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Dermal Fillers

Dermal fillers are injectable materials made from a very wide range of materials (usually synthetically-produced hyaluronic acid [HA], and there are different types and brands to compare, like Teosyal, Canberra or Restylane which are best used to smooth out the natural appearance of facial lines, including the nasolabial folds (cheek creases), marionette lines (coming down from the mouth), the eyes, the augmentation of the lips, nose, frown lines, forehead furrows, crow’s feet, lip (smoker) lines, and dimples in the skin, by ‘filling’. Dermal fillers may be used alongside other techniques like a jowl facelift or wrinkle treatments or  botox injections.

The procedure

The safe, long lasting procedure may be carried out in clinics for about 30-60 minutes, depending on the number of areas to be treated, and the volume of product to be used. The specific choice of special filler that you and Mr Banwell, or his aesthetic nurses choose may depend much on the results you require and the area being filled (eg. delicate lines or deep furrows). A topical anaesthetic cream (eg. EMLA or AMETOP) may be applied to reduce discomfort half an hour prior to the treatment. Mr Banwell or one of his experienced aesthetic nurses will then inject the filler into the site to be treated to plump out the skin, repeating as necessary on other areas. It will be gently massaged once it has been injected into the site. The filler then remains in the skin where it binds water to produce a lift and give firmness to the treated areas. The procedure is minimally invasive causing only mild discomfort and will not leave scars. If necessary, a local anaesthetic injection (dental block) can also be used and it should be noted that more modern fillers also contain local anaesthetic thereby reducing discomfort further.

The outcome

Following the procedure, there may be some redness in the treated areas, though this is usually minimal. Your face may be a little swollen and tender for a short period, and then the swelling will go down.

Normally, patients can leave the clinic and go home a few minutes after the procedure. You can return to work the same day and resume most activities within four hours. The treatment starts to work immediately but the greatest effect is seen after about 1-2 weeks. Make-up may be applied immediately afterwards. Patients can choose to have more volume should they wish after a couple of weeks for an extra charge. Lines and wrinkles treated should appear smoother and softer, giving a more ‘youthful’ appearance to the face. The effects are not permanent but should last for around 3-9 months and then are gone.

The risks

Special complications particular to dermal fillers include a risk of allergic reaction to the filler, contour irregularities, lumpiness, asymmetry and bruising. If something is wrong and you experience cold sores, then there may be a recurrence of them after treatment, although the chance of this can be minimised by the use of antiviral medicines.

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£450

Please contact Mr Banwell's office on 01342 330302 or email help@paulebanwell.com for further information.

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Treatment Factsheet

For your convenience Mr Banwell has created a factsheet for this treatment to download and retain.

Dermal Fillers
At a Glance

30 - 60 minutes

SURGERY TIME

Dermal Fillers
At a Glance

Out-patients

HOSPITAL STAY

Dermal Fillers
At a Glance

No

ANAESTHETIC ASSESSMENT

Dermal Fillers
At a Glance

No

PRE ADMISSION TESTS

Dermal Fillers
At a Glance

Sleeping on back recommended

Sleeping Position

Dermal Fillers
At a Glance

Immediately

REASONABLY MOBILE

Dermal Fillers
At a Glance

Shower after 1 day

WASHING

Dermal Fillers
At a Glance

Immediate

DRIVING

Dermal Fillers
At a Glance

2 weeks

Excercise including gym

Dermal Fillers
At a Glance

Restricted Activity

SEXUAL ACTIVITY

Dermal Fillers
At a Glance

Immediate

FULL RECOVERY

Dermal Fillers
At a Glance

None

TIME OFF WORK

Dermal fillers are injectable treatments for the skin used in the correction of wrinkles, volumisation of the face, cheeks and lips and to refine contour to the lips, tear troughs, nose, cheeks and jaw. Dermal fillers can also be used for pan-facial rejuvenation; the so-called liquid facelift has led to decreased demand (and desire) for surgical face-lifting as the 8-point facelift and MD Codes system popularised by Brazilian plastic surgeon, Mauricio De Maio has found a firm footing globally. The majority of formulations utilise synthetic hyaluronic acid (HA) with varying cross-linkage.(Juvederm, Teosyl, Profhilo, Restylane, Volift, Volite, Teoxane Redensity, RHA, etc) but some newer preparations offer collagen stimulating properties too (Ellanse).

Dermal fillers may be used to contour and volumise a variety of facial features including the cheeks, nose, nasolabial folds, temples, chin and lips. Furthermore, dermal fillers have also been used to volumise the labia majora (so-called ‘labial puff’) in non-surgical female genital rejuvenation.

Depending on which hyaluronic acid filler is used, dermal filler treatments can last 4-6 months or longer. Mr Banwell’s nursing and office team can discuss this with you in more detail.

