dermal filler london

your guide to everything you need to know about fillers

line art of a female face to demonstrate dermal fillers london

each and every client is unique

Dr Asha's Philosophy Towards Treatment

Dermal fillers treatments we offer in London can be used to counteract tell-tale signs of ageing in problem areas such as the lips, cheeks, nasolabial folds and nose-to-mouth lines.

Fine lines and wrinkles are amongst the more obvious signs of ageing – though they’re also among the easiest to treat.

Dermal fillers are a safe and well-established way to plump up the skin so it can regain lost volume and take on a smoother appearance. Dermal fillers use hyaluronic acid, a natural substance that occurs throughout the body, giving volume to the skin, lubricating the joints.   From our twenties onward, our bodies start to produce less hyaluronic acid causing our skin to lose volume and definition. By injecting dermal fillers we can combat signs of ageing without the need for invasive cosmetic surgery.

Dr Asha offers a number of rejuvenating facial aesthetics treatments. The full effects of a treatment with dermal fillers are immediately apparent and may last for six to eight months or even longer, depending on the area of the body treated and other factors such as your age and lifestyle.

Before you receive a treatment, we’ll listen closely to your concerns and aspirations, answering fully any questions you may have, to ensure that you are delighted with the natural-looking results you’ll achieve.

For more information, scroll down to find the answers to the most common questions asked about Dermal Filler Treatments

Picture of DR ASHA CHHAYA - BDS (HONS) 2011 | LEVEL 7 ASETHETIC MEDICINE | GDC 211399

DR ASHA CHHAYA - BDS (HONS) 2011 | LEVEL 7 ASETHETIC MEDICINE | GDC 211399

Dr Asha Chhaya is a London based Aesthetic Doctor and Women's Health Coach, helping women to soften the signs of ageing and feel at home in their body again.

Her career began at Kings College Dental School in London, where she graduated with an Honours degree and two prestigious awards marking her academic excellence. Shortly thereafter, Dr Asha knew her true passions lay in Integrative Health and Preventative Anti-Ageing and progressed to achieve a Level 7 qualification in Injectables for Aesthetic Medicine, being amongst the first students to achieve this qualification. Dr Asha is also a Certified Health Coach and has extensively researched ways in which women can support their physical and emotional wellbeing.

Over the last five years, Dr Asha has enjoyed working closely with women combining both her aesthetic skill and wellness research findings to achieve transformative results for her clients. She considers herself to be a conscious injector, understanding that beauty runs deeper than the surface and that each client requires a compassionate approach towards their own treatment journey to help enhance the natural beauty within them.

Read more about my qualifications here

Accreditations

General Dental Council logo
kings college london logo
Level 7 in Aesthetic Medicine with Harley Academy logo
Academy 102 - PHI Clinic - Dr Tapan Patel logo
MFDS Royal College of Surgeons logo
ACE-Group-Registered-Practitioner logo

FREQUENTLY ASKED QUESTIONS —

Majority of clients are suitable for Dermal Filler treatment. A full medical history will be taken from you. Those not suitable for Dermal Filler include: pregnant and breastfeeding ladies as there is a current lack of data to suggest if treatment is safe during these times.

Following an in-depth consultation where I perform a full facial analysis, I will be able to advise which areas I feel would provide you with the best and natural looking results. If I don’t feel a particular treatment would benefit you, I will always be honest and provide an explanation as to why. 

Dermal Filler should only be administered by adequately trained medical professionals. Medical professionals i.e Dentists, Doctors, Nurses. They should have undergone the appropriate training (ideally be Level 7 qualified) and have completed a number of treatments so that they have a greater understanding on how to administer Dermal Filler according to individual needs.

Sadly in the UK, it is an unregulated industry and non medical professionals are currently able to offer filler treatments. This is very dangerous due to the risks involved in having treatment. A high level of medical skill is required for treatment to be performed safely and successfully and should there be any complications that arise, you need to ensure that they can be dealt with safely to prevent any long lasting effects.  Be careful of who you trust, your face is precious.

