Facial skin elasticity assessment for dermal filler treatment at Berkshire Aesthetics

Dermal Fillers in Maidenhead

We use hyaluronic acid fillers sparingly and strategically for structural support, balance and rejuvenation. At Berkshire Aesthetics in Maidenhead, every filler treatment is doctor-led, begins with a consultation, and follows a conservative dosing approach with full reversal capability on site.

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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, Dr Langdon will explain what the treatment can realistically achieve, any risks specific to you, and whether an alternative might be more appropriate.

All bookings are subject to our Booking Conditions.

Doctor-led approach

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.

Key Benefits

  • 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

  • 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

  • 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

  • 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

  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

  • 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

  • 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

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

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.

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, Injectable Trainer, 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

Further Reading & Clinical References

The following external resources provide independent clinical and regulatory information.

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