Understanding dermal fillers
Facial ageing involves volume loss as well as line formation. Cheek fat pads descend and shrink, the midface flattens, and shadows form under the eyes and around the mouth. Filler restores support rather than simply filling a line.
Hyaluronic acid fillers are the mainstay because they integrate with tissue and, importantly, can be dissolved if needed. Product choice, depth and volume are matched to the area being treated.
Filler is a medical procedure with real anatomical risk, including vascular complications. That is why it is performed by a qualified doctor who knows the facial vasculature, with emergency protocols in place.
This may suit you if
- Flattened or hollow cheeks
- Under-eye hollows creating a tired appearance
- Loss of jawline or chin definition
- Lip volume or shape concerns, treated conservatively
What happens at the clinic
- 1
Facial assessment
Your face is assessed as a whole — treating one area in isolation is a common cause of unbalanced results.
- 2
Planning and consent
Product, volume and depth are planned, and risks including vascular complications are explained before consent.
- 3
Placement
Topical anaesthesia and products containing local anaesthetic are used. Needle or cannula is chosen for the area.
- 4
Review
A review is scheduled once swelling settles, usually at two weeks, to assess the result properly.
Aftercare
- Avoid strenuous exercise, alcohol, sauna and facials for 24 to 48 hours
- Do not massage the area unless specifically instructed
- Use cold compresses as advised for swelling
- Report severe or increasing pain, blanching or vision change immediately
Possible side effects
- Swelling, bruising and tenderness for several days
- Lumpiness or asymmetry, usually correctable
- Infection — uncommon with sterile technique
- Rare but serious vascular occlusion, which is why doctor-performed treatment and emergency preparedness matter