What are Facial Fillers?

Regenerative fillers are ideal for people who have mild to moderate skin folds and wrinkles. Common areas treated include.

• Facial wrinkles
• Nasolabial folds
• Marionette lines
• Fine lines around the mouth
• Cheek augmentation

HA fillers are ideal for people who have mild to moderate skin folds and wrinkles. Common areas treated include.

• Facial wrinkles
• Nasolabial folds
• Marionette lines
• Lips
• Fine lines around the mouth
• Cheek augmentation

Regenerative fillers are not recommended for patients who have:

• Active facial or oral herpes infection
• Uncontrolled diabetes
• Blood-clotting problems
• Known allergy or hypersensitivity to calcium hydroxylapatite, sodium polycaprolactone or carboxymethylcellulose
• Patients who are pregnant or breast-feeding
• Current immunosuppressive therapy
• Patients with very thin skin

HA is not recommended for patients who have:

• Active facial or oral herpes infection
• Uncontrolled diabetes
• Blood-clotting problems
• Allergy to any components of injectable hyaluronic acid
• Patients who are pregnant or breast-feeding
• Current immunosuppressive therapy
• Patients with very thin skin

If you’re considering fillers, it’s worth considering a non-regenerative filler first like Juvederm or Restylane, as these will give you a chance to see whether you’re happy with the results without a super long-lasting effect. If you like the results and want more longevity, then Radiesse or Ellanse might be better for you. Deciding between Radiesse or Ellanse is based on your specific needs and will be discussed with you by Mr Ghattaura and his team.

It is normal to have a degree of swelling and redness after your treatment, especially if a cannula is used, or if you had the lips or eyes treated. In some cases, this swelling can make the treated area stiffer. The swelling usually peaks at around 2-3 days and generally resolves by a week. In some cases, the swelling can persist for up to a month. As a result, your final result may not be apparent for 7-days.

Visible needle marks from the injections may also be visible, but this again, resolves within a few days. It is important that you do not touch the treatment area for 6-hours after the injection.

Some degree of pain and itching is common after HA injections, but the symptoms are usually very mild. This itching usually subsides within a few weeks, but in some cases, can last up to two months.

After lip augmentation (HA Filler) a small number of patients have reported dry lips, pain in the cold weather and tightness when biting.

Every procedure involves a certain amount of risk, so it is important that you understand these risks and the possible complications associated with them. In addition, every procedure has limitations. An individual’s choice to undergo this procedure is based on the comparison of the risk to potential benefit. Although the majority of patients do not experience the following, you should discuss each of them with Mr Ghattaura or his team to make sure you understand the risks, potential complications, limitations, and consequences of hyaluronic acid filler injections.

