Dermal fillers such as Juvederm, Restylane and Sculptra are very popular, quick injectable treatments that can soften facial wrinkles, lines and fill out hollows to recreate the smooth contours of younger skin.

Fillers are popular with those seeking a swift, non-surgical solution for ageing skin that has lost volume as the collagen that previously helped to shape and support it has disappeared.

Dermal fillers achieve fantastic, lasting results. The active ingredient present in both Juvederm and Restylane, hyaluronic acid, is naturally found in the skin, tendons and muscles of humans and therefore combat an array of natural ageing symptoms such as wrinkles, ageing lines, nasolabial folds, crow’s feet, frown lines and ‘sad mouth lines’. It can also be used to augment lip volume and contour.

Sculptra, or poly-L-lactic acid (PLLA), is used in the treatment of facial fat loss – also called facial lipoatrophy. Facial lipoatrophy is a condition in which people lose fat in their faces, especially in their cheeks and around their eyes and temples. PLLA is injected into the skin in those areas, causing the skin to thicken via collagen neo-synthesis, improving the appearance of folds and sunken areas and masking the fat loss.

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Frequently Asked Questions

Botox – or Botulinum Toxin – is a neurotoxin that inhibits nerve stimulation on muscles. It is used cosmetically to reduce or remove facial wrinkles. Botox injections contain a very small dose of Botulinum Toxin and relax the muscles that form the wrinkles. The effect of a Botox injection lasts approximately between 3 to 6 months.

Dermal Fillers are a soft tissue filler that is injected into the skin to help fill out facial wrinkles and cavities and add volume to the face, for a fuller, smoother appearance. Like Botox, these are temporary as they are eventually absorbed by the body. Often used cosmetically to soften facial wrinkles, lines and other skin imperfections and enhance facial volume.

There are many different types of fillers, each has its own specificities and tends to work better on certain areas and not in others. Some dermal fillers last longer than others.

Book a consultation with one of our specialists to discuss the best injectable treatments at Cadogan Clinic.

Following a thorough consultation, assessment and completed consent, the dermal filler that has been selected as the most appropriate for you and your needs is eased into the area using a very fine needle.  The product itself can contain an anaesthetic but if not, you may opt to have an anaesthetic cream applied to the area approximately 20 minutes prior to the treatment - the procedure itself should only take about 15 minutes and your results will be visible straight away.

Dermal Filler treatments are generally a very safe procedure when performed by an accredited and experienced specialist. Risks and potential side effects will vary for different types of fillers and certain types will require a pre-treatment allergy test which your consultant will go through with you prior to any treatment.

Allergic reactions are very rare and normally restricted to the part of the body being treated.

Some temporary side effects are expected to disappear within 2-3 days after receiving the treatment. Complications, although uncommon will be discussed in detail at your consultation to minimise the chance of them occurring. If you find that you have an uneven result, your practitioner will see you for a treatment review and this can be rectified. If you suffer from cold sores, dermal fillers to lips may not be a good treatment for you.

At Cadogan Cosmetics we only allow highly skilled and knowledgeable consultants, nurses to deliver the very best quality FDA-approved injectable treatments, using products produced by reputable and trusted manufacturers.

Juvederm is not restricted just to the mouth and lip area, but has a broad range of uses.

Because Juvederm is made primarily from natural substances, such as hyaluronic acid – which is found in humans – the result of using Juvederm is a fuller, and more natural looking feature compared to some other fillers found on the market.

Juvederm can absorb up to 1,000 times its own weight in water. This allows the skin to lock in moisture, causing the treatment area to appear fuller, smoother and more youthful.

Since Juvederm is composed of natural substances, the effects are not permanent. This means that if the desired results are no longer required, the substance will be absorbed by the body naturally over a long period of time. Because the Juvederm gradually reduces its appearance, the fillers are a popular and common choice of procedure for patients that have not received any cosmetic treatment before.

Dermal Fillers can be applied to different areas to achieve multiple results. They are commonly used to increase the volume and size of lips: this treatment option is often used by women to reverse or delay the unwanted signs of ageing.

Dermal Fillers are also a common treatment for facial lines that may appear as a sign of ageing and stress, in particular forehead wrinkles and wrinkles around the eyes (often referred to as crow’s feet).

Skin conditions that can be treated by Dermal Fillers include:

  • Sunken Cheeks

  • Acne Scars

  • Regular Scars

  • Frown Lines

  • Facial Lines

  • Tear Troughs

Dermal Fillers can be used to rejuvenate, contour and enhance areas such as:

  • Nose

  • Lips

  • Mouth Corners

  • Eyebrows

  • Chin and Cheeks

Different fillers and procedures will be used depending on the treatment area and the desired results.

For more specifics on procedures and different treatment areas we recommend getting in touch to book a free consultation with one of our specialists.

Hyaluronic acid – also known as Hyaluronan, Hyaluronate or HA – is a substance that is naturally found in the human body, where it acts as a cushion and lubricant in the joints and other tissues. In particular, it’s present in high concentrations in fluids in the eyes and in the joints.

HA has multiple beneficial functions, such as hydrating the skin, stimulating the production of collagen in skin, acting as an antioxidant and free radical scavenger, maintaining skin elasticity and cushioning joints and nerve tissues. It also has an antibacterial and anti-inflammatory function and maintains the fluid in the eye tissues.

As other protective agents in the body though, Hyaluronic acid decreases with the ageing process.

Hyaluronic acid has several medical applications – for example to treat osteoarthritis. Cosmetically, it is used as a common ingredient in skin-care products and as main active ingredient of injectable treatments for filling soft tissue defects such as facial wrinkles.

