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Lip filler is hyaluronic acid placed in and around the lips to add volume, definition and shape. Because hyaluronic acid is something your body already produces, it integrates with your own tissue, and it can be dissolved if you ever want it gone.
At Hannah Clarke Advanced Skin and Beauty in Rainford, lips are treated by Gemma Fletcher, a Registered Nurse and Independent Nurse Prescriber with over five years injecting daily.
Her approach is deliberately unfashionable. Soft and subtle, go low and slow, and build the result over more than one appointment rather than chasing it in a single session.
If you want the top lip to show a little more without adding volume to it, the lip flip is the other option, a small dose of botulinum toxin that rolls the lip edge outward rather than filling it. See dermal fillers in St Helens for how the rest of the face is assessed.
The fastest way to end up with lips you do not like is to try to get there in one appointment.
Gemma's phrase for it is "soft and subtle, go low and slow". Rather than filling to the finished result on day one, she builds up across treatments, so you can see how your lips settle and decide whether you want more.
That matters for a reason people rarely explain. Good quality filler gradually dissolves on its own over about twelve months. If lips have been repeatedly overfilled and then dissolved, they can take a while to adjust afterwards. Building slowly avoids ever getting to that point.
On the question of whether filler stretches the lips permanently, that is largely a myth. A premium product placed properly should gradually dissolve by itself. The problem people have seen is not filler as a treatment, it is filler placed too much and too fast.
If what you want is more shape when you smile rather than more volume, a lip flip is a different treatment and may be the better answer.
Most people asking about filler are really asking about safety, so here is the honest version.
Mild effects are normal. Bruising and swelling after treatment are expected rather than a problem.
Infection is uncommon and usually avoidable. The procedure is as sterile as it can be and the skin is thoroughly cleansed. Where infection does occur it generally follows aftercare being ignored, most often makeup going on the area too soon. That is why Gemma asks you not to rub or touch the area for the first four hours.
Vascular occlusion is the serious one. It is where filler blocks an artery supplying the treated area. It is rare, and in Gemma's words it is usually a problem of unsafe hands. If left unrecognised it can lead to tissue necrosis, which is what people have seen on social media and in the papers. That outcome almost always traces back to a practitioner who did not react quickly enough, or who sent the client away without properly explaining aftercare.
Gemma will not let you leave the clinic if she has any concern about occlusion. After treatment she assesses the colour of your skin and any pain you are experiencing, and she is looking at the treated area specifically before she is happy for you to go home. If a complication did occur, hyaluronic acid filler can be dissolved immediately, and beyond some bruising there would be no lasting result.
BOOK TODAYDermal filler treatments at Hannah Clarke are delivered by Gemma Fletcher.
- Registered Nurse with the Nursing and Midwifery Council.
- V300 Independent Prescribing qualification, so she consults, prescribes and administers independently.
- Trained at Northwest Aesthetics and Dr. Hennessy Aesthetics, with ongoing training.
- Over five years injecting dermal filler, performing treatments daily.
- Carries hyaluronidase, the enzyme that dissolves hyaluronic acid filler, on site at every appointment.
That last point matters more than it sounds. In her words: "I would have hyaluronidase on site at every appointment just to ensure in an emergency I would be able to treat." Not every injector can prescribe it, and not every injector has it in the room.
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