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Facial skin elasticity assessment for dermal filler treatment at Berkshire Aesthetics

Dermal Fillers in Maidenhead

Dermal fillers can restore support where age-related volume loss has changed facial balance, while also softening deeper static lines. At Berkshire Aesthetics, we use a staged, conservative approach with ultrasound-informed planning in higher-risk areas and full reversal capability on site. Every plan starts with a doctor-led consultation focused on natural proportions, safety and realistic outcomes.

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Clinically reviewed by

Dr Selena LangdonMedical Director, MBBS

GMC 6159259

Last reviewed:

Information is general and not a substitute for a medical consultation. Suitability is confirmed during assessment.

Why we start with a consultation

Every treatment begins with a medical assessment. We need to understand your medical history, current health, skin condition and concerns before prescribing any procedure. This protects your safety and ensures the treatment is clinically appropriate for you.

During your consultation, your clinician will explain what the treatment can realistically achieve, any risks specific to you, and whether an alternative might be more appropriate. Consultations are carried out by our doctors or advanced aesthetic practitioners, depending on the treatment or concern being assessed.

All bookings are subject to our Booking Conditions.

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Doctor-led approach

  • Treatment suitability is assessed by our doctors or advanced aesthetic practitioners during a clinical consultation, depending on the treatment
  • Prescribing responsibility sits with Dr Selena Langdon (GMC 6159259)
  • No same-day injectable treatments for new patients
  • Read our full Consultation & Safety Standards

Clinical overview

Dermal fillers used at Berkshire Aesthetics are CE-marked hyaluronic acid (HA) gels, injected beneath the skin to restore volume, improve contour, or soften deep lines and folds. Hyaluronic acid is a substance that occurs naturally in the skin, and HA fillers are chosen because they are reversible — they can be dissolved with an enzyme (hyaluronidase) if needed. Our approach prioritises safety and conservative outcomes. We under-correct at the initial treatment, review at 2–6 weeks, and refine if appropriate. This staged dosing reduces the risk of over-treatment and allows results to settle naturally. For high-risk zones, we have ultrasound available for vascular mapping where clinically useful. Our safety system includes clinician expertise, careful product selection (CE-marked, traceable batch and expiry), written escalation pathways for complications, and full reversal capability on site. Typical longevity is 6–18 months depending on the area treated and individual factors. Rare but serious risks include vascular occlusion, skin necrosis, and visual disturbance — all of which are discussed during consultation. Product selection is a critical element of safe, effective filler treatment. Hyaluronic acid gels vary in cross-linking density, viscosity and elasticity — and the right product for the lips is very different from the right product for the jawline. Firmer, more cohesive gels provide structural support in areas like the chin and jaw, while softer, more elastic gels integrate naturally in mobile areas such as the lips and tear troughs. At Berkshire Aesthetics, ultrasound is available for vascular mapping in higher-risk zones including the tear trough, nasolabial fold and glabella, reducing the risk of inadvertent intravascular injection. Our staged dosing philosophy — treating conservatively, reviewing at 2–6 weeks, and refining only where needed — is specifically designed to prevent the “overfilled” appearance that results from placing too much product in a single session. This measured approach respects tissue capacity and produces results that age gracefully.

Treatment Areas

Cheeks

Volume restoration and contour definition for the mid-face. Cheek filler replaces age-related volume loss in the malar and submalar regions, restoring facial structure and providing a subtle lifting effect to the lower face.

Lips

Conservative enhancement of lip shape, symmetry and proportion using soft, elastic hyaluronic acid gel. Treatment can restore age-related volume loss, define the vermilion border, or improve overall lip balance while maintaining natural movement.

Jawline

Structural filler placed along the mandibular border to improve jawline definition and create a sharper, more contoured lower face. Firmer, more cohesive products are selected to provide lasting support in this high-movement area.

Chin

Chin projection and reshaping to improve facial balance and profile harmony. Filler can lengthen a short chin, correct asymmetry, or add projection to bring the lower face into better proportion with the mid-face and nose.

Nasolabial Folds

Softening the deep lines that run from the sides of the nose to the corners of the mouth. These folds deepen with age-related volume loss in the cheeks, and treatment may involve addressing both the fold itself and the overlying mid-face support.

Marionette Lines

Addressing the lines that run from the corners of the mouth downward toward the chin. These can create a downturned or sad expression and are treated by restoring volume along the line and improving structural support in the surrounding area.

Tear Troughs

Careful correction of under-eye hollowing where the junction between the lower eyelid and cheek becomes visible. This is a high-risk zone requiring advanced technique; ultrasound-informed vascular mapping is available to enhance safety in this area.

Temples

Restoring volume loss in the temporal fossa, which can create a gaunt or aged appearance as the temples hollow with time. Temple filler improves facial proportions and softens the transition from the forehead to the mid-face.

Nose (Non-Surgical Rhinoplasty)

Minor profile adjustments using precisely placed filler to smooth a dorsal hump, lift a drooping tip, or improve nasal symmetry without surgery. This treatment is suitable for cosmetic refinements only and has specific risk considerations discussed at consultation.

