Our faces naturally change over time. Volume, contour and the relationships between different facial features can evolve with age, while some people simply have an area they have always felt could be better balanced. Dermal fillers are treatments used in selected areas to restore or enhance volume, refine contours and improve facial proportions.
At Sands End, treatment begins with the face as a whole — not with a syringe or a standard number of millilitres. We’ll listen to what you’ve noticed, assess your individual anatomy and discuss whether filler is genuinely the right treatment for what you would like to achieve. Our aim is subtle: restore balance while preserving the features and character that make you look like you.
Book a Facial Aesthetics Consultation
Dermal filler treatment can be considered for a range of concerns involving volume, contour and proportion. The appropriate approach depends on your anatomy and the result you’re hoping to achieve.
Good filler treatment shouldn’t be about adding volume for the sake of it. We start by looking at the whole face, understanding what has changed — or what you would like to refine — and deciding whether treatment would genuinely add something.
Less can be enough: More product does not automatically mean a better result. Our approach is deliberately measured and proportion-led
Natural movement & character: The aim is to preserve the individuality and expression that make your face recognisably yours.
No pressure to treat: If filler isn’t appropriate, or another approach, including no treatment, makes more sense, we’ll tell you.
Face before feature: We consider facial proportions and anatomy as a whole rather than treating isolated areas according to a standard template.
Every treatment starts with understanding your anatomy, goals and medical history before deciding whether dermal filler is appropriate.
We’ll discuss what you’ve noticed, what you’d like to achieve, previous aesthetic treatment and any relevant medical history.
Your clinician will assess your facial anatomy, proportions and the area of concern in the context of your face as a whole.
If treatment is appropriate, we’ll explain the proposed areas, product choice, expected outcome, limitations, alternatives, risks and costs before you decide whether to proceed.
Treatment is carried out according to your individual plan, followed by personalised aftercare advice and review where appropriate.
Filler or anti-wrinkle treatment?
They are different treatments designed to address different underlying concerns.
Dermal fillers
Are materials used to alter or restore volume, contour or structural support in selected areas.
May instead be used to reduce the activity of selected facial muscles associated with expression lines.
Sometimes a concern that appears to be a “wrinkle” is influenced by volume or structural change; sometimes it is primarily related to muscle movement. That’s why assessment comes before treatment choice.
The aim is not to make every treated area larger or to remove every sign of ageing. Well-planned filler treatment should respect the proportions and character of your face while addressing the concern that brought you to see us. Some change may be visible immediately after treatment, although temporary swelling can affect the early appearance. The area should be allowed to settle before the result is properly assessed. Individual outcomes vary, and no specific result can be guaranteed.
You’ll receive personalised aftercare instructions following treatment. Temporary swelling, redness, tenderness or bruising can occur, and the treated area needs time to settle.
Follow the aftercare instructions provided for your particular treatment and treatment area.
The immediate appearance isn’t necessarily the final result, particularly where swelling is present.
Follow any advice given about touching, massaging or applying pressure to the treated area rather than attempting to manipulate filler yourself.
If you develop increasing or unusual pain, significant colour change to the skin, visual symptoms or anything else that concerns you, contact us immediately and follow the emergency advice provided.
Treatment is individually planned, with clear pricing discussed before you decide whether to proceed.
The cost depends on the treatment area, product and amount clinically appropriate for your individual plan. We’ll confirm the proposed treatment and full cost before proceeding.
View Full Fee Guide
Dermal fillers are products used to add or restore volume and alter contour in selected areas of the face. Many commonly used fillers are based on hyaluronic acid, although products vary in their composition and characteristics. The appropriate product and treatment approach depend on your anatomy, treatment area and intended result.
Dermal fillers can be considered for selected concerns involving facial volume, contour, proportion and certain lines or folds. They may also be used for lip enhancement, although we approach lip treatment as its own area of assessment and planning. Not every concern is appropriately treated with filler, which is why consultation and facial assessment come first.
That isn’t our treatment objective. At Sands End, we favour a measured approach based on your existing facial proportions and anatomy. The aim is to refine or restore selected areas while preserving your natural character. Individual outcomes vary, and we’ll discuss what we believe can realistically be achieved before treatment.
There is no standard amount that is right for everyone. The appropriate quantity depends on your anatomy, treatment area, product selected and goals. More filler does not automatically produce a better result. Your clinician will recommend what they consider appropriate following assessment.
Some discomfort can occur after treatment. Sensitivity varies according to the person and treatment area. Your clinician will explain what to expect and the measures appropriate to keeping you comfortable during treatment.
Some change can often be seen immediately, but swelling and other temporary effects can alter the appearance in the first few days. The treated area needs time to settle before the result can be properly assessed. Your clinician will explain when review is appropriate for your particular treatment.
Dermal fillers are temporary, and duration varies considerably. The product used, treatment area, amount placed, and individual biological factors can all influence how the result changes over time. We’ll advise on reassessment rather than promising a fixed duration or automatically scheduling repeat treatment.
Some hyaluronic acid fillers can be broken down using an enzyme where clinically appropriate. However, dissolving treatment is itself a medical procedure with potential risks and limitations, so filler should not be regarded as simply or completely reversible. Your clinician can explain this in more detail where relevant to your proposed treatment.
Common temporary effects include redness, swelling, tenderness and bruising. Other possible complications include infection, lumps or irregularities, asymmetry and an unwanted aesthetic result. Rare but potentially serious vascular complications can occur if filler affects the blood supply to tissues. In very rare circumstances, visual complications can occur. Your clinician will discuss the risks relevant to your proposed treatment and explain the warning signs that require urgent assessment.
Dermal fillers and anti-wrinkle treatments work differently. Filler is used to add or restore volume and alter contour or structural support in selected areas.
Anti-wrinkle treatment may instead reduce the activity of selected muscles responsible for expression lines. The right treatment depends on what is causing the concern rather than simply where on the face it appears.
Tell us what you’ve noticed and what you would like to achieve. We’ll assess your face as a whole and explain whether dermal filler — another approach, or no treatment at all — makes sense for you.
WhatsApp Us
