Dermal fillers

Dermal Fillers at Evolve Dentistry, Portishead

What do dermal fillers do?

Dermal filler injections are used to restore lost volume to the skin, resulting in a plumper, more youthful appearance, fillers can also be used to improve the shape of your lips and cheeks. At Evolve Dentistry, we have chosen to use dermal fillers that are hyaluronic acid which are the safest to use, such as Restylane and Teoxane.

Dermal fillers can be used to enhance the lips, cheeks, and chin, as well as reduce the appearance of the lines that run from the nose to the mouth – nasolabial folds – and those that extend from the corners of the mouth – Marionette lines. In addition, dermal fillers can be used to smooth out and reduce the appearance of smoker’s lines around the lips.

How many dermal filler treatments will I need?

The number of treatments will depend on your desired results and the extent of the issues that are being treated. However, the majority of patients can expect to have their dermal filler treatment completed in one appointment.

How long does treatment last?

Dermal filler appointments at Evolve Dentistry typically take 30 – 60 minutes.

How long does a consultation last?

For dermal filler treatment, we require that our patients attend a no-obligation consultation to discuss the results that they are looking to achieve through treatment and develop a comprehensive treatment plan.

What does the treatment involve?

During your treatment appointment, we will deliver the appropriate amount of dermal filler product to the agreed areas using either a cannula or a small needle to achieve your desired results.

Does dermal filler treatment hurt?

The advantage of a dentist carrying out this treatment is that Carol can gently give you a dental block to ensure that your treatment is pain-free, this is generally done for lip enhancements.

Will the dentist use numbing cream?

Yes, Carol will use numbing cream – which is to be applied 30 – 40 minutes before treatment – to numb the treatment area and make you more comfortable throughout the procedure. This is more commonly used for cheek fillers.

For those who are seeking lip enhancement through dermal filler treatment, we utilise a dental block product to numb the area, as the lips are particularly sensitive.

How long until results can be seen from dermal filler treatment?

Results of your dermal filler treatment will be immediately apparent following the procedure. However, the visible results are typically only 80% of the actual final results, with the further 20% improvement becoming apparent in the 2 weeks that follow post-procedure.

How long will dermal filler treatment results last?

Depending on which filler product is utilised and the area treated, dermal filler treatment results can last between 6 and 12 months.

Are there any side effects associated with dermal filler treatment?

Some of the typical side effects associated with dermal filler treatments are slight bruising and swelling in the treatment area following the procedure, which will wear off over time as the area heals. The appearance and discomfort of bruising and swelling can be mitigated by icing the area and taking pain relief, you will be advised on what to do after your treatment.

Treatment sites may also be tender for up to 1-week post-procedure, and some patients may develop small nodules under the skin at the injection site. If necessary, these can be dissolved but this is not required very often.

Very rarely, an emergency condition can develop if the filler is injected directly into a blood vessel rather than the skin. This requires immediate medical attention, as the filler must be dissolved with an Hyalase injection as quickly possible. Carol is fully trained and capable of administering the appropriate response required to handle this emergency. This is very rare and occurs at the time of treatment so can be dealt with immediately.

Is there any downtime associated with dermal filler treatment?

Though patients may experience slight swelling and bruising, there is usually no downtime associated with dermal filler treatment, and you may return to work immediately.

What pre-op advice is recommended?

At Evolve Dentistry, we advise that our patients refrain from consuming alcohol for 24 hours before their treatment appointment, as alcohol consumption may increase your chances of developing bruising.

It is essential that dermal filler patients refrain from taking aspirin, vitamins C and E, for 48 hours pre-treatment appointment.

What post-op advice is recommended?

There are multiple actions that you can take post procedure to reduce the chances of developing more extensive bruising and swelling and to ensure that the treated area heals properly, including:

• Refrain from lying down for 2 – 3 hours post-procedure.
• Do not apply make-up or moisturiser to the treated area for the rest of the day.
• Refrain from exercising and consuming alcohol for 24 hours post-procedure.
• Try to avoid making any extreme facial expressions.
• It is best to sleep on your back to prevent the filler from being moved for at least 3 nights following your procedure.
• To reduce swelling, apply Arnica gel and ice to any swollen areas.
• Avoid saunas, steam rooms, sunbeds, and facials for 2 weeks post-procedure.
• Keep treatment sites out of direct sunlight for 24 hours.
• Always wear a high SPF suncream every day.

Do I need a routine review?

We do require a routine review for our dermal filler patients. This typically takes place 2 weeks following the procedure and lasts for 10 minutes. At this appointment we check that you are happy with your treatment. We also take photos to assess the difference that your treatment has achieved.

Are there any absolute contraindications associated with dermal filler treatments?

• Pregnancy
• Breast feeding
• Active skin infections, such as cold sores
• Individuals who are taking Roaccutane and anticoagulants

What are the key benefits of dermal filler treatments?

Dermal fillers can provide a more youthful appearance by plumping and smoothing the skin to improve its visible texture.

Finally, because the injections consist of natural and biodegradable materials, they are not permanent, and the body will eventually break them down, necessitating further treatment. However, the hydrating effects of hyaluronic acid offers restorative benefits that will continually improve the look and texture of skin over time with further treatment.

How much do dermal filler treatments cost?

The cost of your dermal filler treatment at Evolve Dentistry will depend entirely on the extent of the treatment that is necessary.

Please see our fee guide for up to date prices.

Evolve are accredited by Save Face.