Dermal Fillers in Marylebone, London

Duration depends on product, area, and your metabolism. Lip filler typically lasts 9 to 12 months; cheek and jawline filler 12 to 18 months; tear-trough filler 12 to 15 months. Very active patients (frequent gym, cardio) metabolise filler faster. Most patients refresh lip filler annually and larger-area structural filler every 18 to 24 months.

Yes, when overfilled or placed in the wrong plane. This clinic deliberately under-doses on first treatment — starting with 0.5ml of lip filler rather than the commonly offered 1ml — because lips that look subtle today can be enhanced further in 4 weeks if you want more, whereas over-projected lips require hyaluronidase and a reset. Natural is the default; more is always available on request.

For lips, Dr Valentina uses Juvéderm Volbella and Restylane Kysse exclusively — both have small HA particles that behave naturally, strong published safety data, and are fully reversible with hyaluronidase. Lip filler is only performed with a blunt-tipped cannula in experienced hands (needle technique is common but carries higher vascular risk) and only by a GMC-registered doctor who can manage any complication that arises.

Dermal fillers and anti-wrinkle injections are commonly combined in one session. Avoid microneedling, chemical peels, and energy-based devices (laser, radiofrequency, ultrasound) for 2 weeks before and 2 weeks after filler treatment. Dental work with local anaesthetic should be spaced at least 2 weeks either side to reduce infection risk.

For lip treatment, plan 3 to 5 days for social visibility — swelling peaks at 48 hours. For cheek, jawline, chin, and tear-trough treatment, most patients look themselves again within 24 to 48 hours. Bruising, when it occurs, can last 5 to 7 days. Arnica tablets (available over the counter) started 3 days before and continued 3 days after reduce bruising meaningfully.

Hyaluronic acid dermal fillers are fully reversible. Hyaluronidase is an enzyme that dissolves HA filler within 24 to 48 hours; it is stocked on-site for immediate correction if needed. This is one of the key safety advantages of HA fillers over permanent fillers (which are no longer used at reputable UK clinics). If you are unsure after 2 weeks, the complimentary review includes a reassessment.