Dermal Fillers

Replace or gain lost volume to the face, improve skin quality & resolve asymmetry

What you need to know about dermal fillers

Dermal fillers are a popular cosmetic treatment used to enhance facial features, restore volume to areas of the face that have lost volume due to ageing, and reduce the appearance of wrinkles and fine lines. They are minimally invasive and produce visible results quickly. There are many types of dermal fillers available, including hyaluronic acid fillers like Teoxane and Maili.

What are Dermal Fillers?

Dermal fillers are injectable substances that are used to fill in wrinkles and lines, restore volume to areas of the face that have lost volume, and enhance facial features. They are made from a variety of substances, including hyaluronic acid, collagen, and calcium hydroxylapatite.

Hyaluronic acid fillers like Teoxane and Maili are among the most popular types of dermal fillers. They work by attracting water to the treated area, which helps to plump up the skin and smooth out wrinkles and fine lines.


Teoxane is a brand of hyaluronic acid filler that is commonly used to treat wrinkles and fine lines, restore volume to the cheeks and lips, and enhance facial features. It is made with a unique cross-linking technology that makes it longer-lasting than other types of hyaluronic acid fillers. It is a popular choice for those who want a natural-looking result, as it is designed to mimic the natural hyaluronic acid found in the skin. It is also well-tolerated by most patients, as it is made with a non-animal source of hyaluronic acid. 


Maili is another brand of hyaluronic acid filler that is commonly used for cosmetic purposes. It is a versatile filler that can be used to treat a variety of areas of the face, including the cheeks, lips, and nasolabial folds. It is made with a patented cross-linking technology that helps to make it longer-lasting than other types of hyaluronic acid fillers. It is also designed to be well-tolerated by most patients, as it is made with a non-animal source of hyaluronic acid.

Benefits of Dermal Fillers:

Dermal fillers offer many benefits for those who are looking to enhance their facial features or reduce the appearance of wrinkles and fine lines. Some of the benefits of dermal fillers include:

  1. Quick Results: Dermal fillers produce visible results quickly, often within a few hours of treatment.

  2. Non-Invasive: Dermal fillers are a non-invasive alternative to surgical procedures like facelifts.

  3. Customizable: Dermal fillers can be customized to meet the unique needs of each patient, allowing for a personalized treatment plan.

  4. Long-Lasting: Many types of dermal fillers, including Teoxane and Maili, are designed to be long-lasting, producing results that can last for several months or even up to a year.

  5. Safe: Dermal fillers are generally considered safe when administered by a qualified and experienced provider.


Why are there so many fillers options?

Dermal fillers can be used for a variety of aesthetic concerns. From fine lines to restoring lost volume or correcting deficiencies, there is a dermal filler product specially designed for it. 

For example, the Teosyal RHA range from Teoxane has four products which for fine lines are stretchier while the products used for volume correct are stronger.

How does the practitioner choose the right filler for me?

All leading filler products provide data on the rheology of a product which is how a product moves and flows. Dermal fillers key metrics are stretch and strength. The stretch is move much movement the fillers has and is used in areas of the face which are dynamic or which require the product to move in harmony with the face. The strength of a filler refers to how well it maintains its shape. The stronger fillers will be used in areas where volume has been lost, where more definition is needed or where asymmetry is a concern. 

What should you look for when choosing someone to inject filler?

At present, there is very little regulation to protect consumers. Filler products are manufactured by leading global pharmaceutical companies as well as a high number of companies with limited or no scientific or medical background. It is important therefore to find a clinic that uses only leading products from companies such as Teoxane, Allergan, or Sinclair.

Importantly, access to leading products is not restricted to medical practitioners, and although a clinic may offer the best possible products the person injecting the product might not have any medical training. 

At Berkshire Aesthetics our practitioners are GMC-registered medical doctors, the clinic is registered with the CQC and we have in place extensive training and safety protocols. 

Please be aware that claims made by clinics on their website are rarely verified by any authority and it is up to you to ensure you do appropriate research. Dr Langdon is a Key Opinion Leader for the JCCP and has lobbied the government for many years regarding the regulation of aesthetics. Until these regulations are in place, however, please take care as there are few protections in place when things go wrong if you choose an unregulated clinic.

