Dermal Fillers

A consultation is essential, prior to taking any of the aesthetic treatments.

A brief telephone consultation will enable us to asses that you are eligible for a full consultation and treatment.

What is a dermal filler?

A dermal filler is composed of Hyaluronic Acid (HA) alone, also known as a skin booster,  or combined with a small amount of a synthetic substance is added called BDDE.

Wrinkles and fine lines develop over time. By injecting dermal filler precisely in these specific areas, the lines and wrinkles are filled and made smooth.

Typically, you will see an improvement in the appearance of those fine lines and wrinkles immediately following treatment, and a more youthful appearance is achieved.

How is dermal filler prepared?

The dermal filler is pre-made, pre-packaged, and opened when ready to administer.

A sterile station is prepared for the administration of the dermal filler injections.

What type of dermal filler is used?

There are different types of dermal fillers. Your practitioner will select the best to suit the needs and goals of each individual.

Dermal fillers are primarily made of Hyaluronic Acid (HA), a natural hydrating substance occurring in our bodies of which we have abundance in youth. As we age, the levels decrease, depleting the skin’s support system and resulting in loss of volume, which allows lines and wrinkles to appear.

Hyaluronic Acid (HA) is a naturally occurring glycosaminoglycan that is naturally produced by the body to retain water and keep tissues well lubricated and hydrated. It binds to water to help retain moisture.

It hydrates the skin by enabling superior moisture retention, as it can hold up to 1,000 times its weight in water, which gives it unparalleled ability to keep the skin hydrated and plump.

HA fillers, also known as ‘skin boosters’, are temporary and typically last up to 6 months as this non-soluble hydrogel is transported away over this time.

To create a dermal filler with longevity, the HA chains have to become connected, known as cross-linked.  To cross-link the HA strands, a small amount of a synthetic biodegradable substance is added, which is called BDDE.

The result is a temporary, soluble hydrogel, which is not transported away by the body for up to 1 year.

Some dermal fillers contain lidocaine. Please advise your practitioner if you have an allergy to, or have ever had a reaction to, any such anaesthetic.

What will the treatment involve?

Your medical practitioner will complete a thorough consultation.

The area to be treated is cleansed and sterilized, followed by the application of the local anesthetic, then the chosen dermal filler solution is injected into the area selected.

The treatment takes approximately 15 to 60 minutes, depending on the type of dermal filler and areas to be treated. Your practitioner will advise you during consultation.

The procedure is very quick – a short, sharp pain during the injection may be felt.

Please advise your practitioner if you have an allergy to, or have ever had a reaction to, any such anaesthetic.

Why have the procedure?

Dermal Filler Injections are known for being a quick procedure and providing undeniable results to increase skin hydration, create volume and lift within the skin, plump out deep crevices and re-define facial features.

We successfully treat:

• Tear trough
• Frown lines (between eyebrows)
• Nasal labia folds
• Marionette lines (corners of the mouth to the chin)
• Create volume to lips
• Lip definition
• Natural Lip look
• Repair fine facial lines
• Hand rejuvenation

We also provide Facial Contour & Rhinoplasy of the nose, chin, jaw,temples and cheeks.
Click here for Information & Prices 

Are dermal injections safe?

Dermal fillers have been in aesthetic use for a few decades, and thousands of men and women have received dermal filler injections worldwide every year.

Dermal Filler injections are administered in such a way that it only affects the area of your skin injected and it does not reach any other part of the body.

Providing the dermal filler injections are administered by a qualified, competent practitioner, the risks are extremely minimal.

Dermal filler injections are administered by our senior aesthetician practitioner to ensure that quality and safety is paramount.

Does it hurt?

The actual procedure can be reasonably quick depending on the area treated.

A local anesthetic is applied to the treated area prior to the administration of the injections to reduce any risk of pain.

A mild discomfort can be experienced during the procedure from the small needle injections involved. However, each individual has a varied pain threshold in relation to needle insertion.

Care is taken to make the injection as comfortable as possible.

As with all injections there may be some mild temporary discomfort and redness in the direct injection site, which subsides quickly.

Cold applications can aid any discomfort post treatment.

How many treatments do I need?

One treatment is usually required to achieve the desired look. However, several treatments may be necessary in some cases. The selected dermal filler will determine the longevity of the results from 6 to 12 months.

Depending on the severity of the lines and wrinkles, Anti-wrinkle Injection may be recommended along with the Dermal Filler Injections as the filler can create volume in the crevices. But the botulinum toxin in the Anti-wrinkle Injection can stop the repetitive action, which causes the fine lines and wrinkles.

How quickly will I see the results?

You will see results immediately after a single treatment.

Several treatments may be required to achieve desired results

Some dermal filler formulas provide further results over a few weeks as the product injected into the area forms a scaffold to support and stimulate the production of the body’s own collagen, increasing further volume from within the skin.

How long will the results last?

The selected dermal filler will determine the longevity of the results from 6 to 12 months.

Your practitioner will discuss the various options to suit your individual needs.

What are the possible risks & side effects?

Every procedure involves a certain amount of risk and side effects, which will resolve. However, you should be made aware of them.

The risk of side effects following treatment is reduced by consultation with an experienced practitioner.

