Dermal
Fillers

Face fillers are the second most common anti-ageing injectable treatment after BOTOX. Dermal fillers are different from BOTOX® in that rather than relaxing out the wrinkles they fill out the lines, wrinkles and lift the face.

The face fillers are made from a natural gel that literally fills out any depressions, hollows and creases in the facial skin. These fillers, when positioned in certain areas such as the cheeks and jowls, can create a lifting of the face that is both subtle and natural-looking. They can also be used to plump up lips and correct any symmetry of facial areas as well as help with tired-looking eyes or ‘tear troughs’. The face filler lift effects can not only make you look younger but also more rested and fresh-faced.

If you’re looking to a dermal filler to combat signs of aging, your mid-20s is often a good time to start. Your body starts to lose bone and collagen around age 26, so it’s a good time to begin maintenance injections. By starting early, you’ll require less product than if you wait until your mid-50s

At Cosmedics we use a range of dermal fillers to suit the area we are treating so some of the softer more hydrating fillers will last 6-12 months; whilst the stronger volumizing fillers will last 12-18 months

The cost of dermal fillers starts from £420 and depends on things like the type of product and number of syringes used, and the complexity of the area being treated. They tend can last for a year or more depending on the product used; so while they can be more expensive than Botox the overall cost is comparable given how long they last and also has the added benefit of needing less frequent injections.

The dermal filler injections take 30-45 minutes and you can carry on your normal activities straight after but would maybe plan your diary so you gave any major events for a few days after to let the best results be visible.

At Cosmedics we have treated over 12,000 patients with face fillers and have a wealth of expertise that enables us to help you achieve the facial appearance you are aiming for without compromising on safety or our honest opinion on whether face fillers are the right treatment for you. Our dedicated advisors have a huge knowledge about fillers so you can discuss with them how you feel and what interests you.

Like botox, dermal fillers are an injection to help with ageing. Dermal fillers are used typically in the mid and lower parts of the face whilst BOTOX® is used in the upper third of the face. They both compliment each other to give a overall full face rejuvenation.

After the treatment you will notice some swelling in the areas that were treated. Some bruising may develop over the next 1-2 days that lasts for 4-5 days. The day after sometimes there is still some swelling which is normal and can be covered with make up. Whilst you will see instant improvements, the best filler results are seen 4-7 days later.

Dermal filler treatments that are obvious are normally due to overzealous practitioners who simply over inject too much filler. At Cosmedics our aim is for NATURAL results and if we feel it wont work for you we will tell you.

Cosmedics only have experienced doctors and plastic surgeons offering dermal fillers in our London and Bristol clinics. We only use face fillers that are the FDA approved range of natural dissolvable fillers such as Juvederm and Restylane. This ensures that patients who see us know their safety is our number one priority above all else. People who request filler treatments have often tried Botox with great success and then feel that other areas of the face are showing telltale signs of ageing.

People like the rejuvenating effects of dermal fillers for the face as the before and after results are immediately visible, unlike Botox which can take 7-10 days to appear. There is little swelling and possible bruising in the areas where the dermal fillers were injected that settles down and fade within a few days and can be covered with makeup.

Fillers can give a natural lift and fullness that makes you look fresher and younger by replacement of the lost collagen. Popular treatments include:

• Deeper lines and wrinkles
• Frown lines
• Nose to mouth lines
• Cheeks and chin enhancement
• Mouth & lip lines > see lip enhancement
• Nose reshaping > see non-surgical nose job
• Look fresher and younger without the need for surgery > see 8 point face lift

Yes, sometimes to create the best effect they can be used together. Botox injections.

Once you have made a booking your consultation will be with one of our doctors. You will be able to discuss all the treatment options and decide what is the best procedure for you. Facial filler treatments can be done at the same initial appointment, if you are happy to go ahead, by the same doctor.

The hyaluronic acid gel that is made by cross linking to ensure the longevity and durability also enables this product to be used for medical purposes outside of cosmetic medicine. Examples of such are for back pain where the gel is re injected into the disc of a old vertebral disc to help increase the disc space between the bones of the back so they don’t rub and irritate the surrounding nerves that cause the pain. Filler injections are also used for areas where knee cartilage has worn away through over use or injury. Rare uses are for clitoral stimulation or vaginal rejuvenation or in some cases to help with bladder incontinence by raising the neck of the bladder upwards. Trials have also been ongoing for anal fistulas but have not had a great deal of success so far.

Yes. There will be a little redness, slight swelling and occasionally a small bruise that may last 1 to 2 days. These can all be covered with make-up.

With dermal fillers there can be redness, swelling and bruising, which is normal and which does subside.

The results will be immediate. Your skin will be smoother and younger-looking. Once any swelling has subsided the results will be subtle and pleasing. See our before and after results.

Depending on the area treated, approximately 30 to 45 minutes.

The injections are now used with anaesthetic in the actual filler to ensure that the treatments are not painful. For certain procedures numbing cream can also be applied that maybe in more sensitive areas such as the mouth and lips.

There are lots of different types of filler that are used for filling out lines; each has different benefits and effects.

Restylane and Perlane

These are our most popular alternatives to collagen replacement therapy and do not require an initial 28-day skin test. Restylane and Perlane are dermal fillers consisting of a non-animal clear gel that will help smooth your wrinkles and folds and create contours. It can also be used to provide lip enhancement if required. Restylane and Perlane will generally remain in the treated area for some months following your treatment, giving it natural-looking volume and contours. Restylane is used for fine lines whilst Perlane is used for deeper wrinkles and folds.

Juvederm Ultra

Another natural facial line filler with the advantage of built-in anaesthetic for a more comfortable experience. It does not last as long as restylane but does give a softer look and is particularly useful for our younger patients.

After the procedure the filler results are immediate and you can see the full rejuvenated results of your skin that same day. Often our patients say their friends comment on how well they look and less tired as well as a little younger.

Facial fillers like Restylane and Juvederm Ultra injections are an ideal anti-wrinkle treatment for facial rejuvenation and anti-ageing. Ideally for anyone wanting to have some removal of lines by filling them out especially for the nose to mouth area, crow’s feet (lines around the eyes) or lines around the mouth. Many patients also choose to have this filler treatment to plump up thin upper lips, restoring a nice youthful look. Patients who would like to redefine and soften the contours of their face also turn to dermal fillers as the results are so natural and subtle.

For detailed information:

AFTERCARE LEAFLET