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Dermal Fillers

A combination of genetics, ageing and external aggressors can cause the face to lose volume and shape in areas where you might like to see a more refined or youthful appearance. Irregularities or asymmetry, lack of size and definition, structure and support, or fine lines can be improved with the use of dermal fillers.

There are several methods of application and types of dermal fillers that can improve the appearance of common aesthetic concerns such as: wrinkles and lines, small and thin lips, dents or contours in the face, hollows under the eyes, and even irregularities with the nose.

dermal filler london

What are the different types of filler and what are they used for?

With a vast array of dermal fillers available, it can be overwhelming to decide on which dermal filler will be most suited for your needs and help you achieve your aesthetic concerns. At 111 Harley St., you will have a thorough consultation with one of our highly qualified and specialised aestheticians to discuss your concerns, and the most appropriate filler type.

Technically, anyone can perform the treatment, so it’s essential that you seek out a certified aesthetician who has a wealth of experience in delivering high standards in order to minimise risks and unwanted side effects. Undesirable results and side effects sometimes occur as a result of inexperience, improper technique and lack of patient care.

Radiesse

Best for:
plumping fine lines and wrinkles (smile/naso lines, marionette lines, jowls, outer corners of mouth i.e. downturned mouth, chin wrinkling, ageing hands, reshaping the nose.

Radiesse is a Calcium Hydroxylapatite based filler that improves the appearance of fine lines and wrinkles in the lower face, and volume depletion in the hands.
Radiesse continues to improve the skin after it’s injected by stimulating collagen growth.

Restylane Lyft

Best for:
cheek enhancement, restoring volume to hands

Restylane lyft is specifically designed for restoring lost volume in ageing hands. The hyaluronic acid works to plump out the appearance of the hands, to minimise crepiness, dryness, and the appearance of veins. It can also help to augment the cheeks for a more youthful, contoured appearance.

Juvéderm

Juvéderm fillers contain various molecular weights and consistencies, so the application and use can be adapted to different areas and requirements to achieve the most natural looking result.

Some filler has a thinner consistency and is more pliable, making them effective for moulding, so can be helpful when shaping the lips, whereas others have thicker consistencies which are ideal for hollowing, such as around the temples.

Early jowling or shadows and downturned corners of the mouth are areas that respond well to this treatment too. Nasolabial folds can also be superficially treated, depending on their severity.

Juvéderm

Best for:
Lipstick/ smoker’s lines, altering lip shape (lip augmentation), fine lines and wrinkles, hollowing around temples and naso lines.

If your lips have reduced in size due to age and you have started to notice perioral rhytids (smoking or lipstick lines) or have an undefined lip border, this may be the most suitable type of filler for you.

Juvéderm Voluma

Best for:
Adding volume to cheek area to sculpt cheekbones.

Juvéderm Voluma is a cohesive filler that is designed to restore loss of volume in the cheeks. The thicker consistency makes it most suitable for adding shape to the cheekbone area to create a more sculpted appearance.

Juvéderm Ultra and Juvéderm Ultra Plus

Best for:
Areas that are lacking support and structure, nasolabial lines.

Juvéderm Ultra Plus has a thicker consistency than Juvéderm ultra, making it more suitable for treating deeper hollows and folds. Combining the differing consistencies allows for a more customised approach to lifting deep folds and restoring volume, for a more even, natural look.

What areas of the face can dermal fillers be injected in to?

Dermal fillers are commonly used to fill out lines and wrinkles such as the nasolabial folds, marionette lines, crow’s feet, frown lines, smoker’s lines and forehead lines, as well as to restore lost volume under the eye and the cheek area.
The continual improvement of dermal filler formulations means that they’re suitable for many uses and areas to treat and improve the appearance of premature ageing. Dermal fillers can revitalise and rejuvenate your appearance, treating hollowing, sagging, loss of structure, shape, and definition, and fine lines and wrinkles.

They can be used in the following areas:

UPPER FACE

Frown lines and worry lines

Botox can be an effective treatment for alleviating these lines, but for lines that are more severe, dermal fillers can be combined with Botox to enhance results. Fillers can also be an alternative for those who do not want Botox.

Temples

Filler can be placed in the temple area to restore lost volume and improve facial balance and harmony.

MID FACE

Crow’s feet
A combination treatment of Botox and fillers can reduce the appearance of lines around the eyes.

Tear trough
A ‘tear trough deformity’ is characterised by the visible hollowing under the eye, sometimes creating the appearance of dark circles due to the shadow it creates. Tear troughs should not be confused with under eye bags or malar bags.

Dermal filler can be carefully injected beneath the skin under the eyes to plump out the area, resulting in a more rejuvenated and less-tired appearance.

Belotero or Restylane are the most popular types of filler to inject under the eyes, as it can be injected superficially under the skin helping to avoid the unwanted ‘tyndall effect’ which causes discolouration of the skin. Juvéderm is less desirable to use since it tends to lead to more swelling.

