Dermal Fillers

Among our most sought-after treatments are dermal fillers, a cornerstone of aesthetic medicine that has revolutionised the way we deal with age-related changes to the face. More than just restoring lost volume or smoothing out wrinkles, dermal fillers are an art form that brings harmony and balance to your features. Whether you’re looking to enhance your lips, sculpt your cheekbones or soften lines, our expert team is here to guide you through every step of the process.

In this comprehensive guide, we take a deep dive into the world of dermal fillers. We’ll explore what dermal fillers are, how they work and the incredible benefits they can offer. We will also take a detailed look at the treatment process, discuss the longevity of the results, and explain how to maintain the results for as long as possible. We believe in transparency and education, so we will also discuss the potential risks and how we mitigate them to ensure your safety and satisfaction.

Join us on this journey to discover how dermal fillers at Perpetual Aesthetics can help you achieve your aesthetic goals and enjoy a more youthful and vibrant appearance.

Understanding Dermal Fillers

Dermal fillers are injectable substances used to enhance facial aesthetics by restoring volume and definition, smoothing lines and correcting wrinkles and other imperfections. At Perpetual Aesthetics, we use a range of fillers, with a particular focus on hyaluronic acid-based products such as the Aliaxin range, which are renowned for their purity, efficacy and long-lasting results.

What are dermal fillers?

Dermal fillers, primarily hyaluronic acid, are gel-like substances that are injected under the skin to restore lost volume, enhance facial contours and reduce the appearance of fine lines and wrinkles. Hyaluronic acid is a naturally occurring substance in the skin known for its ability to attract and retain water, helping to keep skin hydrated and plump.

Types of fillers

While hyaluronic acid fillers are the most popular due to their natural composition and reversible nature, other types include

Calcium hydroxylapatite (CaHA): Typically used for deeper lines and wrinkles, CaHA is also a natural substance found in bone.

Poly-L-lactic acid (PLLA): A biodegradable synthetic substance that stimulates collagen production and is used for deeper facial wrinkles.

Polymethylmethacrylate (PMMA): A semi-permanent filler that contains collagen and tiny beads that remain under the skin to provide support.

At Perpetual Aesthetics, our first choice is the Aliaxin range of fillers, which includes

Aliaxin SR (Shape & Restore): Ideal for natural facial reshaping.
Aliaxin FL (Fine Lines & Lips): Designed for lip rejuvenation and smoothing of perioral fine lines.
Aliaxin GP (Global Performance): Excellent for the treatment of deep wrinkles.
Aliaxin EV (Essential Volume): Best for restoring volume to larger areas such as the cheeks.

How dermal fillers work

More than just a cosmetic enhancement, dermal fillers are a form of non-surgical facial rejuvenation. When injected, fillers plump up the skin and smooth out folds and wrinkles. The presence of hyaluronic acid also stimulates the body’s collagen production, improving the skin’s elasticity and firmness over time. This dual action not only fills wrinkles but also promotes healthier, more youthful skin.

Aliaxin fillers, for example, have high tissue integration and stability, meaning they blend seamlessly with the existing facial structure. The HYDROLIFT action seen in Aliaxin products not only supports immediate lifting and filling effects but also improves hydration and stimulates tissue, promoting long-term skin health.

Understanding the basics of dermal fillers is key to appreciating their potential in aesthetic medicine. As we explore the treatment process in the next section, we’ll provide a clearer picture of how these innovative products are used during treatment to achieve spectacular results.

dermal fillers selection

The Treatment Process

The dermal filler treatment process at Perpetual Aesthetics is carefully designed to ensure safety, comfort and the most effective results. Here we outline the step-by-step process from initial consultation to aftercare, and how our specialised approach makes all the difference.

Initial consultation

Assessment and planning: The journey begins with a detailed consultation with one of our experienced practitioners. During this session, we discuss your aesthetic goals, review your medical history and perform a thorough facial assessment. This comprehensive approach helps us to create a treatment plan that is perfectly tailored to your unique facial structure and desired results.

Choosing the right filler: Based on the consultation, we select the most appropriate type of filler for your needs. For example, Aliaxin GP may be chosen for deep wrinkles, while Aliaxin FL may be more appropriate for lip enhancement and fine lines.

Pre-treatment preparation

Skin cleansing: The treatment area is thoroughly cleansed to minimise the risk of infection.