Hyaluronic acid fillers are the most common type of dermal fillers. Juvederm and Restylane are common brand names of injectables based on Hyaluronic acid.

There are several different types of Dermal Fillers and choosing the right type for you will depend on your desired results.

A first general differentiation is between temporary (or resorbable) fillers – the vast majority of fillers used in the UK – and permanent/semi-permanent dermal fillers (or non-resorbable), used less commonly.

Temporary fillers will last approximately 6 to 9 months and are considered to be very safe, as the produce will gradually be absorbed by the body over a period of time, which lowers the possibility of long term side effects significantly.  There are different types of temporary fillers, which can be categorised based on their main component. The most common include:

  • Hyaluronic acid fillers

    Hyaluronic acid fillers are the most popular category of dermal fillers and come in different brand names, such as Juvederm and Restylane, with slight differences and varying results. As their main active ingredient, hyaluronic acid, is a natural substance in the human body, these fillers are highly safe and side effects are very rare.

    Different types of Hyaluronic acid fillers present diverse levels of thickness offering flexible solutions to treat different areas and skin conditions: thinner fillers are typically more suitable for the treatment of wrinkles and fine lines and for lip enhancement; thicker fillers are more suitable to treat deep wrinkles and loss of volume.

  • Calcium Hydroxylapatite fillers

    Calcium Hydroxylapatite is a substance found naturally in human bones and is the main element of brand products such as Radiesse. Dermal fillers based on Calcium Hydroxylapatite have longer lasting effects and are commonly used for facial sculpting, typically to treat deep lines and creases such as nasolabial folds and to enhance the volume of the cheeks and other facial contours. Calcium Hydroxylapatite is normally not applied to the lips.

  • Collagen Simulators based on Polylactic acid

    Collagen Stimulators – such as Sculptra – are used to add volume and improve skin texture and can be used in particular to treat facial fat loss.

This type of treatment produces more subtle, less immediate results, which will gradually improve over several months. This is thanks to the fact that, once injected, Collagen Stimulators encourage the body to form its own collagen over time.

The main element of collagen stimulators such as Sculptra is poly-l-lactic acid (PLLA), a synthetic material which helps to replace lost collagen.

Dermal Fillers are a safe, swift and effective non-surgical treatment that help to soften facial wrinkles creases or folds, ‘fill out’ hollows and recreate the smooth contours of a younger complexion.  Dermal Fillers can also be used to treat scars including acne scarring or those acquired through injury or surgery as well as other age-related depressions in the skin.

Dermal Fillers can be applied to many different areas to achieve multiple results. They are commonly used to increase the size and fullness of lips but are most popular for reversing or delaying the unwanted signs of ageing and stress

There are different types of Dermal Fillers, composed by a variety of substances both natural and synthetic. Most are produced from collagen – the main structural protein of connective tissues in humans, others are synthetically produced in a laboratory and derived from hyaluronic acid, a water holding molecule which acts as a cushioning and hydrating agent in all mammals. 

The length of time that the effects and benefits of Dermal Fillers last depends on multiple factors, such as the type of filler used, the area the filler is injected into, the age of the patient, their genetics, their lifestyle habits and the quality of their skin.

The most common types of Dermal Fillers have long-lasting, but temporary effects and are gradually absorbed by the body over a period of time so are considered the safest.  For example, the effects of Hyaluronic Acid Dermal Fillers such as Juvederm and Restylane are expected to last about 6 to 12 months on average. HA fillers differ in viscosity to offer patients flexible solutions to a number of concerns, for example; thinner fillers are typically more suitable for the treatment of wrinkles and fine lines and lip enhancement, whilst thicker fillers are more effective at treating deep wrinkles, folds and loss of volume.

Calcium hydroxylapatite based fillers, such as Radiesse uses a substance found naturally in human bones and is used for facial sculpting and to treat thicker lines and folds the results of which are expected to be longer lasting - typically around one year. Lips are not usually treated with this type of filler. After the initial treatment, follow-up sessions are usually recommended every six to twelve months, depending on the treatment and results.

Collagen Simulators based on Polylactic acid, such as Sculptra – are used to add volume and improve skin texture and can be used in particular to treat facial fat loss.  This type of treatment produces more subtle, less immediate results, which gradually improve over several months due to the fact that once injected, Collagen Stimulators encourage the body to form its own collagen over time.  The main element of collagen stimulators such as Sculptra is poly-l-lactic acid (PLLA), a synthetic material which helps to replace lost collagen.

Filler treatments at the Cadogan clinic vary in cost depending on the filler product that is selected for you and the amount of product that is used but treatments typically start from £450. 

Dermal fillers ultimately restore loss of volume but results achieved can vary depending on the main active ingredient in the specific type of filler selected.  A dermal filler is based on the natural composition of human skin, therefore with age, the upper layer of the skin, the epidermis, gradually becomes thinner, offering less protection to the lower layer, the dermis.  Also, the ageing process reduces the production of collagen, the main component of the dermis, which gives the skin its strength, elasticity and firmness. This results in the appearance of wrinkles, folds and other age-related skin depressions.  Dermal fillers integrate natural collagen, in different ways and varying specificities in relation to different areas of the body.

Dermal filler treatments are generally not painful, although the amount of discomfort you experience may vary depending on the area. Treatments around the lip and nose area are typically the most uncomfortable but this can still be tolerated well though topically applied anaesthetic cream.

There is normally no downtime to consider except for slight mild redness, swelling, tenderness, bruising, or itching which usually subsides after a few hours following treatment - most patients can return to work or to their regular activities immediately after receiving treatment although 24hrs following treatment vigorous exercise is discouraged.  If any of these side effects persist, it is recommended to consult your doctor.

How does the face age and how can we rejuvenate it at the Cadogan Clinic?


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