Result will be noticeable immediately

Topical

Result will typically last 12-24 months and repeat injections will be required when effects wear off.

Patients not suitable Includes:

• Allergy to any ingredients use in the procedure
• Age under 18
• Pregnancy or Breastfeeding
• Neuromuscular Disorder
• Skin infection at site of injection.

You have undergone a dermal filler treatment where hyaluronic acid (or synthetic calcium hydroxylapatite in the case of Radiesse®) has been placed in the skin. You may have some swelling, redness and bruising which should subside within the next 1-14 days. Arnica tablets/gel or vitamin k oxide cream can be used.

Dos & Don’ts

It is advisable that you do not touch the area for 6 hours. Do not apply make up for approximately 6 hours unless it is mineral based. For 48 hours you should avoid exposure to UV and extreme heat i.e. sauna, steam, sun beds, very hot showers, strenuous exercise etc, as this may increase discomfort and swelling.

Avoid extreme cold, including ice packs that are directly applied to the skin. If necessary you can apply a cool compress to the area to reduce any discomfort or swelling. If you have had a local nerve infiltration injection please do not consume any hot or cold drinks until your sensation has returned to normal. You must also be careful when eating so as to avoid biting your lip.

You should avoid facial massages or skin resurfacing until the area has healed fully. If you experience any lumpiness in the implantation area, it can be gently massaged to help smooth it out.

How soon will I see the results and how long will it last?

You should see the effects immediately, although the final results will become clear once any swelling has gone down. Our most commonly used dermal filler, Juvederm Ultra®, lasts 6-9 months onaverage. Radiesse® and Juvederm Voluma® last for 12 – 18 months on average.

When to seek urgent review:

Allergy or infections can occur but are thankfully are extremely uncommon.   If you get a painful or itchy bump or swelling near an injection site please contact the office immediately for a review.

When immediate help could be required:

Pending Necrosis though extremely rare needs immediate attention to prevent scarring.  It is caused by filler or swelling disrupting the usual blood supply causing discolouration (pale or dusky coloured skin) usually associated with pain within the first few hours after a treatment.  Higher risk areas are in the forehead or frown area, and the corner of the nose.  It can occur in many places however.  It requires an immediate return to the clinic or if after hours to A+E.  

Anaphylaxis:  Though rare in the extreme, immediately after your treatment, if you were to start to feel generally unwell and develop swelling and redness around your face your clinician is trained to recognise and deal with anaphylaxis.  If you are no longer in the clinic 999 should be called for an urgent ambulance explaining your concern is anaphylaxis

Risk of Injection:

Bleeding, Bruising, haematoma, infection, itching, a lumpy or think feeling at or under the skin.

Reactions:
Anaphylaxis, Local skin reactions, Biofilm reactions, nodules, lumps or bumps or rarely abscesses. (They may require treatment and they may leave permanent effects on the appearance, sensation and function of the areas affected)

Appearance:
Unwanted visual side effects include: increase in asymmetry, swelling, puffiness, pigment changes, surface irregularities, thread veins or new capillaries and other blemishes. (These may either recover, required further treatment or be permanent)

Blood Vessel Injury:
In rare instances, the arterial blood supply can be blocked by filler. This can cause local tissue necrosis or cell death, and permanent scarring. There are extremely rare instances of vessels which supply the eye or parts of the brain being affected causing blindness and stroke. Case Reports amount to a few hundred cases worldwide.

Other Complications:
Include damage to structures under the skin including veins, arteries, nerves, salivary glands, lymph nodes, bone and other soft tissue structures are possible with any invasive procedure. In rare cases, this could cause continuous problems in appearance, sensation or function and may require medical intervention to treat.