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Dermal Fillers


Dermal fillers (also known as hyaluronic acid fillers and HA fillers) are a non surgical treatment where injections are used to fill out the wrinkles and creases in the skin that occur naturally as we age. As we grow older, the body’s natural supply of hyaluronic acid begins to deplete which can cause skin to lose its volume – this is because hyaluronic acid attracts water to the skin and plumps it up. Dermal fillers are made from hyaluronic acid and are injected into the skin to smooth out lines and wrinkles by restoring that lost volume. They can also be used to hydrate the skin to give it a firmer, youthful appearance.

In the hands of a skilled aesthetic doctor, dermal fillers can significantly reduce or even remove the appearance of the fine lines and wrinkles that are a classic giveaway of age. They can also be used to add definition to the cheeks, nose, lips and jawline, recreating the smooth curves of youth.

As with all of our injectable treatments, we take a ‘less is more’ approach to filler injections, treating patients conservatively to achieve natural looking, balanced results. Following treatment, many of our patients tell us how others have commented on how well rested and refreshed they look – the healthiest possible version of themselves. We think that’s the ultimate outcome and testament to the precision and skill of our team.

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Dermal Fillers Treatment Guide & FAQs


What happens first?

Before we carry out any treatment, we will ask you to book an initial consultation with our aesthetic doctor at our London clinic. During this consultation, we’ll take a full medical history and carry out the latest Visia computerised skin analysis to take magnified 3D images of your face.

We’ll also carry out a visual assessment of your skin and talk to you about your needs, hopes and expectations. We’ll find out a bit more about lifestyle factors that might not only affect your skin, but also what type of treatment would be most suitable based on your skin type. Having gathered all this valuable information, we’ll have a better understanding of which dermal filler you need and where they should be injected to give you the best outcome. We’ll create a bespoke treatment plan that is entirely focused on you as an individual.

Will you suggest other skin rejuvenation treatments?

It may be that you come to us thinking you need one type of dermal filler treatment but that we are able to suggest a more suitable alternative. Whatever the case, we will very much consider your individual needs and give you an honest assessment, including realistic expectations of the outcomes of your treatment.

Which dermal fillers do you use?

There are an increasing amount of dermal fillers on the market. Tried and tested filler products you may have heard of include Juvéderm vycross, Teosyal, Belotero and Radiesse. Some clinics offering dermal fillers in London will use a particular fillers brand of choice. At WY we use a variety of filler brands in order to give our doctors free rein on their product selection. It’s not just a case of ‘filling’. Although dermal fillers are all made from hyaluronic acid, they work in different ways and have different properties so it’s important to select the right product for you and what you are trying to achieve.

What areas can be treated with dermal fillers?

Fillers can be used for treatment areas where there is loss of volume or facial contouring. Typical filler treatments can include re-contouring, restoring volume loss, chin augmentation, wrinkle treatment for lip lines, mouth lines, smile lines and marionette lines, lip enhancement with lip fillers and dark circles with tear trough fillers. It’s also about structural balance for example, enhancing the chin or reshaping the nose.

Do dermal fillers hurt?

Most dermal fillers these days contain some form of local anaesthetic. That, combined with topical anaesthetic makes for a surprisingly comfortable procedure.

What is the downtime from dermal fillers?

As with any non-surgical injectable treatment there are associated side effects such as bruising and swelling. With certain dermal fillers we would expect some swelling which can last for a few days. Bruising can happen (although not expected) so we prefer to err on the side of caution and schedule your appointment where you have some time afterwards just in case, especially if it’s your first filler treatment. To reduce this it’s best to avoid drinking alcohol and taking omega-3 supplements for a couple of days beforehand as both can thin your blood. If you’re prone to bruising it might be wise to take some arnica tablets before and after your filler injection to minimise the risk but its not essential. If you look online there are some scary stories where necrosis has happened. This complication is where filler treatments have been misplaced and injected directly into a vein. This is extremely rare and highlights the importance of seeing someone who has sound facial anatomy knowledge. At WY we have never had a case of this but know how to manage it should it arise by dissolving the dermal filler.

When should I see results from my dermal filler treatment?

One of the many benefits of dermal fillers is that you will see the result immediately after your filler treatment, although you should allow time for any swelling to subside to see the full outcome.

Will friends/family be able to tell that I’ve had ‘something’ done?

If hyaluronic acid fillers are placed correctly it will give you a beautiful, natural result – you will be a more youthful version of yourself. The problem is that we cannot see a great result in that it doesn’t stand out. In comparison, a bad result is very noticeable. Choose your practitioner wisely, look at their face and how they look. If they look as if they’ve had too much work done, chances are they see it as normal and unless you’d like that look like that, say thank you but no thanks. Ask to see some before and after images of their previous filler treatments in order to see results of clients they have treated.

Will everything be done in the one dermal filler treatment?

Some people would like quick results which is understandable however, with filler injections its ideal to be treated in stages. We don’t need to inject much hyaluronic acid to make a difference so it’s best to have a treatment plan such as starting with the mid face followed by lower face but all of this will discussed during the consultation.

How long will my dermal filler treatment last?

It varies on the individual, but generally dermal filler treatments will last for six to nine months. As dermal fillers are gradually broken down and absorbed by the body, most people return for another treatment before the visible results have gone.

Why are dermal filler treatments expensive?

The aesthetic industry is sadly unregulated, dermal fillers aren’t on prescription and pretty much anyone can attend a course to learn how to administer these products. Facial anatomy is detailed and complex and needs to be understood to avoid complications. Dermal filler products vary in quality and effectiveness. This is your face and you need to know that you are going to be looked after before, during and after your dermal fillers treatment. At WY we only have the most effective products, best injectors with sound knowledge, soft injecting techniques and an artistic eye for detail. We will discuss your treatment options and proposed treatment plan during your initial consultation, including a full breakdown of the costs. Prices start from £450.

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We’d love to welcome you for a no-obligation consultation to answer any questions you may have.  Please don’t hesitate to book.

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