Anaesthesia: Although dermal fillers contain lidocaine, a mild anaesthetic, an additional topical numbing cream may be applied to ensure maximum comfort during the injection process.

The injection process

Technique and precision: Using a fine needle or cannula, the filler is carefully injected into specific areas of the face. The technique used, whether linear threading, cross-hatching or fanning, depends on the treatment area and the desired effect.

Adjusting volume and symmetry: As the filler is injected, our practitioner will constantly assess the symmetry and volume of the face and make precise adjustments to achieve a natural and harmonious look.

Immediate post-treatment care

Cooling and gentle massage: Immediately after injection, a gentle massage and application of a cool pack may be used to soothe the area and ensure even distribution of the filler.

Post-treatment instructions: You will be given detailed instructions on how to care for your skin after treatment, including avoiding excessive heat, sunlight and strenuous activities for some time.


Review and touch-ups: You will usually have a follow-up appointment a few weeks after your initial treatment. This will allow us to assess the results and make any necessary adjustments.

Continued care: Additional sessions may be scheduled to maintain or improve the results, depending on the type of filler used and the individual’s response to the treatment.

Safety Protocols

Allergy testing: Although rare with hyaluronic acid fillers, allergy testing may be performed for fillers made from other materials.

Sterility and hygiene: Our clinic follows strict hygiene protocols to prevent infection, including using sterile equipment and properly disposing of all materials.

The dermal filler treatment process at Perpetual Aesthetics is carried out with the utmost care, using advanced techniques and materials to ensure the highest standards of safety and efficacy. By personalising each treatment, we ensure that the results not only enhance your natural beauty but also maintain the integrity and health of your skin.

Botox injection

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Benefits and Effects of Dermal Fillers

Dermal fillers are a transformative tool in aesthetic medicine, offering immediate and long-term benefits that go beyond mere cosmetic enhancement. At Perpetual Aesthetics, we use the latest advances in filler technology to achieve results that are not only visually appealing but also beneficial to skin health.

Immediate aesthetic benefits

Volume restoration: As we age, our faces naturally lose subcutaneous fat, resulting in a hollow or sagging appearance. Dermal fillers restore this lost volume in areas such as the cheeks, jawline and under the eyes, revitalising the facial structure with a youthful plumpness.

Wrinkle reduction: Fillers smooth wrinkles and fine lines by adding volume beneath the skin’s surface, which can dramatically reduce the appearance of laugh lines, crow’s feet and forehead creases.

Contouring and symmetry: Fillers can sculpt and define facial contours such as the jawline and cheekbones. They are also excellent for correcting asymmetry, ensuring that facial features are more balanced and harmonious.

Improved skin quality

Collagen stimulation: Ingredients in certain fillers, such as PLLA (poly-L-lactic acid) in products like Aliaxin GP, act as collagen stimulators. This not only helps the skin regain its elasticity but also improves its texture over time.

Hydration: Hyaluronic acid fillers attract moisture to the treatment area, significantly increasing skin hydration. Well-hydrated skin appears smoother and more radiant.

Long-term effects

Longevity: Depending on the type of filler used and the area treated, the effects of dermal fillers can last from 6 months to over a year. Some collagen-stimulating fillers may even improve over time as the body produces more collagen.

Gradual improvements: With regular treatments, the long-term aesthetic benefits of fillers can accumulate, resulting in improved skin quality and a lasting youthful appearance.

Psychological benefits

Confidence Boost: Improvements in appearance often lead to increased self-esteem and confidence. Many clients report feeling more vibrant and confident in their personal and professional interactions.

Addressing potential concerns

While dermal fillers offer numerous benefits, it’s important that clients have realistic expectations and understand that results can vary depending on individual factors such as skin type, age and lifestyle. Our experienced practitioners are able to advise clients on what results are realistically achievable and how best to maintain them.

By offering a holistic approach to aesthetic enhancement, dermal fillers at Perpetual Aesthetics not only improve physical appearance, but also contribute to overall well-being and skin health. Our commitment to using the highest quality products and techniques ensures that each client receives personalised care tailored to their specific needs and desires.

Smiling woman

Potential Risks and Disadvantages

While dermal fillers are generally safe and effective when administered by qualified professionals, potential clients need to be aware of the potential risks and downsides associated with the treatment. At Perpetual Aesthetics, we prioritise transparency and education, ensuring that all clients are fully informed and prepared before undergoing any procedure.

