Volume + Contour

Dermal Fillers

Hyaluronic acid dermal fillers in Marylebone, London for lips, cheeks, tear troughs, jawline, chin, and non-surgical rhinoplasty — placed by a GMC-registered doctor with surgical anatomy training, and fully reversible with on-site hyaluronidase.

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Dermal filler treatment with Dr Oli at UNTIL Marylebone

The short answer

What this treatment is

Dermal fillers are injectable gels made from cross-linked hyaluronic acid — the same molecule your skin produces naturally to retain water and cushion tissue. Different filler products have different particle sizes, cohesivity, and cross-linking densities, which is why a soft lip-flip filler is the wrong product for jawline contouring, and a structural cheek filler is the wrong product for the tear trough. Used well, dermal fillers restore volume you have lost or enhance proportions you were born with. Used badly, they overfill, distort, and age you. Dr Oli's surgical anatomy training — MRCS, Royal College of Surgeons of England — informs every product choice and injection plane, and hyaluronidase is stocked on-site to dissolve filler within 24 to 48 hours if ever required.

Areas treated

What's included

Premium HA brands only — fully MHRA-compliant CE-marked devices
Cannula technique where appropriate (fewer bruises, safer for vessels)
Surgical anatomy training (MRCS) — relevant for high-risk sites like NSR + tear trough
Hyaluronidase stocked on-site for same-day correction
Lidocaine in every filler product — topical numbing also applied
ACEG member — trained in vascular complication recognition + management

Boundaries of practice

What's not treated

Good practice means saying no when indicated:

Pregnancy or breastfeeding
Active skin infection at the injection site
Known hypersensitivity to hyaluronic acid or lidocaine
Active herpes simplex outbreak near a peri-oral treatment site
Recent (within 2 weeks) dental work involving local anaesthetic at an adjacent site
History of vascular occlusion at the proposed injection site

Patient journey

What to expect

Consultation & preparation

Avoid ibuprofen, aspirin, vitamin E, fish oil, and alcohol for 24 to 48 hours before treatment. Start arnica tablets 3 days before. Space dental work with local anaesthetic at least 2 weeks either side of any peri-oral or cheek filler. Come makeup-free.

During treatment

How do dermal fillers work?

Hyaluronic acid is a glycosaminoglycan — a naturally occurring molecule in your skin, eyes, and joints that binds water. The body produces less HA from the mid-twenties onward, contributing to volume loss in the face. Dermal fillers are HA that has been cross-linked to form a durable gel, then injected with a fine needle or blunt cannula into a specific tissue plane. Your body slowly breaks the HA back down over 9 to 18 months. Initial swelling settles within 10 to 14 days, and the result you see at 2 weeks is the result you keep.

Where can dermal fillers be used?

The most common sites: lips for shape and definition; cheeks for projection and lift; tear troughs to reduce the appearance of dark under-eye shadows; jawline and chin for sharper profile (which can also masculinise or feminise the face); the marionette and nasolabial folds to soften lower-face descent; and the nose for non-surgical rhinoplasty. NSR can smooth a dorsal hump, lift a drooping tip, or correct mild asymmetry — but it is one of the highest vascular-risk sites and is only performed by experienced doctors with detailed nasal anatomy knowledge.

How does the treatment feel?

All HA fillers used at this clinic contain lidocaine, so the gel itself numbs progressively as it is injected. Topical anaesthetic cream is applied for 15 minutes before lip and tear-trough treatment. Cheek and jawline work typically uses a blunt-tipped cannula rather than a needle, which is more comfortable and significantly reduces vascular risk. Most patients rate discomfort as 2 to 4 out of 10.

What about complications?

The most serious risk in any HA filler treatment is vascular occlusion — accidental injection into a blood vessel, which can cause skin necrosis or, very rarely, blindness if it occurs near the eye. The risk is minimised by aspiration before injection, slow low-pressure delivery, and cannula use in high-risk areas. If it happens, it is treated with immediate hyaluronidase to dissolve the filler — which is why hyaluronidase being stocked on-site, and a clinician trained in its use (Dr Oli is an Aesthetics Complications Experts Group member), is the meaningful safety bar.

