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Knowing what actually happens, from the consultation through to the weeks afterwards, removes a lot of the uncertainty. Most of what people worry about beforehand turns out to be more manageable than they'd imagined. But it helps to have a clear picture before you walk through the door.
A good consultation is the foundation of a good result. It should feel like a clinical assessment, not a sales conversation.
In most Bromley clinics, a first consultation will last between 20 minutes and a full hour, depending on the practice. During that time, your practitioner should assess your facial structure, ask about your concerns and goals, take a medical history, and explain what they'd recommend and why. Some practitioners use photography or digital imaging as part of this process. Others prefer a hands-on assessment with a mirror.
This is also your opportunity to ask questions. Good ones to have ready include:
At some clinics, particularly those with a paid consultation model, the assessment and treatment happen on separate days. This gives you time to think without any pressure to commit in the moment. At others, you can proceed on the same day if you and your practitioner are both comfortable. Neither approach is inherently better, but having space to reflect is never a bad thing, especially if it's your first treatment.
The procedure itself is quicker than most people expect.
A single area (such as the lips) typically takes 15 to 20 minutes. A multi-area session covering cheeks, jawline and chin might take 30 to 45 minutes. Your practitioner will clean the skin, apply topical numbing cream (usually left on for 10 to 15 minutes), and then inject the filler using either a fine needle or a cannula, depending on the area and their preferred technique.
Most modern HA fillers contain lidocaine, a local anaesthetic built into the product. Between that and the numbing cream, the sensation is usually manageable. Patients often describe it as pressure or a dull ache rather than sharp pain. Lips tend to be the most sensitive area. The tear trough and jawline are generally more comfortable.
Your practitioner will work carefully, often pausing to check symmetry with a mirror or asking you to sit upright to assess the result from different angles. There's an element of artistry to it. Good injectors don't rush.
You can leave the clinic and carry on with your day. There's no medical downtime in the traditional sense. But your face may not look exactly how you want it to for the first few days.
Swelling is normal, particularly with lip filler. Some people swell noticeably for two to three days; others barely at all. Bruising is possible anywhere, but more common in delicate areas like the tear trough and lips. A slight tenderness or firmness at the injection sites is also normal and usually resolves within a week.
Standard aftercare advice across most Bromley clinics includes:
If you bruise easily or are concerned about visible swelling, it's worth scheduling your treatment at least two weeks before any event or occasion where you want to look your best.
This catches some people off guard. The results you see when you leave the clinic aren't quite the final picture.
Immediately after treatment, you'll see a visible difference, but there will also be swelling layered on top. Lips, in particular, can look noticeably fuller in the first 48 hours than they will once everything settles. Cheek and jawline filler tends to settle more quickly, but even there, the final result becomes clearer after about two weeks.
Most practitioners schedule a follow-up review at the two-week mark. This is when the filler has fully integrated into the tissue, any swelling has resolved, and your practitioner can assess whether the result is balanced or whether a small adjustment would help. At a good clinic, this review is included in your treatment fee.
This depends on the area treated, the product used, and your individual metabolism. As a general guide:
One thing worth knowing: most patients need less filler at their top-up appointment than they did at their initial appointment. The first treatment establishes the foundation. Subsequent sessions are usually about maintenance and minor refinement, which brings the ongoing cost down over time.
Filler doesn't disappear overnight, either. It breaks down gradually, so there's no sudden change. You'll simply notice the effect softening over several months, which gives you time to decide whether and when to return.
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