Frequently Asked Questions

It is very important to be well informed before having a cosmetic procedure and  below you will find some of the most commonly asked questions. If you don't find your answer here, please do not hesitate to contact me directly.

What are dermal fillers?

Dermal fillers are a soft injectable gel consisting of stabilised, non-animal hyaluronic acid. The gel is tissue-friendly and closely resembles the hyaluronic acid that exists naturally in the body. It is long-lasting but not permanent.

Dermal filler treatments are widely used in medical aesthetics to add volume, plump up and reduce the appearance of line and folds.

What is hyaluronic acid?

Hyaluronic acid is a sugar molecule that occurs naturally in the human body and is central to regulating cell growth and renewal. HA has impact on number of functions in the body, some of which are to bind water, lubricate the movable parts of the body such as muscles and joints and to maintain the elasticity of the skin.

How do dermal filler treatments work?

Due to the properties of hyaluronic acid, once injected an instant volumising effect can be seen, giving volume to the skin and longer term binding with water increasing hydration. Unwanted folds and wrinkles can be “plumped up” to reduce their appearance, resulting in a smoother, more youthful looking skin.

What are the benefits of dermal filler treatments?

Dermal filler injections provide an effective way to reduce the appearance of wrinkles, smooth the skin and give a more youthful appearance. The result of a single treatment can be seen instantly and can last for around 6 to 9 months. Dermal filler injections can give natural looking results that do not affect facial expression. As your face changes over time, dermal fillers allow you to control you looks subtly as you age.

Are dermal filler treatments safe?

Compared to many other cosmetic treatments, dermal fillers are extremely safe and do not carry the risks associated with invasive cosmetic surgery. However, as with many procedures, there can be side effects which must always be explained thoroughly to the patient before any procedure or treatment takes place.

Which areas can be treated?

Dermal filler treatments are used to smooth away facial lines and wrinkles, create fuller lips and shape facial contours, such as cheeks and chin, and revitalise the skin.

The most common areas treated are:

  • Nasolabial folds (lines between the nose and corner of the mouth) 
  • Marionette lines (from the corner of the mouth downwards) 
  • Lips (Enhance the shape, definition and volume of lips) 

What is involved with dermal filler treatments?


At Radiant & Refined Aesthetics all treatments follow a detailed pre-treatment consultation. At this consultation you will discuss with the doctor the look you wish to achieve. We will advise you which treatments will be most effective at helping you reach this. If you decide to proceed we will make a detailed recording of your medical history and conduct a careful examination of your face. Following this, we will explain which dermal filler option is best for your requirements and how you can expect to look afterwards.


The dermal filler is gently injected into specific areas of your skin to reduce the depth of the skin crease. Different dermal fillers can be used in different areas of your face to produce the most effective result. The procedure takes about 15-30 minutes and the results are immediately visible. Patients can continue with their normal day after treatment.


You should leave the treated area alone for 48 hours to let it settle. We advise that you do not have a facial or similar treatment that may disturb the products or expose the newly-treated areas to strong sunlight for 2-3 days. In the days after the treatment there may be some redness and minimal swelling, which normally settles in 1-2 days. Very occasionally patients can suffer some bruising at the injection site.

We will arrange to see you for a review of your treatment two weeks later. 

How long do the effects of a dermal filler treatment last?

One of the great advantages of dermal filler treatment is that the effects are long lasting but not permanent. Duration depends on many factors, such as the area treated, individual’s skin type, skin condition lifestyle and age. Generally the effects can last between 6-12 months.

Does dermal filler treatment need pain relief? 

Some clients may experience the treatment as a mild discomfort. The lips are extremely sensitive and as such cause most discomfort. Ranges of dermal fillers containing local anaesthetic are available which ease any discomfort.

We also use local anaesthetic creams which are applied 30 minutes or so prior to treatment, which will ease any discomfort.

Are there any risks with dermal fillers?

Product related reactions are rare. There are some injection related  reactions which may occur after any injection including redness, swelling, pain, itching, bruising or tenderness at the injection site.  After lip enhancement, some swelling is likely for a short period.

Wrinkle Relaxing Treatments 

What is BOTOX®? 

