What Are Dermal Fillers?
Dermal fillers create a refreshed and more youthful appearance by adding volume to targeted areas of the face. Fillers can be used to minimise the appearance of fine lines and wrinkles, reduce hollow areas of the face and enhance the shape of different facial features.
At the CREO Clinic, we offer doctor-led aesthetic treatments, including dermal fillers, to provide natural-looking enhancements to the facial profile. Our aesthetic doctor, Dr. Sabina, has amassed the skills and experience necessary to artfully design and perform dermal filler treatment. Having trained other aestheticians in injectable treatments, you can be confident that Dr. Sabina can deliver safe dermal treatments that provide exceptional results.
Book a consultation with Dr. Sabina today and find out how dermal filler treatments can create fresh-faced beauty for you.
How Do Dermal Fillers Work?
Dermal fillers contain hyaluronic acid, a chemical found naturally in the body that helps the skin to absorb and retain moisture. In doing so, the skin appears plumper with more volume.
Through the use of fillers, the amount of hyaluronic acid in the skin can be boosted, helping to create a refreshed and more youthful appearance, as well as restoring volume to manage fine lines and wrinkles or to enhance the shape of facial features.
Areas Dermal Fillers Can Treat
Dermal fillers can be used to treat various concerns across the face:
Dermal Fillers Treatment For The Upper Face
Glabella lines, or frown lines, describe short vertical lines between the eyebrows up to the centre of the forehead. Frown lines can develop over time when a patient furrows their brow and makes facial expressions.
Why We Don’t Treat Glabella Lines With Dermal Fillers
Using dermal fillers around glabella lines comes with an increased risk of blindness while achieving only subtle improvements. For that reason, we do not use dermal fillers for this area and instead recommend a combination of skin boosters and anti-ageing injections to reduce the appearance of glabella lines.
Lines in the forehead region can develop as a result of the weight of the upper eyelid and brow, becoming more prominent with the ageing process. Dermal fillers can help to smooth out the appearance of forehead wrinkles, promoting a more youthful appearance.
Why We Don’t Treat Forehead Lines With Dermal Fillers
Like glabella lines, treating dermal filler for forehead lines increases the risk of complications. For this reason, anti-ageing injections and skin boosters are a more suitable alternative to improving the appearance of signs of ageing in the upper face.
Lateral canthal lines, often referred to as ‘crow’s feet,’ describe small fine lines on the outer corner of the eyes. Dermal fillers can help to minimise the appearance of crow’s feet, creating more youthful eyes.
However, due to the risk of complications that come with treating the delicate eye area, we do not recommend dermal filler to treat crow’s feet.
The Best Way to Treat Crow’s Feet
Alternatives to dermal fillers are available to treat crow’s feet. Anti-wrinkle injections can be used as a preventative measure to reduce muscle movement and the risk of crow’s feet from becoming more prominent in appearance as static wrinkles. Alternatively, skin boosters can be used to hydrate and smooth the appearance of crow’s feet, creating a more youthful eye area.
The tear trough can become more hollow as we age, though it can naturally lack volume in some patients. Tear trough filler can be used to add volume to the area, reducing the hollow appearance and refreshing the skin for a rejuvenated eye area.
Dermal Fillers Treatment For The Midface
Dermal fillers can be used to enhance the prominence and symmetry of the cheeks. In doing so, the contours of the overall facial profile can be sculpted, and any volume lost by ageing in the cheeks can be restored for a youthful finish.
Rhinofiller or non-surgical rhinoplasty involves the use of dermal filler to treat dorsal humps, increase the height of the nasal bridge, and/or reshape the nasal tip. Many patients use rhinofiller as a less invasive alternative to rhinoplasty surgery.
Nose-to-mouth lines, also called nasolabial folds or smile lines, are the deep lines located at the sides of the mouth that become more prominent when smiling and over time due to the ageing process. Dermal fillers can be used to support the nasolabial folds using cheek filler to lift the nasolabial folds, making smile lines less visible.
Dermal Fillers Treatments For The Lower Face
Lip fillers, or lip augmentation, is one of the most popular dermal filler treatments. By injecting dermal filler into the lips, patients can enjoy fuller lips that appear to have a smoother texture. Lip fillers can also be used to correct any asymmetries of the lips, creating a more even appearance.
Marionette lines describe the lines that run from the mouth to the chin. During the ageing process and the effects of gravity, the loss of elasticity can cause the skin to sag, resulting in lines developing. Dermal fillers can be used to create a more youthful lower face by smoothing out the appearance of marionette lines.
Chin fillers, or chin augmentation, are used to treat both chin wrinkles and/or chin recession. In addition, chin filler can help to restore symmetry to the face by treating the proportions of the chin. For men, chin augmentation can help to create a more angular and traditionally masculine face by adding definition to the area.
Many male patients want to achieve a more masculine jawline by adding definition to the area. By using dermal fillers around the jawline, patients can enjoy a more square-shaped jaw. In addition, jawline filler can help to treat the appearance of jowls caused by ageing by carefully blending the jowling into the chin area.
