Dermal Fillers

What are Dermal Fillers?

There is a wide range of dermal fillers available in the UK, the most common being Juvederm, Restylane and Teosyal. the preferred brand of filler used at Sutton Coldfield Cosmetics is Juvederm. In essence, dermal fillers are a gel like substance which is injected under the skin or into fat tissue to help restore facial volume. Fillers are made from hyaluronic acid, which is a substance which occurs in the skin naturally. The skin’s natural hyaluronic acid content decreases with a persons age and, along with the loss of collagen, causes the skin to become looser and prone to wrinkles and lines. Replacing this volume loss with injected hyaluronic acid has the effect of lifting the overlying skin surface, smoothing lines and wrinkles, and gives a smoother, younger appearance. All the dermal fillers used in this clinic are formulated with the local anaesthetic, lidocaine, in addition to the application of topical cream to numb the areas. This means that there is minimal discomfort during the procedure.

The results seen with dermal fillers are immediate and the side effects are minor; there may be some localised redness and swelling, and occasionally, bruising around the injection site. These side effects usually resolve within a few days.

Treatment with dermal fillers is not permanent. The duration of effect depends on a number of factors, for example, age, quality of the skin, where the filler is placed, and how much filler is injected. However, the effect of most treatments generally last for up to nine months before re-treatment is necessary.


The most common areas to be treated are: the lines between the nose and the outer edges of the mouth (nasolabial lines), lines below the outer edges of the mouth (marionette lines), lines above the upper lip (smokers lines), lip borders, lip body and cheeks.

Cheek Augmentation

Lines and wrinkles which appear on the skin such as laughter lines and frown lines are not the only visible signs of ageing. Changes also take place under the surface of the skin where the gradual loss of supportive tissue structures and the long term effects of gravity mean that larger areas of your face lose volume and shape. These changes particularly affect the cheeks and chin.
Volume loss in the cheek areas can be replaced by injecting filler directly into the fat tissue of the cheek, which can give a fuller, more rounded and healthy appearance. This increase in cheek volume can also help to lift the lower face and can help reduce the appearance of lines around the mouth.

The first step in the procedure is to apply a local anaesthetic to numb the area to be treated and help reduce any discomfort to the client. The placement of the filler takes around 30 minutes and the results can be seen instantly. Generally, subtle effects can be achieved with as little as 0.5ml to each cheek, but for a fuller effect 1-2ml can be injected. Juvederm 4, when used for cheek enhancement usually lasts for approximately 9 months, whereas Juvederm Voluma can last for up to 18 months. Further filler can be added at any time to maintain or further improve the effects.


Lip Enhancement

When considering enhancement of the lips, there are two options to consider: better lip definition or more volume…..or both!

To increase the volume of the lip and give it more body, it is necessary to inject directly into the body of the lip. Alternatively, if a better definition is required, then filler is injected into the vermillion border of the lip. This has the effect of giving a subtle ridge to the edge of the lip.

Local anaesthetic cream is applied to the area prior to treatment, in order the reduce any discomfort during the procedure. The placement of the filler takes about 20 minutes, and the effects are noticeable immediately. The effects of the filler usually last for up to six months, but further filler may be placed at any time.

Depending on what is the required outcome, for treatment to the upper or lower lip, or the vermillion border, 0.55ml is generally sufficient. However, for top and bottom lip, a 1.0ml syringe is used. When placing filler in the lips, we recommend a gradual approach, with small subtle changes – therefore, we recommend no more than 1.0ml per treatment session.

Before & After