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Facial Fillers (Hyaluronic Acid)

Lip filler, Liquid facelift, 8-point lift

Specialist Nurse, Aesthetic Physician or Plastic Surgeon

1ml Vycross range £375, 1ml Juvederm 3 £300

Hyaluronic acid (HA) fillers have changed the non-surgical approach to facial rejuvenation as well as now being used for facial sculpting. They are still most commonly known for plumping up lips and filling nose-to-mouth lines (nasolabial folds) but these days dermal fillers have a broad range of other uses. These include highlighting cheek bones, targeting eye bags, concealing early jowls and even nose-reshaping.

Hyaluronic acid is a naturally-occurring compound found all throughout the body as well as in other residing organisms. It's natural functionalities include giving skin it is elasticity and lubricating joints. Commercially-available HA fillers include the JuvedermTM & VycrossTM ranges by Allergan.

Who carries out this treatment?

Mary Chettiar
Mary Chettiar
Specialist Nurse
Mary completed her nurse training at the Royal free Hospital in London and has over 20 years experience in Plastic and Reconstructive Surgery. She was the head nurse for Plastic Surgery at Charing Cross Hospital for a number of years before moving to work overseas.
Janis Stanyer
Janis Stanyer
Specialist Nurse
Janis is an experienced specialist nurse with an extensive background using injectables for muscle relaxation as well as fillers. In addition, Janis sees pre- and post-operative plastic surgery patients and can provide insightful guidance and recommendation for a wide range of aesthetic treatments. Janis has a reassuring and calming bedside manner, and is sure to put even the most nervous patient at ease.
Marc Pacifico
Marc Pacifico
Consultant Plastic Surgeon
Mr Marc Pacifico MD FRCS(Plast) has been described as one of his generation’s rising stars in plastic surgery. His academic, surgical and practice achievements include, amongst others, coming top in the UK’s consultant level plastic surgery examinations (being awarded the Gold Medal), the publication of over 50 international peer-reviewed papers, being a regular invited speaker at conferences and the opening of his own private clinic, Purity Bridge, alongside his busy NHS and private surgical practices
Nora Nugent
Nora Nugent
Consultant Plastic Surgeon
Ms Nora Nugent FRCS(Plast) has joined Purity Bridge where she offers an individually tailored modern plastic surgery practice. The cornerstones of her practice are good communication with you and meticulous attention to detail as she feels this is vital to your decision to undergo any treatment under her care. This ethos is continued from your first consultation through to the end of your treatment to ensure that you get the highest possible care and are fully supported during this time.
Brent Tanner
Brent Tanner
Consultant Plastic Surgeon
Mr Brent Tanner is a highly experienced and renowned Consultant Plastic Surgeon. He has a special interest in non-surgical rejuvenation techniques to the face, with a particular interest in the Pearl LASER as well as injectable techniques to produce harmonious, natural and fresh results.
Roxy Belpassi
Roxy Belpassi
Dr Roxy is a fully trained aesthetic practitioner with a background in General Practice. Specialising in skin care, chemical peels, wrinkle relaxing injections and hyaluronic acid fillers, Roxy aims to produce natural-looking results in facial rejuvenation and beautification. She is passionate about making people look and feel their best.

What does it involve?

HA is a clear gel that is injected into or just under the skin in small amounts to restore volume and structure. The injections may be performed on an outpatient basis (i.e. in the clinic). Modern HA fillers consist of local anaesthetic to ease the distress of the injections and also to reduce any post-injection pain

What are the benefits?

The result of HA treatment are long-lasting but not lifelong. Commonly results will last 6-12 months prior to further top-ups are signified. For the lips, 6-monthly treatments may be needed.

HOW LONG DOES THE PROCEDURE TAKE?

The procedure is done on an outpatient basis and takes about 10-15 minutes, depending upon the number of injections needed.

The effects will take 4-10 days to show, and we invite all patients back for a review appointment at 14-days post-treatment

WHAT IS THE RECOVERY PERIOD?

The injections feel a bit like a small mosquito bite and are not particularly painful. Afterwards, some small red marks are usually present for a short time, before they resolve.

Before and After

Facial Fillers Prices

1ml Vycross £375
1ml Juvederm 3 £300

Other thoughts regarding Fillers

Treatments usually take 15-30 mins. A fine needle or cannula (blunt-tipped needle) is applied to inject HA into the skin to soften lines and wrinkles, sculpt the face or enhance the lips.

It is normal to experience some discomfort after the injections. Redness, swelling, pain, itching, bruising or inflammation at the injections sites may also happen. These typically go away after a number of days .

You may be recommended to massage the treated area to help spread the HA and reduce any lumps developing in certain situations.

Cool gentle compresses might assist to minimise any swelling and bruising

Paracetamol can be used for any discomfort after treatment

Ideally you should avoid make-up and direct sunlight on the treated areas until the following day

It is also a good idea to avoid aspirin, or non-steroidal pain-killers (ibuprofen, Nurofen), St Johns Wort or high doses of vitamin E supplements for a week right after treatment. These may enhance bleeding and bruising at the injection site.

Refrain from exercise and alcohol for at minimum 6-hours right after treatment.

It is ok to wash your face as normal the evening of the injections.

As HA is biodegraded, future treatments will be required to maintain the results. Return visits are usually at 6-12 months post-treatment.

People who take medicine to thin their blood (such as aspirin and warfarin) will be at higher risk of bruising so need to be cautious with HA fillers. Likewise, people who take long-term steroids typically have thin skin and can beat higher risk of some complications from the injections - this will be discussed with you in person during your consultation. HA fillers should not be used if you are pregnant or breastfeeding. Furthermore, we would not treat anyone under 18-years old, apart from very exceptional circumstances (such as facial asymmetry issues or underlying bony anomalies. If you suffer from cold sores, please speak to the team regarding this as you may require treatment with an anti-viral medication to decrease the risk of cold sores being stimulated by HA treatment.

Complications with HA fillers are uncommon. As described above, redness, swelling tenderness and bruising can occur at the site of injection.

Allergic reactions are uncommon with HA, as this is a naturally-occurring compound.

Under- or over-treatment is a possibility with HA filler treatment. If the area is deemed to be under-treated, further HA might be given (at cost). If over-treatment has occurred, the best way to approach this in your individual situation will be discussed with you. Occasionally the HA can be massaged to distribute it before the body naturally reabsorbs it; otherwise, injections of hyalase (an enzyme that can dissolve HA) might be indicated.

There have been rare case reports of serious problems associated with HA fillers, including blindness, when the HA filler has been accidentally injected directly into a blood vessel. Fortunately this is very rare and every precaution is taken to reduce this risk.

Prices starts from £295

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