Dr Asha has been a Dentist for 10+ years and therefore is very adept at providing injectable facial treatments. She was one of the first students to achieve a Level 7 (Masters equivalent) in Aesthetic Medicine and also has a history of being a lead trainer with one of the most reputable aesthetic training schools – helping medical professionals start their career in aesthetics. 

Having performed 5000+ aesthetic treatments over the last 5 years, you can be certain you are in safe hands!

Common areas I treat in clinic include:

  • Cheeks
  • Nose to mouth lines (nasolabial folds)
  • Lips
  • Marionette lines (lines that extend down from the corners of the mouth)
  • Chin
  • Jawline

Please note I do not perform nose reshaping, filler to the frown lines, or tear trough treatment. Although my level of expertise would allow me to perform these treatments, I think every medical injector should focus on what they do best, know their limitations and always put safety first.

In the best interests of my clients I chose not to offer these treatments due to the increased risk related to treating these areas.

If you are considering any of these treatments I highly recommend you do your research. I am happy to recommend colleagues who are the best trained in this field and have a surgical background of many years and are adequately trained to deal with any complications that may arise.

Dermal fillers contain hyaluronic acid, a substance that is naturally found in the body, but gradually lost as we age. By injecting filler into areas of lost volume, or deep lines, fillers can help to replenish lost hyaluronic acid and support the underlying skin structures to help reduce the appearance of lines and restore volume loss. Hyaluronic acid is ‘hydrophillic’ meaning it attracts water to the area, which is great to also contribute to hydration and radiance.

There isn’t a specific age that you should start getting filler. If you have any areas of volume loss or deep lines, the best option is to visit an conscious Aesthetic Doctor who is able to give you an honest opinion of whether you are ready for filler yet. 

It’s not uncommon to be confused between Dermal Filler and Botox. 

This table outlines the key differences between both of these treatments.

 

Botox

Filler

Ingredient

Clostridium Botulinum

 Hyaluronic Acid

Where it works

Muscles

Deeper layers of the skin

Benefits

Minimise expression lines

Restores volume loss and helps with deep lines present at rest. Also helps with structure 

Areas treated

Crow’s feet, frown lines, forehead lines

Cheeks, nose to mouth lines, lips, marionettes, chin and jawline

Results

Peak between 10-14 days

Instant improvement visible

How often treatment is required

Once every 3-4 months

Depending on area treated and type filler used every 6/12/18m

Longevity

Last for 3-4 months

Last for 6-18 months based on area treated and type of filler used

Pain

Mild

Mild-Moderate

Downtime

Small risk of bruising; otherwise no downtime

Small risk of bruising and swelling; otherwise no downtime

Cost

Based on area treated. From £210 per area based on location of clinic

Based on type of filler and how many mls required.

From £303 per ml based on location of clinic

Yes. The other brands are Restylane, Belotero and Teoxane. Whilst they are reputable brands, my preference is to use Juvederm filler as I feel this works best for my clients in terms of safety and great results.

Please don’t worry too much about knowing which dermal filler to choose. 

My initial recommendation would be to seek an injector that uses a reputable brand (Juvederm, Teoxane, Restylane or Belotero) as this will help to ensure safety as well as superior results. In all of my clinics I use Juvederm. I have worked with all of the brands mentioned and find juvederm to provide the best results. 

Juvederm contains a range of dermal fillers depending on the area treated and the result desired. Following an in-depth consultation with myself I will explain to you which filler I have selected and why. If there is a choice of more than one filler I will offer them both and explain the benefits of each and together we can decide which one we feel is best suited to your needs.

As  Dermal Filler is an injectable treatment, there may be some discomfort but most clients report it is not as uncomfortable as what they initially imagined. However, lip filler can be a little more uncomfortable. Read more about lip filler treatment here.

