Dermal Fillers in Marylebone, London

What dermal fillers are, and what they do

Comprehensive dermal filler treatments for facial contouring, volume restoration, and wrinkle reduction. Achieve natural, beautiful results with premium fillers.

Dermal fillers are versatile injectable treatments that can address a wide range of aesthetic concerns. At Mesglo London, we use only premium hyaluronic acid fillers from leading manufacturers to ensure safety, efficacy, and natural-looking results. Whether you're looking to restore lost volume, smooth wrinkles, enhance facial contours, or rejuvenate your appearance, our expert practitioners can create a bespoke treatment plan tailored to your unique needs. Dermal fillers work by adding volume beneath the skin's surface, smoothing lines and creating youthful contours. The results are immediate and can last from 6 months to 2 years depending on the treatment area and product used.

Key Benefits

• Restores lost facial volume
• Smooths lines and wrinkles
• Enhances facial contours
• Immediate, natural-looking results
• Minimal downtime required
• Long-lasting effects
• Fully reversible with hyaluronidase
• Can treat multiple areas

Treatment Process

1. Consultation Comprehensive facial assessment and goal discussion
2. Treatment Planning Customised plan for your specific concerns
3. Preparation Cleansing and numbing of treatment areas
4. Treatment Precise injection using advanced techniques
5. Assessment Immediate review and any adjustments
6. Follow-up Review appointment to assess final results

How hyaluronic acid filler works in the skin

Hyaluronic acid is a sugar molecule your own skin already makes. It holds water, and that is the whole mechanism: a gel of cross linked hyaluronic acid placed under the skin draws water to itself and occupies space, so the tissue above it sits higher than it did. Nothing is cut, nothing is implanted permanently, and the body breaks the gel down over months with its own enzymes until the area returns to how it started.

How a filler behaves depends on how tightly it is cross linked. A firm, highly cross linked gel resists being squashed, which is what you want deep on bone for a chin or a jawline. A soft, loosely cross linked gel spreads and moves with the tissue, which is what you want in a lip or just under thin skin at the temple. Using a firm product in a soft place is how faces end up looking stiff or lumpy, and using a soft product where structure is needed is how a treatment achieves nothing visible. The choice of gel, the depth of placement and the volume are three separate decisions, and all three are made at the assessment rather than on the day you book.

Because the gel is hyaluronic acid rather than a permanent implant, it can be dissolved. An enzyme called hyaluronidase breaks it down within a day or two. That reversibility is the single most important safety feature of this class of filler, and it is the reason we do not offer permanent or semi permanent alternatives.

Which areas respond to filler, and which need a different treatment

Filler replaces volume and creates structure. It is at its best where the problem is genuinely a loss of volume or an absence of projection.

• Cheeks and midface. The first area most people lose volume from. Restoring support high on the cheekbone lifts the tissue below it, which is why midface filler often improves the nasolabial fold without the fold itself being injected.
• Chin and jawline. Structural work on bone. A short or recessed chin changes the whole side profile, and definition along the jaw is one of the few filler results that reads clearly in photographs. Both are covered in detail in the two sections below.
• Lips. Shape, border and hydration rather than size. Small volumes, placed accurately, change the proportion of the upper to the lower lip and the definition of the vermilion border.
• Temples. Hollowing here narrows the upper face and makes the brow look heavier. A modest correction widens the frame again.
• Nasolabial folds and marionette lines. Treatable directly, though the cause often sits higher up, so these are usually addressed after the midface rather than instead of it.
• Tear troughs. The most technically demanding area on the face, and the one where a conservative approach matters most. Thin skin, a tendency to hold fluid and the proximity of blood vessels mean that less product placed carefully beats more product placed quickly.

Some concerns look like volume loss and are not. Loose skin with no volume deficit will not tighten with filler, and adding gel to it makes the face heavier rather than firmer. Fine surface lines, dull or crepey skin texture and loss of general skin quality are answered by treatments that work on the skin itself, such as Profhilo, polynucleotides, micro-needling or a peel. Lines that only appear when you move, such as forehead lines or frown lines, are muscle rather than volume and belong to anti-wrinkle injections. An assessment that ends with a recommendation other than filler is a normal outcome of the consultation, not a failed one.

