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  • The London Skin and Hair Clinic
    233 High Holborn
    London WC1V 7DN
    020 7183 5892
    233 High Holborn, London WC1V 7DN
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    What are dermal filler injections?

    Dermal fillers are an effective non-surgical treatments to reduce wrinkles and fine lines and add volume to sunken areas of the face to give a fresher face look. As we age, our skin loses hyaluronic acid and fine lines start to appear on the face.

    Dermal fillers are used to increase volume and improve definition of areas around the mouth, lips and cheeks, and to fill in frown lines and wrinkles on the forehead and around the eyes. Dermal fillers are also used to treat eye bags and tired eyes, jowls, thin lips, weak chin, sunken cheeks, weak jaw (men) and facial volume loss.

    The fillers come in different formulations to treat everything from fine lines to deep folds and volume loss. At London Real Skin we use hyaluronic acid facial fillers which are smooth and long lasting. Hyaluronic acid is a naturally occurring sugar produced within our body that absorbs moisture and keeps skin well hydrated.

    During treatment a Dermatologist or Aesthetic nurse injects the gel under the skin with a fine needle. The gel fills the facial lines and wrinkles or adds subtle volume.

    Before and After Pictures

    Examples of patients who have had dermal filler treatment at our clinic


    This 43 year old man has had dermal filler treatment for his acne scarring on his cheeks


    This young lady had dermal filler treatment for her tear trough area


    This gentleman had dermal filler treatment for his thin lips for subtle shaping

    What are the benefits of dermal filler injections?

    Dermal fillers for lips, eyes, and other areas of the face help smooth and fill fine lines and wrinkles and replace lost volume in the face resulting in a fresher faced look. Dermal filler treatment is also suitable for eye bags and tired eyes, jowls, thin lips, weak chin, sunken cheeks, weak jaw (men) and facial volume loss.

    As we age, skin loses it’s natural elasticity, causing wrinkles and fine lines to develop. This, along with exposure to sun and free radicals can cause the skin to lose it’s youthful flow. Areas that are most commonly affected include around the lips, eyes, and forehead. The passing of time also results in a loss of skin’s natural collagen, which can cause your lips to lose volume and begin to look thin.

    Everyone ages and will experience a loss of skin elasticity, hydration and volume in the face, neck and décolletage area. Dermal fillers are suitable for all skin types and for anyone experiencing lines and wrinkles.

    At London Real Skin, we use global dermal filler brands which are FDA approved with good clinical data supporting their use. Juvederm, Restylane and Belotero are all hyaluronic acid based dermal fillers which means that they can be dissolved if required. All dermal filler treatments are administered by Dermatologists or Aesthetic nurses who are trained in facial anatomy and understand good skin health.

    The results are noticeable and yet appear natural.

    Beyond the 24 hour period, the injection site on most patients will be fully healed and results are visible almost immediately.

    The effects of the filler lasts from 4 months to 18 months depending on the type and the grade of the filler used. There is now evidence that filling wrinkles causes stretching of the skin back to its previous structure and can induce some repair of the tissue.

    What is involved in dermal filler injections?

    Prior to treatment our Aesthetic nurse will have an in-depth consultation with you to discuss your treatment goals with you and advise on the risks and expected benefits from the treatment.

    During this appointment, our Aesthetic nurse will determine what it is you’d like to achieve through the use of dermal filler injections, whether it’s restoration of lost volume and definition, a reduction in wrinkles, or a combination of both.

    The Aesthetic nurse or Dermatologist will then administer injections of the dermal filler to treat the desired areas. The injections feel like a small pinch. All of the dermal fillers we use contain lidocaine, an anaesthetic, which minimises any discomfort.

    Treatments usually take around 30-45 minutes.

    If it is your first time having dermal filler treatment at our clinic, the Aesthetic nurse or Dermatologist will typically use a little less filler and ask you to return 2 weeks later for review and further treatment to ensure they get the best possible result for you and to achieve a more natural look.

    What are the risks or potential side-effects of dermal filler injections?

    Dermal filler injections are not suitable for the following people:

    • Patients on medications that reduce or inhibit hepatic metabolism
      (cimetidine, beta-blockers), steroids, aspirin or anticoagulant
    • Pregnant or breast feeding patients
    • Patients with allergies to hyaluronic acid, amide type local anaesthetics or lidocaine
    • Patients suffering from auto-immune disease or disease affecting the immune system, acute rheumatic fever or recurrent sore throat, history of herpes simplex (cold sores) or other skin infections, untreated epilepsy, hypertrophic scarring, porphyria or cardiac conduction disorders?
    • Patients who have had laser resurfacing or skin peel in the last 6 weeks

    Patients are also advised that the presence of lidocaine within the dermal filler may produce a positive result in anti-doping tests

    What aftercare is required for dermal filler injections?

    The following aftercare is recommended to improve the treatment results and to minimise side-effects from the treatment:

    • Avoid extreme facial expressions, alcohol consumption and applying make-up for up to 12 hours
    • Avoid extreme sun exposure, UV light, freezing temperatures and saunas for 2 weeks after treatment
    • Avoid additional treatments in the treated area for the next 7 days.

    What is the cost of dermal filler injections?

    Dermal Filler Costs / Pricing is based on the number of syringes of dermal filler used and start from £350 for a treatment.

    Dermal Filler Prices

    Juvederm Ultra Smile 3£350 first syringe, £300 each additional syringe
    Juvederm Voluma - 1ml£550 first syringe, £500 each additional syringe
    Juvederm Volift - 1ml£500 first syringe, £450 each additional syringe
    Juvederm Vobella - 1ml£500 first syringe, £450 each additional syringe
    Restylane, Restylane Lips£400 first syringe, £350 each additional syringe
    Belotero Soft, Belotero Intense or Belotero Balance£400 first syringe, £350 each additional syringe


    Do dermal filler injections hurt?

    Our Dermatologists use hyaluronic acid fillers with a smooth which allows them to administer the filler easily and smoothly. The lidocaine within the product (an anaesthetic) reduces any discomfort.

    I’m interested in dermal filler but I don’t want a duck face or to look like I’ve had ‘work’ done?

    At London Real Skin we use FDA approved hyaluronic acid fillers and treatments are administered by Aesthetic Dermatologists who are trained in facial anatomy and are experienced and safe.

    Can I return to work after dermal filler injections or will my colleagues know what I’ve had done?

    In most cases patients can return to work after treatment. There is a risk of bruising around the injection areas, so if you have not had treatment before or if you bruise easily, you may want to schedule treatment at the end of the day

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