"Dermal fillers" are made of various kinds of natural and man-made or synthetic materials that have been developed over the years for injection into the skin. As the use of these products has grown, so has the choice of different filler substances.

What are they and how do they work?

As the skin ages, it gradually loses some of its collagen, hyaluronic acid and fat. These are the materials that prevent the skin from becoming saggy. Thus, as we age, our skin can become wrinkled and lined. Dermal fillers help to restore your skin to its former youthful appearance. Hyaluronic acid fillers such as Restylane®, Juvederm Ultra® and Belotero® are injected into the skin in areas where it needs to be plumped up again and made to look firmer. Over a period of time, the body gradually breaks down the filler and re-treatment is required.

Different types of filler are often available in a range with thicker more robust versions of hyaluronic acid being injected in the deeper layers of the skin to help fill out deeper lines and recontour the face.

The leading dermal filler substances used by most UK practitioners are NON-PERMANENT hyaluronic acid based products.

Hyaluronic acid is a naturally occurring substance found in the spaces between the cells of body tissues in all animals. It has already been used widely in general medicine to help eye surgeons perform cataract operations, and for injection into arthritic joints to aid movement. It is estimated that over 30 million people around the world have been treated with some form of hyaluronic acid.

Restylane® is a well known brand of hyaluronic acid that has been available in the UK since 1996.  Newer brands including Juvederm Ultra®, Juvederm Voluma and Teosyal®.

Our preferred brand is Juvederm Ultra® as it appears to give a softer result and also, more importantly, causes less discomfort and bruising for our clients.

Dermal fillers

A highly cross-linked formulation for the subtle correction of medium facial lines and skin depressions. Also enhances lip contour.

Juvederm Ultra

A highly cross-linked formulation for more versatility in contouring and volumising medium to deep facial lines and skin depressions, such as nasolabial folds. Also enhances lip contour and volume.

Juvederm Ultra 3

A highly cross-linked robust formulation for volumising and correction of deeper folds and wrinkles, including enhancing volume in the cheeks and chin. This formulation should not be injected into the glabella (frown lines) or into the areas under the eyes.

Juvederm Ultra 4

How long can the effect last for?

This depends on the degree of correction required, your age and lifestyle as well as the correct placement of the product by a skilled practitioner. Clinical trials show that Hyaluronic acid fillers are effective for six to twelve months for the treatment of wrinkles or scars and for around six to nine months for enhancing lip shape and volume. However, in practice, we have found some individuals where the effect may last much longer. For example, there is growing evidence that one of the newest fillers - Juvederm Ultra - could last for up to 12 months in some clients, with VOLUMA lasting up to 18 months.

There are permanent dermal fillers available on the market, but our view is that in a small proportion of people, permanent problems can occur either due to adverse reactions, or changes to the shape of the face as you age which can make these products appear as raised areas on the skin. For this reason we do not use or promote the use of permanent dermal filler products.

Recontour's the face to restore volume to chin, cheeks, and cheekbones that have become hollow or thin due to weight loss or age-related facial fat loss. Immediately after treatment, you should notice that your facial contours appear fuller and rounder, giving your face a softer, more youthful appearance.

Juvéderm™ VOLUMA™

Before & After

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Tear troughs

As you age the hollow between the eye area and the upper cheek can deepen, creating a tired look. The tear trough can be softened with an injectable filler. It is a subtle treatment but one that can transform the face by restoring volume loss and sculpting the face.