Jawline filler in Marylebone: definition along the jaw

Jawline filler is a firm, highly cross linked gel placed deep, on or close to bone, along the back of the jaw and the angle. It is structural work rather than volume work: the aim is a cleaner line between the face and the neck, and a more defined angle, not a wider or heavier face. It is one of the few filler results that reads clearly in photographs, which is why people usually notice it before they can say what changed.

It is the right treatment when the jaw line has softened with age or weight change, when the angle is naturally shallow, or when the transition from jaw to neck has blurred because the tissue above it has lost support. It is the wrong treatment when the issue is loose skin with no volume deficit, or fullness under the chin, because adding gel there makes the lower face heavier rather than sharper.

Jawline filler and jaw reduction are often confused and do opposite things. Filler builds the line outward and backward to define it. Jaw reduction uses anti-wrinkle injections to relax an overdeveloped masseter muscle and narrow a square jaw, and is also what is used for clenching and grinding. A face can need one, the other, or both in sequence, and which it is becomes clear at the assessment rather than beforehand.

Structural work on bone is the longest lived filler result, often up to two years. Treatment takes thirty to sixty minutes, swelling settles over the first week and the result is assessed at two weeks.

Chin filler in Marylebone: projection and profile

Chin filler places a firm gel on the chin to add projection, length or width, and it changes the side profile more than almost anything else that can be done without surgery. A short or recessed chin makes a nose look larger, makes the lower face look shorter, and leaves the jaw with nothing to run towards, so the chin is often treated first when the complaint is really about the jawline or the profile as a whole.

It also supports the lips from behind. A flat profile that someone reads as thin lips is sometimes a chin question, and treating the chin can do more for the balance of the mouth than adding more product to the lips themselves. The two areas are assessed together rather than separately.

Chin and jawline are usually planned as one treatment, because a defined jaw with no chin projection, or a projected chin with no jaw line behind it, looks unfinished. Where the budget or the anatomy means doing one first, the chin normally comes first. Like the jawline, chin filler commonly holds up to two years.

Fullness or laxity under the chin is a different problem and is not treated by adding filler to it. If that is the main concern, say so at the consultation and it will be assessed on its own terms.

How long dermal filler lasts in each area

Longevity is decided by three things: the product, the area and you. Areas that move constantly break the gel down faster, which is why lips are the shortest lived result on the face and deep structural work on bone is the longest.

• Lips: typically six to twelve months.
• Cheeks and midface: typically twelve to eighteen months.
• Chin and jawline: often up to two years with a firm, structural gel.
• Tear troughs: variable, commonly nine to eighteen months.

Those are ranges rather than promises. A fast metabolism, regular high intensity exercise, heavy sun exposure and smoking all shorten the life of a filler result. The pattern most people settle into is a review at around twelve months, where a smaller top up maintains what is already there, which costs less and uses less product than starting again from nothing.

Dermal filler, Profhilo or a skin booster: which does what

These are often discussed as if they were competing versions of the same treatment. They are not, and the distinction decides whether you will be happy with the result.

Dermal filler is a shaped gel placed in a chosen plane to occupy space. It has a shape and a position, and it is used when the face needs volume or projection it does not currently have.

Profhilo is hyaluronic acid that is not cross linked into a shaping gel. It spreads through the tissue rather than holding a shape, and it is used to improve hydration and skin quality across an area such as the lower face or the neck. It will not project a chin or define a jawline.

Polynucleotides and mesotherapy work on the quality and behaviour of the skin rather than its volume, and are chosen when the complaint is texture, thinness or dullness rather than shape.

A plan that combines them is common: structure where structure is missing, skin treatment where the skin is the problem. If you are not sure which of the two your own concern is, that is precisely what an assessment is for, and it is a better question to arrive with than a product name.

