The right amount depends on your natural lip volume, your anatomy and the result you want to achieve. At Diyah Aesthetics in Marylebone, Mahtab advises the appropriate volume at your free consultation based on a careful assessment of your lip structure and proportions. For clients new to filler, 0.5ml to 1ml is typically the recommended starting point, allowing subtle enhancement without overcorrection. Clients with more defined goals or who have had filler before may be suitable for 1ml to 1.5ml. The philosophy at Diyah Aesthetics is always to begin conservatively and build gradually to ensure your result looks natural at every stage.

Dermal filler typically lasts between six and twelve months, though this varies between clients depending on metabolism, lifestyle and the specific product used. The lips are a highly mobile area of the face and the filler naturally breaks down over time as the body metabolises the hyaluronic acid. Many clients return for top up appointments every six to nine months to maintain their preferred result. Some clients find their filler lasts longer with repeat treatments as the product builds slightly in the tissue over time. Mahtab will advise on expected longevity based on your anatomy and the volume placed.

Dermal filler is one of the more sensitive injectable treatments because the lips have a rich nerve supply and are a highly tactile area. At Diyah Aesthetics, a topical numbing cream is always applied before treatment and the HA filler used contains lidocaine, which provides additional comfort during the injection phase. Most clients describe the sensation as manageable pressure rather than significant pain. The treatment typically takes 20 to 30 minutes from first injection to finish. Any discomfort resolves as soon as the injections are complete. Mahtab works at a pace that suits you and ensures you are comfortable throughout.

Swelling after dermal filler is normal and expected. The lips swell significantly in the first 24 hours after treatment, which means the initial result will look fuller than the final outcome. Most of the swelling settles within 48 to 72 hours. Minor residual puffiness can persist for up to one to two weeks before the final result is fully visible. Bruising, if it occurs, typically resolves within five to seven days. Cold compresses in the first few hours after treatment can help minimise swelling. Mahtab will provide full aftercare instructions at your appointment to support a smooth recovery.

Yes. Hyaluronic acid filler is fully reversible using an enzyme called hyaluronidase, which rapidly breaks down the HA filler if dissolution is required. This is one of the key safety advantages of HA based dermal filler over other filler types. In the rare event that a client is unhappy with their result or experiences a complication, the filler can be dissolved and the lips returned to close to their natural state. Mahtab will discuss the dissolution option and aftercare protocol at your consultation so you have full confidence in the safety and reversibility of your treatment before proceeding.

The perioral zone is the primary clinical territory of dental professionals. Dentists develop an in depth three dimensional understanding of the lip anatomy, the orbicularis oris muscle, the philtrum, the vermilion border and the vascular structures of the lower face through years of clinical training and practice. This anatomical knowledge is directly applicable to safe and precise dermal filler technique. Understanding where the labial arteries run, how the tissue layers are structured and how the perioral musculature functions allows Mahtab to inject with greater confidence, precision and safety than many aesthetic practitioners who have not received equivalent anatomical training.