• Bleeding and Bruising:  It is possible, though unusual, to have a bleeding episode from a filler injection or the local anaesthesia used during the procedure. Bruising in soft tissues may occur. Should you develop post-injection bleeding, it may require emergency treatment or surgery. Aspirin, anti-inflammatory medications, platelet inhibitors, anticoagulants, Vitamin E, ginkgo biloba and other “herbs / homeopathic remedies” may contribute to a greater risk of a bleeding problem. Do not take any of these for seven days before or after filler injections.
• Acne-Like Skin Eruptions: Acneiform skin eruptions can occur following the injection of tissue fillers. This generally resolves within a few days.
• Skin Sensitivity: Skin rash, itching, tenderness, and swelling may occur following injections. After treatment, you should minimise exposure of the treated area to excessive sun or UV lamp exposure and extreme cold weather until any initial swelling or redness has gone away. If you are considering laser treatment, chemical skin peeling or any other procedure based on a skin response after filler treatment, or you have recently had such treatments and the skin has not healed completely, there is a possible risk of an inflammatory reaction at the implant site.
• Infection: Although infection following injection of tissue fillers is unusual, bacterial, fungal, and viral infections can occur. Infection can result in an abscess. Herpes simplex virus infections around the mouth can occur following a tissue filler treatment. This applies to both individuals with a past history of herpes simplex virus infections and individuals with no known history of herpes simplex virus infections in the mouth area. Specific medications must be prescribed and taken both prior to and following the treatment procedure in order to suppress an infection from this virus. Should any type of skin infection occur, additional treatment including antibiotics may be necessary.
• Under / Over Correction: The injection of soft tissue fillers to correct wrinkles and soft tissue contour deficiencies may not achieve the desired outcome. The amount of correction may be inadequate or excessive. It may not be possible to control the process of injection of tissue fillers due to factors attributable to each patient’s situation. If under correction occurs, you may be advised to consider additional injections of tissue filler materials.
• Asymmetry: The human face is normally asymmetrical in its appearance and anatomy. It may not be possible to achieve or maintain exact symmetry with tissue filer injections. There can be a variation from one side to the other in terms of the response to injection. This may require additional injections.
• Damage to Deeper Structures: Deeper structures such as nerves and blood vessels may be damaged during the course of injection. Injury to deeper structures may be temporary or permanent.
• Skin Lumpiness: Lumpiness can occur following the injection of fillers. This tends to smooth out over time. In some situations, it may be possible to feel the injected tissue filler material for long periods of time.
• Visible Tissue Filler Material: It may be possible to see any type of tissue filler material that was injected in areas where the skin is thin.
• Granulomas: Painful masses in the skin and deeper tissues after a filler injection are extremely rare. Should these occur, additional treatments including surgery may be necessary. Fillers should not be used in areas with active inflammation or infections (e.g., cysts, pimples, rashes or hives).
• Migration of Filler: The filler substance may migrate from its original injection site and produce visible fullness in adjacent tissue or other unintended effects.
• Skin Necrosis: It is very unusual to experience death of skin and deeper soft tissues after injections. Skin necrosis can produce unacceptable scarring. Should this complication occur, additional treatments, or surgery may be necessary.
• Allergic Reactions and Hypersensitivity: As with all biologic products, allergic and systemic anaphylactic reactions may occur. Fillers should not be used in patients with a history of multiple severe allergies, severe allergies manifested by a history of anaphylaxis, or allergies to gram-positive bacterial proteins. Allergic reactions may require additional treatment.
• Drug and Local Anaesthetic Reactions: There is the possibility that a systemic reaction could occur from the local anaesthetic used when tissue filler injections are performed. This would include the possibility of light-headedness, rapid heartbeat (tachycardia), and fainting. Medical treatment of these conditions may be necessary.
• Antibodies to Fillers: Presence of antibodies to hyaluronic acid tissue fillers may reduce the effectiveness of this material or produce a reaction in subsequent injections. The health significance of antibodies to hyaluronic acid tissue fillers is unknown.
• Accidental Intra-Arterial Injection: It is extremely rare that during the course of injection, fillers could be accidentally injected into arterial structures and produce a blockage of blood flow. This may produce skin necrosis in facial structures or damage blood flow to the eye, resulting in loss of vision, cerebral ischemia (lack of blood supply to the brain) or cerebral haemorrhage (a limit of oxygen to the brain) , leading to stroke, skin necrosis (death of skin tissue), and damage to underlying facial structures. The risk and consequences of accidental intravascular injection of fillers is unknown and not predictable.
• Scarring: Fillers should not be used in patients with known susceptibility to keloid formation or hypertrophic scarring. The safety of patients has not been studied.
• COVID 19 – there have been some reported cases of nodules forming after fillers injections in people with flu like illness. It is possible that COVID 19 may pose a risk of nodule formation after dermal filler.
• Unsatisfactory Result: Filler injections alone may not produce an outcome that meets your expectations for improvement in wrinkles or soft tissue depressions. There is the possibility of a poor or inadequate response from filler injection(s). Additional injections may be necessary. Surgical procedures or other treatments may be recommended along with additional treatments.

Every procedure involves a certain amount a

Every procedure involves a certain amount of risk, so it is important that you understand these risks and the possible complications associated with them. In addition, every procedure has limitations. An individual’s choice to undergo this procedure is based on the comparison of the risk to potential benefit. Although the majority of patients do not experience the following, you should discuss each of them with Mr Ghattaura or his team to make sure you understand the risks, potential complications, limitations, and consequences of hyaluronic acid filler injections.

