Treatments
Dermal fillers: what to consider before treatment
Dermal filler decisions depend on anatomy, product, placement and risk—not a trend or a standard syringe count. Here is what an informed discussion should cover.
This article provides general educational information only. It is not a diagnosis, personal medical advice or a substitute for assessment by an appropriate regulated health professional.
Dermal fillers are injectable materials used to add or restore volume in selected areas. Hyaluronic-acid fillers are common, but products differ in their approved uses, physical properties and duration. Filler can sometimes support proportion, definition or volume; it cannot stop ageing, tighten every area or treat a medical skin condition.
Start with the reason, not the syringe
A useful consultation begins with what you have noticed and what degree of change would feel acceptable. The physician then assesses facial anatomy, movement, skin quality, previous procedures and the relationship between the area of concern and the rest of the face.
More product is not automatically better. In some situations a conservative amount, staged treatment, another option or no filler is more appropriate. The agreed plan should identify the area, product, proposed volume, cost, alternatives, recovery and follow-up.
Recovery and ordinary reactions
Swelling, tenderness, bruising and temporary unevenness can follow treatment. Lip swelling can be particularly noticeable. Some people experience lumps, cold-sore reactivation or delayed inflammatory reactions. Recovery varies by area, product and person, so allow time before an important event.
Rare risks need a clear plan
Unintended injection into or compression of a blood vessel can restrict blood supply. This is uncommon but can injure skin and, in rare circumstances, affect vision or cause neurological harm. Increasing pain, blanching, grey or mottled skin, unusual coolness, or any visual change after filler requires immediate assessment using the urgent instructions provided by the treating clinic.
Infection, persistent nodules and delayed reactions can also occur. A clinic offering filler should be able to explain how complications are recognized and managed rather than discussing only the expected cosmetic effect.
A proportionate decision
Ask to understand what change is plausible, how long it may last, what maintenance could involve and what happens if you dislike or do not achieve the intended result. Some hyaluronic-acid filler may be dissolved when clinically appropriate, but dissolving is itself a medical treatment with limitations and risks.
Dermal filler consultations and treatments at London & Glow are provided by Dr Sundeep Varma. Your consultation will cover the proposed change, expected duration and the most appropriate starting point for your features.