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

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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.

I am delighted!! Mr Banwell listened to what I wanted and now I have fuller breast that don’t look false!  I would highly recommend him and his team to everyone.  They are all very friendly and the care I received before, during and after was excellent and very professional. Many thanks to you all.


Gemma C.

The care was excellent both pre and post operatively. During my stay at the hospital I knew exactly what to expect and when, which was most reassuring. The outcome is exactly as I’d have hoped. My eyes look less heavy and it’s as if they have more space to open! I’d never heard of the procedure before seeing Mr Banwell but I knew that something needed doing, and I’m absolutely delighted with the results.


Janet T.

I was kept well informed and thought it was excellent to see Mr Banwell before surgery, during recovery and afterwards to hear all went well. It was something that caused me discomfort and sensitivity and now I feel much happier not only with the appearance but more importantly it is much more comfortable for me. I wouldn’t hesitate to recommend Mr Banwell to my friends, he is truly professional yet has a nice relaxed manner which puts you at ease.


Helen S.

My whole experience was made comfortable by warm, friendly and welcoming nursing staff. Mr Banwell has a lovely bedside manner and was more than happy to discuss my worried however strange. At 37 years of age and after 4 children I never thought I would have the tummy of an 18 year old again, Mr Banwell is a very clever man.


Sara A.

Mr Banwell explained the details of my procedures in a professional and sensitive manner. He took the time to put me at ease and answer all my questions in a way that I could understand. Each step of my treatment from the initial consultation through to its conclusion was supported by professional who with their support enables me to have an extremely smooth journey through my procedures. For the first time in my adult life I am happy in my own skin. I would recommend Mr Banwell to anyone who has been thinking of cosmetic surgery in a heartbeat. Through his skill and understanding of the female body, he carries out his profession with the utmost care and consideration.


Susan G.

I was very happy with the care I got from Mr Banwell, his team and the staff at the McIndoe Surgical Centre. Mr Banwell and his team were extremely friendly and quick to meet my needs at all times. The team were very professional and always made me feel at ease and welcome at all my consultations and throughout my stay at the surgical centre. The outcome of my surgery is amazing! I am extremely happy with the results I got; it turned out better than I thought. The surgery has really helped my confidence and way of life and I am very grateful for that. Mr Banwell is a fantastic surgeon with a very friendly and professional approach, which is wonderful. I would definitely, without hesitation, recommend Mr Banwell and his team to others considering cosmetic surgery.


Hannah G.

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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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