Dr Nikita Nirwan / Dermal Filler London

Dermal Fillers

Dermal fillers can be used to contour, give volume, smooth out wrinkles, fill out deep lines and replace hydration to transform your skin. Dermal fillers are made up of Hyaluronic acid - a substance that naturally exists in your body. The treatment takes less than 45 minutes and you will see results immediately. Depending on the type of filler that’s used, results can last for anywhere between six months and two years. Dr Nikita Nirwan only offers a high quality and market leading selection of dermal filler products such as Juvederm® and Restylane®.

Filler treatments are priced according to the number of syringes of filler your treatment requires (measured in ml). The amount of dermal filler required will depend on the depth of the lines/wrinkles being treated or on the amount of lost volume that needs replacing or adding.

Please note: All procedures will be carried out personally by Dr Nikita Nirwan herself and prices include a free follow up appointment.

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Treatment/Service Dosage Price
Lip enhancement 1ml From £250
Nose to mouth lines 1ml from £250
Cheek enhancement 2x 1ml from £395
Tear trough 2 x 1ml from £595
Non surgical rhinoplasty 1 x 2ml from £500
Skinboosters 3 x 1ml £899
Sculptra 2-5 ml £400 per ml
Worried about the cost? Save up to 60% off RPP by booking a 'stand by' appointment.

Dermal Filler London
Lip fillers are one of the most popular applications of dermal filler injections.

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Dr Nikita Nirwan answers FAQ about Dermal Filler

We hope the section below answers any questions you may have about dermal filler treatment.


What are dermal filler injections?

Dermal filler injections are cross linked Hyaluronic acid gels that are injected into the dermis of the skin. They can be injected superficially to iron out lines and wrinkles or deeper to give more volumisation in areas lacking support. They can be used in the form of skinboosters on the face, neck, décolletage or hands help to hydrate the skin from within, providing a plump and youthful appearance.


What is hyaluronic acid?

Hyaluronic acid is a glycosaminoglycan, which is essentially a sugar. It is naturally occurring in our bodies, with 50 percent of it being found in our skin. It is one of the major components of the skin, helping to keep our collagen and elastin supple and hydrated. It has an important role in retaining moisture, as one molecule alone can hold up to 1000 times its own weight in water!

Dermal fillers like Restylane and Juvéderm work like sponges once they're injected, swelling up with water to create a plumper look.

Over time—anywhere from three to 12 months—the hyaluronic acid gets absorbed by the body and disappears. Hyaluronic acid is also not likely to produce a reaction, since the body does not recognize it as a foreign substance. If you're not happy with how it looks, an enzyme called hyaluronidase can disperse the hyaluronic acid even before it naturally dissolves.


How do dermal fillers work?

After the age of 28 yrs, we naturally stop producing new collagen in our skin, and the levels of Hyaluronic acid diminishes. Dermal fillers are a smooth gel that is made of cross-linked hyaluronic acid particles. When injected into fine lines, wrinkles, or sunken areas of the face, it replenishes the hyaluronic acid that has been absorbed into your body over time, helping you achieve a more youthful appearance. They come in a number of formulas of varying strengths, so treatments can be tailored to the specific needs of each patient.

Lighter dermal fillers are meant to be injected within the dermal layers, of the skin to fill in fine lines, wrinkles, folds and the borders of the lips. Thicker fillers are meant to be placed within fat tissue layers and folds for shaping and filling in folds. The effects last only as long as the injected material. Once the body dissolves, the filler, the volume is lost.

Unlike Hyaluronic acid dermal fillers, Radiesse is a calcium based filler that I like to use primarily in the cheeks and along the jawline to add structure and restore volume. It tends to feel a little more rigid initially but then softens to conform to the bony structures.

Sculptra is a stimulator of your own tissues, it is a poly-L- lactic acid which not only fills the voids left behind due to age, but with several sessions over time build up your own collagen levels, giving you long lasting and natural results.


How long do dermal fillers last?

The aesthetic results from hyaluronic acid fillers last 4-12 months, depending on the product. The large variability also depends on the area or areas being treated (the filler breaks down quicker in areas of increase movement), each individual's own variability in breaking down the filler and the small differences in the different fillers. For most patients, the results will last 6-9 months or even longer for some individuals.


When can you see results?

Results from hyaluronic fillers is immediate. Any extra fullness from swelling in the area and at injection sites should be completely gone within 10-14 days which is why I recommend a two week follow-up. This is very important to provide a great service to a new client.

Dermal Filler London

Where can dermal fillers be injected?

As hyaluronic acid is naturally occurring in the human body, it is a safe substance to inject just about anywhere, where the skin is in need for smoothing and hydrating. Common areas where it is used are for lip augmentation, nasolabial folds, marionette lines, non-surgical rhinoplasty, cheek volumisation, tear troughs (around the eyes to eliminate dark circles and bags). Skinboosters are droplets injected into large areas of skin, improving the overall quality of the skin.


What is the recovery time after dermal filler treatment?

Recovery time is small for our non-surgical procedures, you can go back to normal life almost immediately. For dermal fillers, it depends on where they are placed.

In the very thin areas such as around the eyes and lips, there are higher risks of bruising, swelling and redness. You can go back to work and normal routine straight away, as side effects are usually minor. However, I would say to all my clients to ensure that you undergo the procedure atleast 2 weeks in advance of any important social events to allow for any tell-tale signs to resolve.


Dermal filler risks and side effects

Common side effects include: redness, swelling, and bruising at the injection site. These only last a few hours to a few days and can be managed easily with our special complimentary aftercare pack and instructions. More serious side effects are very rare, but I believe it is imperative to know all of the risks if you are undergoing any surgical or non-surgical procedure.

The most serious outcomes can be an embolism or vascular occlusion which could result in tissue necrosis or death- if not treated promptly. There are higher risk sites for this to occur, such as around the eyes, which require extra precautions. In the hands of an experienced and properly trained practitioner, these risks are minimal and can be handled quickly before any long term damage is left behind.

I am always prepared for any adverse outcomes and encourage my patients to maintain contact with me personally in the days following treatment, as well as a complimentary follow up appointment booked, should anything out of the ordinary be noticed then we can deal with it promptly and effectively.

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Dermal Filler London

Dr Nikita Nirwan / Dermal Filler London