Tag Archives: Advanced filler doctor london

Filler Doctor London                                                                                                                                                                                                                                                                     Dr Vidal is an advanced filler doctor in London. You can book an appointment with Dr Vidal at the following places:

Court House Clinics : London W1G 8YB  0207 467 3809
New York Laser Clinics : London Baker street and Fulham : www.thenewyorklaserclinic.co.uk

10 Harley Street W1G 9PF.   contact form


advanced filler doctor london. Dr Vidal

Profhilo a new facial filler for rejuvenation and skin tightening

Profhilo is a new facial filler which is in fact used for skin tightening and tissue remodeling.

Like a traditional facial filler Profhilo is made of Hyaluronic acid (HA). But unlike traditional fillers it is a highly purified natural hyaluronic acid which does not contains chemicals to stabilise the product. Instead it is an hybrid complex formed with a high molecular weight HA combined with a low molecular weight HA.
facial filler skin tightening

What is the difference with classic facial fillers ?

It is not a cross-linked product like Restylane or Juvederm and does not work exactly like a “volumiser” filler.

Profhilo stimulates the collagen and elastin of the skin. This is why it is unique as a bio-remodeling agent. Its clinical effects have been described as “plumping effect, lifting effect, soft tissue treatment or skin tightening”.

facial filler before after. Dr Vidal

Photos courtesy Dr Emma Ravichandran

The hybrid nature of this “facial filler” results in a slow and long lasting release of a natural HA (hyaluronic acid). The effects on the skin combine a “Hydro” effect ( hydration) and a “lift” effect (collagen and elastin production).

Where does Profilho sit in the facial filler anti ageing arsenal ?

Profhilo does not produce volume like Sculptra (another collagen stimulator) or your usual facial filler but it allows to very safely rejuvenate difficult areas such as the neck, the forehead or even the hands with minimal side effects. Due to its very nature Profhilo will easily distribute itself and spread through the tissues without causing any bumps or unevenness.

The neck and the forehead are tricky areas not accessible with a strong product like Sculptra and are very difficult to address with classic facial fillers because of the risk of visible long lasting bumps and unevenness very high in these areas.

Profhilo will simply flow through the tissues and  activate a long lasting bio remodeling process at a superficial level in the dermis .

Of course you can get very good skin tightening and bio remodeling with deep peels such as TCA peels or Phenol peels. You can also use lasers for skin resurfacing.

But these techniques are very aggressive with a lot of downtime and much higher risks such as bad scarring or hyper-pigmentation. They are certainly not cheaper either. These reasons make Profhilo a very simple, safe and elegant way to address skin laxity.

facial filler mid face rejuvenation. Dr Vidal

Photo courtesy of Dr Rodriguez Moises Abascal

How a Profhilo treatment is performed ?

Profhilo is an European product made in Italy by IBSA Labs.

The recommended protocol is two sessions 1 month apart.

Each session consists in the injection of five points called bio-aesthetic-points or “BAP”. Of course it is the job of the aesthetic doctor to determine where the optimal points should be for the best outcome.

Each injection is a small bolus of 0.2ml so 1ml is injected on each side of the face or the neck.  2ml in total. Local anesthesia is not required but can be used.

facial filler before after. Dr Vidal

Photos courtesy of Dr Annalisa Beatini

lip filler, lip enhancement, facial balance. Dr Vidal London

A lip filler can be useful for the whole facial area and not simply for the lips themselves.  Sometimes lips are not correctly aligned with the chin and the nose on a profile view.

Lips before after lip filler.Dr Vidal London

Lips are rebalanced with a lip filler. The projection improves the appearance of the chin and the nose

This can give the false impression of  a chin or a nose too long or too big when in fact they are not. It’s just that the lips need a bit more projection forward.

This highlights the fact that it is really important not to be focused only on one thing but to replace each element within the whole context, an harmonious and balanced face.

This also shows that the profile view needs to be respected. Injecting to much will project the lips too far and the result will be the “duck lips” effect.

Injecting the chin or the tip of the nose can sometimes also be used for the same purpose of facial balance. For instance, restoring the volume under the chin muscle can improve the appearance of the lower lip and enhance the jaw line.


Contact form consultations booking Dr Vidal

lips before picture. Lip filler Dr Vidal Londonlips after injection. lip filler Dr Vidal London
Back to the lips themselves, you can see on the pictures above that the projection of the upper and lower lips improves the corner of the mouth and shortens the white upper lip. The projection of the lower lip shortens the chin.

We prefer to use  a good Hyaluronic acid filler than can mix easily with the surrounding tissues without getting lumpy.

Lips are a good indication for injection when they lie onto a good facial support ( teeth, middle face facial volume). When this support is not good it is better to fix this problem first and plan the lip enhancement later.

