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Doctor-led dermal fillers · Chiswick

Dermal Fillers in London, Planned Around Your Face

Understand what hyaluronic-acid filler can—and cannot—do before you decide. Every recommendation is based on your anatomy, medical history and the cause of the concern, with conservative treatment as the starting point.

No fixed packages. No pressure to proceed. Adults 18+ only.

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GMC-registered doctor 36 Devonshire Road, London W4 30+ years’ clinical experience

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An enquiry does not commit you to treatment. Suitability, options and total cost are confirmed only after an in-person assessment.

Start here

What are dermal fillers?

A clear explanation of the treatment before products, quantities or areas are discussed.

Dermal fillers are injectable gels placed beneath the skin. Dr Kay Clinic uses hyaluronic-acid (HA) fillers to restore selected volume, support facial contours or soften the transition across certain lines and folds. The effect is temporary and the right product, depth and amount depend on the area and your anatomy.
01

Restore volume

Replace selected volume lost through ageing or natural anatomy, such as in the cheeks, temples, under-eyes or hands.

02

Refine shape

Support proportion or definition in areas such as the lips, chin or jawline without aiming to change the character of your face.

03

Soften transitions

Reduce the appearance of selected folds, hollows or contour breaks when lost support—not only the visible line—is the cause.

Just as important

What filler does not do

  • It does not relax overactive facial muscles; expression-driven lines need a different assessment.
  • It does not remove pigmentation or fluid retention, even when either creates a shadow under the eyes.
  • It does not tighten significant loose skin or reproduce the result of surgery.
  • It cannot guarantee perfect symmetry, a particular celebrity feature or an identical result between patients.
Treatment room at Dr Kay Clinic in Chiswick, West London
Diagnosis before treatment

Why the visible line is not always the cause

A fold beside the mouth may look deeper because the midface has lost support. An under-eye shadow may come from pigment or fluid rather than a hollow. Treating only what is easiest to see can add volume in the wrong place.

  • Facial structure: bone support, fat compartments, skin quality and symmetry are considered together.
  • Movement: the face is assessed at rest and in expression so filler is not used for a problem driven mainly by muscle activity.
  • Previous treatment: existing or unknown filler is reviewed before anything new is added; ultrasound may be used where clinically indicated.
  • Proportion: the smallest useful change is planned in the context of the whole face, not as a fixed amount for one area.
A consultation can correctly end with “filler is not the right treatment.” That is a clinical decision, not a failed sales appointment.
Request an Assessment How Assessment Works
Explore by area

Which areas can dermal fillers treat?

Use the filters to find a concern, then open the dedicated page for suitability, expected results and current treatment details.

Showing all dermal filler treatments.

Face & midface

Lip filler

For proportionate shape, hydration, border definition or selected asymmetry—planned in relation to the rest of the face.

£290Includes up to 1 ml
View lip filler
Face & midface

Cheek & midface filler

Restores selected support and contour where flattening or volume loss affects the midface and nearby shadows.

£350Includes up to 1 mlSame-visit add-on: £300
View cheek & midface filler
Face & midface

Temple filler

Restores selected temple volume and creates a smoother transition between the forehead, temple and cheek.

£350Includes up to 1 mlSame-visit add-on: £300
View temple filler
Face & midface

Tear trough & under-eye filler

For carefully selected hollows that create shadowing. Pigment, fluid retention and prominent eye bags need a different plan.

£375Includes up to 1 ml
View under-eye treatment
Face & midface

Nasolabial fold filler

Softens selected nose-to-mouth folds where direct treatment is appropriate, sometimes after midface support is considered.

£300Includes up to 1 mlSame-visit add-on: £250
View smile-line filler
Mouth, chin & jaw

Marionette line filler

Restores selected volume through the mouth-corner and jawline transition when this contributes to downward shadowing.

£300Includes up to 1 mlSame-visit add-on: £250
View marionette line filler
Mouth, chin & jaw

Mouth corner lift

Supports a downturned mouth corner when local structure or volume is part of the cause; movement is assessed too.