Dermal Fillers For The Ears
Dermal fillers can be used to restore lost volume in the earlobes that can result from the ageing process. This helps to smooth out fine lines and wrinkles to create a more youthful appearance. In addition, dermal filler injections can be used to correct sagging caused by heavy earrings, improving the shape of the earlobes.
What Are Dermal Fillers Made From?
Hyaluronic Acid (HA)
Hyaluronic acid (HA) is found naturally within the body, meaning the risk of an allergic reaction is extremely low. Hyaluronic acid fillers are able to draw in water, making them a great filler for adding volume, definition, shape, and hydration to the skin.
Hyaluronic acid fillers are temporary and can last between six to 24 months, depending on the thickness of the filler and how quickly it is broken down by the body. In addition, hyaluronic acid fillers are reversible and can be broken down immediately by injecting a substance called Hyaluronidase.
Calcium Hydroxylapatite (CaHA)
Calcium Hydroxylapatite (CaHA) fillers, such as Radiesse, are used to smooth facial lines and wrinkles, restore volume, and treat hollow or sagging skin. CaHA works by stimulating the body’s own collagen production to produce long-lasting results between 12-18 months. This type of filler is more viscous and is, therefore, a suitable treatment for moderate to severe wrinkles and for areas where the skin is thicker, such as nasolabial folds.
However, this filler is not reversible, meaning that it can’t be dissolved if there are complications. For this reason, we do not currently use this type of filler at CREO.
Polylactic acid (PLLA), such as Sculptra, is used to stimulate collagen production to reduce the appearance of wrinkles and laxity while improving the elasticity of the skin to soften fine lines on the face. PLLA fillers can last for up to two years by creating new collagen over a longer period.
Like CaHA fillers, PLLA fillers can’t be reversed or dissolved in the event of complications and are, therefore, not provided by our clinic.
PMMA fillers, such as Bellafill, are synthetic, biocompatible substances that take the form of a tiny ball or microsphere. PMMA is semi-permanent and, unlike other fillers, is not able to be broken down by the body and, therefore, provides ongoing results for up to 8-10 years.
PMMA fillers also work by stimulating collagen production in the skin, helping to improve the appearance of fine lines and wrinkles and promoting a refreshed and rejuvenated appearance.
Due to its bovine source, PMMA fillers are at a higher risk of causing an allergic reaction and can’t be reversed in the event of complications. In addition, this type of filler may not sit well over the long term as the skin ages. For these reasons, CREO Clinic does not offer PMMA fillers.
Who’s A Good Candidate For Dermal Fillers?
An ideal candidate for dermal fillers:
- Wants to reduce fine lines, wrinkles, or folds in the face for a more youthful aesthetic
- Has experienced a loss of volume or lacks volume in particular areas of the face
- Would like to reshape facial features such as the nose, chin, or jawline
- Wants to see aesthetic improvements in the face while avoiding more invasive surgical procedures like a facelift
Benefits Of Dermal Fillers
Having dermal fillers at the CREO Clinic comes with a range of unique benefits:
- No incisions or scarring from treatment
- No need for anaesthetic and its associated risks
- Quick treatment that can usually be performed on the same day as the consultation
- Can achieve natural-looking enhancements instead of drastic changes that can upset the proportions of the face
- Little to no downtime is required
- Central London location on Harley Street
How Much Do Dermal Fillers in London Cost?
The price of your dermal filler injections at the CREO Clinic will depend on a range of factors, including the area(s) treated and the amount of filler needed to achieve the desired result.
|Dermal Filler 0.5ml (lips and fine lines)||From £350|
|Dermal Filler 1ml (lips, facial lines, cheeks, jaw, chin/jowl)||From £490|
|Dermal Filler 2ml (facial lines, jaw, cheeks, chin/jowl)||From £980|
|Dermal Filler 3ml (facial lines, jaw, chin/jowl)||From £1,470|
|Temple Filler 3ml||From £590|
|Temple Filler 4ml||From £1,180|
|Tear Trough Filler 1ml||From £550|
We also offer combination packages for patients who wish to treat several areas in one session. If you are considering dermal filler treatment, contact us today to find out about the latest promotional offers.
Before And After Results
How To Prepare For Dermal Fillers
At CREO Clinic, you will have a thorough consultation with Dr. Sabina before treatment to understand your concerns and cosmetic goals. This will include a medical history and facial analysis. Prior to the filler being administered, a numbing cream will be applied to reduce discomfort, and the area will be thoroughly cleaned to reduce the risk of infection.
You will be advised to take several steps prior to treatment to prepare for dermal fillers:
- Although you will be ready to get back to normal activities the same day, please ensure that you do not have any big social events coming up in the 2 weeks after your treatment to allow for full recovery.
- Do not drink alcohol or take Ibuprofen within 48 hours before your procedure to minimise the risk of bruising and swelling.
- Ensure you have eaten and drunk plenty of fluids before your treatment.
- Try to avoid attending with makeup in the treatment area.
