Dermal Fillers

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Are you looking for discreet natural balance in your facial features?

Does this sound familiar?

You’ve come to the right place

Wandsworth Physiotherapy and Osteopathy have teamed up with Wandsworth Aesthetics,with locations in Wandsworth Town | SW18, Clapham Junction | SW11 and Battersea Nine Elms | SW8, to provide aesthetic services such as anti-wrinkle treatment, dermal filler, micro needling and cosmetic acupuncture to help people with their appearance and to feel better about the way they look and feel.

For more information and to make bookings please visit www.wandsworthaesthetics.co.uk.

Dermal fillers are hyaluronic acid which has exceptional water binding capacity (approximately 1000 times as dry weight). Hyaluronic acid occurs naturally in the body and is found in the joints and skin. In the skin it helps to restore and enhance facial contours for a more youthful looking appearance. Dermal filler and lip filler injections in Wandsworth helps to replace lost volume in certain areas of the face.

You should not have dermal filler if you are pregnancy and breastfeeding or have an allergy to hyaluronic acid or local anaesthetic (lidocaine), have any active infections and inflammation in the proposed treatment area, herpes in the area, solid granulomas in the area. Other reasons not to have dermal fillers include porphyria, untreated epilepsy, tendency towards keloid or hypertrophic scars, taking any vitamin K anticoagulants, or if you suffer from any autoimmune disease such as active Hashimoto or Graves’ disease (thyroid diseases) rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, lupus, scleroderma, vasculitis, ulcerative colitis, Crohn’s disease, vitiligo or psoriasis.

The lower face tends to be treated with filler such as the cheeks, jawline, chin and lips to create volume for the loss of facial fat pads or volumise the lips.

The needles used during the process are very small and fine and it should be no different to receiving facial acupuncture, but there may be some discomfort. Many of the products used come with local anaesthetic to reduce any discomfort. If you are concerned about any discomfort we can apply a local anaesthetic cream or simply treat the area with ice to numb the skin prior to injection.

It’s important to note that the vast majority of treatments go well with only minor discomfort. Common side-effects include redness, bruising and mild swelling and should resolve spontaneously within a few days of treatment. Unfortunately, uncommon side effects do happen and they include infection and inflammation, skin discoloration, abscess formation, plumps, nodules or papules, acne like formations, or a granuloma presenting as lumps or nodules.

The blood supply to the skin may be interrupted by swelling or inadvertent injection into a vessel, causing pain, skin damage and possible scarring. You will be monitored after the appointment to make sure there is no allergic reaction and we have adrenaline and other life-saving equipment on site.

You should be able to continue with your normal activities immediately after treatment (if you are also having BOTOX read the separate BOTOX aftercare information). Some people will have some redness, pin prick marks and swelling (particularly in the lips). Make-up should not be worn for 12 hours.

You are advised to avoid alcohol, vigorous exercise, sunbathing, and extremes of heat or cold for 14 days post treatment. These activities have been found to increase and prolong swelling.

If you also had BOTOX you should start to see the effect of treatment within 2 or 3 days, for some people this takes longer. The full result may be judged at 2-3 weeks. You will have a follow up consultation 2 weeks after your treatment to discuss and resolve any issues that may have arisen so that you are happy with your treatment effect.

Nobody needs ongoing treatment; however, the treatment effect of fillers will wear off over 6-12 months. If you were happy with the effects of your previous treatment and you have lost the volume in your face again you will need a further treatment at this point.

For filler injections we use Juvederm products. Juvederm products come in 1ml pre-filled single use syringes priced at £265. Voluma is the thickest filler and used for any on the bone injections such as the chin, cheeks or angle of jaw. Volift is slightly less thick and used for Marionette lines, nasolabial folds and cannula treatments. Volbella is the least thick filler and is used for the lips along with Ultra Smile.

In some circumstances we can mix and match for example you could use 0.5ml of Volbella in the lips and then the remaining 0.5ml in a cannula in the Marionette lines, however we wouldn’t use Voluma in the lips or Volbella for deep injections on the bone and the correct product must be used for the correct area priced at £265 per syringe used.

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