Lips, cheeks and face · in clinic in Milton Keynes
Do you look more tired in photos than you feel, but don't want anyone to notice you've had something done? Hyaluronic acid filler for lips, cheeks and other areas of the face, in small amounts, with the result checked at 2 weeks.
Already know the area and amount? Book your filler directly
You catch yourself in a photo and your face looks more tired than you feel.
Your lips are thinner than they were. Your cheeks sit a little lower. Nobody else has said a word, and you still notice it every morning.
You want your own face, looking rested, without anyone being able to tell you've had something done.
Less shape or fullness than they used to have, or one side different from the other.
The fullness has dropped, and your face looks tired from the side.
The lines from nose to mouth are deeper than you'd like.
Your profile isn't as defined as it was.
You want to look like yourself on a good day.
You've never had filler and want the risks and the process explained before you decide.
From your first question to your review, you see the same clinician.
A Skin Consultation in clinic: your face, your medical history, your medicines and what you'd like to change. If filler isn't right for you, I'll tell you.
Which area, how much filler, what it can and can't do, and the risks. You sign consent only once you've had your questions answered.
50 minutes in clinic in Milton Keynes. Small amounts are placed slowly, and the shape is checked as it builds.
A review at 2 weeks, once the swelling has gone down, to check the result and decide whether anything needs adding.
All the fillers used for these treatments are hyaluronic acid.
A sugar your skin already makes. It holds water, which is part of what keeps skin plump and smooth. Your body makes less of it as you age.
Your own hyaluronic acid breaks down quickly. In a filler, its strands are linked together, called cross-linking, into a gel. That makes it much harder for your body to break down, so it stays for months instead of days.
How tightly the strands are linked changes how firm the gel is. Lips move all the time, so they need a softer, more flexible gel. Cheeks and chin need a firmer gel that holds its shape and gives lift. Choosing the right gel for the area is part of the plan.
Usually 6 to 18 months, depending on the filler and the area. Lips move most, so they tend to fade sooner. Cheeks often last longer. It fades gradually, without a sudden drop.
Hyaluronic acid filler can be broken down with a dissolving enzyme, which is kept in the clinic. If a result isn't right, it can usually be dissolved. If a blood vessel is blocked, dissolving the filler quickly is the first emergency treatment.
Many hyaluronic acid fillers have a local anaesthetic mixed into the gel, which helps numb the area as the treatment goes on. Numbing cream can be used first as well.
Shape, definition, hydration or a little more fullness, with a soft gel. A first treatment is often 0.5ml, so you can see how you feel before adding more. Lips swell most in the first few days, so judge the result at your review.
As we age, the fat and bone in the cheeks lose volume, and the face can look flatter and more tired. A firmer gel placed along the cheekbone can restore some of that support and lift. Because the cheek holds up the area below it, a little lift here can also soften the lines from nose to mouth. Cheeks usually need more filler than lips, often 1ml or 2ml, and the result tends to last longer.
Chin, jawline and the lines from nose to mouth can also be treated. The tear trough, the hollow under the eye, is a higher-skill area. It is assessed case by case, and not everyone suits it.
Filler can make a bump less noticeable or lift the tip of the nose without surgery. It carries more risk than other areas. Non-surgical nose job
For lines from frowning, squinting or raising your eyebrows, filler is usually the wrong tool. Those lines come from muscle movement. Anti-wrinkle injections · All aesthetics
We go through your plan and consent, take photos for your record, clean the skin and numb it if needed. You see the shape in a mirror before you leave.
Both are common. Swelling is usually most noticeable in the first few days, especially in the lips. A bruise can take longer to fade, so book at least 2 weeks before an event.
At first, avoid makeup over the injection points, hard exercise, saunas, alcohol and pressing or massaging the area unless you've been asked to. You leave with written aftercare that gives the exact timings.
Once the swelling has settled, the result is checked, and any small top-up is agreed then.