Common side effects

Redness, swelling and bruising: These are the most common side effects and usually resolve within a few days of treatment. Ice packs and over-the-counter painkillers may help relieve these symptoms.

Tenderness at the injection site: Some discomfort or tenderness at the injection site is normal and usually goes away within a few hours or days.

Rare complications

Infection: Although rare, infection can occur. Our clinic follows strict hygiene protocols to minimise this risk.

Allergic reactions: Allergic reactions are rare with hyaluronic acid fillers, but may occur with other types. We take a thorough medical history to minimise this risk.

Lumps and irregularities: Occasionally, small lumps may form under the skin. These can often be massaged out or will disappear over time. In some cases, further treatment may be required.

Vascular occlusion: This is a rare but serious complication where the filler blocks a blood vessel. Immediate medical attention is required to resolve this problem.

Managing and reducing risks

Skilled practitioners: All treatments at Perpetual Aesthetics are performed by highly trained and experienced practitioners who are skilled in techniques that minimise risk.

Quality products: We only use high-quality fillers that are approved and have a proven safety record.

Pre-treatment consultation: We assess all risks during the initial consultation, taking into account the client’s medical history and current health to tailor the treatment plan accordingly.

Post-treatment care: Clients receive detailed post-treatment instructions and have access to our team for any post-treatment questions or concerns.

What to consider before treatment

Realistic expectations: Clients need to have realistic expectations about the results of dermal filler treatments. During the consultation, we discuss what the treatment can and cannot achieve.

Long-term commitment: While some fillers are temporary, maintaining the results may require regular follow-up treatments. Clients should consider their willingness and ability to commit to future sessions.

Choosing the right clinic: It is important to ensure that the clinic has a good reputation, experienced practitioners and a commitment to safety.

At Perpetual Aesthetics, we believe that a well-informed client is a satisfied client. By understanding the potential benefits and risks associated with dermal fillers, clients can make informed decisions about their treatments. Our team is dedicated to providing a safe, comfortable and positive experience, ensuring that risks are minimised and results are as expected. We encourage an open dialogue and are always available to answer any questions or concerns our clients may have about dermal filler treatments.

dermal fillers selection

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Maintenance and Longevity

To ensure that the beauty enhancements achieved with dermal fillers are long-lasting and continue to look their best, proper maintenance and understanding of the longevity of the treatment is essential. At Perpetual Aesthetics, we provide our clients with comprehensive aftercare advice and follow-up strategies to maximise the life of their dermal fillers.

Understanding the longevity of dermal fillers

Duration varies by product and area treated: The longevity of dermal fillers depends on the type of product used, the area treated and individual metabolism. For example, fillers used in areas with less movement, such as the cheeks, may last longer than those used in more active areas, such as the lips.

Hyaluronic acid fillers: Typically last between 6 and 18 months. Fillers such as those in the Aliaxin range, which are designed for hydration and volume, can also stimulate collagen production, potentially extending the benefits beyond their typical lifespan.

Biostimulatory fillers: Such as those containing poly-L-lactic acid or calcium hydroxylapatite can last up to two years or more as they stimulate the body to produce its collagen.

Dermal filler maintenance tips

Regular follow-up treatments: To maintain the desired aesthetic results, regular follow-up treatments may be necessary. These sessions allow the practitioner to refine and adjust the fillers as your facial structure changes naturally over time.

Skincare regimen: Incorporating a robust skincare regimen that includes hydration, sun protection and collagen-stimulating products can enhance and prolong the results of filler treatments.

Healthy lifestyle: A balanced diet, regular exercise and adequate hydration are critical to maintaining skin elasticity and overall health, which can positively impact the longevity of dermal filler results.

Scheduling and planning

Follow-up to the initial assessment: We usually schedule a follow-up appointment a few weeks after the initial treatment to assess how the fillers have settled and to make any necessary adjustments.

Long-term treatment planning: For clients who wish to maintain their results over the long term, we can create a personalised treatment plan that schedules maintenance treatments at intervals optimised for their specific needs and the type of fillers used.

Managing expectations

Gradual changes: Clients need to understand that some fillers are designed to provide gradual improvements, especially those that stimulate collagen production.

Ageing process: Clients should also be aware that fillers do not stop the ageing process, but rather help to manage its cosmetic effects. Adjustments to the treatment may be necessary as they age.

Ensure client satisfaction

Explaining the results: During consultations, ensure that clients have a clear understanding of what results to expect and how to maintain them.

