Dermal Fillers
Dermal fillers are gels made of hyaluronic acid, a sugar molecule found naturally in the skin, injected to restore structure and definition where the face has lost them.
Request a consultationAt a glance
Onset
Same day
The difference shows as you leave, then settles into its final shape over two to four weeks.
Longevity
6–18 months
Lips sit at the shorter end; gel placed deep at the cheek, chin or jaw lasts longer. And should you ever change your mind, the gel can be dissolved early.
Downtime
1–3 days
Most people go back to work the same day. Any swelling or tenderness is mild, and a small bruise, if one appears, fades within days.
Discomfort
2–4/10
Most gels carry a local anaesthetic that numbs as treatment goes on, and numbing cream can go on first; the lips feel it a little more than the cheeks or jaw.
Procedure time
30–45 min
For one area; allow a little longer when a plan treats several in one visit.
Structure restored, in proportion with your face
Filler does its best work where the face has lost structure: a cheek that has flattened, a temple that has hollowed, a chin or jaw angle with less projection than it had, a hollow beneath the eye. Hyaluronic acid filler puts that support back, with a change you can see the same day, which is why we offer it. Where skin has also loosened or thinned, your plan pairs filler with a treatment for that part of the change, so each part of the change gets the treatment made for it.
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How hyaluronic acid filler works
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How hyaluronic acid filler works
Hyaluronic acid holds water in the skin and helps keep it supple. In a dermal filler it is made into a gel that keeps its shape once injected, so it supports the tissue around it from the moment it is placed.
Gels come in different firmnesses for different jobs. Firmer ones hold structure close to the bone, at the cheek, chin and jaw; softer ones suit the lips and the thin skin around the eyes. Most contain lidocaine, a local anaesthetic, to make treatment more comfortable. The body breaks filler down gradually, so the result is temporary, and hyaluronic acid filler can be dissolved if you ever want it removed.
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Your face, assessed in layers
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Your face, assessed in layers
Your practitioner studies your face from the front and in profile, still and as you talk and smile, to see which layer has changed: the deeper structure of bone and fat pads that filler restores, or the skin above it, which other treatments look after. You'll be asked about your health, any medicines you take, earlier treatments, and any filler you've had, with when and where it was placed.
From that, your plan is agreed together: which areas, which gel for each, and how much, all settled before any filler is placed.
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Planned for your face, and at your pace
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Planned for your face, and at your pace
Bone structure, skin thickness and the way your face moves all change what will look natural on you, so the gel and the amount are chosen for your face rather than taken from a standard plan.
If filler is new to you, you can start with the area that matters most to you, see how it looks once it has settled, and plan the next at your review. There's no need to treat every area at once: a plan can be built over several visits, and each step waits until you're ready.
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"I don't want to look like I've had filler."
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"I don't want to look like I've had filler."
You've probably seen the look you mean: cheeks that sit too far forward, lips out of proportion with the face, puffiness under the eyes, a lower face that looks heavy.
Almost every example is filler placed with the wrong job in mind. Volume added under skin that has loosened only adds weight, and when one feature is built past the proportions of the face around it, that feature is what people see first. We use filler for the job it does well, restoring structure that has been lost, in the amount your face needs, and anything further is planned once the first result has settled and you've seen it.
The aim is a change you can see, with support back where it had gone, and none of those signs.
Area by area: what filler does, and what your plan weighs with it
The case for filler changes from one part of the face to the next. Here is what it does in each area we treat, and what your practitioner looks at alongside it.
Area
What filler does there
What the plan weighs with it
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Cheeks and midface
What filler does there
A firmer gel placed near the bone rebuilds the contour of a cheek that has flattened, giving the midface back its shape from the front and in profile.
What the plan weighs with it
Where the skin over the cheek has also loosened, Endolift® Face or XERF can firm it in the same plan.
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Temples
What filler does there
Restores the curve between the brow and the hairline where the temple has hollowed, which can make the upper face look fuller and better balanced with the cheeks.
What the plan weighs with it
Temples and cheeks are often planned together, so the upper and middle face stay in proportion.
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Chin
What filler does there
Adds projection or length to a receding or short chin, balancing the profile and giving the jawline a clear finish at the front.
