Dermal Fillers

Dermal Fillers are made up of a substance called Hyaluronic Acid, a substance which is naturally occurring in our skin and is responsible for it looking hydrated and with volume.  As we age our skin tends to lose these characteristics along with it’s elasticity thus causing thinning and more noticeable wrinkle formations.  There is some evidence to suggest this reduction in Hyaluronic Acid can be as early as our mid-20’s.

Due to the varying densities of Dermal Filler being available they can be used to not only restore volume and fullness, but also restore the foundations which are likely the causal factors to what you see on the outside, those foundations being bone loss over time.

We specialise in full face rejuvenation however we also undertake lip injections, cheek and jawline fillers as well as rejuvenation of the hands and reshaping of the nose.

It’s important to us that your whole face is evaluated, to ensure full harmony however your immediate concerns will always be the treatment focus.  If you are unsure of what is required then please book a consultation for us to discuss.  

Please see our page on Non Surgical Rhinoplasty for Nose Filler information. 

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PHI INSIGHTS : dermal filler treatment


Lip injections are a great way of balancing the overall face with mild to moderate pain.  Strong numbing cream is applied to reduce this along with use of thin needles or a cannula.  Can be used to enlarge thin lips, prevent top lips from inverting (lip flip) and all enhancements are best achieved gradually over time.


Dermal Filler is often positioned into the soft tissue of the mid face region to improve contour and replace volume loss which happens with age over time. This is usually carried out with a cannula when placing in soft tissue to reduce potential risks however sometimes small amounts need to be injected onto the bone


Jawline contouring or jawline filler treatment can be used for beautification or masculinisation of the face or to rebuild areas where ageing has caused skin to sag such as the jowl areas.

Often focus will also be required at the chin which is additional cost

Are Dermal Fillers Safe?
How safe dermal fillers are depends on a number of factors. Any medical treatment comes with some level of risk and so it’s important that your ensure the person administering your treatment is able to discuss these with you and also be able to manage any complication should it arise.

Dermal Filler products are a medical device and most are made up of hyaluronic acid, which occurs naturally in our body and so as a product in itself is safe, however if placed incorrectly can cause complications such as bruising, swelling, infection or in very rare cases cause a blockage to the blood flow in your body. An experienced medical professional, with their sound anatomical knowledge, will most likely be able to avoid the more severe complications however in the event of them occurring will also have the prescription drugs needed to reverse what is occurring.

A consultation prior to your treatment is required for this reason so that all of the potential safety issues can be discussed, along with how these risks are reduced or managed in the event of them occurring.
Are Dermal Fillers Permanent? / Are Dermal Fillers Reversible?
The majority of dermal fillers contain hyaluronic acid which then integrates with your normal hyaluronic acid and tissues once injected. Your body naturally breaks down hyaluronic acid over time and so any results will only be temporary, however it takes many months and sometimes years to fully go.

Dermal fillers can be reversed when made of hyaluronic acid and an enzyme called hyaluronidase is used to do this. The reversal happens almost immediately however the enzyme continues to work over the next 14 days also.

There are however some brands too dermal fillers which are made of calcium Hydroxylapatite, these are non reversible and so could present additional problems if they were to block the flow of blood in a particular area. PHI : BALANCE offer a dissolving service for those wanting their dermal fillers reversed.
Are Dermal Fillers Painful?
Any treatment which involves a needle could present with some level of discomfort however feedback from patients who have had dermal filler treatments report that pain is very minimal.

When requested, strong medical numbing cream can be applied to the area, however dermal filler products generally contain lidocaine which has a numbing effect also and so any initial discomfort soon passes due to the lidocaine.
How Do Dermal Fillers Work?
Dermal Fillers work by replacing lost volume in the desired areas being treated. Due to the varying densities, it’s important that your practitioner understands how these diffferent densities will respond when placed in different tissue layers.

Thicker dermal fillers are generally placed on or near the bone structure to shape and restore when needed. However a multi-layered approach often gets the best treatment results and this means using product on or near the bone but also in most if not all 5 layers of the face.
Where Can Dermal Fillers Be Used?
In the right persons hands dermal fillers can be used in a multitude of areas. However typically, dermal filler will be used in;

Nose, Cheeks, Chin, Jawline, Hands, Temples, Under Eyes (Tear Troughs) and Lips
How Long Do Dermal Fillers Last?
How long dermal fillers last depends on where they have been placed but also to some degree the type of dermal filler product that’s been used. The following durations should be used as a guide only as it depends also on lifestyle factors also such as sun exposure, exercise and smoking to name a few.

Lips & Soft Tissues - 6 to 9 months

Structural treatments such as nose, jaw and cheeks - 12 - 18months


Tear Trough Correction is undertaken with a blunt cannula.  A high quality product designed specifically for this area, called Teoxane Redensity 2 is used.  This treatment is best suited for those noticing dark circles, mild under eye bags or a general tiredness appearance.  Cheek Enhancement is always recommended to compliment this treatment


Known as the peri-oral region, Nasolabial folds develop as deep creases from the nose to the mouth and marionette lines often as deep creases from the corners of the mouth to the chin.

Using a blunt cannula, dermal filler is placed in the soft tissues of these areas to replace lost volume often giving a more youthful appearance.


If you have started to notice the appearance of tendons, veins or an overall general loss of volume then this treatment is definitely for you.

Still a dermal Filler however instead of hyaluronic acid, this product is made of Calcium Hydroxylapatite and lasts 12 – 18 months, often longer


Dermal fillers and advanced aesthetic treatments.

PHI : BALANCE Medical Aesthetics is a trading name of PB MEDICAL GROUP LTD (Company #13245741) Registered Office: 85 Great Portland Street, London, W1W 7LT