Hands

Volume restoration for ageing hands where thinning skin reveals underlying tendons and veins. Hyaluronic acid filler is placed beneath the skin of the dorsal hand to restore a smoother, more youthful appearance.

Key Benefits

These are the main clinical and practical reasons patients choose Dermal Fillers in Maidenhead. Your treatment plan is tailored after consultation rather than selected from a fixed package.

  • Restores lost facial volume for a more balanced, refreshed appearance
  • Can enhance lip shape and proportion conservatively
  • Defines or restores cheekbone and jawline contour
  • Softens deep lines and folds (e.g. nasolabial folds, marionette lines)
  • Immediate visible improvement that continues to settle over 2–4 weeks
  • Reversible — hyaluronic acid fillers can be dissolved if needed

Suitable For

Suitability depends on your goals, skin or tissue characteristics, medical history, and tolerance for downtime. These criteria are reviewed in detail during your assessment.

  • Those experiencing age-related volume loss who want subtle restoration
  • Patients wanting conservative lip enhancement or improved lip proportion
  • Those seeking facial contouring or structural support (cheeks, chin, jawline)
  • Adults looking to soften deep lines or folds where volume loss is a factor
  • People who prefer a staged, conservative approach with review and refinement

Not Suitable For

Some patients should avoid or defer treatment for safety reasons. We screen carefully before any procedure and explain alternatives where relevant.

  • Pregnant or breastfeeding women
  • Those with active skin infection or inflammation in the treatment area
  • Patients with autoimmune conditions that may affect healing (assessed individually)
  • Those with a known allergy to hyaluronic acid or any formulation component
  • Anyone seeking dramatic, immediate transformation rather than gradual, natural-looking results

Final suitability is confirmed during a medical consultation and assessment.

When we don't recommend it

A consultation may identify scenarios where a different treatment route is safer or more effective for your outcome goals.

  • If your concerns are better addressed by a different treatment — for example, skin quality issues may respond better to Profhilo or skin boosters rather than volumising filler.
  • If expectations are for dramatic change in a single session — we use staged dosing and prefer to under-correct and refine, which may not suit those wanting immediate maximal results.
  • If there is active infection or inflammation in the treatment area — we will delay until the skin is settled and safe to treat.
  • If your medical history suggests higher risk of complications — we will discuss alternative approaches or refer as appropriate.
  • If previous filler treatments elsewhere have not been fully assessed — we may recommend imaging or dissolution before adding further product.

What Happens During Treatment

We follow a consultation-first process with clear consent and aftercare. You can also review our full consultation standards.

  1. 1Clinical consultation and suitability assessment, including medical history, previous treatments and your goals
  2. 2Discussion of expected outcomes, limitations, risks and alternatives (including when we may recommend a different approach)
  3. 3Treatment planning and consent, with aftercare guidance tailored to your anatomy and lifestyle
  4. 4Precise filler placement using cannula or needle, with conservative dosing
  5. 5Post-treatment checks and clear instructions on what is normal, and when to contact us

Downtime & Aftercare

Recovery guidance helps protect your result and reduce avoidable complications. We provide written aftercare and safety-net advice at every appointment.

  • Some swelling and bruising may occur and typically settles within 2–7 days
  • Avoid makeup for 12 hours after treatment
  • Avoid strenuous exercise for 24–48 hours
  • Avoid extreme heat, cold, saunas and steam rooms for 2 weeks
  • Results settle and soften over 2–4 weeks; a review appointment is recommended
  • If you notice unexpected or worsening symptoms, contact the clinic promptly

Results Timeline

Most treatments improve in stages rather than immediately. Timelines vary by treatment type, treatment area, and individual response.

  • Immediately after: visible improvement, though mild swelling may temporarily exaggerate the result
  • Days 2–7: swelling and any bruising settle; early results become clearer
  • Weeks 2–4: filler integrates with tissue and results settle to their final appearance
  • Weeks 2–6: review appointment to assess outcome and discuss refinement if needed

How Long Results May Last

  • Typical duration is 6–18 months depending on the area treated, product used, and individual factors
  • Lip fillers may need refreshing sooner than fillers placed in areas with less movement
  • Lifestyle, metabolism and skin quality influence longevity
  • A maintenance plan is discussed at your review appointment

Individual results vary. View our results and photography standards

Risks & Side Effects

Every medical treatment carries potential risks. We discuss these in plain language before treatment so you can make an informed decision.

Common, Usually Temporary

  • Swelling (common, usually settles within a few days)
  • Bruising at injection sites (varies by individual and medications/supplements)
  • Tenderness or firmness in the treated area
  • Temporary redness or itching

Rare but Serious

  • Vascular occlusion (blockage of a blood vessel) — rare but serious; we have emergency protocols and reversal agent on site
  • Skin necrosis (tissue damage from compromised blood supply) — very rare
  • Visual disturbance — extremely rare; requires immediate emergency management
  • Infection requiring antibiotic treatment (rare)
  • Prolonged or increasing swelling, significant pain, or inflammatory reaction requiring clinical review

When to Contact Us Urgently

  • Increasing pain, swelling, heat or spreading redness after treatment
  • Skin colour changes (blanching, bluish discolouration) in or near the treated area
  • Any visual disturbance, however brief
  • Any signs of allergic reaction (e.g. wheeze, facial swelling, hives)
  • Any symptom that concerns you or worsens rather than improves

Frequently Asked Questions

These answers cover common practical questions. If you need individual advice, please book a medical consultation.

