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One thing that can make this process confusing is that dermal fillers aren't the only option. Depending on what's bothering you, a different treatment might be more effective or work better in combination with filler than on its own.
Bromley clinics increasingly offer a range of injectable treatments beyond traditional fillers, and a good practitioner will talk you through what's most appropriate rather than defaulting to whatever you've asked for. But it helps to walk into that conversation with some understanding of what each treatment does and where it sits.
This is probably the most common point of confusion. Both are injectable, both use hyaluronic acid, and both improve the way your face looks. But they do fundamentally different things.
Dermal fillers add volume and structure. They're placed in specific areas to lift, contour, or fill. Profhilo doesn't add volume at all. Instead, it disperses across the skin to improve hydration, elasticity and overall skin quality from within. It stimulates your own collagen and elastin production, making it particularly effective for crepey, thinning skin on the face, neck, and hands.
If your concern is primarily about skin texture, fine lines or a general loss of firmness rather than specific volume loss, Profhilo might be the better starting point. Many Bromley clinics now recommend it as a foundation treatment, sometimes before fillers, sometimes alongside them. The two work well together, but they're addressing different problems.
Profhilo typically involves two sessions, four weeks apart, and costs around £300 to £500 for the course locally. Results develop gradually over several weeks and last roughly six to nine months.
These two are frequently mentioned together, but they're not interchangeable. Botox (botulinum toxin) works by temporarily relaxing the muscles that cause dynamic wrinkles, the lines that appear when you frown, squint or raise your eyebrows. Fillers work by adding physical volume beneath the skin.
In simple terms: if the line disappears when your face is at rest, it's probably a Botox issue. If it's visible even when you're not making an expression, filler is more likely to help.
The most common Botox areas are the forehead, frown lines (between the brows) and crow's feet. The most common filler areas are lips, cheeks, jawline and nasolabial folds. There's very little overlap. Many patients have both, treating the upper face with Botox and the lower face with filler.
Botox is generally less expensive per session (typically £180 to £300 in Bromley), but it needs to be repeated every 3 to 4 months. Filler lasts longer per treatment, which can make it more cost-effective over a year, depending on the area.
This is the newer category, and it's one that's gaining ground quickly in the Bromley area.
Polynucleotides (brands like Plinest, Nucleofill) are bio-regenerative injections derived from salmon or trout DNA. That sounds unusual, but the science is well-established. They work by stimulating cellular repair, improving skin elasticity, and encouraging collagen production. They don't add volume. Instead, they improve the quality of the skin itself over two to four sessions.
Skin boosters (such as Seventy Hyal, Redensity I, or the Juvéderm Volite range) sit somewhere between Profhilo and fillers. They're micro-injections of HA designed to hydrate the skin at a deeper level, improving radiance and fine lines without adding structure or volume.
Both are increasingly popular with Bromley patients in their 30s and 40s who aren't ready for (or don't need) traditional filler but want to invest in long-term skin quality. Several local clinics now offer them as part of a staged treatment plan: skin boosters or polynucleotides first, followed by filler if and when volume restoration becomes appropriate.
It's worth being honest about this. Fillers are excellent at what they do, but they're not the answer to everything.
If your main concern is skin texture, dullness or surface-level fine lines, a skin booster, Profhilo, or polynucleotide treatment is likely to give you more noticeable improvement than filler would.
If you're bothered by lines across your forehead or between your brows that deepen when you make expressions, Botox In Bromley is the more appropriate treatment. Filling dynamic lines with dermal filler usually produces an unsatisfying result.
If you have significant skin laxity (loose, sagging skin rather than volume loss), fillers can help to a point, but they won't replicate the effect of a surgical facelift or even a non-surgical skin tightening treatment like Ultherapy or radiofrequency. A practitioner who tells you otherwise is overselling.
And if you're under 25 with naturally full features and no visible volume loss, the honest answer is that you probably don't need filler at all, even if social media suggests otherwise. A good Bromley practitioner will tell you that.
The reality is that most patients benefit from a combination rather than a single treatment. The question isn't always "which one?" but "which ones, and in what order?" That's where a thorough consultation pays for itself.
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