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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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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.

I have been treated by Mr Banwell for excision of a nasal Squamous Cell Carcinoma and approximately 20 forehead solar keratoses by Photodynamic Therapy (PDT). During this period I have received outstanding care and attention. He and his team are very friendly and efficient. His surgical skills are exceptional.

I am totally content with the outcome of the surgery and treatment of my conditions and would wholly recommend him and his team to others. In fact, I already have!


John H.

A perfect blemish free outcome!

Care given prior to, during and after my operation has been extremely thorough. With specialist available to speak to at my own convenience, all aspects of the operation were readily explored and advice was tailored to fit my individual expectations. A particular benefit of Mr Banwell’s surgery was the flexibility in timing with both appointments as well as the actual operation date. Although the decision to undergo surgery was a difficult choice, Mr Banwell proved honest and realistic about expectations and the final outcome was exactly what I had requested. Although it is a decision not to be taken lightly, I would recommend Mr Banwell to any woman in the correct mind set.


Zoe L.

I am delighted to say that everything has settled down very well and my upper lids are looking extremely good. I would like to thank you for the tremendous care you have taken with me over the past 15 months.


Rosemary F.

I liked what was written about Mr Banwell and that he was a family man with lots of experience specialising in the operation I wanted. All my expectations were met and at my consultations any worried and questions were answered. I felt Mr Banwell took away any worries I had and has a very kind manner. I would recommend Mr Banwell and say that you are in a high standard of care and well looked after. I had an enjoyable time and was looked after in every way and Mr Banwell and his team are professional in every way.


Lynn A.

I was treated with the utmost care and respect and the team were very kind and supportive. I thoroughly enjoyed the whole experience. I am very pleased with the results of my surgery and would thoroughly recommend to others.

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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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