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Dermal fillers

Written by Dr De Silva

What are dermal fillers?

Dermal fillers are products that can be used to enhance the appearance of a person’s face by non-surgical techniques, thereby avoid surgery.

Over the past 10-years, Dr. De Silva has found there has been an exponential increase in the demand for filler treatments, as a consequence of technology that has offered an increased range of new, safe, science-based Filler products. The new products are able to provide a natural rejuvenation of your face when completed by an expert offer both a natural appearance and fast recovery.

Filler treatments to the face can restore lost volume, correct volume loss and can create a fuller, more youthful appearance. In addition, fillers can be used to enhance natural curves and emphasise feminine parts of the female face. Dr. De Silva’ refers to this as beautification of the female face or enhancement of the masculine features of the face in men.

A natural rejuvenation of the face with dermal fillers allows the filling and smoothing of fine lines, depressions, and shadows. At The Centre for Facial Cosmetic Treatments we only use the best quality hyaluronic acid that has been approved by the FDA (Gold Standard in safety).

Filler enhancement at The Harley Street Face Clinic includes:

What are Gold Standard fillers?

Dermal fillers volumise, soften and hydrate your skin. They aid collagen and elastin organisation underneath the skin which gives the skin a more youthful texture.

Dermal fillers refer to using a substance to fill an area of the face to rejuvenate or enhance an area of the face. Although many fillers have been proposed in the past, over the past 5-years, hyaluronic acid fillers (termed HA-fillers) have, in our opinion at The Centre, emerged as the ‘Gold-Standard’ in natural rejuvenation.

These fillers have multiple advantages over older fillers because they:

  • exist naturally in the body (HA exists in the skin, joints, and nerves),
  • have an antidote in the form of an enzyme (hyaluronidase) that can dissolve and completely reverse the effect of the fillers
  • it can be administered with new high-technology ‘cannula-technique’ to reduce swelling and bruising ensuring a faster recovery than older techniques.

Why Choose Us?

  • Dr. De Silva has presented nationally and internationally and advises other doctors on filler treatments.
  • At The Centre, we only use the safest, most effective FDA-approved, naturally biodegradable dermal fillers. These are clear hyaluronic acid gels that closely mimic the natural hyaluronic acid in our skin, joints and natural nerve tissue.
  • We inject the fillers just beneath the surface of the skin using the latest techniques, such as the no needle cannula.
  • Fillers are one of our most popular treatments for filling and smoothing fine lines and wrinkles. We use hyaluronic acid (HA) fillers which volumise, soften and hydrate the skin, aiding collagen and elastin organisation underneath the skin which gives the skin a more youthful texture.

How does facial filler work?

An attractive face is characterised by smooth, round contours, high cheekbones, hollow jowls, and a thin, well-defined jawline. These features together comprise the “triangle of beauty” or “heart of face”, with its base at the top and summit below.

Dr. De Silva has pioneered our understanding of facial beauty with research into the application of the Phi Golden Ratio to the human face, this research has been shown on Sky News, ITV and, more recently, Channel 4. Filler enhancement provided with an artistic eye along the natural “Phi-Lines” of facial beauty, is important to provide a natural-looking result.

As we age, facial fat loss, gravity, and loss of the skin’s natural elasticity conspire to reverse this triangle’s composition, leading to a narrower, less youthful forehead and temple area, and a wider, heavier jawline. Fillers including hyaluronic acid can restore the face’s balance and heart-shaped proportions, re-volumising facial hollows and lost volume and recontouring the cheeks, cheekbones, and nose for a fuller, softer, more youthful appearance.

HA fillers help to recapture the facial volume that age and weight loss can diminish. With HA fillers, an innovative injectable hyaluronic volumiser, you can enjoy a smoother more youthful appearance of your cheeks, cheekbones, and chin.

Perhaps the best indicator of the advantages and benefits of anti-ageing treatment with hyaluronic acid filler is the level to which those who have used it enjoy their results. A clinical study demonstrated that effects were present even up to 18 months after treatment.

Will I look natural?

At The Harley Street Face Clinic, we specialise in natural-looking results. We believe in a natural rejuvenation and enhancement, this means conservative treatments that focus on enhancement.

Before treatment, the team will always spend time discussing with you the desired effect. Dr. De Silva is conservative in his approach and achieves a subtle effect, that can be built on if you so desire.

We use different hyaluronic acid products that are intended for shaping the contours of the face, as each filler has characteristics that give it an advantage in specific areas of the face. When shaping the contours of the face the crystal-clear gel is injected into the skin in tiny amounts.

The treatment takes a few minutes and the results can be seen immediately. Occasionally a touch-up treatment is required within 2-4 weeks after the initial treatment to achieve an optimal correction. The initial treatment is usually maintained with follow-up treatments approximately once a year.

Before & After


About the Author

Dr. Julian De Silva is a leading facial plastic surgeon that specialises only in surgical and non-surgical facial procedures. Dr. De Silva has considerable experience in cosmetic and reconstructive facial surgery from fellowships in London, Los Angeles, and New York. He is one of a handful of elite surgeons to be recognised with British, European and American qualifications, memberships and board certification.

Dr Julian De Silva's Google Scholar

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