Under eye bags
Dermal filler can sometimes be used to improve the appearance of very mild under eye or malar bags. When injected carefully, the filler can plump out the indented area between the bag and surrounding skin tissue to create a smoother contour.

Non-surgical rhinoplasty
With extreme precision, filler can be injected into the bridge of the nose to disguise irregularities or bumps. Additionally, it can be added to the upper bridge to help define a flatter nose.

Cheeks
Volume loss can cause the fat pads to migrate lower down the face, making the cheekbones less pronounced. Filler can be injected into the cheeks to create a contoured appearance. This application has an additional benefit of subtly lifting the lower cheek area to minimise creases, sagging and folds.

The 8-point liquid facelift
With ageing, the fat pads on the cheek and the underlying support structure starts to weaken and migrate downwards, resulting in sagging and more prominent cheek lines, loss of cheekbones and nasolabial folds.

The 8-point liquid facelift strategically administers dermal filler into targeted areas of the face to stimulate collagen and restore facial fullness and volume. The 8-point liquid facelift is a solution for those who seek overall rejuvenation and lifting effect and are starting to see premature signs of ageing.

LOWER FACE

Nasolabial folds
The lines that form from the outer corners of the bottom of the nose and extend to the outer corner of the mouth are otherwise known as ‘nasolabial lines’. When the structural support of the skin starts to weaken with ageing, these lines can become more prominent. Filler can either be injected directly into the naso lines if they’re not too prominent or placed strategically in the cheeks to create a lifting-effect.

Smoker’s lines
Smoking significantly degrades the skin and accelerates ageing. The lines caused by pursing of the lips can be treated with the use of dermal filler.

Outer mouth corners
Otherwise touted as ‘the wrinkles of sadness’, the outer mouth corners can start to droop and sag causing shadows and a downturned appearance. A combination of Botox and fillers can be used to lift and fill the area.

Small/asymmetric or undefined lips
Lip fillers may be a suitable option for you if you wish to augment, reshape or redefine your lips and their border. Lip fillers are highly customisable, and there is no one-size-fits all approach to treatment. In fact, they aren’t always suitable for everyone and the success of the results may depend on the patient’s natural shape, length of the philtrum (distance between nose and upper lip), and any pre-existing asymmetry.

Whether you have thin or small lips or want a more symmetrical and balanced smile, lip fillers can help you achieve this. If you have lost the natural volume and definition of the lips due to ageing, lip fillers can provide great results.

There are several techniques and methods of administering the filler to attain the desired shape and appearance of the lips, ranging from enhancing the cupid’s bow, to add over increase in volume and size.

Weak chin or unrefined jawline
An underdeveloped chin or weak jawline doesn’t necessarily require surgery. Filler can create size and projection to this area for a stronger sculpted chin and jawline.

Ageing hands and neckline
The face isn’t the only area that is particularly prone to ageing – the décolletage and hands can also giveaway our age. Fine quantities of filler can restore hydration and volume to ageing areas that are showing lines of crepiness and loss of elasticity.

Price For Dermal Fillers

Our pricing allows you getting the best possible results.

Juvederm Vycross


Volift – from £500 / vial

Vobella – from £300 / vial

Volite – from £850 / vial

Voluma – From £650 / vial

Other Dermal Fillers


Restylane – from £325 / vial

Perlane – from £375 / vial

Radiesse – from £650 / vial

 

Specialist Applications


Tear Trough – from £650

Nose – from £650

Hyalase – from £450

 

Dermal Filler FAQ

When can results be seen and are they permanent?

Dermal fillers are non-permanent with results lasting between 6-9 months. Lip fillers tend to be metabolised slightly faster, lasting between 3-6 months. Some fillers such as Radiesse offer more permanency, lasting up to a year. Over time, the fillers will be naturally metabolised by your body. Longevity varies from patient to patient.

How long does the treatment take?

Approximately 15-30 minutes depending on the number of areas being treated. Numbing cream will require an additional 20 minutes to apply before treatment.

Side effects and risks

You may experience redness, bruising and swelling following your treatment which should subside within 1-3 days.
Filler dissolves naturally over time and no long-term problems have been reported. You will be informed of associated risks and side effects during your consultation.

Other side effects and risks include:
-Pain
-Tenderness
-Firmness, lumps and bumps – lumps and bumps can often be massaged out and will settle within a week or two of treatment. For massaging instructions, you should consult your aesthetician. If the bumps remain, you may desire to have the bump dissolved.
-Itching
-Dryness – relatively common after lip fillers.
-Tyndall effect causes a blue tinge that is visible through the skin and can occur as a complication of tear trough fillers. This effect is more likely to present itself if the patient has particularly thin skin, or if the filler is placed too superficially under the skin. The risk of this can also be reduced by opting for Belotero or Restylane.
-Central retinal artery occlusion – An extremely rare complication that may result in blindness. It’s more likely to occur when injected into areas like the nose and glabellar lines.
-Necrosis – Tissue death. More likely to occur when injected into naso lines or nose.
-Scarring
-Scabbing
-Infection

What’s the difference between Botox and Fillers?