£290Includes up to 0.5 mlSame-visit add-on: £240
View mouth corner treatment
Mouth, chin & jaw

Perioral line smoothing

Softens selected vertical lines around the lips while preserving normal movement and avoiding excessive lip volume.

£300Includes up to 1 mlSame-visit add-on: £250
View perioral line treatment
Mouth, chin & jaw

Chin filler

Refines projection, length or contour to support profile balance and the transition into the lower face.

£300Includes up to 1 mlSame-visit add-on: £250
View chin filler
Mouth, chin & jaw

Jawline filler

Adds selected structural definition along the jawline; it does not remove significant skin laxity or replace surgery.

£450Includes up to 2 ml
View jawline filler
Mouth, chin & jaw

Pre-jowl filler

Smooths the notch between the chin and early jowl where replacing local support can improve the jawline transition.

£300Includes up to 1 mlSame-visit add-on: £250
View pre-jowl filler
Other areas

Earlobe rejuvenation

Restores selected volume in thinning or stretched earlobes and may improve support around an earring hole.

£250Per pairSame-visit add-on: £200
View earlobe rejuvenation
Other areas

Hand rejuvenation

Restores selected volume on the back of the hands to soften the visibility of tendons and veins.

£450Includes up to 2 ml for both hands
View hand rejuvenation
Full-face plan

8-point face lift

A multi-area filler plan using selected structural points. Despite the name, it is non-surgical and does not reproduce a surgical facelift.

£1,0004–5 ml · 1–2 sessions
View the 8-point plan
Full-face plan

Facial harmonisation

A staged, whole-face plan for proportion and support, guided by clinical examination and 3D facial analysis.

£1,400–£2,500Three exact plan levels
View facial harmonisation

How these prices work: each single-area price includes the stated amount of hyaluronic-acid filler. A same-visit add-on applies only when that treatment is performed during the same visit as another treatment; it reflects the shared appointment cost and is not a general discount. Additional filler beyond the included amount is £250 per ml. The Advanced Skin & Facial Assessment is charged separately.

View Full Price List
When one area is not the whole story

Full-face assessment and staged planning

Facial harmonisation is not “more filler.” It is a decision about which areas, if any, need support and which should be left alone. Advanced 3D facial and skin analysis is used for full-face plans, with ultrasound-guided treatment where clinically indicated. The exact plan and total price are agreed before treatment begins.

Plans are delivered in structured phases, usually 3–6 weeks apart. The Advanced Skin & Facial Assessment is charged separately. Additional filler beyond the included plan volume is £250 per ml.

8-point non-surgical face lift4–5 ml · 1–2 sessions£1,000 Harmonisation · RefineUp to 6 ml · 1–2 sessions£1,400 Harmonisation · RestoreUp to 9 ml · 3 sessions£1,900 Harmonisation · CompleteUp to 12 ml · 3 sessions£2,500 Request a full-face assessment
Dr Arash Khademi, Founder and Clinical Director of Dr Kay Clinic
Your clinician

Every filler assessment and treatment is doctor-led

Dr Arash Khademi is the Founder and Clinical Director of Dr Kay Clinic, a GMC-registered doctor with more than 30 years of experience in aesthetic medicine. He carries out filler assessments and treatments personally.

The clinical goal is not maximum volume. It is a proportionate plan that considers anatomy, skin quality, previous treatment, expectations and the ability to manage complications if they occur.

01

Assessment before recommendation

Your medical history, anatomy and goals are reviewed before product, placement or quantity is discussed.

02

Conservative, staged treatment

The smallest appropriate change is preferred, with review before additional volume is considered.

03

Prepared for complications

Risk, warning signs, aftercare and the clinic’s response plan form part of informed consent—not an afterthought.

GMC-registered doctor 30+ years’ experience 3D assessment available Ultrasound where indicated Chiswick, West London
Request a Consultation Meet Dr Kay
Realistic expectations

What should you expect from filler?

