What are dermal fillers?

Dermal fillers are injectable products designed to restore lost volume and smooth out lines and wrinkles caused by ageing. Along with botulinum toxin injections, dermal fillers are one of the most popular aesthetic treatments available today.

One reason for this is that dermal fillers are incredibly diverse. They can be used augment the cheeks, enhance the lips, diminish fine lines and wrinkles such as smoker’s lines and nasolabial folds (nose to mouth lines), re-shape the nose (non-surgical nose-job), correct hollow tear troughs (the area under the eye) and rejuvenate the backs of the hands, neck or décolletage.

Most dermal fillers used in the UK today are temporary or “resorbable” products made from hyaluronic acid (HA). This means that while they are long-lasting (they can last anywhere between six to 24 months), they are not permanent. HA also has a high safety profile because it is a naturally occurring substance, which makes it highly biocompatible and means that any reactions to it are rare.

What does treatment with dermal fillers involve?

Before your treatment, you will need to have a thorough medical consultation where we will take pre-treatment photos and make sure you fully understand the treatment and are suitable for it.

We usually use local anaesthetic cream or injections used to increase comfort during the treatment.

Depending on the area being treated we may use a needle or a cannula to place the product under the skin.

Some patients may experience a mild stinging or burning sensation as the product is injected, but any discomfort should be minimal due to the anaesthetic.

Injection sites will be massaged to promote even integration of the product into the tissue. Treatments usually take less than 30 minutes to complete.

Are dermal fillers safe and is there any recovery time?

Unlike botulinum toxin, dermal fillers are not prescription only medicines. They are classified as “medical devices” and the UK currently lacks any kind of regulation surrounding who is injecting them. There are countless fillers on the market and not all of them have clinical trials to support their use.

The potential side effects of fillers are far greater than those from Botox so it is very important to know not only which product who are having and who is injecting it. We would recommend only going to a qualified medical practitioner who is experienced in injecting.

At Yuva we use Juvederm, a hyaluronic acid dermal filler which is made by Allergan, the manufacturers of Botox. Dr Acquilla is a key opinion leader and trainer for the company and the products have clinical trials and data to support their safety and efficacy.

In the right hands dermal fillers are very safe and effective. In general HA fillers have very low complication rates. Common side effects can include redness, swelling and bruising at the injection site for a few days after treatment. More severe adverse reactions can include granulomas (nodules), necrosis and excessive swelling, but these are rare.

HA fillers can be reversed using an enzyme called “hyaluronidase” which effectively “dissolves” the product. This gives extra peace of mind.

What kind of results can I expect with dermal fillers?

The RA Face-lift

The RA Face-lift is our signature treatment using dermal fillers which takes a global, a full-face, approach to restore harmony and balance. Rather than treating different areas in isolation, Dr Acquilla developed the RA Face-lift to treat the whole face and give patients natural looking rejuvenation without surgery. The treatment can be performed in your lunch hour and is the ultimate non-surgical liquid face-lift.

Dermal fillers for cheek enhancement

As we age, the fat tissue in our cheeks slides downwards causing a droopy appearance and creating deep folds, which can make us look sad. The cheeks can be non-surgically enhanced using dermal fillers. Cheek volumising is one of the most popular uses for dermal fillers however, the key to natural looking results is to not over-fill them avoiding the unsightly “pillow face” look.

The non-surgical nose job

Non-surgical nose shaping, known as the “non-surgical nose job” is an exciting use for dermal fillers which allows us to recontour and shape the nose without surgery. The treatment can have a huge impact on a patient’s appearance and is a great alternative to surgical rhinoplasty for the right candidates. It can be used to correct prominent bumps on the bridge of the nose as well as to refine its profile, making it appear straighter. We also have techniques to lift the tip of the nose if it is hooked or downturned or to address a prominent or upturned “ski-slope” nose.

Chin augmentation

A small or receding chin can make people feel self-conscious about their appearance. Dermal fillers can be used to balance the facial profile by lifting, contouring and adding more definition to the chin. Chin augmentation with dermal fillers can offer comparable results to a surgical chin implant.

Tear trough treatment

The eyes are one of the first areas to show the signs of premature ageing. Under eye hollows, known as “tear troughs” or “eye bags” can make you look tired and older than your years. This treatment is not suitable for everyone as those with puffiness (oedema) or prolapsed fat on the lower eyelids may still need blepharoplasty surgery. For the right candidates, tear trough treatment can be transformative, diminishing the aging dark shadows and naturally replacing the lost volume that is making the under eye area look hollow.

Lip enhancement

Lip enhancement is becoming more and more popular not only with those whose lips have become thinner with age but also with younger patients who have naturally thin lips.Dermal fillers can be used not only to add shape and volume to the body of the lip but also to address the signs of ageing in the whole lip area such as “lipstick bleed lines” or “smoker’s lines”. Done subtly, lip augmentation is a very effective procedure. The key is to achieve subtle, natural looking results and not a “trout pout”.

Eyebrow and temple reshaping

Although botulinum toxin (Botox) is more commonly used to rejuvenate the brow, there may still be deep static lines on the forehead or hollow temples that can be effectively treated with fillers. Fillers can also be used in combination with Botox for a non-surgical brow lift.

The 8-point Lift

The 8-point lift, also known as the “liquid face lift” uses small amounts of dermal fillers placed in eight key points on each side of the face to create a non-surgical face-lift. The injection points are designed to give optimal support to the facial structure, resulting in a natural lift that restores youthful balance.

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* Disclaimer: Results may vary on an individual basis