Dermal Fillers

Why Every Filler Treatment Plan Is Bespoke

I do not have a set menu where a certain amount of filler automatically goes into a certain area. Faces vary enormously, and so does what people are actually asking for. Some want a subtle refresh. Others want a more noticeable change to their profile or lip shape. Getting that right depends entirely on a proper assessment first, which is why I insist on a consultation before any treatment plan is agreed.

At consultation, I look at your bone structure, your skin quality, the way your face moves, and how much volume has genuinely been lost versus how much is simply the shape you were born with. I will also ask what you are hoping to change, and sometimes what I recommend is different from what someone initially had in mind. That conversation matters. It is the difference between a result that looks like you, and one that does not.

This is also a prescription-only medical treatment, even though hyaluronic acid fillers themselves are not classed the same way as botulinum toxin. It still requires proper medical assessment, sound judgement about volume and placement, and an honest conversation about what is achievable. I would rather spend longer on the consultation and get the plan right than rush into treating on the same day.

What we cover in your consultation:

• Your medical history and any medications or previous filler treatments
• A full assessment of your facial anatomy, proportions and skin quality
• An honest conversation about what filler can and cannot achieve for you
• Which product range, Revanesse or Teoxane, and which formulation suits your goals
• A bespoke treatment plan built around your face, not a standard package
• Consent paperwork and aftercare before we do anything

Treatment Areas

Here is rundown of the areas where I most commonly use dermal fillers, and what each one is generally trying to achieve.

I rarely treat a single area in isolation. If I only plump the cheeks and ignore everything else, the face can end up looking unbalanced rather than refreshed. I prefer to assess the whole face and treat wherever volume has genuinely been lost, so the result reads as one cohesive, natural face rather than one obviously treated feature. This is often why a treatment plan covers more than one area, even if you only came in asking about one.

Beyond replacing lost volume, I also use filler to improve facial structure and balance, refining proportions between the cheeks, jawline and chin so that the face works well as a whole, not just smoother in one spot. In my experience, treating areas in isolation without restoring that overall balance and harmony is one of the most common reasons filler ends up looking unnatural or ‘done’. A cheek that is overfilled relative to a weak jawline draws attention to itself instead of blending in. I plan every treatment with the whole face in mind for exactly this reason.

Lips

Whether the goal is a bit more volume, better definition, or correcting asymmetry, lip filler is one of the treatments I am often asked about. I favour a natural shape that still moves and looks like lips, not a fixed, overfilled result. A softer gel is usually the right choice here.

Cheeks

Restoring volume to the cheeks can lift the whole mid-face, soften nasolabial folds, and improve the overall shape of the face without touching the lower face at all. This is one of the areas where a firmer, more structural gel tends to give the best support.

Nasolabial Folds and Marionette Lines

The folds that run from the nose to the mouth, and the lines that run down from the corners of the mouth, deepen as volume is lost in the mid-face and jawline. Filler here softens the fold itself, though often the more effective approach is to restore volume in the cheek first and let the fold soften as a result.

Jawline and Chin

Filler along the jawline can sharpen and define the lower face, while chin filler can improve balance and profile, particularly where the chin is recessed. This is a more structural use of filler and needs careful planning against the rest of the face.

Tear Troughs

The hollows under the eyes that can make you look tired even when you are not. This is one of the most technically demanding areas to treat well, and one where going too heavy or using the wrong product causes visible problems. I am deliberately conservative here.

Non-Surgical Rhinoplasty

Using filler to smooth a bump on the bridge of the nose or improve symmetry, without surgery. This suits a specific set of concerns and is not appropriate for everyone. I will tell you honestly at consultation whether you are a good candidate.

Hands

Volume loss on the back of the hands can make tendons and veins more prominent than people would like. Filler here restores a softer, fuller appearance.

Products We Use

Revanesse and Teoxane: Filler Ranges I Trust

I use two hyaluronic acid filler ranges in this clinic, Revanesse and Teoxane. Both are FDA cleared, and both have a strong track record for safety and predictable results. I do not think there is a single best filler on the market. There is a best filler for a particular area, a particular skin type and a particular goal, and having two well-established ranges available means I can actually make that choice properly rather than working around the limitations of a single brand.

