Dermal Fillers: A Calm, Evidence-Informed Patient Guide

Dermal fillers are gel-like products injected beneath the skin to add or restore volume, soften selected contours or support facial balance. Products, techniques and longevity vary, so the right starting point is an individual consultation rather than choosing by syringe size or trend.

What fillers can—and cannot—do

A carefully planned treatment may support proportion, contour or volume in a selected area. It cannot guarantee perfect symmetry, a fixed duration or a particular result. Natural facial movement, anatomy, product choice and healing all affect the outcome.

Who might be suitable

Filler may be considered for an adult with a clear, realistic goal, a healthy treatment area and the ability to follow aftercare. Suitability depends on anatomy, health, medicines, allergies, previous procedures and the balance between likely benefit and risk.

When treatment may be postponed or declined

• Active infection, inflammation, broken skin or an unwell patient.

• Pregnancy or breastfeeding, where elective treatment is generally deferred.

• Relevant allergies, medicines, medical conditions or previous adverse reactions that change the risk.

• A recent procedure that has not settled or an unresolved previous complication.

• Expectations that cannot reasonably or safely be achieved.

What should be discussed before treatment

• The exact product, where it comes from, why it is being recommended and how much is proposed.

• Alternatives, including no treatment, and whether another approach better fits the concern.

• Common effects such as tenderness, swelling, bruising, temporary lumpiness or asymmetry.

• Less common but potentially serious complications, including infection, nerve injury and interruption of blood supply, which can cause tissue damage or loss of vision.

• Expected recovery, review arrangements, maintenance and the clinic's urgent contact route.

Recovery and aftercare

Temporary swelling, tenderness or bruising can affect how the area looks in the first days, so avoid planning treatment immediately before an important event. Follow the written aftercare provided for your exact treatment. Contact the clinic promptly if something feels wrong; call 999 or attend A&E if you believe you have a medical emergency.

Age and informed choice

In England, arranging or providing cosmetic filler injections for someone under 18 is prohibited except in limited medically approved circumstances. Proof of age may be requested. Adults should still be given enough information and time to decide without pressure.

Independent patient guidance

Read the NHS advice on choosing a cosmetic practitioner and GOV.UK guidance on cosmetic fillers for under-18s.

Book a filler consultation

This article provides general information only. It does not replace an individual clinical assessment, product-specific consent or personalised aftercare. Treatment may be deferred or declined if it is not suitable.