BOTOX® is one of the many trade names for the neurotoxic protein called botulinum toxin that is produced by the bacterium Clostridium botulinum. This protein is used in cosmetic medicine to treat moderate to severe frown lines (glabellar lines), and other areas as well as uncontrolled blinking, lazy eye, wrinkles, and facial creases. These procedures use a small amount of diluted botulinum toxin that enables controlled weakening of muscles.

How does it work?  

When Botulinum Toxin (BOTOX®) is injected into the small facial muscles, the nerve impulses are temporarily relaxed. As the nerve impulses are blocked the muscle is temporarily unable to contract which means that the dynamic wrinkles are not formed. This gives the overlying facial skin a softer, smoother and more youthful appearance.

Who can prescribe and administer BOTOX® injections?  

BOTOX® is a medication and must be prescribed by a qualified prescriber (Either a Doctor or an Independent Nurse Prescriber).

Who can have BOTOX® injections? 

BOTOX® can be used to treat men and women who are over 18 who following a full consultation are deemed medically suitable for the procedure. 

Who can’t have BOTOX® Injections?

Pregnant or breast-feeding mothers. People with infections at the proposed injection sites. People who have previously reacted badly to BOTOX® injections. People with muscle problems or chronic diseases affecting the muscles, such as Myasthenia Gravis, Eaton Lambert syndrome, Bells Pals’y or those who’ve had previous CVA.

What’s involved in the treatment?  

You will need a full consultation and if you are suitable for treatment BOTOX® will be prescribed for you. You will be treated in a clinically safe and hygienic environment. You will be asked to sit/lie on a couch and made comfortable. Your skin will be prepared and the injections will be administered in the required areas. You will be given after-care advice and details of what to expect following treatment. Then you can return to your normal activities. 

What should I do after treatment?

You should avoid rubbing or touching the injected areas and avoid having facials or massage for 48 hours to ensure that the treatment remains at the site of injection and to prevent any infection at the injection site. Avoid steam baths, saunas, vigorous exercise and alcohol for 48 hours. If bruising develops, you can apply Arnica cream. Paracetamol can be taken for mild pain post procedure.

When will I see results?

Results can sometimes be seen soon after treatment but the effects usually start 2-5days post-treatment, however the full effect will be seen after two weeks. 

How long will it last?  

Treatment usually needs to be repeated every 3-6 months. Clinical trials do suggest that people who have regular treatment over the first year (ie every three months)will only need bi-annual treatments after this.

Will I still have expression in my face?

BOTOX® is used to help smooth out dynamic lines & wrinkles, you should still have some movement for expression. Through your consultation the effect you desire will be discussed and treatment will be altered to ensure you get the results you’re hoping for.

Will it hurt?

These injections do not hurt, some people experience a slight sting. The finest needles are used to minimize any discomfort. Generally people do not experience any pain. 

How long will it take?

After your consultation the actual treatment is very quick and will be over in minutes.

What are the side effects?

Short-term: Most people experience no side effects, however as with any injection there is always a risk of bruising, redness, slight discomfort and swelling at the site. If this does occur it is often short-lived and can be relieved with a cold compress and mild pain-relief such as Paracetamol.

Long-term: BOTOX® is currently used in over 70 countries world-wide and there has been no evidence to date of any long-term safety concerns associated with the treatment.

Are BOTOX® Injections Safe?  

BOTOX® has an excellent safety record and has been in use in medicine for over 20 years and in cosmetics for 15 years. It has become one of the most popular and frequently used cosmetic treatments around.


What are the risk?

Occasionally, the treatment may relax nearby muscle groups causing temporary drooping of the eyebrow or eyelids (Ptosis). This may last for a few weeks but will resolve with time.  As with any medicine an allergic reaction may occur, this is however quite rare. Conversely there may be some unintended benefits in some people such as easing of tension type headaches as the muscles in the forehead relax.

There is an increased risk of bruising post procedure for people who have blood clotting disorders such as Haemophilia, those who are taking treatments with anticoagulant medicines such as Warfarin, Heparin, Aspirin and Anti-Inflammatory medicines.