Dermal Fillers are injectable gels that contain hyaluronic acid. Hyaluronic acid is a naturally occurring substance in our skin that helps to keep it hydrated and supple.
How do Dermal Fillers work?
When injected into areas of concern on your face, the hyaluronic acid gel helps to restore lost volume by filling in wrinkles, under-eye areas, and eye bags. It can also add fullness, for example, by enhancing cheeks, providing more definition or volume to lips, or restoring sunken temples.
Dr Paulina believes that for the best natural results, personalising your skin filler treatments is generally more effective in replacing the lost volume rather than targeting individual lines superficially.
Overall her motto is less is more. She prefers to subtly inject less volume of hyaluronic acid filler into various areas, ensuring that the natural facial ratios are maintained and you will achieve a more natural youthful look.
Superficial dermal fillers should be more 'finishing touches treatment' to prevent the face from looking 'done' or 'heavy.'
At her clinic in Sevenoaks Dr Paulina only uses the highest quality hyaluronic acid dermal fillers, which blend well with the skin minimizing the risk of common side effects such as lumps or body reactions and giving a more natural overall result. (All the fillers Dr Paulina uses are listed below)
Frequently Asked Questions
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The effects of premium brand fillers typically last anywhere from six months up to two years, depending on which type you choose and your body's metabolism rate.
Harder fillers last longer than softer ones, and premium brand fillers often use specialist technologies to make them last longer.
Fillers can also be combined with other treatments, such as Botox, for more dramatic results if desired.
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Fillers (dermal fillers) can be used to address many common signs of ageing, including.
- Fine lines and wrinkles around the eyes (crow's feet)
 - Forehead furrows
 - Nasolabial folds (smile lines)
 - Marionette lines (lines at corners of the mouth)
 - Lip fillers lip for fuller lips without surgery
 - Tear trough filler can be used to treat under the eye area
 - They can also help balance the overall effects of ageing
 - They can be used to target perioral 'Smoker's lines' around your mouth
 - Enhance chin and saggy jowls or jawline
 - Help to wrinkle neck or pronounced platysmal bands
 
Ageing cheekbones mainly cause nasolabial folds or clown wrinkles. Therefore, targeting the cheeks, chin, and jawline will result in a much better overall result than superficially treating the wrinkles themselves, which can make the lower face look heavy and unnatural.
Dermal fillers can also treat other signs of ageing where volume loss can be pronounced, such as on hands.
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Dermal Filler results are instant so you can see a visible result immediately after injection. It takes up to four weeks for the Filler to fully settle and integrate into the tissue; some fillers are more cohesive than others.
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It depends on your individual needs – dermal fillers and Botox have unique benefits. Botox addresses lines caused by muscles and facial expressions, while fillers treat the lines caused by volume loss.
At her clinic in Sevenoaks, Dr Paulina Charlesworth would conduct a full consultation to assess your concerns before recommending a tailored treatment plan.
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Risks are associated with all cosmetic procedures, including dermal filler injections. The most common side effects include mild swelling at the injection site(s), bruising, redness, or infection. These usually subside within a few days after treatment.
Dr Paulina will conduct a full consultation with you at her clinic in Sevenoaks to ensure you are aware of any risks that may apply specifically to you.
There can be some specific complications with Filler if it combines with a blood vessel which can compromise a blood supply; dermal Filler can also go lumpy or move, which is why it is essential to have a thorough consultation with a qualified doctor such as Dr Paulina Charlesworth and why expert injection technique and choice of premium filler is so essential.
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After dermal filler injection, you should drink plenty of water to stay hydrated after your treatment, as hyaluronic-based fillers are water-binding.
The skin is the last organ that water goes to, so staying well hydrated can also affect the result of the dermal filler treatment.
All-in-all dermal filler injections offer an effective way to reduce signs of aging while restoring lost volume without resorting to invasive surgical procedures.
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Many different types and brands of dermal fillers are available in the UK. The most well-known premium brands are:
- The Swiss-made Teoxane RHA series and Redensity.
 - German-made Merz Belotero and Juvederm from Allergan.
 - The makers of the original Botox.
 
In her Sevenoaks aesthetic dermatology clinic, Dr Paulina only uses the above premium brands of dermal fillers that she sources from the official specialist London aesthetic medicine pharmacies. This ensures she uses the safest fillers manufactured to the highest sterile standards and stored appropriately.
Premium dermal fillers brands tend to offer longer-lasting results. They are less prone to aesthetic complications such as dermal fillers nodules or dermal filler migration when the Filler moves away from where it was injected. This is often an issue with lip fillers, where the Filler can migrate closer to the nose as we use our lips to speak.
Finally, premium fillers can integrate with tissues better and be more dynamic, offering a more natural result, especially in an area like the cheeks.
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During the consultation at her Sevenoaks skin clinic, Dr Paulina will examine your skin concerns and advise on the best type of Filler suitable for your lines and wrinkles, facial features, and facial expression.
Each dermal filler brand offers a variety of types of Filler. Dermal fillers differ in how soft or hard they are, and each premium brand offers specific advantages over others to address your concerns, such as lines and wrinkles or fuller lips.
For example
Belotero dermal filler range offers:
- Belotero Revive: is a next-generation, injectable hyaluronic acid, skin booster designed to rejuvenate the quality of skin and revitalise the early signs of sun damage
 - Belotero Balance: is approved to temporarily smooth out and fill in moderate to - severe nasolabial folds (the folds or wrinkles that go from the side of the nose to the corner of the mouth)
 - Belotero Soft: is an ideal substance for superficial wrinkles and can be used for perioral wrinkles, lip commissures, crow's feet, and forehead wrinkles
 - Belotero Intense: is a lidocaine formulation from merz suitable for deep wrinkles and skin folds, thanks to its balanced elasticity and effective filling capacity
 - Belotero Lips shape and Belotero Lips Contour: provide a complementary lip augmentation treatment. The products are designed to work with each other to create a natural look.
 - Belotero Lips shape adds volume to the lips and enhances the upper and lower lips
 - Belotero Lips Contour provides definition and contour to the outlines of the lips
 - Belotero Volume: is the ultimate volume filler that creates high cheekbones and an attractive jawline
 
Teoxane dermal filler range offers:
- Teosyal RHA 1234 range
 - Teosyal RHA KISS: is mainly used as a hyaluronic acid lip filler designed to add volume to the lips as well as enhancing the lip contour
 - Teosyal RHA ultra-deep: is designed to provide lots of volume to the face. It can sculpt facial contours and remove folds in the skin
 - Teosyal Redensity I: is a hyaluronic acid dermal filler formulated to prevent premature skin ageing, restore skin density and maintain skin glow
 - Teosyal Redensity II: is the only Filler licensed by the FDA for use in the under-eye area for tear trough correction
 
Juvederm dermal fillers include:
- Juvéderm®: is a hyaluronic acid-based cosmetic dermal filler that can reduce the appearance of wrinkles and fine lines, restoring your naturally radiant visage
 - Juvederm Voluma® xc: is an injectable gel for deep injection in the cheek area to correct age-related volume loss
 - Juvederm Volbella® xc: is lip filler for injection into the lips for lip augmentation and for correction of perioral lines (lines around the mouth), often called lipstick lines, vertical lip lines, or lip wrinkles
 - Juvederm Vollure® xc: softens moderate to severe facial wrinkles and folds (eg, nasolabial folds) by adding volume around the nose and mouth
 
As you can see all of the premium brands have their advantages and differences between them and Dr Paulina would be able to tailor specific products to your desired outcome.