• Bleeding and Bruising:  It is possible, though unusual, to have a bleeding episode from a filler injection or the local anaesthesia used during the procedure. Bruising in soft tissues may occur. Should you develop post-injection bleeding, it may require emergency treatment or surgery. Aspirin, anti-inflammatory medications, platelet inhibitors, anticoagulants, Vitamin E, ginkgo biloba and other “herbs / homeopathic remedies” may contribute to a greater risk of a bleeding problem. Do not take any of these for seven days before or after filler injections.
• Acne-Like Skin Eruptions: Acneiform skin eruptions can occur following the injection of tissue fillers. This generally resolves within a few days.
• Skin Sensitivity: Skin rash, itching, tenderness, and swelling may occur following injections. After treatment, you should minimise exposure of the treated area to excessive sun or UV lamp exposure and extreme cold weather until any initial swelling or redness has gone away. If you are considering laser treatment, chemical skin peeling or any other procedure based on a skin response after filler treatment, or you have recently had such treatments and the skin has not healed completely, there is a possible risk of an inflammatory reaction at the implant site.
• Infection: Although infection following injection of tissue fillers is unusual, bacterial, fungal, and viral infections can occur. Herpes simplex virus infections around the mouth can occur following a tissue filler treatment. This applies to both individuals with a past history of herpes simplex virus infections and individuals with no known history of herpes simplex virus infections in the mouth area. Specific medications must be prescribed and taken both prior to and following the treatment procedure in order to suppress an infection from this virus. Should any type of skin infection occur, additional treatment including antibiotics may be necessary.
• Under / Over Correction: The injection of soft tissue fillers to correct wrinkles and soft tissue contour deficiencies may not achieve the desired outcome. The amount of correction may be inadequate or excessive. It may not be possible to control the process of injection of tissue fillers due to factors attributable to each patient’s situation. If under correction occurs, you may be advised to consider additional injections of tissue filler materials.
• Asymmetry: The human face is normally asymmetrical in its appearance and anatomy. It may not be possible to achieve or maintain exact symmetry with tissue filer injections. There can be a variation from one side to the other in terms of the response to injection. This may require additional injections.
• Damage to Deeper Structures: Deeper structures such as nerves and blood vessels may be damaged during the course of injection. Injury to deeper structures may be temporary or permanent.
• Skin Lumpiness: Lumpiness can occur following the injection of fillers. This tends to smooth out over time. In some situations, it may be possible to feel the injected tissue filler material for long periods of time.
• Visible Tissue Filler Material: It may be possible to see any type of tissue filler material that was injected in areas where the skin is thin.
• Granulomas: Painful masses in the skin and deeper tissues after a filler injection are extremely rare. Should these occur, additional treatments including surgery may be necessary. Fillers should not be used in areas with active inflammation or infections (e.g., cysts, pimples, rashes or hives).
• Migration of Filler: The filler substance may migrate from its original injection site and produce visible fullness in adjacent tissue or other unintended effects.
• Skin Necrosis: It is very unusual to experience death of skin and deeper soft tissues after injections. Skin necrosis can produce unacceptable scarring. Should this complication occur, additional treatments, or surgery may be necessary.
• Allergic Reactions and Hypersensitivity: As with all biologic products, allergic and systemic anaphylactic reactions may occur. Fillers should not be used in patients with a history of multiple severe allergies, severe allergies manifested by a history of anaphylaxis, or allergies to gram-positive bacterial proteins. Allergic reactions may require additional treatment.
• Drug and Local Anaesthetic Reactions: There is the possibility that a systemic reaction could occur from the local anaesthetic used when tissue filler injections are performed. This would include the possibility of light-headedness, rapid heartbeat (tachycardia), and fainting. Medical treatment of these conditions may be necessary.
• Antibodies to Fillers: Presence of antibodies to regenerative fillers may reduce the effectiveness of this material or produce a reaction in subsequent injections. The health significance of antibodies to regenerative fillers is unknown.
• Accidental Intra-Arterial Injection: It is extremely rare that during the course of injection, fillers could be accidentally injected into arterial structures and produce a blockage of blood flow. This may produce skin necrosis in facial structures or damage blood flow to the eye, resulting in loss of vision, cerebral ischemia (lack of blood supply to the brain) or cerebral haemorrhage (a limit of oxygen to the brain) , leading to stroke, skin necrosis (death of skin tissue), and damage to underlying facial structures. The risk and consequences of accidental intravascular injection of fillers is unknown and not predictable.
• Scarring: Fillers should not be used in patients with known susceptibility to keloid formation or hypertrophic scarring. The safety of patients has not been studied.
• COVID 19 – there have been some reported cases of nodules forming after fillers injections in people with flu like illness. It is possible that COVID 19 may pose a risk of nodule formation after dermal filler.
• Unsatisfactory Result: Filler injections alone may not produce an outcome that meets your expectations for improvement in wrinkles or soft tissue depressions. There is the possibility of a poor or inadequate response from filler injection(s). Additional injections may be necessary. Surgical procedures or other treatments may be recommended along with additional treatments.

