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04Injectables

Dermal filler

Hyaluronic acid gel to restore volume or definition: cheeks, chin, jawline, temples, tear troughs. Priced per millilitre.

A pale treatment room with a reclined chair, a single trolley and soft north light (AI-generated demonstration image)
Treatment within ten days of consultationFrom £195Downtime: 2 to 5 days

1,180 syringes, no vascular events, 9% bruising, 3 lumps dissolved

2025 audit, demonstration figures

01What it is

A consultation first, always. Then this.

Filler is not about adding; it is about putting back what the face has lost, in the place it was lost from. A millilitre is a fifth of a teaspoon. Most of our first treatments use one or two.

How it works

  • Consultation with imaging and a plan that names the areas and the millilitres
  • Numbing cream, then a cannula or fine needle depending on the area
  • Immediate result; swelling settles over a few days
  • Two-week review with photographs

We use reversible hyaluronic acid fillers only, and we keep the dissolving enzyme in the room. If we ever agree the result is not right, we adjust or dissolve it without charge.

Every treatment here follows a consultation and a cooling-off period of at least 48 hours. The consultation fee is credited to any treatment within three months.

InjectablesConsult first

£325per ml

Per ml; most first treatments use one to two ml

  • Dermal filler, per ml£325
  • Filler dissolving, when we agree the result is not rightIncluded
Duration
45 min
Downtime
2 to 5 days
Lasts
9 to 18 months
Monthly
£55 on a course, 0%
Deposit
£50, refunded if advised against
Review
Day 14, included

Nothing is injected on the dayNothing is injected at a first appointment, for anyone. If the doctor advises no treatment, you have still had the imaging, the routine and the honest answer.

Led by Dr Eleanor Vance, medical director and aesthetic doctor

02Suitability

The consultation decides; this is the honest short version.

For you if. Not if.

For you if

  • 01Flattened cheeks or hollow temples
  • 02A soft or receding chin, or a jawline that has lost its edge
  • 03Hollows under the eyes, in the right candidate
  • 04Deep folds beside the nose or mouth

Not if

  • 05Pregnancy or breastfeeding
  • 06Active acne, cold sores or infection near the area
  • 07Autoimmune disease in flare, or recent dental work within two weeks
  • 08Permanent filler already in the area
  • 09Anyone wanting more than the face can carry: we will say so

03The downtime, in days

Lasts 9 to 18 months

Downtime: 2 to 5 days.

  1. 01Leaving the room

    Slight swelling and redness. No make-up for six hours; ice if you like.

  2. 02Days 1 to 3

    Swelling peaks then eases. Bruising possible. Avoid heat, alcohol and hard exercise for 48 hours.

  3. 03Days 4 to 7

    Bruises fading; you can press gently but do not massage unless told to.

  4. 04Day 14

    Review with photographs. Small adjustment if needed, included.

  5. 05Months 9 to 18

    The gel is slowly absorbed. Most people return once a year for less than the first time.

04In plain words

What the price includes, and what can go wrong.

Included in £325

  • Doctor consultation with imaging
  • Numbing cream and the product itself
  • Cannula technique where it is safer
  • Two-week review with photographs
  • Adjustment or dissolving without charge if we agree it is not right
  • 24-hour emergency line after treatment

How it goes, from ask to review

  1. 01AskFive minutes
  2. 02Consult45 minutes
  3. 03Think48 hours or more
  4. 04Treat20 to 90 minutes
  5. 05Review20 minutes

Risks, in plain wordsTold at consultation too

  • 01Bruising and swelling: common, gone within a week
  • 02Lumps you can feel but not see: usually settle, or are dissolved
  • 03Infection: rare, treated with antibiotics
  • 04Blockage of a blood vessel: about 1 in 6,000 syringes in published series; an emergency we are trained and equipped to reverse
  • 05Asymmetry or a result you dislike: adjusted or dissolved

After filler: skin that turns white, mottled or dusky, unusual pain, or a change in vision is an emergency. Call the emergency line immediately, day or night; do not wait for the morning. Aftercare and the emergency line →

05Who does it

Dr Eleanor Vance leads dermal filler.

  1. Portrait of Dr Eleanor Vance (AI-generated demonstration image)
    Next available Thu 10:30

    Dr Eleanor Vance01

    Medical director and aesthetic doctorGMC DEMO-7100001English · FrenchVideo consultations

    If I can't tell you which millilitre changed what, I shouldn't be injecting it.

    In their words
    • 9,000+

      injectable treatments

    • 2017

      opened the house

    • 31%

      advised to do less, 2025

06Also

Also in injectables, and what people ask.

01Is filler reversible?

The hyaluronic acid fillers we use can be dissolved with an enzyme, usually within a day. We keep it in every treatment room and use it if a result is wrong or if the very rare emergency arises.

02Why can't I be treated at the consultation?

Because deciding and doing should not happen in the same hour. Every treatment here follows a face-to-face consultation with a prescriber and a cooling-off period of at least 48 hours; England's planned licensing scheme proposes the same minimum. Most people book the treatment for the following week before they leave.

03How do deposits work?

A £50 deposit secures a treatment appointment and comes off the price on the day. It is refunded in full if you cancel with 48 hours' notice, or at any time if the doctor decides at consultation that the treatment is not right for you. Consultations are paid on the day and credited to any treatment within three months.

04Do you treat under-18s?

No. Injectable cosmetic treatment under 18 has been illegal in England since 2021, and we apply the same rule to every cosmetic treatment. We ask for photographic ID if there is any doubt. Skin health checks and acne advice for teenagers are available with a doctor, with a parent present.

05I'm pregnant or breastfeeding. What can I have?

A facial, LED and a routine designed around pregnancy. We do not do injectables, peels, laser, IPL or fat freezing during pregnancy or breastfeeding: not because of proven harm, but because there is no evidence of safety and we will not be the ones to test it. Book a skin health consultation and we will plan the rest for later.

06Will people be able to tell?

Our aim is that people tell you that you look well and cannot say why. We treat by the smallest area and the fewest millilitres that will do the job, and add at the two-week review if you want more. About a third of the people we see are advised to do less than they asked for.

07What if I don't like the result?

Tell us at the review, or before. Anti-wrinkle results are adjusted with a top-up at two weeks and wear off within months. Hyaluronic acid filler can be adjusted or dissolved, and under our review policy we do that without charge if we agree it is not right. Last year we dissolved seven.

08Who is regulated by whom?

Our doctors are registered with the General Medical Council and our nurses with the Nursing and Midwifery Council; both prescribe. The clinic is registered with the Care Quality Commission for the treatments that require it. Our laser therapists are on the Joint Council for Cosmetic Practitioners register and hold NVQ Level 4 in laser and light. Registration numbers on this example site are demonstration numbers.

The review policy

Every injectable treatment includes a review at two weeks with photographs compared to your consultation images. Anti-wrinkle injections are topped up at the review if the result is short or uneven, at no charge. Hyaluronic acid filler is adjusted or dissolved at no charge if we agree the result is not right. Courses are reviewed at three months with imaging. If the doctor advises at consultation that a treatment is not right for you, any deposit is refunded in full.

finConsultations available

Start with aconversation, nota treatment.

45 minutes with a doctor with a doctor, £75, credited to any treatment within three months. Nothing is injected at a first appointment, for anyone. If the doctor advises no treatment, you have still had the imaging, the routine and the honest answer.

Charlotte answers 01632 960900Mon–Wed 08:3018:00The Crescent doorChapel Mews entrance

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