Practicing Safe Aesthetic Medicine

Frequently asked questions (FAQs)

Hyaluronic Acid based dermal fillers are the most popular in the UK. They are multipurpose, safe to use and very easy to administer.

There are various types of HA fillers available, they vary in concentration, formulation and the degree of cross-linkage. This directly affects the life of a dermal filler and the side effects including swelling and bruising that occurs after the treatment.

HA fillers now come with lidocaine so you don’t need additional anesthetic for more comfort.

A famous HA-based filler is Radiesse®, it gives structural support and stimulates collagen production.

The change will be apparent right after the treatment, the treated area will look tender, red with some swelling. Bruising will start to appear the next day after the procedure. However, the bruising and swelling will go away on its own in 2 to 3 days. And you would be able to see your new look.

  • You can minimize bruising by avoiding blood thinning medications at least 2 weeks prior to the treatment. We recommend you stop taking aspirin, vitamin E , even herbal medicine as gingko, evening primrose oil, garlic, feverfew and ginseng before the treatment.
  • Also, it is in your best interest to avoid alcohol and non-steroidal anti-inflammatory drugs 2 days before the treatment.
  • Starting arnica tablets 2 days before the treatment and continuing it for 2-3 days after treatment will help with the swelling and bruising. Icing, and Cold compression right after the lip filler treatment will also help reduce swelling and bruising.
  • After the bruising is developed warm compression is recommended. It will speed up the healing.
  • Fruits like papaya and Pineapple contain bromelain, it helps to break down protein and release trapped blood from the tissues.
  • Vit C topical gels of cream and tablets will also speed up the healing process. And help build the collagen around the vessels.
  • To cover up the bruising you can wear makeup. But the first day after treatment you should not touch your face or apply any pressure.

Majority of dermal fillers are safe and do not have any side effects, other than swelling tenderness and redness that happen right after the treatment. These minor side effects settle on their own.Some bruising might also happen, but it gets settled on its own within 14 days.

Sometimes a little Asymmetry may occur in the facial features post-treatment. This can be managed by an additional filler. Any bumps or lumps that may form are removed by massaging before and after the treatment. If lumps persist, they can be dissolved by using the enzyme hyaluronidase.

Tissue Necrosis:

A filler can sometimes cause the blood supply to the skin to disrupt, causing a condition called ischemia, this can lead to necrosis. This may occur right after the treatment or sometimes hours later.


Sometimes nodules may appear in the treated area months or years after the dermal filler treatment. Though this condition is more common with permanent fillers, the nodules appear when the body reacts with the filler material. It can be treated by corticosteroid injections or a small surgery.

They arise when the body reacts to the filler material by walling it off. They can be treated with corticosteroid injections or excision.


Infections are highly likely after skin treatments and procedures, that is why your practitioner will make sure to clean and disinfect the area to be treated. and perform the procedure in a sterilized environment. If you are prone to cold sores, you have a higher risk of developing sores and infections.

Normally prophylactic medication and treatment take care of the infections after the treatments.


Another rare condition that might develop after lip filler treatment is scarring. The possibility increases if there have been infections or if the person receiving the lip filer treatment has a history of hypertrophic or keloidal scarring.

Your practitioner will take your history and will guide you properly about any possible risks and how you can manage them.

Dermal filler treatment is minimally invasive and almost painless. Usually, very mild discomfort is involved. The filler contains an aesthetic in their formulation, Still, your practitioner will apply topical numbing creams to prevent any discomfort.

Dermal fillers take slightly longer time then Botox treatment so apparently, it looks like more uncomfortable procedure.

HA-based dermal fillers come in 0.5 and 1ml syringes. The amount of filler to use is decided on the bases of the treatment area and the required results.

Radiesse® or Calcium Hydroxylapatite fillers are offered in 0.3, 0.8 and 1.5ml sizes too and are used where the structural type of filler is required. The volume of the dermal filler will only be decided after examination and the individual requirement.

After the treatment, the practitioner will massage the treated area to remove any lumps or bumps. They might also instruct you to do gentle massage with the help of fingertips for 2 to 3 days it feels bumpy. Any bumps usually settle down on their own within a couple of weeks. If a bump persists even after 3 weeks consult with your practitioner. They will evaluate if you need a firm massage or an injection to dissolve the product.

Yes, even though it is a rare occurrence. But you can be allergic to the filler material. The allergic reaction could prolong swelling, tenderness, hypersensitivity, redness or bumpiness or a rash that doesn’t go away.

Your practitioner can handle the issue easily, they will provide you with antihistamines and steroids to manage the condition.

If the treated area is massaged aggressively, touched repeatedly or any other kind of pressure is applied the filler can move. Therefore, it is advised to avoid the gym, weight lifting and any other exercise, and the treated area should not be touched unless you feel pressure or the presence of lumps and bumps.

HA fillers are colourless gel so it will be rare for you to see it if the filler is injected correctly. But yes if the filler is not injected properly, a bluish discolouration may form on the skin. Cold compression can fix this issue.

It takes 2 to 3 weeks for the dermal fillers to settle and look and feel natural. Once the swelling and bruising are completely gone you will not find any difference in the skin of treated area and its surroundings.

If the changes incorporated with the fillers are subtle you will look better, and the difference will not be too obvious. A great practitioner can rejuvenate your features making you look younger, your lips or cheek will feel fuller. Yes, your friends and family will be able to see the difference in your appearance.

The life of a dermal filler is around 6 to 12 months. The filler doesn’t just give volume to your lips or other parts of skin, they boost collagen production too. That’s why as you keep on taking treatments, not only does your filler will last longer but your natural appearance will improve too.

Generally, it doesn’t make much difference. If there were no complications you can choose any dermall filler that you want. You can discuss this in the consultation session prior to your treatment with the doctor.


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