No. 02 · Nurse-led

Dermal
Fillers.

Balanced hyaluronic filler for lips, cheeks and lower-face. Restoring structure — never overfilling.

Nurse Rachel administering dermal filler at Refined Medical Aesthetics, Seaton Delaval
Duration
45 mins
Downtime
24–48 hrs swelling
From
£150
The approach

What to expect.

Hyaluronic-acid filler placed conservatively to restore volume and profile balance. Rachel's approach is built around restraint: start smaller, review in two weeks, add only if needed. Every filler at Refined is reversible.

Areas we treat: Lips · Cheeks · Jawline & profile

How it works

Three steps.

01
Consultation
We start with a conversation about your goals, history and suitability — never a needle.
02
Treatment
Delivered by Rachel with medical precision, using prescription-only products sourced through licensed pharmacies.
03
Two-week review
Included with every appointment. Small tweaks at this review are on the house.
Pricing

What it costs.

Filler is priced by area and volume. The fees below are starting prices — some clients need a touch more, some less. We agree everything at consultation before any needle goes near you.

Area Price
Lip filler — 0.5ml £150
Lip filler — 1ml £190
Nasolabial folds (smile lines) From £190
Marionette lines (corners of mouth) From £190
Cheeks (mid-face support, lift) From £220
Chin (projection, balance) From £220
Jawline (definition) From £220

Two-week review on every treatment. Free consultation if you’re new — we use it to map your face and agree exactly what you actually need (which is often less than you expect).

The science, plainly

What it actually is.

Dermal filler is hyaluronic acid — the same molecule your body already makes in your skin, joints and eyes. I inject a small amount into specific layers of your face to add structure, restore lost volume, or balance asymmetry.

Hyaluronic acid is the only filler I’ll use. It’s reversible — if you don’t like the result, or if I need to adjust it, I can dissolve it with an enzyme called hyaluronidase. That’s a non-negotiable safety net I won’t practise without.

Different products for different jobs. Soft, hydrating fillers for delicate areas like lip border. Firmer, lifting fillers for cheekbones and jawline. The right product, in the right plane, at the right volume — that’s what makes the difference between a result that’s undetectable and one that screams “done”.

Filler done well restores. It doesn’t reshape. The face I work on at 35 should look like the same face at 25 — not a younger version, just a better-supported one. Cheek filler shouldn’t make you look fuller; it should make you look rested. Jawline filler shouldn’t add bulk; it should make your jaw look intentional. The brief is always “you, just refined”.

Areas, explained

Where I treat.

Lips — subtle hydration, defined border, gentle volume. Most first-timers need 0.5ml. More on the lip filler page.

Cheeks — structural support for the mid-face. Done well, this lifts the lower face without adding fullness. The before-and-after looks like you slept properly. More on the cheek filler page.

Chin — chin filler corrects projection, balances a recessive jawline, and helps the side profile sit the way you want it to.

Jawline — jawline definition for clients who’ve lost angularity over time, or who want a more intentional jaw without surgery. Subtle — you’re aiming for a clean line, not a chiselled one.

Nasolabial folds — the lines that run from the nose to the corner of the mouth. Often these are addressed by treating the cheek instead, which lifts the fold from above. Sometimes a tiny bit of filler in the fold itself.

Marionette lines — the lines from corner-of-mouth to chin. Combination treatments often work best here: a touch of filler with anti-wrinkle to the depressor muscle.

Suitability

Who this is for.

Filler suits clients who want subtle restoration or balance, not a different face. You’re a good candidate if you’re 18+, in good general health, not pregnant or breastfeeding, and willing to come for a free consultation first.

I’ll ask you to wait, or send you elsewhere, if you have an active skin infection, an autoimmune flare, recent dental work in the area, a cold sore (if treating around the mouth), or a wedding/big event in the next 2 weeks — results take that long to settle.

If you’ve got body dysmorphia or you’re comparing yourself to a heavily-edited photo, sometimes the answer is “not yet”. I’ll always tell you that honestly.

