From restoring lost volume to smoothing fine lines and enhancing facial contours, this treatment is transforming how we approach ageing and beauty.

This comprehensive guide delves into what dermal fillers are, how they work, the various types available, treatment areas, benefits, risks, and what to expect before, during, and after the procedure.

What Are Dermal Fillers?

Dermal fillers are injectable substances used to restore volume, smooth lines, and enhance facial contours. Unlike Botox, which relaxes muscles to reduce wrinkles, fillers add volume beneath the skin to lift and plump areas that have lost elasticity and fullness due to ageing or other factors.

The most common dermal fillers are made from hyaluronic acid (HA), a substance naturally found in the body that helps retain moisture and keep the skin plump and hydrated. Other fillers may include calcium hydroxylapatite, poly-L-lactic acid, or polymethyl methacrylate (PMMA).

Common Types of Dermal Fillers

There are various brands and types of dermal fillers, each designed for specific purposes and areas of the face:

1. Hyaluronic Acid Fillers (e.g. Juvederm, Restylane, Belotero)

   • Used for lip augmentation, nasolabial folds, cheeks, and under-eye areas.

   • Effects typically last 6 to 18 months.

2. Calcium Hydroxylapatite (e.g. Radiesse)

   • Suitable for deeper lines and enhancing facial contours.

   • Stimulates collagen production.

   • Results can last up to a year or more.

3. Poly-L-lactic Acid (e.g. Sculptra)

   • Encourages collagen production for gradual volume restoration.

   • Ideal for hollow cheeks and temples.

   • Results appear over time and can last up to two years.

4. Polymethyl Methacrylate (PMMA) (e.g. Bellafill)

   • A semi-permanent filler.

   • Suitable for deep wrinkles and acne scars.

   • Effects may last up to five years.

Popular Treatment Areas

Dermal fillers can be used to treat various parts of the face, depending on the individual's goals. Popular areas include:

• Lips: Enhance volume, shape, and symmetry.

• Cheeks: Restore fullness and lift sagging skin.

• Nasolabial folds: Smooth lines from the nose to the mouth.

• Marionette lines: Improve the downturned corners of the mouth.

• Under-eye area (tear troughs): Reduce the appearance of hollows or dark circles.

• Jawline and chin: Define contours and improve profile balance.

• Forehead and temples: Replenish volume loss.

• Hands: Rejuvenate ageing hands by restoring volume.

The Dermal Filler Procedure: What to Expect

1. Consultation

   • A professional assessment by a trained aesthetic practitioner.

   • Discussion of desired outcomes, medical history, and suitability.

2. Preparation

   • Minimal preparation is required.

   • Avoid blood-thinning medications (aspirin, ibuprofen) and alcohol 24-48 hours before treatment to reduce bruising risk.

3. Treatment

   • The area is cleaned and may be numbed with a topical anaesthetic.

   • The filler is injected using a fine needle or cannula.

   • The procedure typically takes 15 to 60 minutes depending on the treatment area.

4. Post-Treatment Care

   • Mild swelling or bruising may occur and usually subsides within a few days.

   • Avoid strenuous exercise, extreme heat, and alcohol for 24-48 hours.

   • Results are visible immediately but improve over the following days as swelling settles.

Benefits of Dermal Fillers

• Non-surgical and minimally invasive: No need for anaesthesia or long recovery times.

• Instant results: Many fillers offer immediate improvement.

• Customisable: Treatments are tailored to individual facial anatomy and goals.

• Reversible: Hyaluronic acid fillers can be dissolved with hyaluronidase if needed.

• Natural-looking enhancement: Skilled practitioners can create subtle improvements without altering facial expressions.

• Stimulates collagen production: Certain fillers promote natural rejuvenation over time.

Potential Side Effects and Risks

While dermal fillers are generally safe, especially when administered by trained professionals, there are potential side effects to consider:

Common and temporary:

• Swelling

• Bruising

• Redness or tenderness at the injection site

• Itching

Rare but serious:

• Lumps or nodules

• Infection

• Allergic reaction

• Vascular occlusion (blockage of a blood vessel, which can cause tissue damage)

To minimise risks, always choose a qualified and experienced practitioner, preferably registered with bodies like the General Medical Council (GMC) or British College of Aesthetic Medicine (BCAM) in the UK.

Are Dermal Fillers Right for You?

Dermal fillers are suitable for men and women seeking subtle, non-surgical facial enhancement or rejuvenation. Ideal candidates include individuals who:

• Are in good general health.

• Have realistic expectations.

• Are looking to address volume loss, fine lines, or asymmetry.

• Do not have active skin infections or allergies to filler ingredients.

It’s important to have a consultation with a qualified clinician who can assess your needs, explain treatment options, and develop a personalised plan.

How Long Do Dermal Fillers Last?

The longevity of dermal fillers depends on the type of filler used, the treatment area, and the individual’s metabolism. Generally:

• Hyaluronic acid fillers last 6 to 18 months.

• Calcium hydroxylapatite and poly-L-lactic acid can last 12 to 24 months.

• PMMA fillers may last up to 5 years.

Maintenance treatments are recommended to sustain results over time.

Cost of Dermal Fillers in the UK

The cost of dermal fillers varies based on the product used, the number of syringes required, and the expertise of the practitioner. On average:

• Lip fillers: £150 – £400

• Cheek fillers: £300 – £600

• Tear trough fillers: £250 – £500

• Jawline/chin contouring: £400 – £800

Always ensure that cost does not compromise safety. Avoid unqualified providers offering excessively cheap treatments, as they may use substandard products or unsafe techniques.

Dermal Fillers vs. Botox: What’s the Difference?

While both are injectables, dermal fillers and Botox serve different purposes:

Many individuals opt for a combination of both treatments for comprehensive facial rejuvenation.

The Importance of Choosing the Right Practitioner

The success and safety of dermal filler treatments heavily depend on the skill and qualifications of the provider. When choosing a practitioner:

• Check their medical registration and credentials.

• Review before-and-after photos of previous patients.

• Ask about the brand of filler being used.

• Ensure the clinic adheres to clean and sterile practices.

• Inquire about aftercare and emergency procedures.

Practitioners should never pressure you into treatment and should provide clear information on risks, alternatives, and expected outcomes.

Final Thoughts

Dermal fillers are a powerful and versatile tool in aesthetic medicine, capable of delivering natural, youthful enhancements with minimal risk and downtime. Whether you're looking to plump your lips, soften wrinkles, or define your jawline, fillers offer a personalised, non-invasive solution that fits into modern lifestyles.

However, as with any cosmetic procedure, success lies in careful planning, realistic expectations, and choosing a trusted professional. When done correctly, dermal fillers can enhance your confidence and refresh your appearance—without compromising your natural beauty.