Commonly Experienced Adverse Events

• Redness at the injection site
• Pain at injection site
• Bleeding at injection site
• Tingling at injection site
• Bruising at the injection site
• Headache
• Facial Pain
• Skin Tightness

Less Common Risks

• Infection
• Numbness
• Dizziness
• Swelling
• Nausea
• Fever/Flu manifestations
• Anxiety

Rare Risks

Skin infection (cellulitis), which presents as hot, red, shiny skin, and you may also feel unwell. In the case of suspected infection following dermal filler, you should contact your practitioner but also seek a medical assessment as soon as possible as you may need antibiotics.

Occasionally infection can form a swollen collection called an abscess. In this case you must again seek urgent medical attention.

If you suffer from cold sores (a herpes virus infection of the lip) these can sometimes be reactivated following a lip filler.

Dermal filler can lead to lumps or nodules and sometimes there may be unevenness or poor cosmetic result.

Filler can occasionally migrate over time and lead to a poor cosmetic appearance, you may require filler dissolving injections to remove migration if it becomes very noticeable or persistent.

Occasionally people can develop an unwanted inflammatory reaction to the dermal filler, and this can lead to a nodule formation called granuloma. This often presents as a delayed complication, several months after the treatment. Several treatment options are available for granuloma formation and you may require medical assessment.

Dermal filler can sometimes cause skin discolouration (Tyndall effect) if accidentally injected too superficially. If this occurs, then you will likely require dissolving injections to remove the filler causing the discolouration.

Rare complications include allergic reaction to the dermal filler or lidocaine anaesthetic, if this a component of the product. Very rarely clients may develop an anaphylactic reaction, which would require emergency medical assistance and transfer to hospital.

Rarely dermal filler can be injected into an artery, blocking the flow of blood to the tissue being treated. This is known as vascular occlusion, if untreated it is serious because it can lead to death of tissue (necrosis), which may require reconstructive surgery to correct. In the rare event of vascular occlusion, it would be treated with emergency injections of a filler dissolving drug called Hyaluronidase. This is an enzyme that removes the filler occluding the blood vessel and can usually fully reverse the vascular occlusion, preventing any long-term harmful effects. Your practitioner will be trained in how to use Hyaluronidase in an emergency. However, if treatment with Hyaluronidase is not successful then you would require urgent medical assessment by a doctor who is a specialist in aesthetic medicine.

The rarest of all complications of dermal filler is called filler blindness. This is where a small amount of filler can be injected into a blood vessel, break off and travel within the circulation (embolisation) and cause blockage of the artery or vein supplying the back of the eye. There have been less than 200 cases reported worldwide but you must be aware of this risk especially if you are receiving nasal or glabella fillers. Filler blindness is irreversible in most cases. In the event of this complication you should seek urgent assessment at the nearest eye hospital or medical eye unit.

Contraindications

Please discuss your health concerns with your practitioner prior to commencing treatment.

Allergy to wasps.
Infection at site of injection.
Pregnant, or breastfeeding.
Inflammation in the skin to be injected.
Blood clotting disorders.
Any active disease of the cardiovascular system.
Previous history of seizures.
Plan to undergo an operation soon.
recent facial operations or trauma.
History of keloid or hypertrophic scars.

Are there any other important considerations?

Limited or no clinical data exists regarding the efficacy and tolerance of this treatment in patients having a history of, or currently suffering from, auto-immune disease or auto-immune deficiency or being under immunosuppressive therapy. The practitioner shall therefore decide how to proceed on a case by case basis, according to the nature of the disease and its treatment and the need for monitoring post-treatment.

Your practitioner will discuss the need for a preliminary skin testing for hypersensitivity if necessary, or in the case of patients with severe or multiple allergies.

Patients on coagulation medication or other substances known to increase coagulation time must be aware of the potential increased risk of bleeding and haematoma during and following treatment.

Disclaimer

Any views or advice obtained via this website should not be taken as a substitute
for medical advice or treatment, especially if you are aware of, or suffer from, a specific health complaint.​
​
We recommend that you maintain your relationship with your GP. Your GP will also be able to arrange any diagnostic procedures you may need, and provide emergency cover if needed.

Your practitioner will also discuss the suitability of treatment having considered your medical history and any medications you currently take, as appropriate. As such, it is imperative you disclose such medications at the time of your treatment.

Any discrepancies must be taken up with the practitioner within 1 month of treatment.

The information on this website is written WITHOUT PREJUDICE

Treat the skin as sensitive for 24 hours or until the skin completely appears calm.

Avoid touching the area unless with clean hands.

Do not apply make-up or spray tan for at least 48 hours if possible.

Avoid any further overstimulation treatments for at least 12 hours.

Avoid highly perfumed products.

Wash with luke warm water only.

Avoid soap.

Avoid strenuous activity for 24 hours.

Avoid swimming in public pools for 24 hours.

Avoid any exposure to a sauna, or heat treatments for 2 weeks.

Avoid hot tub or tanning for up to 24 hours.

Avoid a facial, rub or massage the treated areas for up to 24 hours.

Avoid consuming any alcohol for up to 24 hours

Avoid air travel for 2 weeks.

Wear sun protector SPF 30 minimum

Drink plenty of water.

The application of an SPF when exposing your skin to UV can prevent long term skin damage.

For a healthier skin your practitioner will guide you with a personlised homecare skin regime.

Angela Taffinder
Senior Aesthetician