dermal fillers treatments

The appetite for Botox and dermal fillers treatments is not showing any signs of slowing down. If anything, demand for non-surgical cosmetic treatments continues to increase with growth of 10.5% each year. Hyaluronic acid dermal fillers have very rapidly ascended in popularity due to their versatile use as wrinkle fillers as well as volume enhancement for areas like the lips, cheeks, under eyes and hollows of the face. Based on our experiences from our clinic, we’ve put together a post with some of the most common questions about dermal fillers treatments.

What Are Dermal Fillers & How Do They Work?

Dermal fillers are injectable gels used to fill in wrinkles or provide volume to soft tissues. Whilst dermal fillers have many uses throughout the body (including chest and hand rejuvenation), they are most commonly used for treating facial and skin concerns. These gels can either be made from hyaluronic acid, calcium hydroxyapatite, collagen or synthetic polymers. By far, the most common type of dermal fillers used on the face are hyaluronic acid dermal fillers. These are colourless gels which are made up of synthetic hyaluronic acid (a naturally occurring substance in the skin) and are temporary.

The key uses of dermal fillers treatments in the face are:

How dermal fillers work depends on the type of dermal filler used and where it is injected. In general, injecting dermal fillers into the skin causes plumping of that area which helps smooth wrinkles, enhance definition and volumise the face depending on the type of filler and technique used to inject it. Thinner fillers such as Restylane skinboosters can be injected superficially into the skin to improve hydration, skin texture and elasticity. Thicker fillers such as Juvederm Ultra 4 can be used to fill in deep lines and folds like nose to mouth lines or volumise sunken cheeks and enhance thin lips. Hyaluronic acid dermal fillers are not only temporary but they can also be dissolved with an enzyme called hyalase. This is very useful should you not like the result or if there is any asymmetry, lumps or reaction to the product where you might need removal of the filler.

Are There Any Side Effects Of Dermal Fillers?

Whilst dermal fillers treatments have been safely used for many years with some surveys suggesting that at least 1 in 5 women in the UK has had dermal fillers, it is important to appreciate there are potential side effects and risks of complications. Although all of these can be minimised by seeing a trained and experienced practitioner, it is still very important to consider that something could go wrong.

The most common side effects of dermal fillers treatments are:

  • Redness
  • Swelling
  • Bruising
  • Pain

All of these side effects are temporary and if they occur, are quite easy to manage. They are also all usually apparent straight away although bruising or swelling can become more evident the morning after the treatment. Pain can be minimised with numbing cream whilst redness usually disappears quite soon after treatment.

There are of course some very rare but much more serious complications of dermal fillers treatments such as:

  • Severe allergy
  • Skin infection
  • Occluding a blood vessel
  • Lumps and granulomas
The risk of severe allergies can be reduced by taking a medical history to assess the risk or likelihood of being allergic. If a severe allergy develops, this can usually be seen during the treatment and a good clinic should have an emergency protocol if one develops. The risk of any skin infection can be reduced by cleansing the skin with anti-microbial solution and performing the procedure under aseptic conditions. Signs of infection normally appear within a week of the injection if there is anything which is why it is important to have treatment at a clinic that can provide follow up if required.
One rare but very scary complication is the risk of blood vessels being occluded by filler. There have been around 100 reports world-wide of this happening and this has resulted which has resulted in blindness or skin tissue damage. The main way to minimize these risks is by having treatment by someone who has an excellent understanding of facial anatomy. These risks can be minimised by injecting in layers of the skin that are distant from these vessels, only injecting small amounts of filler at low pressure at any one time and keeping an eye on the appearance of the skin. According to the reports, the effects of blood vessel occlusion are normally seen within a couple of days after the treatment although the patients usually report extreme pain at the time of treatment.
The only serious complication that doesn’t appear straight away is the development of lumps or granulomas. These are normally reactions against the filler when it starts to dissolve or small infections and can hence appear like lumps. This is extremely rare and unlikely if you had the same type of filler in the past without problems and if the treatment was performed under aseptic conditions.

Are Dermal Fillers Safe?

Whilst there are some serious potential side effects and complications associated with dermal fillers treatments, for the most part, hyaluronic dermal fillers are safe. This is only the case if they are performed in a clean and safe environment by a qualified and skilled medical practitioner.

What Are The Best Fillers For The Face

Ther are many different brands and types of dermal fillers available at present. From our experience, we believe that the best filler depends on the area being treated, desired outcome and the health as well as the appearance of the client.

Restylane Skinboosters and Juvederm Hydrate are excellent for enhancing skin texture, firmness and plumpness. The Juvederm Ultra line has hyaluronic acid fillers in a range of thicknesses which can be used to fill out wrinkles, lift skin folds and volumise the face. The thicker Juvederm Ultra fillers can also be used to augment cheeks, chin or enhance lips. Teosyal redensity II is a specialised filler that is licensed for use in tear trough correction to treat under eye bags and circles. For people with a lot of lost face volume, fillers like Juvederm Voluma are great for restoring lost face volume and lifting as well as contouring the face. For mobile areas of the face, Teosyal RHA can be used to treat smoker’s lines and marionette lines whilst maintaining natural movement and expression.

Top Tips For Choosing Dermal Fillers Treatments

The most important thing to do before having dermal fillers treatments is to do your research! Firstly, spend a little time thinking of the top 2-3 things you would like to achieve with the treatment. This will help you place a limit on what you have done initially and make sure that if you have a treatment it will address your main concerns and goals.

Place a comfortable budget for your self with the maximum you’re prepared to spend. This is important because some treatments or results can only be achieved with multiple treatments or a combination of Botox and fillers. Hence, if that is out of your budget, it may be best to hold off treatment otherwise you will be disappointed with the outcome. Also, appreciate that these treatments are not and should not be cheap. The cost of having a treatment by a skilled and experienced doctor, in a clean and professional clinic using top quality filler is high. Steer clear of cheap options where the cost-cutting is likely to be due to a reduction in the quality of the person, product and/or clinic.

Safety is also paramount. The complications and side effects of dermal fillers can be minimised by using the correct product and being injected by a qualified and skilled doctor. You should also look for somewhere that places an emphasis on safety and offers follow up as part of the treatment. They should also offer hyalase (in our opinion this should be free of charge) should you need to dissolve the treatment because of an allergy, asymmetry or you don’t like the outcome.

Finally, at the consultation make sure that you feel comfortable and that you are encouraged to ask questions and every effort is made to assess your medical history as well as aesthetic concerns and goals. There should not be any coercion or attempt at encouraging you to have a treatment straight away if you want to take your time and consider the options. Remeber that dermal fillers are popular because when done properly they can really help enhance and revive the appearance of your face instantly. They are safe and effective as long as you select the correct provider who can make every effort to minimise risk, work with you to address your concerns and follow you up to ensure that you are well and satisfied.


For more on anti-wrinkle and facial rejuvenation clinic, visit our website for details about the bespoke aesthetic skin treatments we offer in London.

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