These are broad guides, not promises. Your own plan, recovery and likely duration are explained after assessment.

Effect
Temporary

Most HA fillers are gradually broken down by the body.

Typical duration
6–18 months

Varies by area, product, amount, movement and metabolism.

Settling
Days–weeks

Swelling, tenderness or bruising can temporarily affect the early appearance.

Age policy
18+

Treatment is for adults and is not offered during pregnancy or breastfeeding.

Your appointment

From enquiry to review

A responsible filler journey includes time to understand the plan, risks and alternatives—not only the injection itself.

  1. Step 1

    Enquiry

    Tell the clinic which area or concern you would like assessed. You do not need to choose a product or quantity.

  2. Step 2

    In-person assessment

    Medical history, previous treatment, anatomy, skin quality, movement and goals are reviewed in Chiswick.

  3. Step 3

    Plan and consent

    You receive an explanation of options, limits, cost, expected recovery, material risks and what happens if you do nothing.

  4. Step 4

    Treatment and aftercare

    If you decide to proceed, product and placement are recorded, aftercare is provided and review is arranged where appropriate.

Informed consent

What are the risks and complications of dermal fillers?

Most reactions are temporary, but filler is a medical procedure and serious complications are possible. Knowing which signs can wait and which cannot is part of safe treatment.

The short answer: swelling, tenderness, redness and bruising are common after filler and usually settle. Less common problems include persistent lumps, asymmetry, infection, delayed inflammation, visible or migrated product. Rarely, filler can block a blood vessel, threatening skin or vision and requiring immediate medical management.
Common and usually temporary

Expected early effects

  • Swelling or temporary unevenness
  • Bruising, redness or tenderness
  • Mild discomfort or itching
  • Early firmness while the area settles
Needs clinical review

Problems that should be assessed

  • Persistent or increasing swelling
  • Lumps, nodules or ongoing asymmetry
  • Heat, spreading redness, discharge or fever
  • Delayed inflammation, visible filler or suspected migration
Rare medical emergency

Possible vascular compromise

  • Severe or increasing pain out of proportion
  • Pale, grey, dusky or mottled skin
  • Cool skin or a rapidly changing colour pattern
  • Any change in vision or severe eye pain
After filler, do not wait on urgent warning signs.

Contact your treating clinic immediately for severe or increasing pain, blanching, mottling, cool skin or rapidly changing colour. Any visual change, severe eye pain, facial weakness, speech difficulty or other neurological symptom requires emergency medical care—call 999. This page is not a substitute for urgent assessment.

Patient-information sources: FDA dermal filler safety guidance and ACE Group guidance on hyaluronidase in aesthetic practice. Individual consent and emergency instructions are provided by the treating clinician.

Correction and reversal

Can dermal filler be dissolved?

Sometimes—but “dissolving” is another medical procedure, not an instant or risk-free reset.

Hyaluronic-acid filler can often be reduced or broken down

Hyaluronidase is an enzyme that breaks down hyaluronic acid. In the UK it is a prescription-only medicine and its use for cosmetic HA filler correction is off-label. It does not dissolve every filler material, and it should be considered only after the product, area, symptoms and urgency have been assessed.

When dissolving may be considered

  • Emergency management of suspected vascular compromise from HA filler
  • Overcorrection, unwanted volume or misplaced product
  • A blue-grey Tyndall effect caused by filler placed too superficially
  • Selected lumps, nodules or asymmetry after clinical diagnosis
  • A staged correction before any new filler is considered

Limits and risks to understand

  • Only hyaluronic-acid filler responds; other materials may be difficult or impossible to remove this way
  • The degree of correction can be difficult to predict and more than one session may be needed
  • Swelling, bruising, redness, pain and tenderness can follow treatment
  • Allergic reaction, including rare anaphylaxis, is a recognised risk
  • Final appearance may take time to judge after swelling settles
If you do not know what filler was used, do not guess. Bring any treatment records, product labels, dates and quantities you have. Examination—and ultrasound where clinically indicated—may be needed before a correction plan is discussed. A non-urgent concern is assessed differently from a suspected vascular emergency.
Request Assessment of Previous Filler
A clinical decision

Who may—or may not—be suitable for filler?

