Skin
Anti Wrinkle Injections
AviClear
Chemical Peels
Extractions
Facial Thread Vein Removal
HIFU
HydraFacial™
Laser Rejuvenation Treatment
LED Phototherapy
Mesotherapy
Microneedling
Plasma Shower
Plasma Surgical/ Lesion Removal
Polynucleotides
Profhilo Structura
Skin Boosters
Sweat Reduction
Skin Rejuvenation
Skin Tightening
Thames Skin Signature Facials
Vampire Facial
Face
Anti Wrinkle Injections
Dermal Fillers
Dermal Filler Removal
Electrolysis
Face Contouring
Facial Thread Vein Removal
HIFU
Juläine
Laser Hair Removal
Laser Rejuvenation Treatment
Lip Fillers
Microneedling
Non-Surgical Blepharoplasty
Non Surgical Rhinoplasty
Plasma Surgical/ Lesion Removal
PRP Dermal Fillers
Radiofrequency
Temple Lift
Thames Brow Lift
Thames Face Lift
Thames Neck Lift
Thames Skin Signature Facials
Thames Smile
Vampire Facial
Hair
Electrolysis
Eyelash Enhancement
Xxtralash
Keravive by HydraFacial™
Laser Hair Removal
Microneedling
Vampire Facial
Viviscal Professional
Body
Fat Dissolving Injections
Fat Reduction/ Muscle Sculpting
HIFU
Laser Hair Removal
Laser Rejuvenation Treatment
Minor Operations
Plasma Surgical/ Lesion Removal
Radiofrequency
Sclerotherapy
Sweat Reduction
Weight Management
Injectable Treatments Guide
Skin Concerns Guide
Brands
AviClear
Aqualyx
Calecim
Cryosthetics Cryoglobe
Cutera Excel HR Laser
Cutera Excel V+ Laser
Cutera Secret Pro
Cutera TruSculpt Flex
Cutera TruSculpt iD
Dermalux
DermaPen - DMP8
Ellansé
Exosomes (EXO|E)
HIFU
HydraFacial
Hydrafacial PERK
InMode
Inmode Forma
Inmode Fractora
Juläine
Profhilo
Profhilo Structura
Plasma BT
Skinny pen injections
Skinade
The Skin Diary Skin Care Range
Teoxane Filler
Thermavein®
Vol U Lift
Totally Derma
Zo Festive Packs
Zo Peptide
ZO Skin Health
Skin
Acne
Acne Scarring
Actinic (Solar) Keratosis
Age Spots
Dark Circles
Dry Lips
Dry Skin
Eczema
Freckles
Hyperpigmentation
Keratosis Pilaris
Large Pores
Loose / Sagging Skin
Skin Tag
Melasma
Milia
Moles
Neck Wrinkles
Pigmentation
Psoriasis
Profhilo Structura
Rosacea / Facial Redness
Sebaceous Cysts
Scarring and Keloid Scarring
Sun Spots
Sweating
Warts & Verrucas
Wrinkles
Face
Crows Feet
Dark Circles
Double Chin
Eye bags
Facial Volume Loss
Forehead Lines
Frown Lines
Gummy Smile
Heavy Eye Lids
Jowls
Migraines
Marionette Lines
Misshapen Lips
Misshapen Nose
Nasolabial fold
Receding Chin
Sunken Cheeks
Short Eye Lashes
Smokers Lines
Teeth Grinding
Unwanted Hair Growth
Weak Jawline
Hair
Hair Loss
Ingrown Hair
Scalp Sweating
Unwanted Hair Growth
Body
Ageing Hands
Body Fat
Cellulite
Hand Sweating
Lack Of Energy
Muscle Definition
Muscle Tension
Stretch Marks
Sweat Reduction
Thread Veins on Legs
Unwanted Hair Growth
Shop All
ZO Skin Health
Exfoliating Cleanser
Gentle Cleanser
Hydrating Cleanser
Exfoliating Polish
Dual Action Scrub
Calming Toner
Complexion Renewal
Oil Control Pads
Instant Pore Refiner
Daily Power Defence
10% Vitamin C Serum
Enzymatic Peel
Skin Health Brightalive
Retinol Skin Brightener 1%
Firming Serum
Growth Factor Serum
Wrinkle + Texture Repair Retinol 0.5%
Radical Night Repair 1%
Acne Control
Complexion Clearing Mask
Rozatrol™
Hydrating Cream
Renewal Crème
Recovery Crème
Sunscreen + Primer SPF 30
Daily Sheer SPF50
Smart Tone SPF50
Broad Spectrum SPF 50
Body Emulsion
Zo Growth Factor Eye Serum 15ml
Intense Eye Cream
Eye Brightening Repair Creme - Hydrafirm
The Patient Journey
Consultations
Patient Reviews
Wedding Preparation
Careers
Meet the Team
Dr Anna Hemming
The THAMES Philosophy
London Treatments
Pricing Brochure
Gift Vouchers
Thames Events
Online Bookings
Published 18th July 2017
min read
In my experience very few of my clients totally understand what a dermal filler is and the treatments and results that can be achieved by using them. Those who understand dermal fillers have generally done a lot of research online, some of which is accurate and other information is not. It is scary how much misinformation is out there. As I love education I want to outline what dermal fillers really are and why we use the products and suggest the treatments we do.