Revanesse is a smooth, cohesive gel that I find works particularly well where a natural, soft result is the priority, such as the lips and fine lines. Teoxane offers a broader range of formulations, from softer gels through to firmer ones designed for structural support in the cheeks and jawline. Which one I recommend for you depends entirely on the area we are treating and the result we are working towards, and I will always explain my reasoning at consultation.

What To Expect

Consultation first, always

Every new patient has a full consultation before any filler is discussed as a plan, not just a price. I need to understand your medical history, what you are hoping to achieve, and whether filler is genuinely the right treatment for it. This is also where we decide between Revanesse and Teoxane, and which formulation, based on your anatomy and goals.

Consent and planning

Because every plan is bespoke, we go through exactly what is being treated, roughly how much product is likely to be needed, and the associated cost, in writing, before we proceed.

The treatment itself

Usually 30 to 45 minutes depending on how many areas we are treating.  Most fillers also contain local anaesthetic within the gel itself, which helps with comfort during injection.

Aftercare

Mild swelling, tenderness or bruising is common and normal for the first few days. You will given aftercare advice when you leave the clinic, and you can contact the clinic at any point if you have concerns.

Two-week review

I review new filler patients  once any swelling has fully settled and the result is properly visible. This gives us a chance to check you are happy, and to make a small adjustment if needed.

Results: What to Expect and How Long It Lasts

You will see an initial result immediately, though there is usually some swelling in the first few days that makes the area look slightly fuller than the final outcome. By two weeks, the swelling has settled and what you see is the true result.

Longevity depends on the product, the area treated and how quickly your body metabolises the hyaluronic acid. As a general guide, lip filler tends to last around six to nine months, while structural filler in the cheeks or jawline can last anywhere from twelve to eighteen months. I will give you a realistic estimate for your specific treatment at consultation, rather than a generic figure that may not apply to you.

With regular, sensible maintenance, many patients find they need slightly less product at each subsequent treatment, since the initial volume replacement is already in place. I will always assess this honestly at each visit rather than simply recommending a top-up because it is due.

Safety, Side Effects and Who It's Not Suitable For

Hyaluronic acid fillers have a good safety profile when used correctly by someone who properly understands facial anatomy. The most common side effects are swelling, tenderness, redness and bruising at the injection sites, which typically settle within a week.

Rare but more serious complications, including vascular occlusion, can occur if filler is injected into a blood vessel. This is precisely why anatomical knowledge and technique matter so much, and why I always discuss the warning signs with you before treatment. If a complication like this does occur, hyaluronic acid filler has the advantage of being reversible with an enzyme called hyaluronidase, which I keep available in clinic.

Treatment is not appropriate if you are:

• Pregnant or breastfeeding
• Allergic to hyaluronic acid or any component of the filler
• Dealing with an active skin infection in the area to be treated
• Prone to keloid scarring or have a bleeding disorder that has not been discussed with me
• Currently taking blood-thinning medication without medical clearance to proceed

If you’re unsure about any of these, just mention it when you book. That is exactly what the consultation is for.

Pricing

Because every filler treatment plan is bespoke, pricing is per syringe rather than a fixed package. How much product you need depends on the area being treated and the result we agree on together at consultation. You will always know the full cost before we proceed.

Every price includes the consultation and the two-week review. There are no hidden charges.

Why Patients Choose This Clinic

Standards

Doctor-led: Every treatment personally overseen by Dr Rekha Tailor

CQC-registered: View our CQC Record

No same-day injections: New patients are always seen for consultation first

Full consent: Every time, without exception

2-week review included: No extra charge

Recognition

Award-winning: View our Awards

20+ years: Injecting botulinum toxin since 2005

MBCAM: British College of Aesthetic Medicine

ZO Skin Health: Blue Diamond Clinic 2026

Reviews: View our Reviews