Dermal Filler Procedure Overview
During your consultation with Dr. Sabina, you can discuss your areas of concern and the results you hope to achieve using dermal fillers. Dr. Sabina will then ask you about your medical history to ensure your suitability for dermal fillers and to reduce the risk of complications. If you are suitable for treatment, Dr. Sabina will then provide a bespoke treatment plan tailored to your needs and will explain the results that can be achieved with dermal filler.
Dermal Filler Procedure
Treatment can usually be performed on the same day as the consultation. Dermal filler treatment consists of a series of injections into the treatment area(s) to evenly distribute the filler. This shouldn’t be painful, but you may feel a quick pinching sensation as the needle enters the skin. To help with any discomfort during the procedure, a topical anaesthetic can be applied to the skin to numb the area.
The type and amount of dermal filler used will depend on the area(s) requiring treatment. In addition, different techniques can be used to insert the filler:
- Linear threading – The full length of the needles is inserted and slowly withdrawn in a straight line while the filler is slowly and evenly deposited.
- Serial puncture – Small amounts of filler are injected across the treatment area, with the injection points being in close proximity.
- Fanning – Similar to linear threading, but the direction of the needle/cannula is moved before exiting to add additional lines of filler in different areas.
- Depot – The filler is placed in a given treatment area multiple times.
Dr. Sabina is trained in all of the above techniques and will use those that will produce the best possible results. In addition, filler can be inserted via a cannula using a blunt-ended needle. This advanced technique allows access to a larger area via a single injection site.
Recovery & Aftercare Process
Downtime from dermal fillers is usually minimal, but you may experience side effects like localised bruising, swelling, and bleeding from the injection site(s).
Some aftercare instructions should also be followed to ensure a smooth healing process:
- No touching or makeup application for 24 hours to reduce the risk of infection.
- No exercise, sauna/steam, or excessive heat to reduce the risk of swelling for 48 hours.
- No alcohol for 24 hours to reduce the risk of bruising/bleeding.
- No other treatments on the area, such as skin peels, lasers, injectable for 1-2 weeks.
- Avoid putting excessive pressure on the area, such as sleeping on the face for at least 2 weeks.
When To Expect Results From Dermal Fillers
The results achieved will depend on the area treated. In general, the area will appear smoother and fuller, giving the skin a rejuvenated and refreshed appearance. If fillers are used to treat fine lines and wrinkles, their appearance will be minimised to produce a more youthful aesthetic.
How Long Will Dermal Filler Results Last?
How long dermal filler results will last depends on the type of filler used and the treatment area:
- Lip filler – 6-9 months
- Cheeks/jawline/nose/chin filler – 12-24 months
- Nasolabial and tear trough filler – 6-12 months
Dermal Fillers FAQs
Do dermal fillers hurt?
Having dermal fillers should not be a painful process, though you may feel a mild scratching sensation as the needle is injected into the skin. In addition, a numbing cream can be applied to the skin prior to injecting to minimise discomfort.
Will dermal fillers drastically change my face’s appearance?
Dr. Sabina will perform a thorough assessment of your needs to ensure that treatment does not drastically change the facial profile. Instead, you can expect a subtle, natural-looking enhancement to the targeted treatment areas.
Are there any risks associated with dermal filler?
The main risks of dermal fillers are bruising and swelling at the injection site. Less common risks include infections, nodules, and vascular complications. However, these are rare, especially when work is carried out by a competent aesthetician.
What is Teoxane?
Teoxane is a type of hyaluronic acid filler containing Resilient Hyaluronic Acid (RHA) that provides the skin with hydration. At the CREO Clinic, we use Teoxane to restore volume to targeted areas of the face and body.
How many dermal filler treatments will I need?
The number of dermal filler treatments you will require will depend on the area being treated and how long the particular dermal filler used will last. Most patients only require one initial session to achieve their desired result, with ‘top-up’ sessions required when the filler has been broken down by the body.
What If I don’t like the results of my dermal fillers?
The vast majority of patients are happy with their newly refreshed appearance following dermal fillers. However, if you are unhappy with the results of dermal fillers, Hyaluronidase can be injected to break down and reverse its effects.
Can I get permanent dermal fillers?
Dermal fillers can be temporary, semi-permanent, or permanent. Fillers that are permanent can last up to five years more as they are broken down more slowly by the body. They are typically used in areas of the face where the skin is thicker, such as the nasolabial folds. We do not currently offer permanent fillers as they are not reversible in the event of complications.
What is a “pillow face,” and will I get it?
Pillow face, or overfilling, describes a puffy appearance to the face when too much filler has been injected in one given place. This is more likely to happen if a patient has multiple sessions without realising that the previous filler is yet to be fully broken down and/or migrates position. Natural curvatures, contours, and expressions are ironed out to make the face look unnatural and puffy. As an advanced and moral practitioner, Dr. Sabina strongly believes in natural-looking results and is able to notice when repeated treatment is not yet required. To avoid the overfilled look, Dr. Sabina is open and honest with her patients and will work with them to deliver a solution that will have you looking like the best version of yourself.