Dermal Fillers: Everything You Need to Know Before Treatment

Discover expert skin science insights from our award-winning holistic aesthetic clinic in Altrincham. Written by Dr Caroline Warden an NHS GP, cosmetic dermatology specialist and leading aesthetic doctor in Hale, South Manchester

Dermal fillers are one of the most in-demand aesthetic treatments in the UK, offering a safe and effective way to restore facial volume, soften lines and enhance natural contours without surgery or extended downtime. With thousands of UK searches every month around topics such as “what are dermal fillers?”, “how long do dermal fillers last?” and “dermal fillers vs Botox”, there is clearly a huge appetite for trusted, medically accurate information.

As a doctor-led aesthetic clinic based in Hale, Cheshire, safety, education and natural results are at the heart of every treatment we offer. This article answers the most common questions patients ask and explains what to expect before, during and after dermal filler treatment, along with a real case study from our clinic.

What Are Dermal Fillers?

Dermal fillers are advanced injectable gels designed to add volume, hydrate skin and restore structure where ageing, genetics or lifestyle factors have caused volume loss.

The most widely used fillers today are hyaluronic acid (HA) fillers, which mimic a naturally occurring substance found in the skin responsible for moisture and plumpness.

Why Hyaluronic Acid Fillers?

  • They provide immediate results

  • They integrate smoothly with natural tissue for a natural look

  • They can be adapted from ultra-soft to firm depending on the treatment area

  • They are reversible using an enzyme called hyaluronidase for safety

In medically led clinics, only premium CE-marked or FDA-approved fillers sourced from licensed UK pharmacies should ever be used.

What Can Dermal Fillers Be Used For?

Dermal fillers are highly versatile and can enhance or refresh facial features including:

✔ Cheeks

To lift the mid-face, support sagging and restore youthful structure.

✔ Lips

To improve shape, hydration and symmetry, not necessarily volume.

✔ Chin & Jawline

For profile balancing, improved definition and reducing the appearance of jowls.

✔ Smile lines, marionette lines & nasolabial folds

To soften deeper creases formed with ageing.

✔ Tear trough (under eyes)

To improve hollowness and tired appearance.

✔ Non-surgical facial balancing

Using strategic micro-dosing for subtle yet impactful results.

How Long Do Dermal Fillers Last?

Treatment area Typical duration
Lips 6–9 months
Cheeks 12–18 months
Under eye / tear trough 9–12 months
Chin & jawline 12–18 months
Smile lines / nasolabial folds 9–12 months
Fillers gradually break down and are absorbed naturally by the body; longevity varies with the product used, your metabolism and treatment area.

Fillers gradually break down and are absorbed naturally by the body.

Can Dermal Fillers Move?

Filler migration is rare when treatment is carried out by a trained medical injector using appropriate techniques. Factors that increase risk include:

  • Overfilling or incorrect product choice

  • Poor injection placement

  • Non-medical injector in an unregulated setting

At our clinic, every patient undergoes a full facial assessment to ensure precise, anatomically safe treatment planning.




Dermal Fillers vs Botox — Which Do I Need?

Let’s be clear, no one needs any aesthetic treatments.

Dermal fillers Botox
Add structure, shape and volume Relax muscles to soften lines
Replace lost volume and lift Prevent dynamic wrinkles forming
Improve hollows and sagging Smooth forehead, frown and eye lines
Many patients benefit from a combination approach for balanced facial rejuvenation.

Which Dermal Fillers Are Permanent?

Some permanent fillers do exist, but they are not recommended due to significantly higher complication and infection risks.

At our Hale clinic, we exclusively use reversible hyaluronic acid fillers to maintain patient safety and flexibility.

Can I Buy Dermal Fillers Online?

Searches such as “dermal fillers online” or “where to buy dermal fillers” are common — but fillers are a prescription-only medical device.

Injecting filler without medical training can result in:

  • Infection and abscesses

  • Vascular occlusion

  • Skin necrosis (tissue death)

  • Blindness

Filler injections should only be performed by qualified medical professionals.



Case Study: Mid-Face Rejuvenation for Natural Lift & Confidence

Patient: Female, 44

Concerns: Deepening smile lines, tired appearance, loss of cheek volume

Treatment: Cheek filler + subtle perioral support (2ml total)

Initial Consultation

The patient expressed that although she felt well, she constantly looked tired and drawn in photos. She was nervous about looking “fake” or “done” and wanted the most natural result possible.

During assessment, we identified:

  • Volume loss in the mid-face causing descent of the lower face

  • Shadowing around nasolabial folds

  • Flattening of cheek projection

Treatment Plan

We recommended a staged approach using high-quality hyaluronic acid filler to restore structural support in the cheeks while keeping a soft, natural contour:

  • 1ml placed on each side using a combination of cannula and precision needle injections

  • Treatment performed gradually for controlled results

Outcome

Results were immediate but subtle, giving:

  • Natural cheek lift

  • Softer smile lines without filling lines directly

  • Brighter, more refreshed appearance

Patient Feedback

“I love that nobody can tell I’ve had anything done, but everyone keeps telling me I look rested. I feel like myself again.”

Review at 3 Weeks

No complications, full integration of filler

Why Choose Our Doctor-Led Clinic in Hale?

At Dr Caroline Warden Skin & Aesthetic Clinic:

  • Treatments performed exclusively by a medical doctor

  • Emphasis on natural, subtle enhancement

  • Use of only premium pharmacy-supplied products

  • Comprehensive consultation and safety-first approach

  • Support throughout the healing process

Our patients choose us for expertise, discretion and a tailored approach that prioritises facial harmony.

Book in for a Consultation at your local, doctor-led, sister-run skin & aesthetics sanctuary for natural, bespoke results

Dr Caroline Warden is an experienced NHS GP and aesthetic doctor. She has been a medical doctor for over 18 years. She runs the female-led family business with her sister Louise Devereux (creative director & patient co-ordinator)

Their main Skin and Aesthetic Clinic is located in Hale, Cheshire but they also run a pop-up clinic in Disley, Stockport one evening a week.

You will only ever see and have treatments with Dr Caroline Warden.

Whether you're new to aesthetic treatments or ready to refine your routine, her bespoke skin assessments are the best place to start. Dr Caroline Warden will design a tailored plan based on your skin goals, lifestyle, and timeline.

Book your consultation at the clinic in Hale, Cheshire and experience aesthetic medicine.


You’ll be guided through your medical history, goals, and expectations so you can make an informed choice.

Where our clinics are local to:

Our flagship main Hale clinic is conveniently located for patients travelling from:

Alderley Edge, Altrincham, Bowdon, Bramhall, Hale Barns, Knutsford, Manchester, Mobberley, Sale, Timperley, Urmston, Wilmslow, Handforth, Poynton, Cheadle, Didsbury and Warrington.

Our satellite Disley clinic (Thursday evenings at Scott, Skin & Co) is ideal if you’re based in:

New Mills, High Lane, Marple, Mellor, Whaley Bridge, Strines, Chapel, Hayfield or Stockport.

Next
Next

Why I Don’t Recommend At-Home Microneedling with a Derma Roller