Ask your injectable expert

You asked and we answered: our expert reveals all you want to Dr Toni Phillips, Injectable treatments expert know about injectable treatments.

Dr Toni Phillips is a leading aesthetic doctor and clinical director here at DestinationSkin. She specialises in the use of Botox® and dermal fillers for facial and skin rejuvenation. There’s no one better to put your questions to!

Dermal fillers – your questions answered

What exactly are dermal fillers? What can I expect during the treatment?

Dr Toni says: Dermal fillers are gels usually made up of Hyaluronic Acid (HA) and come in syringes of 0.5mL, 1mL and 2mL sizes. (Hyaluronic Acid is a component that occurs naturally in the skin tissue.)

These gels are injected into different layers of the skin (dermis) or can also be placed under the skin (under fat pads or muscle) to replace lost volume.

Most of the time, a topical anaesthetic cream is applied to the area for ten minutes before the gel in injected. This is enough to make the procedure comfortable.

Treatments with dermal fillers typically don’t take very long. Clients should expect some redness, possible minor bruising and mild swelling for 24-48 hours after the treatment. Post-treatment advice will always be given to ensure that any potential side effects are managed effectively.

Will it look natural?

Dr Toni says: The most common question I get asked is ‘Will it look natural? Will anyone notice that I’ve had something done?’ The answer is that we are aiming for a natural change, an aesthetic improvement.

I always assure my clients that – aside from the first few days after having a filler when they may need to cover any redness, bruising or swelling – the result should represent a ‘fresher’ version of themselves. Then the only comments they should hear are that they are looking ‘well’, ‘rested’, or ‘like they’ve been on holiday’.

Will dermal fillers look natural?

What qualifications do practitioners need to perform injectable treatments?

Dr Toni says: In the UK, the Department of Health authorises practitioners with the following qualifications: Doctors (registered with the GMC – this includes surgeons and dermatologists); Dentists (registered with the GDC); and nurses (registered with the NMC) who have an additional qualification allowing them to prescribe medication.

All of the injectors at DestinationSkin will have one of the above qualifications.

Botox – your questions answered

Is Botox beneficial in your twenties to prevent wrinkles developing later on?@jamilahnaz via Instagram: Is Botox beneficial in your twenties in preventing wrinkles developing later on and is this clinically proven?

Dr Toni says: Yes, it makes sense that if Botox is used to control excessive muscle movement, then the skin will be less traumatised and therefore lines and wrinkles will not form.

However, we know that the skin behaves in an optimal, youthful manner until around the age of 25 years, after which collagen and elastin formation may begin to slow down. For this reason, I would not advise starting any preventive treatment until the late 20s.

The exception to this would be the small percentage of younger people who have developed very strong muscle activity by their late teens – early 20s and can already see the potential for lines to form.

Does Botox hurt?

Dr Toni says: Botox is a very quick procedure, after a thorough consultation and once a full medical check is carried out. The needles are very fine and the Botox is in the form of a fluid which does not cause any discomfort when injected into the muscle.

Will I look frozen?

Dr Toni says: This is a common question I get asked. In fact, the effect of Botox can be easily controlled so that you still have expression. It is important to understand however, that in order for the Botox to remove lines and wrinkles, we have to keep the skin still or with as little movement as possible. Most of my clients actually end up really liking having very little movement (even frozen), when they see for themselves that it looks better.

Lip fillers

How often do I need to have lip fillers done? Dr Toni answers your injectables questions

How often do I need to have lip fillers done?

Dr Toni says: It really depends on the desired outcome and the shape of your lips. This will be fully discussed at the time of consultation. The one key recommendation I would make is not to inject the lip too frequently.

The lip is a complex muscle and it can be damaged and distorted if too much Hyaluronic Acid filler is used and too frequently. Generally, it is safe to add a little more filler if desired after six weeks, but then leave it for at least three months before any more treatment is considered.

What does it feel like having fillers? Do lip fillers hurt?

Dr Toni says: The sensation of having fillers has been described as a mild stinging, light pressure and slightly warm. Lip fillers can be a little more uncomfortable than Botox®, however an anaesthetic cream can be applied to the lip for 10-15 minutes which will make it more comfortable.

In the hands of a properly qualified and experienced injector, the treatment will only take a few minutes. A cool ice pack applied immediately after the procedure will also help to soothe the lip and can help with preventing any potential bruising and swelling.

How long does it take for the bruising to go down after having lip fillers?

Dr Toni says: All lips will swell following a lip treatment with a Hyaluronic Acid filler, which will last 24-48 hours. Bruising will take 7-10 days to resolve alone, but taking 180-200cc (4-5 times daily) of the herbal remedy Arnica can clear even the worst bruises in five days or less.

@1kingbambi via Twitter: Once I start having lip fillers, can I stop?

Dr Toni says: Yes, anyone can stop having treatment with Botox® or dermal fillers at any time. These treatments ‘stop’ or ‘slow’ the ageing process, so think of it as buying time.

If treatment needs to be stopped, for example pregnancy, an illness or change in medical circumstances, budget limitations or for any other reason, the benefits of the treatment will continue for some time, usually 6-12 months.

After this time, normal ageing changes will continue and probably start being noticed. The situation will never be worse than before.

Are you intrigued by the idea of lip fillers or Botox but still have some questions?
Book a free consultation with us today with one of our fully qualified specialist practitioners and they will be happy to answer all of your questions and help you decide if the treatment is right for you.


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