1.1 Fillers: A hyaluronic acid (HA) filler in gel form is injected gently into specific facial areas, such as the lips or facial areas to add volume and/or structural support. A mild topical anaesthetic (lidocaine cream) is applied before the procedure to help reduce discomfort.
1.2 Hyaluronidase (filler dissolving): Under the brand name Hyalase, hyaluronidase is a prescription-only medicine (POM) used to dissolve hyaluronic acid-based dermal fillers, including when managing complications. While hyaluronidase is generally considered safe and effective when administered appropriately, there is a risk of adverse reactions, including severe anaphylactic reactions (extremely rare). A skin test is performed before treatment to assess for possible sensitisation.
1.3 Botulinum toxin (BOTOX® Cosmetic): This is a prescription medicine injected into certain muscles to temporarily relax them and indirectly improve the appearance of moderate to severe forehead lines, crow’s feet, and frown lines between the eyebrows in adults. Where clinically appropriate, it may also be used off-label for purposes such as a subtle brow lift, lip flip, softening a dimpled chin, or relaxing the masseter muscles.
1.4 Skin boosters: Skin boosters are injectable treatments designed to improve overall skin quality by delivering hydrating ingredients and stimulating the skin’s natural repair processes.
1.5 Microneedling: A cosmetic skin treatment that uses very fine needles to create controlled micro-punctures in the skin. This triggers the body’s healing response and stimulates collagen and elastin production, which may improve skin texture, reduce fine lines, soften acne scars, reduce the appearance of enlarged pores, and help with uneven skin tone or stretch marks. After treatment, the skin is typically red, slightly swollen, and sensitive for a few days while healing begins, with results developing gradually over several weeks.
2. RESTRICTIONS
Circumstances in which you will not receive treatment.
2.1 You are under the age of 18, regardless of parental consent.
2.2 You are unable to make informed decisions for yourself.
2.3 You are pregnant, planning a pregnancy, or breastfeeding.
2.4 You have a history of severe side effects or complications from cosmetic injections.
2.5 You have a history of anaphylaxis or severe allergies.
2.6 In some cases, treatments may not be suitable for everyone. The qualified person assessing your suitability may decline treatment if you are not considered a suitable candidate. If this happens, the decision will be clearly explained to you.
3. CONTRAINDICATIONS
Treatment may be contraindicated or postponed if any of the following apply:
3.1 You have an active infection or significant inflammation at the treatment site.
3.2 You have a medical condition that may increase the risks associated with cosmetic injections or otherwise restrict their use.
3.3 You have a known allergy or hypersensitivity to an ingredient in the specific product being used.
3.4 If you are allergic to any of the ingredients in the products used, have previously experienced an allergic reaction to another similar treatment.
3.5 Certain medicines, medical conditions, or other circumstances may make a specific treatment unsuitable or require additional assessment before treatment. Certain medical conditions and medicines may increase the risk of effects associated with botulinum toxin treatment. You must disclose any muscle or nerve conditions, including ALS, myasthenia gravis or Lambert-Eaton syndrome, as well as all relevant medical conditions, medicines, vitamins and herbal supplements.
3.6 You must also inform the practitioner if you have received another botulinum toxin treatment within the previous 3 months, recently received an injected antibiotic, or take muscle relaxants, allergy or cold medicines, sleep medicines, aspirin-like products or blood thinners. The practitioner will assess your individual circumstances and may decline or postpone treatment where appropriate.
4. RISKS
4.1 Anaphylaxis and allergic reactions: Each treatment carries a risk of an allergic reaction to one or more components. In rare cases, an allergic reaction may lead to anaphylaxis, a serious and potentially life-threatening condition requiring immediate medical attention. These reactions may be triggered by known or unknown allergens. Common signs of anaphylaxis include severe swelling of the throat or tongue, difficulty breathing, trouble speaking, and a rapid heart rate. If this occurs when you are alone, seek emergency help immediately or call an ambulance on 999 without delay. In the form below, you will be asked about specific allergies to help identify any known triggers and reduce the risk of a reaction.
4.2 Pain, bruising, bleeding and tissue injury: Needles can cause pain, bruising or bleeding and may damage veins, arteries, nerves or muscles. Some injuries may require medical attention.
4.3 Bacterial infection: Bacterial infection is a possible complication following treatment and may develop after the procedure. The risk may be increased if aftercare instructions are not followed. Infections can cause redness, swelling and pain and may require medical treatment.
4.4 Vascular occlusion: Vascular occlusion is a rare but serious complication mostly associated with dermal fillers. It can happen when the injected product accidentally blocks a blood vessel near the injection site, reducing or stopping normal blood flow. This cannot always be predicted or prevented because some blood vessels are not visible. If this occurs, immediate treatment with an injection of hyaluronidase is required to dissolve the injected product blocking the blood vessel and restore blood flow. This will dissolve the recently injected product and may also dissolve any existing filler in the area. If vascular occlusion occurs, a new lip filler treatment can only be performed after at least 4 weeks, once the tissue has settled. Although extremely rare, vascular occlusion can cause tissue loss, scarring or permanent visual impairment, including blindness, even when treated promptly. If vascular occlusion is suspected, your normal appointment will be extended by at least 30–60 minutes to allow for close monitoring.
4.5 Herpes/cold sore recurrence: Injections into the lip area may trigger a recurrence of herpes or cold sores.
4.6 Lumps or irregularities caused by filler: Although the immediate result may appear satisfactory, the soft and malleable nature of hyaluronic acid gel can lead to lumps or irregularities over time.
4.7 Serious effects associated with botulinum toxin: Problems swallowing, speaking or breathing may occur due to weakening of the associated muscles. These problems can be severe and may occur hours to weeks after treatment.
