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54 Wimpole St, Marylebone, London W1G 8YJ

Dermal Fillers

Injectable Dermal Fillers have been used since the 1980’s to remove facial lines and wrinkles. The most popular Dermal Fillers are Hyaluronic Acid (HA) or Collagen but over a hundred different products are now available.

Years of sun-damage combined with the natural aging process results in a depletion of collagen and elastin, with loss of elasticity and thinning of the skin causing the appearance of lines and wrinkles. Thinning of the subcutis results in loss of volume or fullness of the facial features or hands, resulting in the typical aged appearance. This is commonly seen on the face, neck and hands.

Dermal Fillers such as Belotero and Ellanse can provide natural replenishment for your skin with a safe, effective and long term improvement of your appearance. The best choice of filler for each patient will be determined at consultation. Dermal Fillers are very effective for structural reshaping of the Nose, Cheeks and Chin.

Dermal Fillers FAQ’s
  • What are Dermal Fillers?
    Dermal Fillers are used to replenish lost volume in the soft tissues or augment tissues to improve facial shape, contours or definition.  Belotero and Restylane are Hyaluronic acid products which replace your body’s natural Hyaluronic acid.

    Belotero is made up of a unique structure of monophasic hyaluronic acid which means that there are no blue lines in the treatment area and can be used directly under the skin. It’s patented CPM (Cohesive Polydensified Matrix) means that it integrates directly with the tissue of the skin giving a smoother, more natural appearance.
    Radiesse is a compound product of methacrylate and hyaluronic acid used for longer lasting augmentation or enhancement. Ellanse is made of polycaprolactone microspheres in a water-based carboxymethylcellulose gel and is particularly recommended for hand rejuvenation.
    Dermal fillers are highly Bio-compatible with the skin, so adverse reactions are minimal. Each dermal filler has specific advantages in different areas of the face so the most suitable product for you will be tailored to your aims.
  • Am I suitable for Dermal Filler treatment?
    If you are concerned about the appearance of lines or wrinkles on the face, or would like to reshape your Lips, Nose, Chin, Cheeks or rejuvenate your hands, then treatment with Dermal Fillers will be suitable for you. Botulinum toxin treatment may also be beneficial to relax active facial lines. You should be aware of the limitations, side effects and risks before deciding if Dermal Filler treatment is right for you.
  • Are there any contra-indications to Dermal Filler treatment?
    You should not have treatment with Dermal Fillers if you are Pregnant or Breast-feeding, have an active skin disorder on the face or area to be treated, a current infection, any extreme allergic states, severe illness, auto-immune disorders or active cold sores.
  • How is Dermal Filler treatment performed?
    Initial consultation will determine the goals of treatment, make note of any associated medical conditions and plan the optimum treatment to achieve the ideal result in each patient. Treatment is carried out in the out-patient setting and takes 30 – 60 minutes. A topical local anaesthetic cream is applied to the area(s); face, nose or hands. For most areas the Magic Needle is used, which provides the most comfortable and atraumatic treatment possible which is greatly superior to a standard needle treatment.
  • Will the treatment be painful / cause bruising?
    The use of skin cooling or topical local anaesthetic cream with ensure minimal discomfort is expected during the treatment and no bruising should occur with the careful technique used.
  • What precautions are there following treatment with Dermal Fillers?
    Following your treatment you should avoid smoking and alcohol for 24 hours. Avoid vigorous activity and sun/sun-beds for 2 days and do not massage the area for 5 days. With treatments to reshape the nose, cheeks or chin – you must avoid pressure on these areas for 5 days, sleep on your back. Women are able to wear normal make-up the morning after the treatment.
  • When will the results be seen?
    Improvement in the skin, lips, nose cheek and chin are visible immediately after your treatment with Belotero, Radiesse, or Ellanse. You should look good, with little or no visible effects of your treatment the next morning, being able to return to work.
  • How long will the result last?
    Dermal Filler treatments are expected to maintain the improvement for 6 to 12 months, depending on the area(s) treated and specific product used. Repeat treatments are recommended approximately every 6 to 12 months to maintain the improvement.
  • What are the risks of Dermal Filler treatment?
    Firstly, Dermal Filler treatments are very safe with minimal side effects or risks provided the treatment is performed by a qualified and trained practitioner. Side effects such as mild pain with the injection, mild redness at the injection sites or mild bruising can occur but should be temporary and limited. Reactions following Dermal Fillers are rare.


Before and after images

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Mr. Christopher Inglefield

Mr. Christopher Inglefield BSc, MBBS, FRCS(Plast) was born in Trinidad, West Indies, and obtained his Medical Degree from the University of the West Indies in Jamaica and Trinidad in 1985.

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