Most certainly! Liquid facelifts with dermal filler are one of our most popular treatments at the Banwell Clinic. A comprehensive treatment plan can be prescribed for you.

Generally, dermal filler treatments with hyaluronic acid are safe and millions of treatments have been performed worldwide with a very low complication rate. However, recognised complications include lumpiness, Tindall effect, asymmetry, migration, infection and vascular occlusion. Whilst it is extremely rare blindness can also occur.

Thank you so much for your surgery and your fantastic caring and positive attitude which makes so much difference for patients, me included!


Mike S.

The consultation was conducted quickly, professionally but Mr Banwell also made me feel as if any question I may have wouldn’t not be too small or insignificant for him to take the time to answer. He left me feeling fully informed with both the pros and cons of any form of elective surgery but also that my worries were normal and that he would be able to assist me with my desired outcomes. His team were caring and professional making me feel that they were actually interested and were able to accommodate my dates when making the initial consultation booking. Prompt returning of calls, flexibility in booking of appointments friendliness, informative, caring and professional from the initial telephone call, the surgery, follow up appointments right through to my final appointment made me feel that my care, personal views and worries were important to them at all times. You can trust him to always be honest with you about the possible problems and outcomes. Overall experience with Mr Banwell and his team? Amazing! I just wish I’d not waited so many years to have this procedure done; I have my life back and it’s amazing to be able to walk into any shop and buy clothes that fit in my actual size and not 5 dress sizes larger just to fit my bust in. With the Upper Blepharoplasty everyone in my family says that I now look so much brighter and not tired, others I meet just tell me I look really great and ask if I’ve just had a holiday. Mr Banwell Thank You for all that you did for me.


Anne G.

Mr Banwell provides an excellent service in pre-operation information, as well as total expertise and attention to detail in surgery. He was very informative and helpful after care.  I received excellent and sympathetic nursing care and anaesthetist. Mr Banwell has a very helpful practice manager and assistant.  My eyes have regained an ‘openness’ similar to my younger years. I no longer look tired.  I would highly recommend Mr Banwell to anyone considering cosmetic surgery.


Victoria B.

I went to see Mr Banwell to get reassurance about the moles and blemishes which have been steadily growing since I was a young adult. 30 years ago we were not aware of the dangers of the sun and burning on holiday way an annual ritual. Thankfully we are all now aware that the sun damage can cause skin cancer and the changes in my moles mean I have a precautionary approach, particularly as older family members have had tumours removed. Paul knows exactly what he was looking for and studied each and every mole methodically. The two he highlighted for treatment were two of the least innocuous (in my opinion) which surprised me. Clearly to the trained eye they needed removal. I have since had an excision of one and due to have photo dynamic therapy treatment for the small red mark on my nose later this year. Without seeing Paul, this minor irritation would have been left and could possibly have created problems later in life. I advocate regular checks for anyone with moles and skin blemishes. The technology now is so impressive and it makes absolutely sense to take full advantage of Paul’s expertise.


Gabrielle S.

I thought the team were helpful and efficient because they helped me to schedule my appointments around my working hours. They were always at hand to discuss any questions I had with a friendly and professional manor. Mr Banwell was amazing. He was totally honest and helped me decide which type of breast implant and procedure to have. We talked through my torrent of questions and concerns with ease. He asked me how I wanted my breast to look and I said I wanted them as natural as possible and that is exactly what I got. My new breasts have certainly made me feel more confident with ym body. I previously felt inadequate in the breast area and now I can?t stop smiling! I am so pleased with the outcome I only wish I?d done it sooner. The operation certainly wasn?t as scary as I thought it would be and I was looked after with the utmost care.


Samantha S.

Dear Mr Banwell I am writing to thank you, Kim and the rest of the lovely staff at the McIndoe. I was very nervous when I first met you, about having surgery but realised that it was a necessary evil. I need not have been worried, as from our initial consultation to surgery to full recovery, you have all been amazing.  You have changed my life – for the first time ever I have had some photos taken of me and my children. I stand taller and feel so much happier with life. I have even started my own business. I never realised that it would have had such a profound effect – and it didn’t hurt!! Thank you again.  I wish you and your team lots of health, luck and happiness.


Pamela C.

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The Banwell Clinic

The Banwell Clinic is recognised as a boutique cosmetic clinic specialising in all aspects of skin health and our philosophy is to help Protect, Restore & Rejuvenate your face and body.  Our extensive portfolio of treatments include injectables, thread lifts, plasma shower, luxurious signature facials, acne treatments, microdermabrasion, hair removal and cellulite treatments, all carried out in a friendly, warm environment by an expert team.

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