Under eye wrinkles are one of the most common concerns I see in clinic, and also the most difficult to treat. 

I wish I could say that there was a treatment that was effective for this particular area. 

If there is hollowing – ‘volume loss’ present in the under eye region, tear trough filler (filler for under the eyes) can help to hydrate and rejuvenate this area but only in certain circumstances, not everyone is suitable for tear trough filler.

 Often those who are suitable for cheek filler notice an improvement in the under eye region after treatment, but it wouldn’t be a treatment I perform specifically for the under eye area. 

My go to treatment for hydration and improvement of fine lines underneath the eyes would be profhilo – which you can read more about here.

Absolutely! Although changes are subtle as I opt for a  ‘less is more’ approach, you will see results. We take before and after photos for comparison so that you can see how dermal filler has helped to improve your appearance. 

There is likely to be some swelling on the day which can take some time to settle to see the true result,  but apart from this results can usually been seen straight away.

Visiting an experienced Aesthetic Doctor who understands the importance of ‘less is more’ will prevent you from looking puffy or overdone. 

Those who do look ‘puffy’ have gone too far with treatment and this can sometimes mean multiple ml’s of filler to one area to result in this look.

My approach to aesthetics is very minimal so it’s highly unlikely that you would look puffy after having treatment. 

Yes, by visiting an aesthetic doctor who understands the art of the less is more approach and has the ability to delicately place filler to enhance your best features rather than draw negative attention to them by overtreating. 

It can be tempting to want more when you realise what you can achieve with a few subtle tweaks however a conscious injector will never let you ‘get addicted’ to treatment and they know when to say no.

I see all of my clients as my artwork, I want them to all emanate elegance and grace, this is certainly not achieved through overtreatment, but quite the opposite. 

The phrase ‘less is more’ couldn’t be more appropriate.

The longevity of filler varies from person to person and is also dependent on the type of filler used and the area treated. As a brief guide:

  • Cheek filler: 9-12 months
  • Lip Filler: 3-6 months
  • Nose to mouth lines: 6-9 months
  • Marionette lines: 6-9 months
  • Jawline filler: 12-18 months
  • Chin Filler:  12-18 months

 


Dermal fillers have an excellent safety record, but should always be administered by experienced professionals. It continues to  surprise me when consenting clients prior to treatment, how many of them have not been informed of the risks involved before previously having treatment.

Although hearing the risks can be off putting, I pride myself in full transparency as I believe it is very important for clients to understand all of the risks involved before agreeing to treatment as it is a medical procedure.

An overview of the risks include:

• Overcorrection / under correction & facial asymmetry • Unpredictable persistence of filler, either shorter or longer than expected. • Prolonged discolouration of the skin • Prolonged or severe swelling • Reactivation of cold sores • Infection • Scarring • Ulceration • Granulomas or firm nodules • Allergic or anaphylactic reaction • Blindness  

A remote and extremely rare risk is that of filler injection into a blood vessel, leading to blockage of the vessel. This could result in reduced blood flow to an area of tissue, leading to tissue damage and tissue death (necrosis), which could be seen as skin breakdown, ulceration and scar formation. Blood vessel blockage near the eye can result in blindness.

Please note: these risks are extremely rare and highlight the importance of seeing a highly trained medical professional who is adequately trained not only in administering dermal filler but also dealing with any possible complications.

These treatments present a convenient, minimally invasive option that delivers outstanding, natural-looking results. Although mild bruising can occur immediately following your treatment, this heals quickly – and you’ll start to notice the added volume right away. Other side effects are transient and can include: mild pain at the area of treatment, swelling and redness.

To read the best tips on how you can prevent bruising from dermal fillers click here.