Those who are not familiar with aesthetic treatments may have confusion over the two different methods of application and substances used.

Both Botox and fillers can be used to treat fine lines and wrinkles, and they are both administered in an injection form.

Botox uses the toxin ‘Botulinum toxin’ to temporarily paralyse muscles – the substance works by inhibiting muscle movement, causing the overlying skin to smooth out. The result is a reduction of fine lines and wrinkles.

Due to the way Botox works, it’s unsuitable for certain areas such as the lines around the mouth, as application of Botox in this area would look unnatural. In these cases, dermal filler would be the most suitable treatment option. Dermal filler works by ‘filling’ the lines to plump them out or by being injected into other areas to lift the surrounding skin.

How does the treatment work?

Subcutaneous fat can be extremely hard to shift. This type of fat often collects around the hips, thighs and buttocks for women, and on the stomach for men. Whilst some people will maintain a healthy lifestyle and endure vigorous exercise regimes, sometimes this isn’t enough to eliminate the fat in these areas.

The aqueous solution works to dissolve fat cells which are liquefied and transported out of the body through the lymphatic system.

Can the results be reversed?

A ‘less is more’ approach is often favoured by our team of aestheticians. Dermal fillers should ideally be virtually undetectable. Subtle beauty enhancements that are not necessarily immediately apparent are what gives the best results. At 111 Harley St., we encourage a logical approach to treatment and recommend that patients to start off with a lower unit doseage of filler and gradually build up over time if desired.

If the results are unsatisfactory or you’ve had a previous application of filler that has produced undesirable results, the filler can be dissolved with hyaluronidase. Alternatively, if the treatment has resulted in asymmetry, additional filler can be added to create a more symmetrical result.

How can I ensure I avoid poor results?

-Set realistic expectations: During your consultation, discuss your desired outcome with your aesthetician. It’s recommended that you avoid showing manipulated images or images of someone else to demonstrate this, as everyone’s facial anatomy differs, and it’s unrealistic to duplicate the results of a treatment based on someone else’s or edited appearance. Instead, you should adjust and align your expectations with the suggestions of the aesthetic nurse where possible.

-Don’t be lured in by bargain offers: In the aesthetic industry, price can often reflect quality. Due to the lack of control and regulation relating to who can administer dermal fillers, it’s advised that you avoid bargain offers and always ensure you ask to see the safety seal on the box, as it’s possible the product can be diluted.

-Do your research: Ensure that the aesthetician is fully qualified and trained in administering fillers. You should avoid at-home visits, and for your safety, have the treatment within a clinical and sterile environment. Research the clinic, and ensure it is reputable by checking the reviews. Request before and after photos to gage an idea of the results you can expect, and to determine how many treatments they’ve performed.

-Strive for a natural result: Anything that is too prominent or too far removed from your natural features will raise suspicion. The best results will be natural.

Are dermal fillers painful?

The lips are one of the most sensitive areas when it comes to fillers, though many patients report the sensation as a mild discomfort. Pain is subjective, though topical numbing cream can be applied prior to treatment to minimise discomfort. Juvéderm and Restylane are injected with Lidocaine which will also help to reduce the sensation.

Can you be treated if pregnant / breastfeeding?

We do not advise treatment for pregnant women or women that are breastfeeding as the effects are unknown. You should also avoid the treatment if you have a history of severe allergies or anaphylaxis.

Why do some lip fillers result in a duck-like appearance?

This effect can occur due to several combining factors including: lack of experience, the patient opting for cut-price discounts (practitioners who offer discounts that seem too good to be true often slash their prices due to lack of demand), too much filler used, and lack of education, experience and understanding of the facial anatomy. Swelling can often exacerbate this appearance – a patient is more likely to experience swelling if they have been drinking the day before the appointment or have taken tablets such as aspirin.

Creating the ideal lips requires a highly skilled hand, and an aesthetician who understands the delicate facial balance and relationship between facial features. The outcome will vary depending on your initial lip size, shape, and the length of your philtrum.

Those have a longer philtrum and very small thin lips are more prone to the ‘duck-like’ results, as too much filler can result in the filler extending above the border of the lips, pushing the lips outward.

With lip fillers, a less is more approach is always recommended. The patient can always return to have more filler at a later stage.

Dermal Fillers Disclaimer


BEFORE & AFTER photos are NOT guarantees that your results will be the same or even similar: your results will likely vary significantly — because you are a unique person. Our Aestheticians take great pride in their patient care ethics, precise surgical measurements, custom planning & their advanced techniques.

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