Frequently Asked Questions

Dermal fillers can help with a variety of skin conditions, including:

– Fine lines and wrinkles
– Nose re-shape (Non-surgical Rhinoplasty)
– Loss of volume in the cheeks
– Hollow temples
– Hollowness under the eyes
– Undefined jawline
– Creases between eyebrows
– Thin lips
– Chin augmentation.

Dermal fillers can help with a variety of skin conditions, including:

– Fine lines and wrinkles
– Nose re-shape (Non-surgical Rhinoplasty)
– Loss of volume in the cheeks
– Hollow temples
– Hollowness under the eyes
– Undefined jawline
– Creases between eyebrows
– Thin lips
– Chin augmentation.

Dermal fillers work by injecting a gel-like substance containing hyaluronic acid into the skin to redefine and to sculpt facial contours as well as to provide deep hydration and to replace volume we lose as we age. Hyaluronic acid is a natural substance which is found within our bodies.

Dermal fillers are for anyone looking for a solution for volume loss, create more definition, treat asymmetry or contour their face.

Depending on the number of areas treated, the procedure can take anywhere from 20 minutes and one hour.

Dermal fillers are in the most part relatively painless, particularly with Teoxane products as they include lidocaine (an anesthetic with a numbing effect which is used to block pain). For more sensitive areas such as the lips additional pain relief measures can be taken. 

Dermal filler treatment can be completed in one sitting. However, for those seeking more of a transformational result it is recommended the treatment is completed over a number of sessions to ensure the best possible outcomes are achieved.

Prior Dermal fillers we advise that patients should do the following:

– Avoid wearing make-up/ fake tan to your appointment
– Avoid excessive sun exposure for four weeks prior to treatment
– Avoid using Retinol and active creams 48hrs prior to treatment
– Avoid abrasive treatments such as laser, waxing and chemical peels 2 weeks prior to treatment

Yes, dermal fillers are extremely safe when performed by a qualified and registered medical professional with strong knowledge of facial anatomy. At Berkshire Aesthetics you will be treated by Dr Selena Langdon who is very well regarded as one of the country’s leading injectors as evidenced by her role as a Country Expert for Teoxane. 

The recovery time post dermal filler varies for each patient and for the type of filler injected. The most common side effects include bruising, swelling and redness which will resolve after a few days to a week. You can usually resume most activities immediately after the procedure but it is recommended that you avoid intense physical activities for the first 48 hours to minimise swelling, bruising and the chance of the filler migrating.

The most common side effects of fillers are redness, swelling, bruising and infection. There can be significant complications if the injector does not have a good knowledge of facial anatomy. It is important that you only allow registered medical professionals to perform your filler treatment, ensuring they are appropriately qualified and trained in the procedure. Serious risks can include anaphylaxis (severe allergic reaction), granuloma formation, migration of the product, tissue necrosis (death of the skin) and blindness.

You will see an immediate change following treatments but will improve over the following weeks as the filler settles. 

Usually you can return to your normal activities immediately after Dermal fillers, however the following is advised to minimise the risk of side effects:

– Avoid significant movement, massage, or compression of the treated area for a minimum of 48 hours 
– Avoid sun exposure and excessive heat for one week
– Avoid strenuous exercise for 24 hours 
– Avoid consuming alcohol for 24 hours
– Avoid blood thinning medication (Aspirin, ibuprofen) for 48 hours post treatment 

Great combination treatments with dermal fillers

Dermalux LED Light Therapy
The most advanced LED light therapy available, the Dermalux MD can treat a variety of different skin conditions and can boost post-procedure recovery reducing the incidents of bruising or swelling as well as improving overall skin health.
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Dermal Fillers can be performed on the same day or a few days apart as long as the HydraFacial is done prior to the injectables. Usually a course of HydraFacial is recommended prior to dermal fillers in order to promote skin health.
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Injectable Treatments
Botox/Dermal fillers/Profhilo delivered prior to or after the M22 treatment (timing varies depending on the products used).
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Morpheus8 for skin tightening is recommended for patients looking to improve the laxity while targeting fine lines and wrinkles.
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