of risk, so it is important that you understand these risks and the possible complications associated with them. In addition, every procedure has limitations. An individual’s choice to undergo this procedure is based on the comparison of the risk to potential benefit. Although the majority of patients do not experience the following, you should discuss each of them with Mr Ghattaura or his team to make sure you understand the risks, potential complications, limitations, and consequences of hyaluronic acid filler injections.

• Bleeding and Bruising:  It is possible, though unusual, to have a bleeding episode from a filler injection or the local anaesthesia used during the procedure. Bruising in soft tissues may occur. Should you develop post-injection bleeding, it may require emergency treatment or surgery. Aspirin, anti-inflammatory medications, platelet inhibitors, anticoagulants, Vitamin E, ginkgo biloba and other “herbs / homeopathic remedies” may contribute to a greater risk of a bleeding problem. Do not take any of these for seven days before or after filler injections.
• Acne-Like Skin Eruptions: Acneiform skin eruptions can occur following the injection of tissue fillers. This generally resolves within a few days.
• Skin Sensitivity: Skin rash, itching, tenderness, and swelling may occur following injections. After treatment, you should minimise exposure of the treated area to excessive sun or UV lamp exposure and extreme cold weather until any initial swelling or redness has gone away. If you are considering laser treatment, chemical skin peeling or any other procedure based on a skin response after filler treatment, or you have recently had such treatments and the skin has not healed completely, there is a possible risk of an inflammatory reaction at the implant site.
• Infection: Although infection following injection of tissue fillers is unusual, bacterial, fungal, and viral infections can occur. Infection can result in an abscess. Herpes simplex virus infections around the mouth can occur following a tissue filler treatment. This applies to both individuals with a past history of herpes simplex virus infections and individuals with no known history of herpes simplex virus infections in the mouth area. Specific medications must be prescribed and taken both prior to and following the treatment procedure in order to suppress an infection from this virus. Should any type of skin infection occur, additional treatment including antibiotics may be necessary.
• Under / Over Correction: The injection of soft tissue fillers to correct wrinkles and soft tissue contour deficiencies may not achieve the desired outcome. The amount of correction may be inadequate or excessive. It may not be possible to control the process of injection of tissue fillers due to factors attributable to each patient’s situation. If under correction occurs, you may be advised to consider additional injections of tissue filler materials.
• Asymmetry: The human face is normally asymmetrical in its appearance and anatomy. It may not be possible to achieve or maintain exact symmetry with tissue filer injections. There can be a variation from one side to the other in terms of the response to injection. This may require additional injections.
• Damage to Deeper Structures: Deeper structures such as nerves and blood vessels may be damaged during the course of injection. Injury to deeper structures may be temporary or permanent.
• Skin Lumpiness: Lumpiness can occur following the injection of fillers. This tends to smooth out over time. In some situations, it may be possible to feel the injected tissue filler material for long periods of time.
• Visible Tissue Filler Material: It may be possible to see any type of tissue filler material that was injected in areas where the skin is thin.
• Granulomas: Painful masses in the skin and deeper tissues after a filler injection are extremely rare. Should these occur, additional treatments including surgery may be necessary. Fillers should not be used in areas with active inflammation or infections (e.g., cysts, pimples, rashes or hives).
• Migration of Filler: The filler substance may migrate from its original injection site and produce visible fullness in adjacent tissue or other unintended effects.
• Skin Necrosis: It is very unusual to experience death of skin and deeper soft tissues after injections. Skin necrosis can produce unacceptable scarring. Should this complication occur, additional treatments, or surgery may be necessary.
• Allergic Reactions and Hypersensitivity: As with all biologic products, allergic and systemic anaphylactic reactions may occur. Fillers should not be used in patients with a history of multiple severe allergies, severe allergies manifested by a history of anaphylaxis, or allergies to gram-positive bacterial proteins. Allergic reactions may require additional treatment.
• Drug and Local Anaesthetic Reactions: There is the possibility that a systemic reaction could occur from the local anaesthetic used when tissue filler injections are performed. This would include the possibility of light-headedness, rapid heartbeat (tachycardia), and fainting. Medical treatment of these conditions may be necessary.
• Antibodies to Fillers: Presence of antibodies to hyaluronic acid tissue fillers may reduce the effectiveness of this material or produce a reaction in subsequent injections. The health significance of antibodies to hyaluronic acid tissue fillers is unknown.
• Accidental Intra-Arterial Injection: It is extremely rare that during the course of injection, fillers could be accidentally injected into arterial structures and produce a blockage of blood flow. This may produce skin necrosis in facial structures or damage blood flow to the eye, resulting in loss of vision, cerebral ischemia (lack of blood supply to the brain) or cerebral haemorrhage (a limit of oxygen to the brain) , leading to stroke, skin necrosis (death of skin tissue), and damage to underlying facial structures. The risk and consequences of accidental intravascular injection of fillers is unknown and not predictable.
• Scarring: Fillers should not be used in patients with known susceptibility to keloid formation or hypertrophic scarring. The safety of patients has not been studied.
• COVID 19 – there have been some reported cases of nodules forming after fillers injections in people with flu like illness. It is possible that COVID 19 may pose a risk of nodule formation after dermal filler.
• Unsatisfactory Result: Filler injections alone may not produce an outcome that meets your expectations for improvement in wrinkles or soft tissue depressions. There is the possibility of a poor or inadequate response from filler injection(s). Additional injections may be necessary. Surgical procedures or other treatments may be recommended along with additional treatments.

