What are dermal fillers?

As the face ages, skin loses collagen and facial fat pads diminish and migrate, causing sagging and wrinkles. Dermal fillers can be used to plump up areas of the skin and fat helping restore appearance.

Having dermal fillers is an increasingly popular cosmetic procedure, with more people than ever choosing to use a growing range of different filler substances. For instance, products including Restylane, Juvederm and Belotero are some of the main types of fillers, having largely replaced collagen for facial line smoothening and lip augmentation.

These fillers are non-animal based clear gels that are almost identical to a naturally occurring substance in the body called hyaluronic acid. They work with the body’s own hyaluronic acid to smooth, fill and plump out lines and instantly enhance lips.

Present in all living organisms, hyaluronic acid has already been used widely in general medicine to help eye surgeons perform cataract operations, and for injection into arthritic joints to aid mobility. In your skin it creates volume, resulting in a healthy and vital appearance.

However, the final result you can achieve depends on the type of filler you use and the problem you want treated.

Are dermal fillers safe?

Dermal fillers integrate with skin tissue and allow the free passage of vital elements including oxygen and hormones, resulting in healthy, natural-looking skin.
Over time they are broken down by normal biological processes and removed from the body. No long-term problems have been recorded.

What can demal fillers be used for?

There are several uses for dermal fillers, including:

  • Smoothing wrinkles and folds
  • Lines/crow’s feet at the corner of eyes
  • Frown lines between the eyebrows
  • Vertical lines above the top lip
  • Smile lines from the side of the nose to the corners of the mouth Lip enhancement
  • Adding fullness to the lip/skin border
  • Adding fullness to thin lips for a very natural look
  • Adding volume using thicker fillers
  • Filling sunken cheeks and weak chins
  • Filling acne and other scars Fillers can also be used in the upper part of the face to treat expression lines – for instance, crow’s feet or forehead lines.

Will dermal fillers work for me?

Some of the results can be seen immediately such as Voluma and Sub Q.

The period of benefit from this treatment varies between individuals and depends on factors such as your age, skin type and lifestyle.

How do you chose which one to use?

The biggest difference between the various fillers available is the size of the particles used, the active ingredient and the quantity in each vial. For instance, we would suggest fillers with smaller particles for superficial lines and larger particle fillers for deeper wrinkles, restoring lost volume, skin folds and lips.
To find out which filler is best for you, contact us for a complimentary consultation.

Preparing for treatment

At your first visit, you will have a detailed discussion with a medical practitioner about your expectations, the possible side effects, complications, what the treatment involves, pain control and aftercare.

We will also take your medical history, to make sure there is no reason why you should not receive the treatment. In addition, you will be asked to sign a consent form and we may also take photographs of you.

What does it feel like?

Fillers are injected into the the skin using a very fine needle or under the skin. Juvederm and Restylane both contain Lidocaine, any discomfort is, therefore, minimal.
For lip treatments, we can use an anaesthetic nerve block – which is similar to having a dental injection.

Treatments take from 20 to 30 minutes, and results are instant.

How long do the effects last?

This largely depends on the structure of the skin, lifestyle, age and the degree of perfection demanded by each individual patient. You can have additional touch-up treatments any time after your first treatment, However, generally speaking, to maintain the results you have achieved you’ll need a follow-up treatment after six to nine months for lines, wrinkles and folds, and after six months for lips.

Are there any side effects?

Some injection-related reactions occasionally occur, such as transient redness, swelling, pain, itching and tenderness at the injection site. However, these resolve themselves after a day or two for wrinkle treatments, and after a few more days for lips treatments.

Other types of reactions are very uncommon, with just one in 15,000 people experiencing hypersensitivity reactions after having hyaluronic fillers.

Are dermal fillers suitable for you?

As with any treatment involving the skin, injections should be avoided in areas where there is any swelling or infection. Dermal fillers have not, however, been tested in pregnant or breastfeeding women, and are therefore not advised.