A photograph or online message cannot confirm suitability. These points explain what is explored at an in-person consultation.

Filler may be considered when

  • You are 18 or over and want a proportionate, temporary change
  • Volume loss, contour or a selected fold is suitable for HA filler
  • Your expectations can be met safely and realistically
  • You understand alternatives, material risks, recovery and maintenance
  • You are willing to share your full medical and previous-treatment history

Treatment may be delayed or declined when

  • You are under 18, pregnant or breastfeeding
  • There is active infection, inflammation or broken skin near the area
  • An allergy, bleeding condition, medicine or supplement needs further medical review
  • Previous filler is unknown, inflamed or has not been adequately assessed
  • The concern needs another treatment—or the requested result cannot be achieved safely

Do not stop prescribed medicines to prepare for cosmetic treatment unless the clinician who prescribed them tells you to do so.

Clear answers

Dermal filler FAQs

Questions patients commonly ask before arranging a consultation.

How do I know which filler treatment area I need?

You do not need to diagnose the area yourself. The visible concern may be caused by volume loss somewhere else, muscle movement, pigmentation, fluid retention or skin laxity. An in-person assessment identifies the cause first, then explains whether filler—or another option—fits it.

Will dermal fillers look natural?

Natural-looking change is the aim, but no result can be guaranteed. Dr Kay’s approach starts with conservative volume, considers the whole face and reviews the result before more filler is discussed.

How long do hyaluronic-acid fillers last?

The clinic’s broad guide is usually six to eighteen months, but duration varies by product, treatment area, amount, facial movement and individual metabolism. Your clinician will explain the expected range for the chosen product and area.

How much do dermal fillers cost in London?

Published single-area prices on this page are £250–£450, depending on the treatment and included volume. The 8-point plan is £1,000, while the three facial-harmonisation plans are £1,400, £1,900 and £2,500. Additional filler beyond the included amount is £250 per ml, and the Advanced Skin & Facial Assessment is charged separately. Your exact plan and total cost are confirmed before treatment.

What are the common side effects of dermal filler?

Common early effects include swelling, redness, bruising, tenderness, itching and temporary unevenness. They often settle over days, although bruising or swelling can take longer. You receive area-specific aftercare and instructions about when to contact the clinic.

What is the most serious dermal filler complication?

Accidental injection into, or compression of, a blood vessel can reduce blood flow and may cause skin damage; in rare cases it can affect vision or cause neurological injury. Severe or increasing pain, pale or mottled skin, cool skin or any visual change needs immediate action.

Can all dermal fillers be dissolved?

No. Hyaluronidase can break down hyaluronic-acid filler, but it does not dissolve every type of filler. Product history and clinical assessment matter, and dissolving carries its own risks, including swelling, bruising and allergic reaction.

Can filler migrate or form lumps?

Yes, visible or migrated product, persistent lumps, delayed swelling and inflammatory nodules are recognised complications. The cause needs to be diagnosed before massage, dissolving, antibiotics or any other management is considered.

Can Dr Kay assess filler placed at another clinic?

Previous filler concerns can be assessed. Bring the product name, treatment date, area, quantity and any photographs or records available. Ultrasound may be used where clinically indicated, particularly when the product or its location is uncertain.

Are dermal fillers suitable during pregnancy or breastfeeding?

No. Dr Kay Clinic does not offer dermal filler treatment during pregnancy or while breastfeeding. Suitability is reviewed again when treatment can be considered safely.

Your next step

Start with an assessment, not a syringe

Find out what is causing the concern, whether filler is appropriate, what the realistic alternatives are and what the complete cost would be. You are under no obligation to proceed.

Request a Consultation WhatsApp 07799 816999
36 Devonshire Road, Chiswick, London W4 2HD Monday–Friday, 10:00–18:30 Adults 18+ only
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