Availability for questions: Our team is always available to answer questions or address concerns that clients may have about the care and longevity of their fillings.

At Perpetual Aesthetics, we believe that the care invested after dermal filler treatments is as important as the treatment itself. By following our detailed instructions and taking a proactive approach to maintenance, clients can enjoy beautiful, long-lasting results. We are committed to supporting our clients through every step of their aesthetic journey, ensuring they feel confident and informed about their skincare and treatment choices.

nurse using lip filler

Choosing the Right Provider

Choosing the right provider for dermal filler treatments is critical to ensuring safety, achieving desired results and a satisfying experience. At Perpetual Aesthetics, we emphasise the importance of choosing a provider who is not only qualified but who shares your aesthetic goals and prioritises patient care.

Key criteria for choosing a provider

Qualifications and experience: Look for a provider with a solid background in aesthetic medicine, including specific training and certification in the administration of dermal fillers. Experienced practitioners will have a deeper understanding of facial anatomy, injection techniques and how to manage any complications that may arise.

Reputation: A provider’s reputation can be assessed through reviews, testimonials and before and after galleries. These resources provide insight into the experiences of previous clients and the provider’s ability to deliver consistent results.

Consultation process: A thorough consultation process is essential. It should be a two-way conversation where the provider listens to your concerns and expectations, assesses your facial structure, and recommends a personalised treatment plan.

Facility standards: The quality of the clinic or medical facility should meet high standards of cleanliness and safety. Proper sterilisation of equipment and adherence to health and safety regulations are non-negotiable to minimise the risks associated with treatments.

How Perpetual Aesthetics meets these criteria

Expert team: Our team at Perpetual Aesthetics consists of highly trained and experienced professionals who specialise in dermal filler treatments. Each team member is dedicated to staying abreast of the latest advances in the field to ensure the best care.

High client satisfaction: We are proud of the positive feedback and loyalty of our clients. Our gallery of before and after photos demonstrates the natural and effective results achieved by our practitioners.

Personalised care: We believe that each client’s needs are unique. Our approach is to create a personalised treatment plan that respects the individual’s aesthetic vision and offers the most appropriate solutions.

Strict hygiene: We follow strict hygiene protocols and use only the highest quality, clinically proven products.

Why Choose Perpetual Aesthetics

Commitment to Excellence: At Perpetual Aesthetics, we are committed to providing exceptional care and achieving the highest standards in aesthetic treatments. Our holistic approach ensures that treatments are not only effective but also complement the overall well-being and lifestyle of our clients.

Ethical Practices: We operate with complete transparency and uphold the highest ethical standards in all our interactions and procedures. We ensure that every client feels informed, respected, and valued throughout their journey with us.

Continuous Support: Our relationship with clients doesn’t end after the treatment. We offer continuous support and advice, ensuring that clients feel confident and satisfied with their results over time.

Choosing the right provider is a crucial decision in your aesthetic treatment journey. At Perpetual Aesthetics, we ensure that all aspects of our service—from the initial consultation to the follow-up care—are designed to provide peace of mind and exceptional results. Our commitment to quality, client satisfaction, and safety makes us a trusted choice for those seeking to enhance their appearance through dermal fillers. We invite you to book a consultation and experience the superior care and expertise that define our clinic.

Frequently Asked Questions

Here are some common questions and answers about dermal fillers to help you better understand the treatment and what to expect:

What are dermal fillers?

Dermal fillers are injectable products used to add volume, change the contours of the face and fill in wrinkles. Most fillers are made with hyaluronic acid, which occurs naturally in the skin and helps to retain moisture and elasticity.

How long do dermal fillers last?

The longevity of dermal fillers varies depending on the type of filler used, the area being treated and individual factors such as metabolism. Typically, fillers can last from 6 months to over 2 years.

Are dermal fillers painful?

Dermal filler injections cause minimal discomfort. Most fillers contain a pre-mixed local anaesthetic to reduce pain, and an additional numbing cream may be applied beforehand.

What can I expect during the treatment?

The treatment usually involves an initial consultation, pre-treatment preparation, the injection procedure and a follow-up visit. The injection itself usually takes 15-30 minutes and you can return to most daily activities immediately afterwards.

Can dermal fillers be removed?