Meanwhile, if you have a history of cold sores in the area to be treated, we may recommend that you take anti-herpes medicine before your treatment to help reduce the likelihood of an outbreak.

See also;  Sculptra, INTRAcel, Velashape 3, Obagi and Epionce for anti-ageing and skin rejuvenating treatments

We can answer all of your Dermal Fillers questions:

I really couldn’t recommend Dr Mike…
I really couldn’t recommend Dr Mike Cummins and his team more. I had Vaser Lipo on my inner and outer thighs, and knees. I have received impeccable service, care and thought for my well being from start to finish. I felt very comfortable with Mike from the start who has a wonderful bed wide manner...
- Caitlin
Amazing quality of expertise and care
Hans Place, Dr Comins and the team come with my highest recommendation. I recently had Vaser Lipo to my abdomen and inner thighs from start to end the level of expertise, service and care was outstanding. During every interaction the team made sure to put me at ease and answer my questions, I felt confident...
- Anonymous
Thanks dr Comins...you are a magician
I can only highly recommend anyone who considers Vaser Lipo. Dr Mike Comins is a great surgeon and the whole journey has been handled extremely from the consultation where Dr Comins explains you in details the process and what you can expect… to the aftercare where Dr Comins checked up on me regularly to monitor...
- Renaud Dessertenne
Awesome and such a friendly team
Awesome and such a friendly team
- Paul
Highly Recommend Dr Comins
Dr Mike Comins is highly professional with great attention to detail. I am two weeks post op and although I have been advised that results will take between 6 weeks, with full healing and definition up to 6 months I can honestly say that I can already see the benefits. I have a naturally slender...
- 9th July patient
Really good experience. I had VASER Lipo on the chest, flanks and abdomen. Dr Mike listened to everything that I wanted and so far so good. I’m only 2 weeks post op so there’s still some swelling around the flanks and all over in general but it’s looking amazing in comparison to what it was....
- Michael
‘Top Up’ Procedure
This was a ‘top up’ procedure following the original lipo on the abdomen and a knee (!) in September 2019. Really pleased with the results especially as Mike finally got a fatty lump out of my knee which has been there for many many years and on my 3rd attempt to try and remove it....
- Marina
BEST VASER LIPO EVER dr Mike Cummins Is not just a plastic surgeon he is a fantastic artist who gave me what I always dreamed of. I travelled to Lebanon and turkey to meet so many surgeons but there was always something missing!! Even I actually booked with one then in March just before lockdown...
- Kamjou
Very professional
Highly recommend Dr Comin, he and his team are very professional. The procedure and what was going to happen after was explained to me very thoroughly and Dr Comin was patient with all my questions. It took me a while to decide whether to go for the procedure but i am happy i did; so...
- MonB
From the moment I booked my initial…
From the moment I booked my initial consultation I felt at ease and confident I had chosen the right place. My consultation with Mr Comins was easy to arrange and very straight forward. After doing a lot research myself into the procedure I was able to speak openly about my expectations and fears regarding the...
- Martin Lyons

Meet Dr Mike Comins

As a leading practitioner in aesthetic medicine, Dr Mike Comins founded Hans Place Aesthetic Practice in 1999. Dr Mike Comins has always been at the forefront of his industry, being both the Medical Director of The Private Clinic Group and the President of the British College of Aesthetic Medicine.

Dr Mike Comins practices aesthetic medicine as opposed to cosmetic surgery. All his treatments are walk in/walk out without the need for general anaesthetic or overnight hospital stay.

Hans Place Practice was one of the first clinics in the UK to specifically focus on non invasive, minimally invasive and minor surgical aesthetic treatments.

Dr Mike Comins MBBS MRCGP FBACD is a fellow of the British College of Aesthetic Medicine. He was also president of the college from 2009-2011.

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We understand that finance is often a deciding factor when it comes to undergoing Cosmetic Surgery or treatments. At Hans Place Practice we are able to offer finance solutions with manageable payments to suit a variety of budgets.


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