Depending on the area treated and product used, results typically last 6–18 months. Lip fillers may need refreshing sooner. A maintenance plan is discussed at your review appointment.
Expect some swelling for 2–7 days and possible bruising. Most patients return to normal activities the same day or the next day. Makeup should be avoided for 12 hours, and strenuous exercise for 24–48 hours.
Dermal fillers are not suitable during pregnancy or breastfeeding, for those with active skin infection in the treatment area, known allergy to hyaluronic acid, or certain autoimmune conditions. Suitability is confirmed during consultation.
Yes. Dermal fillers are often part of a broader treatment plan that may include anti-wrinkle injections, skin-quality treatments or skincare. Timing and sequencing are discussed during consultation to ensure safety and the best outcome for your goals.
All filler treatments are doctor-led. We use CE-marked, traceable hyaluronic acid products only. Our safety system includes ultrasound availability for high-risk zones, written escalation pathways, and full reversal capability (hyaluronidase) on site at every appointment.
Yes. Hyaluronic acid fillers can be dissolved using an enzyme called hyaluronidase. We keep this on site at all times and have protocols for its use in both routine and emergency situations.
Common areas include lips, cheeks, chin, jawline, nasolabial folds, marionette lines, and tear troughs. The most appropriate areas for you are determined during consultation based on your anatomy and goals.
We provide transparent pricing at consultation, tailored to your treatment plan. Costs vary based on the area treated, the product selected and the amount required.
Most patients find treatment comfortable. We use topical anaesthetic before injection, and many filler products contain lidocaine. A cannula technique may be used to further reduce discomfort.
Your consultation includes a full medical history, facial assessment, discussion of your goals and honest advice about realistic outcomes. We explain risks, alternatives and aftercare before proceeding.
Most patients return to work the same day or the next day. Some swelling and bruising is possible. We recommend avoiding makeup for 12 hours and strenuous exercise for 24–48 hours.
There is no fixed age requirement. Suitability is based on your anatomy, skin quality and concerns rather than age alone. We assess each patient individually during consultation to agree the right approach.
HarmonyCa is a hybrid injectable that combines hyaluronic acid with calcium hydroxylapatite microspheres. It provides immediate volume like a traditional HA filler, but also stimulates your own collagen production over the following weeks and months for longer-lasting structural improvement. Standard HA fillers restore volume alone without the biostimulatory component. You can read a full comparison on our HarmonyCa vs dermal fillers page.
The cost of 1ml of dermal filler varies depending on the product selected, as different areas require different filler types. Pricing is confirmed at consultation once your treatment plan has been agreed. You can view our starting prices on our prices page for guidance.
Dermal fillers can help improve the appearance of early jowling by restoring volume and structural support to the mid-face, cheeks and jawline. By replacing lost volume higher in the face, the skin is better supported, which can reduce the heaviness along the lower jaw. However, advanced jowling may be better addressed with alternative treatments, and this is assessed honestly during consultation.
Hyaluronic acid (HA) fillers are widely regarded as the safest category of dermal filler because they are fully reversible — they can be dissolved with hyaluronidase if any complication arises. At Berkshire Aesthetics, we use only CE-marked, traceable HA products and keep reversal agent on site at every appointment. Safety also depends on injector expertise, technique and clinical setting, which is why we treat in a CQC-registered environment with written escalation protocols.

Quick Facts

Treatment Time

30–60 minutes

Downtime

2–7 days swelling; bruising possible

Results Visible

Immediate, settling over 2–4 weeks

Sessions

Single treatment with review at 2–6 weeks

Guide Price

From £330 – £495

Per syringe; varies by product and area

Final price confirmed at consultation

Delivered by

Dr Selena Langdon — Medical Director

MBBS, CoolSculpting Complications Expert, Aesthetic Doctor of the Year, JCCP Ambassador

Why Berkshire Aesthetics

  • Doctor-led clinic — all treatments clinically overseen by Dr Selena Langdon (MBBS)
  • CQC registered — view our registration
  • Consultation-first approach — we assess suitability before recommending treatment
  • Clear complaints process — we take patient feedback seriously

This content is for informational purposes only and does not constitute medical advice. Individual suitability for any treatment is assessed during a consultation. Always seek the guidance of a qualified medical professional with any questions regarding a medical condition or treatment.

Clinical governance

Page last reviewed: 2026-02-09

Reviewed by Dr Selena Langdon, Medical Director (GMC 6159259) — Last reviewed: 2026-02-09

Doctor-Led
CQC Registered
Award-Recognised
Est. 2016

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