment?

Pre-treatment Advice:

Some medicines and supplements can increase your risk of bruising and before your treatment we advise the following:

  • Stop taking medicines such as ibuprofen or aspirin about three days before treatment.
  • Stop any supplements such as Vitamin A, C, E, Gingko Biloba, Garlic, fish oils, St John’s Wort.
  • Not drink alcohol in the 24 hours before treatment.
  • Remove any make up to reduce the risk of infection
  • Inform the practitioner if you are feeling unwell or there is a change in your medical history since your initial consultation.
  • Be available two to three weeks after treatment for a follow-up

Post-treatment Advice:

  • Avoid make up around the injection site(s) for 12 hours after
  • Avoid the following for 14 days after treatment: vigorous exercise, sun bathing and extremes of heat or cold (including hot baths, showers or sauna).
  • Avoid alcohol for at least twelve hours after.
  • Use cold packs to minimise swelling, which is usually worse in the first 24 hours of treatment. It can take up to two weeks for swelling to settle.
  • Bruising may be delayed and arnica may be helpful in settling this.
  • Report any unexpected or rare side effects or if redness and swelling do not settle and appear to be getting worse after three days. Please get in touch for advice.
  • If you experience the symptoms of a severe allergic reaction, which is life threatening and requires immediate medical attention, you must got to Accident and Emergency or dial 999 for an ambulance. Symptoms include: shortness of breath, wheezing, difficulty swallowing, coughing, swelling of: tongue, eyelids, lips, hoarse voice, stomach pain, nausea or diarrhoea.
  • Ensure you attend your follow up appointment for a review two to three weeks following treatment.