On the day

From door to done.

Numbing cream goes on first — we leave it 15 minutes. Most filler products also contain a small amount of local anaesthetic mixed in.

I work area-by-area, often using a cannula (a blunt-tipped needle) for cheek and jawline to reduce bruising and stay safer around blood vessels. Lips are typically done with a sharp needle in small precise points.

You’ll see immediate result — but expect some swelling for 24-48 hours. The real picture is at 14 days, when the product has fully integrated and any swelling has settled.

Aftercare

The first 48 hours.

If anything feels wrong — severe pain, white patches, vision changes, anything that feels like more than a normal recovery — message me on WhatsApp immediately. Vascular occlusion is rare but it’s the one thing where speed matters.

Risks, openly

What I tell everyone.

Common: bruising, swelling, mild tenderness, small palpable lumps that settle as the filler integrates over 2-4 weeks.

Rare but real: vascular occlusion — when filler is accidentally placed in or compresses a blood vessel. This is the one we train for relentlessly. I keep dissolving enzyme on site at all times. If anything looks like an occlusion, I act in minutes. This is exactly why you should never have filler from someone who can’t dissolve their own work.

Less common: migration (filler moving from where it was placed), Tyndall effect (a bluish tinge from filler placed too superficially), allergic reaction.

NMC-registered, fully indemnified, and on the regulators’ lists at NMC, Save Face and JCCP. We talk through every risk in detail at consultation.

Common questions

Good to know.

Will it look obvious?
Not when it’s done with restraint. Every treatment is dosed for your features — people should notice you, not the filler. The Refined house style is “you, just refined” — never overfilled.
Is there downtime?
Expect mild swelling for 24–48 hours and possible bruising for up to a week. Most clients return to work the same day. The real result settles at 14 days — that’s when we review.
What if I don’t like it?
Hyaluronic filler is reversible. We review every result at 2 weeks and adjust or dissolve as needed. I keep dissolving enzyme on site — that’s a real safety net, not just marketing.
How long does dermal filler last?
6–18 months depending on area and product. Lips: typically 6–12 months. Cheeks and jawline: 12–18 months. Your metabolism, lifestyle and how you metabolise it all play a part.
Will it migrate?
Not if placed correctly, in the right plane, at the right volume. Migration happens when too much filler is placed too superficially or in the wrong layer. Technique matters more than millilitres.
Can I have multiple areas in one appointment?
Sometimes — for clients who’ve had filler before and know what they want. For first-timers I prefer to stage it: do the most important area first, see how you settle, build from there.
I’ve had filler from another clinic and don’t like it. Can you help?
Yes. We’d start with consultation to see what’s there. Sometimes the answer is to dissolve and start over. Sometimes it’s to balance with a small additional treatment. I’ll be honest about which is right.
What about “permanent filler”?
I won’t use it. Permanent fillers (silicone, PMMA, Aquamid, Bio-Alcamid) are not reversible and have caused serious complications. The only filler I’ll inject is hyaluronic acid — reversible, well-studied, with decades of safety data.
Does it hurt?
Numbing cream first, plus most filler products include a local anaesthetic. You’ll feel pressure rather than sharp pain. Cannula technique (used for cheeks and jawline) is significantly more comfortable than needle injection.
Can I have it if I’m pregnant or breastfeeding?
No — we’d wait. There’s no published data showing harm, but the principle of treating non-essential cosmetic procedures during pregnancy is to defer.
Ready?

Book a consultation.

£0 · 30 minutes · Walk out with a plan, not a pressured booking.

Related treatments

You might also explore.

Also consider
Anti-wrinkle injections
Soft, movement-friendly results.
Also consider
Cheek filler
Lift and mid-face support — not width.
Also consider
Lip filler
Subtle, natural-looking lip enhancement.
Further reading

From the journal.

How long does lip filler actually last?

Last updated: 7 May 2026