Yes, one of the advantages of hyaluronic acid fillers is that they can be dissolved with an enzyme called hyaluronidase. This makes the treatment reversible if the result is not as expected or if there is a desire to return to the pre-treatment appearance.

Are there any side effects?

Common side effects include redness, swelling and bruising at the injection site, which usually disappears within a few days. Rare complications, such as allergic reactions or vascular occlusion, are minimised by choosing an experienced provider and following proper aftercare instructions.

How do I know if I am a good candidate for dermal fillers?

Good candidates for dermal fillers are generally those who wish to enhance facial features, restore volume or reduce the appearance of ageing. Candidates should be in good health and have realistic expectations of the results. A detailed consultation with your practitioner will determine if dermal fillers are right for you.

What is the difference between Dermal Fillers and Botox?

Dermal fillers and Botox are both used to enhance facial aesthetics, but they work differently. Dermal fillers add volume and shape to the face, while Botox relaxes the muscles that cause wrinkles. Both treatments are often used in combination to achieve a more complete facial rejuvenation.

How should I prepare for dermal filler treatment?

It’s recommended that you avoid alcohol, aspirin and anti-inflammatory drugs for at least 24 hours before your appointment to reduce the risk of bruising. It’s also a good idea to come to your appointment with your face clean and free of make-up.

Can dermal fillers be combined with other treatments?

Yes, dermal fillers can be effectively combined with other treatments such as Botox, laser therapy and chemical peels for a more comprehensive approach to facial rejuvenation. Discussing your aesthetic goals with your provider can help determine the best treatment plan.
These FAQs are designed to address your initial concerns and provide clarity on what to expect. For more detailed information or personal enquiries, we encourage you to contact Perpetual Aesthetics directly for a consultation.

Dermal Fillers With Perpetual Aesthetics

At Perpetual Aesthetics, our comprehensive guide to dermal fillers has been created to provide you with an in-depth understanding of this transformative treatment. From the science behind dermal fillers and the intricacies of the treatment process to the aesthetic benefits and maintenance considerations, we’ve explored every facet to ensure you’re well-informed and confident in your decision to undergo treatment.

Dermal fillers are more than just a cosmetic enhancement; they are a commitment to your self-confidence and a testament to the wonders of modern aesthetic medicine. When you choose Perpetual Aesthetics, you are choosing not only the highest quality treatment but also a partnership that values your beauty and well-being. Our team of experts is dedicated to guiding you every step of the way, ensuring that your journey to enhanced beauty is safe, satisfying and rewarding.

We understand that the decision to undergo aesthetic treatments is deeply personal and often involves many considerations. That’s why we prioritise a personalised approach, ensuring that each client’s unique needs and desires are met with the utmost care and professionalism. Our state-of-the-art facilities, combined with the latest aesthetic technology and techniques, make Perpetual Aesthetics the ideal choice for those seeking to rejuvenate their appearance and boost their confidence.

We invite you to contact us to arrange a consultation and see first-hand how our dermal filler treatments can enhance your natural beauty and help you achieve the look you’ve always wanted. At Perpetual Aesthetics, your beauty and satisfaction are our top priorities. Let us be part of your journey to a more radiant and confident you.

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INP Kornelia Hauck

INP Kornelia Hauck

Kornelia Hauck is an Independent and Supplementary Nurse Prescriber and Holistic Practitioner, specialising in Aesthetics. Kornelia has been practising nursing for over 25 years since graduating from Tychy Medical High School in 1989. Curious by nature, she wanted to explore different cultures and soon found herself working for Red Cross Germany - DRK e.V.

In Berlin, she developed immense empathy skills and willingness to help others. At her work for Golders Green Nursing as a private nurse, she also learned holistic ways of treating patients and earned ITEC level three certification from City and Islington college with the Federation of Holistic Therapists membership. Her interest in education and natural ways of healing didn't stop there. In 2012, she was certified Platelet Rich Plasma Technician at Medics Direct before eventually becoming owner and director of former Korniahealth, now widely known as Perpetual Aesthetics. Furthermore, she continued her professional development in Aesthetics with Wigmore Medical to eventually become advanced Aesthetics Practitioner. At the University of Bedfordshire, she achieved her masters in nursing with the title: Independent and Supplementary Nurse Prescriber.

You can reach her at or on Instagram @kornelia_hauck

INP Kornelia Hauck is a founder of Perpetual Aesthetics Ltd. located at London's prestigious Harley Street where she currently performs her signature aesthetics treatments.