Aftercare

Avoid pressure, massage, makeup, and strenuous exercise on the treated area for 24 hours. Skip microneedling, chemical peels, and energy-based devices (laser, radiofrequency, ultrasound) for 2 weeks. Lip swelling peaks at 48 hours and resolves over 3 to 5 days; cheek, jawline, chin, tear trough, and NSR settle within 24 to 72 hours. Final result is assessed at 2 weeks.

Pricing

Transparent, all-in pricing

Standard areas (cheeks, chin, marionette)

Filler — 1.0ml

£350

Standard areas

Filler — 2.0ml

£600

Filler — 3.0ml

£900

Multi-area / full-face

Filler — 7.0ml package

£2,000

Filler — 8.0ml package

£2,200

Filler — 9.0ml package

£2,400

Specialist sites

Non-Surgical Rhinoplasty (1.0ml)

£400

Tear trough

Tear Trough (1.0ml)

£400

Tear Trough (4.0ml)

£1,200

Tear Trough (5.0ml)

£1,500

Tear Trough (6.0ml)

£1,800

Filler Dissolving (per area) Hyaluronidase reversal — for unwanted result or complication

£300

Written and medically reviewed by Dr Oli Curwen , Aesthetic Doctor — MBBS BSc MRCS · MHRA (Medicines and Healthcare products Regulatory Agency) — HA fillers are CE-marked Class III medical devices.

FAQ

Common
questions

How long do dermal fillers last?

Most HA fillers last 9 to 18 months depending on product, area, and your metabolism. Lip filler typically lasts 9 to 12 months because the lips are highly mobile; cheek and jawline filler 12 to 18 months because the tissue is less dynamic. Tear-trough filler 12 to 15 months. NSR (nose filler) often longer — sometimes 18 to 24 months — because the nose moves least.

Is filler safe to dissolve?

Yes — this is one of the principal safety reasons HA filler is the only filler used at reputable UK clinics. Hyaluronidase is an enzyme that breaks HA down within 24 to 48 hours. It is stocked on-site at this clinic for immediate correction of unwanted results or vascular complications. Permanent (silicone, PMMA) fillers cannot be dissolved and are not used in modern UK aesthetic practice.

Will fillers look unnatural?

Only when overfilled or placed in the wrong tissue plane. Dr Oli deliberately under-doses on first treatment and reviews at 2 weeks because adding more product is straightforward, whereas over-projected results require hyaluronidase and a reset. The brand strapline — "you, but on a really good day" — is the goal: subtle, harmonious enhancement that is recognisably you.

How long does an appointment take?

Treatment time varies by area: 15 minutes for a lip-flip or filler dissolving, 30 minutes for lip enhancement or non-surgical rhinoplasty, 45 to 60 minutes for cheek, jawline, or full-face packages. The first appointment is typically longer because consent, photography, anatomical assessment, and product choice take time.

Is downtime expected?

Lip filler: 3 to 5 days of mild swelling that peaks at 48 hours. Cheek, jawline, chin: 24 to 48 hours, occasional small bruise. Tear trough: 2 to 4 days, occasional small bruise. NSR: 5 to 7 days for any swelling at the dorsum to settle. Plan social events with a 2-week buffer if it is your first filler treatment in a given area.

Can fillers cause bruising?

Yes — bruising occurs in approximately 15% of filler treatments. Risk is reduced by avoiding ibuprofen, aspirin, vitamin E, fish oil, and alcohol for 24 to 48 hours before treatment, by using cannula technique where appropriate, and by starting arnica tablets 3 days before treatment. Most bruises resolve in 5 to 7 days and can be covered with makeup after 24 hours.

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Dr Oli Aesthetics • 1 Orchard Street, UNTIL Marylebone, London W1H 6HJ

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Appointments typically available within 1–2 weeks