The first two weeks: swelling, bruising and settling

You will see a change as you leave, because the gel occupies space immediately. What you see on day one is not the result. Swelling peaks in the first twenty four to forty eight hours, settles over the following week and has usually resolved by two weeks, which is when the outcome is assessed and when photographs are taken.

Bruising is possible anywhere a needle enters skin and is more likely in lips and tear troughs than on cheeks or a jawline. It typically fades within a week and covers easily. Tenderness, small firm areas that soften, and a slightly uneven feel in the first days are all normal and are not a sign that anything has gone wrong.

For the first twenty four hours, keep the area clean, avoid make up over injection points, and avoid strenuous exercise, saunas, steam rooms and alcohol. Avoid facials, massage and any other treatment over the area for two weeks. Sleeping on your back for the first couple of nights helps if lips or cheeks were treated. If something concerns you at any point, contact the clinic rather than waiting for the review: early questions are easy to answer.

Risks, side effects and how they are reduced

Every injectable treatment carries risk, and a clinic that does not discuss it is not giving you what you need to consent properly.

Common and self limiting: swelling, bruising, redness at injection points, tenderness and short lived asymmetry while swelling settles.

Uncommon: a firm area or nodule that needs massage or, occasionally, dissolving; a result that is not what you wanted, which with hyaluronic acid can be adjusted or reversed; delayed inflammatory swelling, which can appear weeks or months later, often after an infection or a vaccination, and is managed medically.

Rare and serious: vascular occlusion, where filler enters or compresses a blood vessel and interrupts the blood supply to the skin, or in the worst case to the eye. It is the reason filler must be placed by someone who knows the vascular anatomy of the face, who aspirates and injects slowly, who uses a cannula where a cannula is safer, and who keeps hyaluronidase on site and knows the protocol for using it urgently. Ask any clinic you are considering whether they hold hyaluronidase and what their escalation plan is. At Mesglo the answer is yes, and the plan is explained at your consultation.

This page is general information. It is not personal medical advice, and nothing here replaces an in person assessment.

Who should not have dermal filler

We will decline treatment, or defer it, if you are pregnant or breastfeeding; if you have an active skin infection, inflammatory condition or cold sore outbreak at or near the site; if you have had a recent vaccination or are unwell with an infection; if you have a known allergy to hyaluronic acid or lidocaine; if you have an autoimmune or connective tissue condition that your specialist has advised against injectables with; or if you are taking a medication that makes the treatment unsafe.

We also decline on judgement rather than contraindication. If the concern you describe will not be improved by filler, if the amount of product needed to achieve what you are asking for would not look well, or if the expectation is one no injectable can meet, we will say so and offer the alternative that does address it. Treatment is not performed on anyone under eighteen.

What dermal fillers cost at Mesglo, and what the price covers

Dermal filler treatment at our Marylebone clinic starts from £250. The final figure depends on the area and on how much product the plan needs, and it is confirmed in writing at your consultation before anything is agreed, so you never arrive at a price on the day.

The fee covers the assessment, the plan, the product, the treatment itself, aftercare advice and the review appointment where the settled result is checked. Current prices for every treatment are listed on our booking page, and you are welcome to ask on WhatsApp before you book.

A word on cost generally. Filler priced well below the market usually means a smaller volume than the plan requires, a cheaper product, or a practitioner without the qualification and the medical backup to manage a complication. Correcting a poor filler result costs more than having it done properly once.

Dermal fillers in Marylebone, central London

Treatment is carried out by Rahena, an Ofqual regulated Level 7 practitioner, at our clinic at 4 Baker Street, London W1H 6AZ. We are a short walk from Baker Street and Bond Street underground stations, which puts us within easy reach of Marylebone, Harley Street, Mayfair, Fitzrovia and the West End.

Every treatment begins with a face to face assessment rather than a price list. If you would like to talk it through first, book a consultation online, call the clinic, or message us on WhatsApp.

Questions people ask