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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.

We just wanted to say a big thanks you again to you and your team for making our experience so much better than we could have ever imagined. You and your team were so professional and friendly which really put us at ease from our very first appointment. This definitely gave us the confidence to finally have the surgery we’ve wanted for such a long time. We’re both extremely happy with the results. Thanks again.


Gill W.

I can honestly say that having my abdominoplasty with Mr Paul Banwell was a truly incredible experience. All the staff were very friendly and efficient.  The care I received with him was expert, professional and totally honest and I found him to be extremely kind and reassuring. Every step of my procedure was explained clearly and in detail.  The nursing care was second to none and the team looked after me expertly and with dignity.  I have an amazing flat abdomen and my clothes look and feel so much better than before my surgery. My linear scar is flat and neat. Everyone comments on how lovely I look and I have found so much more confidence in myself.  I can highly recommend Paul and his team! With grateful thanks to you all!


Alison C.

I was referred to Mr Paul Banwell in February 2010 when I was diagnosed with an advanced melanoma in the lymph nodes in my left groin.  At my consultation he explained in layman’s terms my diagnosis and all details regarding the operation I needed.  Mr Banwell operated on 27th February 2010. The operation was a complete success – he has removed all the cancer as subsequent scans have proven.  I then spent seven days recuperating in the McIndoe Surgical Centre in East Grinstead under Mr Banwell’s and his specialised teams care. They were all wonderful. Mr Banwell was at my bedside every morning to check my progress. His kindness and caring knew no bounds. He made all my fears and anxieties groundless and replaced them with optimism for a great feature and my aftercare was first class.  I would recommend this highly professional, dedicated, humane family man to all who need any medical intervention. He is the best. How do you thank a man who gives you your life back? There are no adequate words.


Pauline W.

Now that I have been ‘signed off’ I just want to thank you so much for all your care, expertise and advice. I am so happy with the result of my surgery; it has bought back a confidence which I had lost, and enabled me to wear clothes which previously wouldn’t have suited me. I will know where to come if I decide I need anything else improved!


Catriona S.

You have changed my life!

From the welcome I got on my first visit to post op consultations, the team were very friendly. Mr Banwell is undoubtedly the most professional and caring surgeon I could wish for. I have felt completely confident in his expertise, and am thrilled with the results. I would not hesitate – and indeed have – recommended him.


Helen F.

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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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