Bruising, swelling, tenderness and redness where the needle went in. Small lumps can happen; most settle, and the ones that don't can usually be treated, often by dissolving the filler.
Filler can block or press on a blood vessel. This is called a vascular occlusion. It can starve the skin of blood, which can damage it and leave a scar, and, very rarely, cause permanent loss of sight. That is why the dissolving enzyme is kept in the clinic and a written emergency protocol is followed.
Uncommon. Spreading redness, heat, swelling that keeps growing, or a fever needs checking. Tell the clinic straight away.
Anyone under 18: it is against the law to give filler for cosmetic reasons under that age. Not during pregnancy or breastfeeding, or where the skin in the area is infected, including a cold sore. Some medical conditions and medicines need checking first, and we go through those at your consultation.
After treatment, act straight away if you notice: pain that gets worse instead of better, or skin that turns white, grey, blue or mottled. Contact the clinic immediately. If you can't reach the clinic straight away, go to A&E. Any change in your vision: call 999 straight away, then tell the clinic. Swelling of the lips, tongue or throat, or trouble breathing: call 999.
Start here · 25 minutes · in clinic
For a first treatment, or if you're not sure what you need.
Treatment · 50 minutes · in clinic
When you know which area you'd like treated.
Follow-up · in clinic
At 2 weeks after treatment, or sooner if something doesn't feel right.
If you're not sure how much you need, book the Skin Consultation and the amount is agreed there.
Debora Tentis, Women's Health Pharmacist Prescriber. Aesthetics in clinic in Milton Keynes.
My aesthetics and skin training was completed with CPPE, plus specialist UK and international private schools. I treat your face the way I treat any other part of your health: your history first, a plan we agree, and follow-up afterwards. Registration and qualifications
The fillers on this page are hyaluronic acid, a sugar your skin already makes. Its strands are linked into a gel so it lasts for months.
Usually 6 to 18 months, depending on the filler and the area. Lips tend to fade sooner, and cheeks often last longer.
Yes. Hyaluronic acid filler can be broken down with a dissolving enzyme, which is kept in the clinic.
Most people feel pressure and some stinging. Many fillers contain a local anaesthetic, and numbing cream can be used first.
Starting small makes it much less likely. The aim is your own face, rested, and anything extra can be added at your review.
Yes. A firmer gel along the cheekbone can restore some support and lift, and it can soften the lines from nose to mouth as well.
Lips often start with 0.5ml. Cheeks usually need 1ml or 2ml. We decide the amount together at your consultation.
Sometimes. The area under the eye is a higher-skill area, so it is assessed case by case, and not everyone suits it.
Yes, without surgery, in some cases. It carries more risk than other areas: non-surgical nose job.
Some swelling is normal, most in the first few days and most in the lips. Bruising can take longer to fade.
At 2 weeks, once the swelling has settled. Contact the clinic sooner if something doesn't feel right.
At first, avoid makeup over the injection points, hard exercise, saunas, alcohol and pressing on the area. Your written aftercare gives the exact timings.
Pain that gets worse, or skin that turns white, grey, blue or mottled: contact the clinic immediately, or go to A&E if you can't reach it straight away. Any change in your vision: call 999 straight away, then tell the clinic. Swelling of the lips, tongue or throat, or trouble breathing: call 999.
If it's your first time, or you're not sure what you need, yes. If you know which area and amount you want, you can book the treatment directly, and we still go through your history and consent before anything starts.
Yes. Filler for cosmetic reasons is only for people aged 18 and over. That is the law in England.
No. We wait until your baby is born and you've finished breastfeeding.
In Milton Keynes. The address is in your booking confirmation.
Read: Anti-wrinkle Injections and Fillers: Using Both Together
Bring a photo of yourself you like; it shows the look you want to keep.
Book a Skin ConsultationContact the clinic
In clinic in Milton Keynes. 18 and over.
Debora Tentis, Women's Health Pharmacist Prescriber, Debora Tentis Clinic. Registration and qualifications are on the About page.
Individual results vary and no outcome is guaranteed.
