What is Dermal filler?

The space between all cells is filled with hyaluronic acid ‘ground substance’. It acts to attract and keep water and therefore gives tissues their ‘plumpness’. With age, hyaluronic acid becomes depleted and tissues deflate. This can be addressed by administering injections of synthetic products similar to hyaluronic acid or those that mimic it. The most common procedures include correction of wrinkles around the mouth and eyes, or restoration of volume in the lower eyelids, cheeks or chin. Occasionally fillers can be used in the nose and hands to mask abnormalities and counteract the signs of ageing.

What are the non-surgical and surgical options available?

The body’s best equivalent to synthetic fillers is its own fat, but harvesting and transplantation requires a surgical procedure called fat transfer. The benefit of this, is that it is permanent, whilst the administration of permanent synthetic fillers have historically been fraught with complications. Hyaluronic acid fillers are the most popular of synthetic fillers but are temporary. Whilst there are many manufacturers of these products, only a few have been through stringent testing. Chris only uses the best quality products which have been thoroughly tested which include RestylaneTM and JuvedermTM.

How long do the results last for?

The improvements are seen immediately, but the benefits last approximately 6-9 months, but may still be effective for 12-18 months.

What are the risks?

Non-surgical treatment has minimal risk. There is a small theoretical risk of an allergic reaction to the hyaluronic acid, if a person has not had these injections before. The injection sites occasionally bruise and can swell. Infection is also a theoretical risk, as with any ‘implant’ based technique, even if the implant is an injection of a product. The body, with time, can produce foreign reactions or granulomas (a collection of immune cells) in response to the products. Occasionally these need to be removed due to lumpiness or discomfort.

What are the success rates?

Most patients are very pleased with the outcome.

How much does the surgery cost?

From £400 for a single area injection (usually 1ml) and £350 for each 1ml thereafter.

What general advice is there?

Hyaluronic acid fillers are temporary and often need repeating every 9-12 months