Dermal Fillers

What makes dermal filler treatments at the Chiswick Clinic different? 

Dr. Bela treats every dermal filler procedure as a unique art form. Each patient receives a bespoke, step-by-step treatment plan that starts with a full consultation. During this initial consultation, we assess your goals, medical history, and aesthetic profile. Our goal is to restore lost volume, smooth wrinkles and fine lines, and enhance your natural features without compromising facial harmony.

Are dermal fillers safe? What are the risks and side effects?

While dermal fillers are minimally invasive, they must be delivered by trained professionals due to potential risks and side effects. Common side effects include temporary swelling and bruising, particularly at the injection site. In rare cases, vascular compromise can occur if the gel enters a blood vessel. That’s why we always keep hyaluronidase on-site to dissolve the filler immediately if needed. Safety is our top priority, and Dr. Bela’s anatomical expertise ensures precise placement every time.

What are dermal fillers made of?

Most dermal fillers are made of hyaluronic acid, a substance naturally found in the skin and connective tissue. Hyaluronic acid fillers are biocompatible and reversible, offering a safe and flexible solution for volume restoration and wrinkle reduction. Other types of dermal fillers include calcium hydroxylapatite, poly-l-lactic acid, collagen and bio fillers, depending on the treatment area and skin needs.

How do we ensure natural-looking results?

One of the most common concerns among patients is looking “overdone.” That’s why our approach to facial filler is conservative, subtle, and highly customised. We inject dermal fillers only where needed, using advanced techniques to plump areas that need soft volume, smooth lines, and improve the appearance of wrinkles and folds without altering your expression. Fillers can also influence facial muscle dynamics through a process called myomodulation.

What areas and concerns can dermal fillers help with?

Injectable dermal fillers can be used to:

• Fill wrinkles and smooth fine lines

• Add volume to the cheeks and contour the facial structure

• Treat nasolabial folds (smile lines) and marionette lines

• Soften the appearance of frown lines and deeper wrinkles

• Plump thin lips and enhance lip shape

• Improve symmetry in various areas of the face

• Rejuvenate the back of the hands

Fillers are used in various areas of the face, especially around the mouth, nose, and eyes, and are a popular option for patients looking to remove wrinkles and improve the appearance of ageing skin.

How long do dermal fillers last and what should I expect?

Results can last anywhere between 12 and 24 months, depending on the type of filler used and the area treated. Fillers typically last longer in areas with less movement. Aesthetic results are usually visible immediately after the injection, with full effects settling in a few days later. Side effects may include temporary redness, swelling, or mild bruising. Most patients return to normal activities the same day. Receiving dermal filler injections at our West London clinic is quick, comfortable, and minimally disruptive.

Why the cheekbone area often comes first

Different parts of the face hold different significance when it comes to dermal fillers. Dr. Bela often begins treatment with the cheekbone area—the ‘backbone of the face’—because it supports the upper face and helps lift the lower face. Addressing volume loss here provides a foundation for the rest of the face. Treatment usually starts at the bony cheekbone area and then progresses to the mid-cheek and surrounding regions.

Different sensitivities across facial areas

Not all areas of the face feel the same during filler injections. The cheekbone area, for example, is among the least sensitive, so no numbing cream is usually required. In contrast, the chin and lip area are much more sensitive. For lip fillers, Dr. Bela always uses a numbing gel to maximise patient comfort. Each treatment is adjusted to suit the sensitivity of the area being treated.

Bruising risks vary depending on the injection site

The likelihood of bruising also depends on the area being treated. Cheeks are typically the least prone to bruising, making them one of the most straightforward zones to inject. However, as treatments move towards areas like the chin or lip, the potential for bruising increases. This variability is important to keep in mind when scheduling treatment and planning any upcoming events.