4.8 Spread and migration: In rare cases, the injected product may affect surrounding areas or areas away from the injection site. With botulinum toxin, the effects may spread beyond the intended treatment area and may cause loss of strength, general muscle weakness, double or blurred vision, drooping eyelids, hoarseness or changes or loss of voice, difficulty speaking clearly, loss of bladder control, difficulty breathing, or difficulty swallowing. With dermal fillers, the injected product may migrate from the intended treatment area and may cause visible lumps, irregularities, or changes in the treated area or surrounding tissue, commonly known as migration.
4.9 Other possible effects associated with botulinum toxin: Possible effects include dry mouth, discomfort or pain at the injection site, tiredness, headache, neck pain and eye problems, including double vision, blurred vision, decreased eyesight, drooping eyelids or eyebrows, eyelid swelling and dry eyes. Loss of strength, vision problems or dizziness may occur within hours to weeks after treatment. If this happens, do not drive, operate machinery or carry out dangerous activities.
5. SIDE EFFECTS
5.1 Swelling and light bruising are common and usually resolve within a few days.
5.2 Redness and soreness may occur in the treated area and can last up to 48 hours.
5.3 Numbness or tingling may occur in the treated area.
5.4 Mild discomfort or soreness may occur during the following days after treatment.
6. EMERGENCY ACTION PLAN
There are two important complications that may occur during or after treatment: anaphylaxis (a severe allergic reaction to a known or unknown trigger) and vascular occlusion (a blood vessel becomes blocked by the injected product).
6.1 Anaphylaxis on the premises: If anaphylaxis occurs while you are still on the premises, epinephrine (EpiPen) will be administered immediately and an ambulance will be called. Epinephrine provides temporary emergency treatment and buys time until medical help arrives; it is not a cure, and further medical attention is required.
6.2 Anaphylaxis after leaving the premises: If anaphylaxis occurs after you have left the premises, call 999 immediately or ask someone to call for you, as you may become unable to speak. Signs include sudden swelling of the tongue or throat and difficulty breathing, swallowing or speaking. Every minute matters. Do not wait for symptoms to improve on their own.
6.3 Vascular occlusion on the premises: If vascular occlusion is suspected following dermal filler treatment, immediate hyaluronidase treatment will be undertaken to dissolve the injected product and restore blood flow. The appointment will be extended by at least 30–60 minutes for close monitoring. Further medical treatment may be required depending on the circumstances.
6.4 Vascular occlusion after leaving the premises: While vascular occlusion may occur immediately, symptoms may also be delayed and develop gradually over hours or days. If you develop intense pain, significant swelling, skin whitening or blue discolouration, or any change in vision, contact the clinic immediately, 24/7, on 07841 777601, as these may be signs of vascular occlusion. Vascular occlusion requires urgent treatment to restore blood flow and reduce the risk of tissue damage. Do not wait for symptoms to improve on their own.
7. EXPECTED OUTCOMES
7.1 Dermal fillers
7.1.1 Dermal fillers generally add volume and/or structural support.
7.1.2 Effects typically last between 6 and 18 months, depending on the product type, individual metabolism, lifestyle factors and previous treatments.
7.1.3 Exact outcomes cannot be fully predicted.
7.2 Botulinum toxin (BOTOX® Cosmetic)
7.2.1 Botulinum toxin temporarily softens fine lines and wrinkles in the treated areas. Where clinically appropriate, off-label use may include treatments such as smoothing chin dimpling, reducing masseter activity, gently lifting the eyebrows, or other specifically discussed uses that have been assessed as appropriate
7.2.2 Results typically begin to appear within 3–5 days, with maximum effect peaking after 10–14 days.
7.2.3 Effects usually last around 3–4 months, varying between individuals, after which the initial condition may gradually reappear as the product wears off.
7.2.4Exact outcomes cannot be fully predicted.
7.3 Skin boosters
7.3.1 Skin texture may improve gradually but not drastically, within 3-4 weeks after the first treatment.
7.3.2 Effects typically last between 6 and 8 months, depending on the product type, individual metabolism, lifestyle factors and previous treatments.
7.3.3 Exact outcomes cannot be fully predicted.
7.4 Microneedling
7.4 Skin may become softer and smoother, with an improved appearance of minor acne scars.
7.5 Results develop gradually as the skin heals and new collagen forms.
7.6 Exact outcomes cannot be fully predicted.
8. ALTERNATIVES
You are encouraged to ask questions and seek a second opinion regarding your treatment options or any concerns you may have, to ensure you are fully informed before deciding whether to proceed.
9. RIGHT TO REFUSE OR WITHDRAW TREATMENT
You have the right to decline or stop treatment at any time, including during the procedure, if you change your mind. Your decision will be respected without pressure or judgment.
10. DISSATISFACTION
While results can be effective, exact outcomes cannot be fully predicted or guaranteed. Because aesthetic perception is subjective, dissatisfaction may occur even when the treatment is successful. Treatments gradually wear off over time, and additional sessions may be needed to maintain results.
10.1 It is important to follow the aftercare instructions provided after treatment, as failing to follow them can affect the outcome.
10.2 A 3-month guarantee is included and covers filler treatment-related issues such as asymmetry, visible bumps or visible filler migration, where these are assessed by the injector as being caused by the procedure and not by external factors, such as similar treatments received elsewhere. The guarantee does not cover aesthetic dissatisfaction or a change of mind.
11. CONFIDENTIALITY / DATA PRIVACY
Information about your general health is needed to ensure safe treatment. Please answer all questions honestly. Your information will remain strictly confidential. This form must be completed at each visit to keep your health record up to date.
11.1 Confidential before-and-after photographs are required to document the procedure. With your explicit consent, these photographs may also be used in our public portfolio.