What the plan weighs with it
Fullness beneath the chin is a different change; Endolift® Face can be paired with chin filler to treat it.
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Jawline
What filler does there
Restores a defined angle below the ear and a cleaner line along the bone, where the jaw has lost structure or never had much.
What the plan weighs with it
Where the jaw has softened as well, Endolift® Face or XERF can tighten along it while filler gives the line its shape.
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Lips
What filler does there
A soft gel defines the border of the lips and adds hydration, planned in proportion with your chin, nose and cheeks.
What the plan weighs with it
The measure is balance with your features rather than size, so a first treatment is usually modest, with more considered at your review.
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Nose-to-mouth lines
What filler does there
Can soften the fold that runs from the side of the nose to the corner of the mouth.
What the plan weighs with it
The fold often deepens because the cheek above it has flattened, so support at the cheek may come first and do much of the work.
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Tear trough
What filler does there
A small amount of soft gel, placed deep, can smooth the step between the lower lid and the cheek, so the eyes look less tired.
What the plan weighs with it
Where the skin under the eye is thin, polynucleotides or the EyeLite Protocol can strengthen it, before filler or alongside it.
Many plans treat two or three of these areas, agreed at your consultation and built at your pace.
What happens,
in order
Step 1 of 6 · Before anything
Your plan, area by area
Your practitioner examines your face, talks through the changes you've noticed, and settles with you the areas, the gel for each and the amount it needs. If you've had filler before, bring any record you have of the product and the date.
Filler, and the treatments
it is weighed against
Filler restores volume and structure, and the result shows at once. These four are the ones people most often weigh against it, and several share a plan with it.
Anti-Wrinkle Injections
Lines that deepen when you frown or smile come from muscle movement, and anti-wrinkle injections soften them by relaxing the muscles that crease the skin. Filler helps the other kind of line, the one that stays when your face is at rest because the support beneath it has gone. Many faces have both, and a plan can include each.
Biostimulators
Sculptra, Juläine PLLA and HarmonyCa restore fullness more slowly, by prompting your skin to build collagen of its own, so the change arrives over months where filler gives structure the same day. Hyaluronic acid filler has one more option: it can be dissolved if you change your mind, which some people weigh too. Many plans use both.
Skin Boosters
Skin boosters are also made from hyaluronic acid, but spread in tiny amounts through the skin itself to leave it smoother and better hydrated. They improve the surface; filler shapes what lies beneath it. People who want fresher skin rather than new contour usually start here, and the two sit well together.
Endolift® Face
At the jaw and lower face, people often weigh filler against tightening. Endolift® Face firms loosened skin from beneath with a fine laser fibre, where filler adds structure along the bone; a softening jawline often has some of each, and one plan can address both.
Which of these belongs in your plan, and in what order, is worked out with you at your consultation, so there is nothing to decide before you arrive.
With filler, anatomy is the safety margin
Where filler sits decides how it looks and how safely it was placed. A doctor who knows the face layer by layer knows how deep each gel should go, where the blood vessels run at the nose, temples and eyes, and how to plan every placement around them, so complications stay rare. With hyaluronic acid filler, that knowledge also means anything unexpected can be dealt with in the chair, by dissolving the gel there and then.
Dermal Fillers Pricing
Filler is priced by area and by the amount of gel your plan needs, measured in millilitres (ml). Prices differ by practitioner, as the table shows.
Dr Priya
Aesthetic Practitioner
Cheeks, midface, chin, jawline or temples, 1 ml
£600
£500
The same areas, 2 ml
£1,100
£950
Lips
£600
£500
Nose-to-mouth lines
£600
£500
Tear trough (under the eyes)
£650
£550
Each additional ml
£500
£450
Full-face plan
Priced at consultation
Filler dissolving, per session
£500
£450
The fee for your plan comes from the areas and millilitres agreed at your consultation, and you'll have it before any gel is placed. Dissolving is charged per session.
The full Price ListQuestions about
dermal fillers
What people most often ask us about filler, whether it would be their first time or they've had it elsewhere.
Will I look overfilled?
You agree the areas and the amount for each before treatment starts, and the amount is set to restore what has gone, no more. Swelling on the day makes any area look fuller than it will be, so the result is judged at your review, once it has settled, and more is added only if you and your practitioner agree it's needed.
