Dermal Filler Consultation


The consultation is probably the key part of our journey together. It’s where we get to know each other and understand which treatment you may require.

Dermal fillers are tiny injections that remove the lines and wrinkles on the face or body. Dermal fillers are ideal for anyone who wants to look fresher and younger without the need for any cosmetic surgery.

We stock a wide range of dermal fillers including Teosyal, Juvaderm, Belotero and Restylane. They are all ‘Hyaluronic Acid’ products which mimic the body’s own natural hyaluronic acid, and stimulate the production of natural collagen within the skin.

As these products are more natural and fully reversible, we can use them without a need for allergy testing. Their length of effect varies from individual to individual, and this will be discussed fully at consultation.



Who will carry out my consultation & treatment?

A registered nurse will consult and advise you about what is possible in terms of treatment and answer any questions you may have. We are also able to provide literature regarding different dermal fillers, in the form of manufacturers’ brochures and information.

Only registered and experienced nurses are able to practice injectable therapies at Lioness Medical.

What does consultation involve?

Consultation starts with a short medical history and the benefits and possible side-effects of dermal fillers will be discussed. You will be asked to sign a consent form and will be photographed prior to being injected. The photographs will be kept in your medical records for future reference and will not be used in promotional or advertorial material unless you have consented this also.

Please arrive for your appointment without make-up. Not only does this help prevent infection, but it also allows us to examine you properly.

Will it hurt?

Treatments are carried out with an option of various anesthetics, we offer, where possible, all types of numbing creams and anesthetic, from an ice wand to a full dental block (whereby you feel nothing!).

You will be asked to lie down comfortably whilst you are treated. The treatment will take an average of thirty minutes.

How long does it take to see results?

Sometimes the desired result is immediately visible, but generally the full effect of the treatment will take around two weeks to fully show. This is because hyaluronic fillers are hydrophilic, which means they will attract water over time and smooth out, and re-hydrate your skin.

What are the potential side-effects?

Slight discomfort or swelling and a little redness may appear at the points of needle entry following injection. It is possible that you may have bruising, but it is not always the case. During the week prior to, and for 48 hours following treatment, the use of high doses of aspirin, anti-inflammatory painkillers and anticoagulants is strongly discouraged to avoid bruising. (Please do not stop prescribed medications without consulting your GP first).

Side effects with hyaluronic fillers are rare, but may include redness, tenderness, or pain at the injection site. If these occur, they usually subside within three days. Rarely, discoloration may occur, but this is reversible. Firmness, swelling and bumps and are also rare side effects, and should subside within seven days.

There are other less common side-effects (allergy/vascular occlusion) and these are fully discussed at consultation, or request a call back from one of our registered nurses to discuss further before your face-to-face consultation.

Who won’t we treat?

Treatment is not suitable for people with known hypersensitivity to hyaluronic acid, autoimmune disease or other diseases affecting the immune system.

We will not treat you if you are pregnant or breastfeeding.

If you suffer from cold sores and are having filler treatment on the lips or around the mouth, please let us know at least a week before your appointment. Our nurse prescribers will issue you with medication to lessen the chances of future cold sores. You will not be injected if you have active cold sores and will be subject to a consultation/cancellation fee of £50.

If you have had a surgical rhinoplasty, we are not able to offer you a non-surgical rhinoplasty, you must only visit a specialist plastic surgeon in the future for fillers to the nose.

If you have had other fillers at other clinics in the past six months, please inform us at least one week before your appointment. We will need to know the name of the product you have been injected with.

If you have had hylase within the past 3-4 weeks, we will not be able to treat you. You will not be injected and will be subject to a consultation/cancellation fee of £50.

We reserve the right to refuse treatment to any individual we deem necessary. This includes any person we feel may suffer from body dysmorphia.

Are there any aftercare instructions?

You can take arnica if you wish, but it is not essential to recovery.

Avoid washing your face with tap water or applying make-up for the first 4-6 hours as it may contain bacteria that could infect your skin.

If you have swelling you may use a cold pack to reduce swelling/ and or redness. If you have had full anesthetic, your skin may be completely numb – so be aware of over-cooling or ice burns on the skin.

Do not massage or manipulate the treated area.

For 48 hours following treatment, the use of high doses of aspirin, anti-inflammatory painkillers and anticoagulants is strongly discouraged to avoid bruising. (Please do not stop prescribed medications without consulting your GP first).

If you are suffering tenderness after treatment the only analgesia we recommend is paracetamol (as long as you have no allergy to it).

During the first few days following treatment, exposure to extreme temperatures should be avoided (intense cold, saunas, UVs and the sun). We will never advocate the use of sunbeds following treatment.

Avoid further cosmetic procedures, including facials for one week after.

If you wish to have more fillers we suggest an interval of no less than 2 weeks between treatments.

If you wish to apply moisturiser or SPF 50 straight away, please ask in clinic for suitable products which we can retail to you. Otherwise, all patients will leave with an anti-bacterial cream to the skin, which helps prevent infection and keeps the skin hydrated.



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