Some wrinkle lines may not be corrected fully with a HA fillers and it may be necessary to consider other treatment for this such as ResurfX laser or CO2 resurfacing.

After some years a new fold or wrinkle may appear next to the implanted area as a result of the ageing process or activity of the muscles that create the fold. You may need a further treatment for this.

Finally, HA fillers cannot stop the process of ageing and should not be considered as a permanent treatment for the correction of wrinkles and soft tissue depressions. Over time, the hyaluronic acid filler material is slowly absorbed by the body and wrinkles, or soft tissue depressions will reappear. Continuing hyaluronic acid filler treatment (injections) is necessary in order to maintain the effect of hyaluronic acid filler. Subsequent alterations in face and eyelid appearance may occur as the result of ageing, weight loss or gain, sun exposure, or other circumstances not related to hyaluronic acid filler injections. Future surgery or other treatments may be necessary.

Some wrinkle lines may not be corrected fully with a Regenerative fillers and it may be necessary to consider other treatment for this such as ResurfX laser or CO2 resurfacing.

After some years a new fold or wrinkle may appear next to the implanted area as a result of the ageing process or activity of the muscles that create the fold. You may need a further treatment for this.

Finally, Regenerative fillers cannot stop the process of ageing and should not be considered as a permanent treatment for the correction of wrinkles and soft tissue depressions. Over time, the filler material is slowly absorbed by the body and wrinkles, or soft tissue depressions will reappear. Continuing filler treatment (injections) is necessary in order to maintain the effect of the regenerative filler. Subsequent alterations in face and eyelid appearance may occur as the result of ageing, weight loss or gain, sun exposure, or other circumstances not related to hyaluronic acid filler injections. Future surgery or other treatments may be necessary.