Dermal Fillers

Harmonise your profile with renewed volume, shape and glow

Poised to restore or build natural-looking bounce and glow – while perfectly balancing the proportions of any profile – Dermal Fillers deliver speedy hydration as well as building shape, lift and smoothness.


Dr Sarah Tonks says...

“The art of successful fillers lies in a well-trained eye and an expert consultation. We start with a sensitive facial assessment to work out how to create balance and harmony at an individual level.”

What is it and how does it work?

Injectable Dermal Fillers have two principal roles: adding new shape or reviving glorious facial form. Primed to deliver fast-fire rejuvenation, they can help to diminish wrinkles, soften creasing, build contours that were previously unattainable, and/or restore a fullness to the skin that may have been naturally lost through ageing.

At TLC, we finesse individual features, while taking a holistic view of every profile – assessing change (specifically loss of volume) across the nose, forehead, cheeks, lips, chin, jawline, and neck in concert, to craft an individualised plan.

We do this via three key kinds of filler, often in combination:


  • Hyaluronic acid fillers – a moisture-magnetising substance which occurs naturally in the body – that adds volume at the injection point. Brands we use include the gels Belotero®, Juvéderm® and Teosyal®, which are ideal for treating the area under the eye, brows, cheeks, temples, forehead, chin, lips, and even correcting small nose dips. These fillers provide a subtle accentuation and gentle sculpting quality.


  • Non-hyaluronic acid fillers such as Radiesse®, which uses calcium-based microspheres to stimulate collagen to smooth wrinkles in the face or hands. This type of filler retains less moisture than hyaluronic acid, making it ideal for the jawline, and particularly well-suited to people looking to create a more traditionally masculine silhouette.


  • Poly-L-lactic-Acid (PLLA) based fillers such as Sculptra® or Lanluma® that restore lost volume over a broader area. These fillers are infused into the skin as a ‘wash’ (in varying dilutions) before they’re self-massaged into the skin. While they’re a stellar standalone skin-booster, we also often use these powder fillers as a foundational layer from which to add fine detailing with hyaluronic acid. This variety of fillers tends to provide a particularly intense glow to younger people, or those leading a very healthy lifestyle.

Which body parts is it designed for?

Dermal Fillers are most well-known for use on the face (they’re ideal for plumping thin lips, enhancing shallow contours, softening crow’s feet and wrinkles, and improving the appearance of recessed scars), but can also work well on the hands, neck, décolletage, bum, and even outer labia.

Who is it primarily good for?

Those over the age of 18. Dermal Fillers are especially good at combatting early signs of ageing and can be invaluable allies in softening scarring or facial asymmetry, as well as supporting people who are transitioning genders who want to redefine traditionally masculine or feminine profiles.

How long will it last for and what’s the downtime?

Hyaluronic acid fillers generally last for six to 24 months, dependent on the amount and type of filler in the treated area, and the position in the face.

Calcium hydroxyapatite (non-hyaluronic) acid fillers, such as Radiesse ®, usually last for up to 18 months.
The PLLA fillers, such as Sculptra ® and Lanluma ®, typically last up to 24 months, but take longer to show full results, usually up to six weeks.

For all Dermal Fillers, more than one session may be required to achieve the desired results.

Please note that all treatment responses and recovery times are variable dependent on the individual patient and which treatment or combination of treatments have been selected. The expert TLC team will advise you accordingly.

What other treatments does it work well with?

What else should I know?

Soft tissue dermal fillers are unlikely to achieve results that look as pronounced as a facelift, but a greater degree of subtlety, and their role in helping to create balance, often underscores their appeal.

Radiesse ® – based fillers cannot be dissolved earlier than their estimated 18-months duration, as their hyaluronic acid counterparts can. They also can’t be used around the eye, mouth, forehead, or nose.
The PLLA fillers, such as Sculptra ® and Lanluma ®, cannot be used around the eye or mouth, and take longer to show full results than other filler types, sometimes up to 6 weeks. Like Radiesse ®, these fillers also cannot be synthetically dissolved before they naturally dissipate. They also require patients to assist in their initial upkeep, by massaging their own skin twice a day for 10 minutes per day, for 10 days.


Here are a few final things that you might like to know before taking things forward. If you have any other questions we haven’t thought of yet, no problem! Please email us at and one of the team will get back to you as quickly as they possibly can.

Does it hurt?

No, patients having Dermal Fillers feel very little discomfort thanks to our use of extra fine needles, topical and/or sometimes local anaesthetic. The way the skin tissue is handled has a bearing on how painful a procedure is and the extent of any swelling, all of which our highly experienced team is well-versed in.

When does it start to work?

You’ll have a good idea how the finished treatment will look immediately after the procedure, but for best results wait for three to four weeks.


Adverse effects include a residual bulge or swelling that lasts longer than anticipated, asymmetry, allergic reaction, infection as well blood vessel and retinal artery occlusions (blockages in the arteries or veins).


Yes. Hyaluronic acid is produced by a bacterium and is non-animal based.


If hyaluronic acid-based dermal fillers need to be removed for any reason it is possible to do this with an enzyme hyaluronidase, which swiftly breaks down the initial compound. For more on this also look to the Corrective Procedures section in the treatments list.


Yes. Modern techniques for non-surgical work, which include an expert analysis of where an individual has lost volume of bone or fat through the ageing process have led to the use of dermal fillers to support the creation of a beautifully balanced natural look. At TLC, in part thanks to our expertise in facial anatomy, we’re especially proficient at working with light and shadow to harmonise the features.

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