Dermal Filler treatments are prices according to the type of filler used and the amount needed – per ML. This can vary according to each individual so a full facial analysis is required before an accurate indication of cost can be provided. However as a brief overview:

The prices for Dermal Filler in London at Cosmetica in Balham are:

  • Lip Border (0.5ml) – £303.00
  • Lip Volume (1ml) – £385.00
  • Cheek Enhancement (1ml) – £495.00
  • Nose to Mouth Lines (1ml) – £385.00
  • Juvéderm® Volux Chin & Jawline (1ml) – £485.00
  • Juvéderm® Volux Chin & Jawline (2ml) – £870.00 (save £100)

The prices for Dermal Filler in Nottingham at SKN Clinics in London are:

  • Lip Volume from –  £385.00
  • Cheek Enhancement from – £485.00
  • Nose to Mouth Lines (1ml) – £440.00
  • Juvéderm® Volux Chin & Jawline (1ml) – £485.00

At SKN clinics there is discount available when more than 1ml of filler is needed in a particular area. This will be discussed in depth with you prior to treatment. 

I will always ensure that you  are fully aware of the cost of treatment before it is done.

Downtime is dependent on the area treated, how much filler is administered and also the individual clients response to filler. 

Majority of treatments have very little downtime and mild side effects such as redness, swelling and itching only last a few hours. Where bruising may occur, this can take a few more days to settle. 

Most clients can return to work and social events immediately after treatment however must follow the recommended aftercare advice.

For the first 24 hours after treatment it is best to avoid:

  • Alcohol
  • Physical strain and sports/exercise
  • Touching the face
  • Make up (including lip balm)
  • Rubbing the face
  • Aspirin/Ibuprofen

For two weeks following treatment it is best to avoid:

  • Saunas
  • Steam rooms
  • Direct sunlight
  • Facials / Chemical Peels / Microdermabrasion
  • IPL/Laser treatments
  • Dental procedures
  • Further Lip Filler Treatment

If you do have any other treatments scheduled, please inform me at your consultation so we can ensure we create a treatment plan that incorporates these treatments to achieve the best results, in a safe manner. 


All Aftercare will be discussed in detail at your appointment.

Dermal fillers are temporary fillers and have the ability to be dissolved with hyaluronidase (hyalase) an enzyme that can breakdown the hyaluronic acid – the main constituent of filler. Whilst it is possible to dissolve filler, this is usually only reserved for emergency situations where a complication is suspected. 

The reason for this, is that whilst it seems theoretically easy to dissolve filler, there are further risks involved with doing so and therefore a decision to perform this reversal should not be taken lightly.

If you are unhappy with your filler for whatever reason, I recommend returning to the person who administered the filler and discussing the options available. and risks involved.

In special circumstances the filler can be dissolved but this needs to be done with the person who originally provided the filler as they know where they have placed the filler and therefore know where to place the reversal agent.

Dermal Filler clinics are available in both London and Nottingham

For Dermal Filler in London you can visit me at Cosmetica London in Balham

For Dermal Filler in Nottingham you can visit me at SKN clinics in Nottingham

*Please note, appointments at SKN Nottingham are very limited as I only work at this clinic once every two weeks on a Friday and I am usually booked up 6-8 weeks in advance as my lovely regular clients keep me busy! If you struggle to get an appointment I will do my best to get you in – please email Nina, the wonderful manager of the clinic who has direct access to the diary: [email protected] and copy me into the email: [email protected] so I can be sure that between us both you manage to secure an appointment! 

For appointments for Dermal Filler in London, the average wait is 4-6 weeks, so if you are planning to have treatment done before a special event or a holiday then please book the appointment sooner rather than later to avoid disappointment. 

I would love for you to get in touch with me so I can answer your question. Please email [email protected] where I will personally respond to your email.

Dermal Filler London

 

www.cosmeticalondon.co.uk 

Call: 020 7205 4046 or email: [email protected]

And ask to be booked in with Dr Asha Chhaya

Dermal Filler Nottingham

 

www.sknclinics.co.uk 

or Call: 020 7205 4046  or email: [email protected] 

And ask to be booked in with Dr Asha Chhaya

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