Dermal Fillers in London

HArmonyCA typically lasts twelve to eighteen months. Juvéderm results generally last six to eighteen months depending on the product used and the area treated. Metabolism, age, lifestyle and treatment area all affect longevity. Our guide on how long dermal fillers last covers this in more detail.

Most swelling resolves within a week, and the final result is usually apparent at two weeks. With HArmonyCA, the collagen-stimulating effect continues developing for three to six months. We recommend waiting a full fortnight before assessing your result.

Our article on how long dermal fillers take to settle explains what to expect week by week.

Discomfort is manageable for most patients. The majority of our fillers contain lidocaine, and topical numbing cream is applied beforehand. Most people describe pressure rather than sharp pain.

This is the concern we hear most often, and it is a fair one. Overfilled results come from placing too much product in the wrong plane, usually chasing a fold rather than addressing the loss of support behind it. Dr Parikh’s approach is conservative and anatomically led, and he will decline to treat if he believes the outcome would not serve you well.

A standard hyaluronic acid filler adds volume and is gradually broken down by the body. HArmonyCA does that too, but the calcium hydroxyapatite it contains also prompts your own collagen production. You get an immediate result and a longer-term improvement in skin quality.

Dr Parikh has published the first case series exploring diluted HArmonyCA for neck rejuvenation. This is an advanced application that falls outside the product’s standard licensed use, and it will only be considered after a detailed face-to-face assessment where the evidence, the limitations and the alternatives are discussed with you in full.

Fillers restore volume and structure. Skin boosters improve hydration and skin quality without adding volume.

Many patients have both. Our article on whether Skinvive is a skin booster or a filler clarifies a common point of confusion.

Hyaluronic acid fillers can be dissolved using hyaluronidase, which is one of the reasons they are considered a comparatively forgiving treatment. Dr Parikh manages both his own patients and corrective cases referred from elsewhere, and he teaches complication management to other practitioners.

In experienced hands, with regulated products, dermal fillers have a strong safety record. Serious complications are rare but possible, and vascular occlusion is the one that matters most. Choosing a practitioner with detailed anatomical knowledge and the ability to manage complications is the single most important decision you will make. Dr Parikh teaches complication management to other clinicians.

Yes, and combining them is common. They address different problems: one restores volume, the other softens lines caused by muscle movement. Dr Parikh will plan the sequencing appropriately.

Avoid strenuous exercise, alcohol, saunas and facials for 24 to 48 hours, and try to sleep on your back for the first night. Our complete aftercare guide sets out the full protocol.

Fillers are not suitable during pregnancy or breastfeeding, or where there is an active infection at the treatment site. Certain autoimmune conditions, a history of severe allergic reaction and some medications may also mean treatment is inappropriate. A full medical history is taken at consultation.

Pricing is available on request and confirmed at consultation, once Dr Parikh has assessed you and agreed a treatment plan. Prices start from around £350.

All injectable treatments are performed by Dr Apul Parikh. He is a member of the Allergan Medical Institute Faculty, has over sixteen years of experience, has authored published research on HArmonyCA, and trains doctors, nurses and dentists in injectable techniques in the UK and internationally.

Apul Parikh Clinic is in London Victoria, five minutes from Victoria station. To arrange a consultation, get in touch.

Yes. We welcome a growing number of male patients to the clinic, and all treatments are tailored to suit individual features and goals. Dr Apul takes into account anatomical differences such as muscle mass, facial proportions, and skin characteristics to ensure results look natural and refreshed, never overdone.

To find out whether this treatment is right for you, please get in touch to book a consultation with Dr Apul.