What if I don't like the result?
Tell us. In the first weeks, some of what feels wrong can be swelling that hasn't settled, so your practitioner will assess it before deciding anything. If the filler itself is the problem, hyaluronic acid filler can be dissolved, which sets it apart from anti-wrinkle injections, whose effect simply fades with time.
Does it hurt?
It's usually easier than people expect. Numbing cream can go on first, and the lidocaine in most gels numbs each area as treatment goes on, so what you notice is mostly a little pressure as the gel is placed. The lips are the most sensitive area. If needles make you anxious, say so at the start: your practitioner can go slowly and pause whenever you like.
Will it show, and how soon can I get back to work?
Most people go back to work straight afterwards. Any swelling or small bruise is usually slight and gone within a few days, so if a wedding or a big occasion is close, mention it when you book and we'll time your appointment around it. Once it has settled, the aim is a face that looks like yours on a good day, and whether you tell anyone is up to you.
How long does filler last?
Usually six to eighteen months, depending on the gel and the area. Lips, which move constantly, sit at the shorter end; gel placed deep at the cheek, chin or jaw at the longer. The gel can also stay in the tissue after you've stopped seeing it, so a result that looks worn off hasn't necessarily gone.
Which fillers do you use?
Hyaluronic acid fillers, from ranges that offer gels of different firmness, so each area gets the one suited to it. You'll know which product is planned for each area, and why, before you agree to treatment.
I've had filler elsewhere and I'm not sure about it. Can you help?
Yes, and it's one of the most common reasons people come to us. Bring whatever the other clinic can tell you, ideally the product and the date. Your practitioner then looks at how the filler has settled and whether it's giving you the shape you hoped for, and plans the next step with you: a little more, work around what is there, or dissolve some first and rebuild. Filler that isn't hyaluronic acid, or whose product is unknown, is planned around with particular care.
Can you dissolve filler?
Yes, if it is hyaluronic acid filler, which can be dissolved with an enzyme injection. It's used to correct a result that isn't right, and it is also part of how a rare complication is treated. The enzyme is a prescription-only medicine, so it is prescribed for you in person, once your practitioner has assessed the area. If you have a permanent filler, or another kind that isn't hyaluronic acid, your practitioner talks you through the options suited to it.
Will lip filler look natural?
That's the aim, and it depends on proportion more than amount: your lips are planned against the rest of your face, not against a size or a photograph. A soft gel defines the border and adds hydration, and a first treatment is usually modest, with more considered at your review once you've lived with the result.
Is filler suitable for men?
Yes. Men often ask about chin and jawline filler, which can add definition that reads as bone structure rather than treatment. The plan follows male proportions at the jaw, chin and cheek, and the aim is usually sharper definition rather than added fullness.
For men
Filler or anti-wrinkle injections?
They do different jobs: anti-wrinkle injections relax the muscles behind lines that appear when you move, and filler restores structure that has been lost. Many people have both, and your consultation shows which lines and areas each would help.
Who is filler suited to?
Adults in good general health who would like structure or definition restored, whether it's their first treatment or they've had filler before; in England, cosmetic filler is only given to over-18s. Some circumstances call for a pause or extra care, and your practitioner checks for them first: pregnancy or breastfeeding, a cold sore or infection where the filler would go, an allergy to hyaluronic acid or local anaesthetic, some autoimmune conditions, blood-thinning medicines, and any permanent filler already in the area.
Is filler safe?
Yes, in trained hands. The usual after-effects are slight: some swelling, tenderness or a bruise, gone in a few days. Occasionally a small lump forms, and it can be massaged or dissolved. Serious complications are rare, and before treatment your practitioner explains each one and what the clinic does if it ever happens, with hyaluronic acid filler dissolvable at once. If anything feels unusual afterwards, call the clinic on 020 3355 2030 and we'll see you promptly.
Talk it through before anything is injected
A comprehensive diagnostic consultation: a thorough assessment leading to a truly bespoke treatment plan, created by you and your practitioner.
Come with an area you'd like to change, or with filler from elsewhere that you'd like looked at; either way you leave knowing the gel, the amount and the fee for each area. You won't be sold to, and you won't be pushed.
Request a consultation Call 020 3355 2030 Your consultation, explained