If, when you hear the words dermal filler, you immediately think of overfilled puffy cheeks and pouting lips you might want to think again. In the right hands the right filer will give the subtlest of natural, youthful rejuvenation. Most fillers used today are made from hyaluronic acid (HA), some are not but as the majority are I am going to focus on them here. HA is an ultra moisturizing component already found naturally in your skin. Different fillers have different types of HA with different composition of cohesiveness and viscosity to suit different areas of your skin! Lots of different here! However injected HA does not last for ever. On the plus side it does encourage collagen and elastin fiber generation, which remain when the dermal filler has been reabsorbed but the body over time.
HA filler treatments are minimally invasive and designed to lead to the most natural results. An HA filler is spongy and moves with your facial expression. This allows very mobile areas to be treated, lips, smile, nasolabial folds.
Another advantage of HA filler is the ability to remove it (should that be necessary) using hyaluronidase enzyme injections. Dermal filler removal may be needed if the client wishes or if there were any very rare side effects.
Firstly it is fundamentally important to understand the aging process, as well as the products and how they suit different locations, depths and client specific requirements. As you age not only do you lost collagen and elastin as well as HA but your bone structure changes too. Causeing skin to wrinkle, fold and sag as the structure holding it up is no longer the same. This means that your cosmetic treatment should be a bespoke treatment designed for you as we all age in a different way.
HA dermal fillers restore smoothness of facial contours and give your skin back it’s ‘bounce’. Used to reform fat pads lost in the aging process as well as restructuring and lifting areas of the face which have become loose or started to sag. In addition your skin can also increase in laxity and decrease in quality. This is due to the multiple factors affecting aging, including gender, hormone change, sun, diet, smoking, environmental pollution and moisturizer overuse (to name a few!). A more superficial treatment is needed to tighten skin laxity, using injectable products this can be achieved through more cohesive HA products which spread thinly and disperse through the skin plane. In addition other options to help tighten the skin include biorevitalization (delivering nutrients, HA and tightening products by mini injections to superficial skin layers) and PRP therapy (using your own plasma rich protein and stem cells to tighten the skin).
Botox is a perfect treatment to smooth lines on the forehead, frown, and crows feet,(and lots of other places too).
Using products including Retin A, Retinol and glycol and hydroxy acids in your daily skincare plan can trigger skin health and fitness so the ‘coat’ is worth hanging on the best hanger available. Skin peels are skincare provide the perfect conditioning for your skin on the outside, to create youthful, fresh and natural appearance everyone can be proud of.
Returning the fresh, youthful ounce back into the skin and stimulating collagen and elastin are fabulous treatments. However botulinum toxin is still the gold standard for wrinkle smoothing. Botulinum toxin, injected into strong facial muscles, causes muscle relaxation as the toxin blocks the nerve muscle communication. Without muscle movement skin is not pushed and pulled allowing any lines and wrinkles previously formed to rest and smooth out. These muscle relaxing injections are best used as part of an anti aging program over time or as combined treatments giving you the best results.
Monday - 09:30-16:30
Tuesday - 09:00-17:30
Wednesday - 09:00-19:30
Thursday - 09:30-17.30
Friday - 09:00-17:30
Saturday - 09:00-16:30 by appointment
Thames Skin Clinic
Baylis Mews,
Twickenham TW1 3HQ
Telephone
Email [email protected]
Copyright © 2026 Thames Skin Clinic. All rights reserved.
Privacy Policy and Terms. Cookies Policy.
Please consent to providing your above data to us in accordance with our privacy policy.