Cost : 1 syringe Juvedem Smile £ 260.

Hyperhidrosis Treatment London. How it works


Hyperhidrosis Treatment London

Hyperhidrosis is a medical term to define overactive sweating. This means sweating more than it would normally be required to regulate your body temperature. It is a very common problem and its cause is still not really well understood . While not a life threatening illness it nevertheless does severely impact people’s quality of life, confidence and even performance at work. The severity of hyperhidrosis can be very simply assessed by the Hyperhidrosis Disease Severity Scale HDSS. You can rate yourself as follow:

1 pt -My sweating is never noticeable and never interferes with my daily activities
2pts– My sweating is tolerable but sometimes interferes with my daily activities
3pts– My sweating is barely tolerable and frequently interferes with my daily activities
4pts– My sweating is intolerable and always interferes with my daily activities

A score of 3 or 4 indicates severe hyperhidrosis. A score of 1 or 2 indicates mild or moderate hyperhidrosis.

hyperhidrosis treatment london - Dr Vidal

hyperhidrosis affects patients quality of life… and others too

The HDSS can be used to follow the efficiency of your hyperhidrosis treatment . A 1-point improvement in HDSS score has been associated with a 50% reduction in sweat production and a 2-point improvement with an 80% reduction.
(ref: A Comprehensive Approach to the Recognition, Diagnosis, and Severity-Based Treatment of Focal Hyperhidrosis: Recommendations of the Canadian Hyperhidrosis Advisory Committee, Dermatologic Surgery, August 2007, pages 908-9230)


Botulinum Toxin (Botox) has revolutionised the treatment of this embarrassing problem. It works by blocking the release of acetylcholine which is the messenger between the nerve and the sweat gland. The gland does not receive any order. It stops working and you stop sweating.

Similar to the effect on facial wrinkles this anti-sweating effect is temporary because your body will rebuild functioning connexions between nerves and glands. This effect can last 6 to 8 months so you can relax and perform for that period of time.

Technique : quick and simple , botox is injected into the dermis,exactly as for a facial procedure. The quantity used for underarms hyperhidrosis is just higher than for the face.

Costs :

£ 500.00


Hyperhidrosis treatment london doctor:

   London- Consultations- Appointments  Dr Thierry Vidal . 25-27 George Street W1 London                               Tel: 020 7486 5134


  • Safety and prolonged efficacy of botulinum toxin in hyperhidrosis  Clin Ter. 2014; 165(6):e395-400. doi: 10.7417/CT.2014.1780.   S. D’Epiro, L. Macaluso, M. Salvi, C. Luci, C. Mattozzi, F. Marzocca, V. Salvo, M. Scarnò, S. Calvieri, AG. Richetta Dermatology Clinic, ‘Sapienza’ University of Rome, Italy
  • “Quality of Life in Patients with Focal Hyperhidrosis before and after Treatment with Botulinum Toxin A”  Anargyros Kouris, Kalliopi Armyra, Christos Christodoulou, Polixeni Karimali, Dimitrios Karypidis, and George Kontochristopoulos,  ISRN Dermatology, vol. 2014, Article ID 308650, 4 pages, 2014. doi:10.1155/2014/308650

Temple fillers techniques- Dr Vidal- London

Why using Temple Fillers ?

Hollow temples are a cardinal sign of ageing but fortunately it is easy to address this issue with temple fillers.

On the two pictures below it is easy to see that the correction with temple fillers reopen the eye by giving support to the eyebrow. Also, the shadow area has disappeared and now the temple is convex. This means a much better light reflection. The whole area looks much healthier and younger.


temple fillers before injection-Dr Vidal.london

before temple fillers and under eye correction.Dr Vidal

Temple fillers after

After temple fillers and under eye after correction.Dr Vidal.

It is possible to use different types of fillers for the temple area:

  • Fat
  • Hyaluronic acid (such as Juvederm)
  • Plla (Sculptra)



Fat can give good results but it is definitely not very practical to use, the harvesting and preparation is difficult and the re-injection is a bit traumatic meaning lot of swelling, bruising and downtime for the patient.

For these reasons we use either sculptra or juvederm. The choice is a question of strategy and costs.

The temple area is sometimes very hollow and deep and a large volume may be required for the correction. It is also common to have different areas ( temples, mid-face, chin) to correct during the same session. For these patients we recommend to use Sculptra because it will allow more work than a simple syringe of juvederm.

On the other hand, when the volume needed is not very important and when more superficial work is needed ( to lift the eyebrow for instance) we will recommend a Juvederm filler such as Voluma or Volift.

A topical anaesthesia with Emla cream is used for a better comfort, less bleeding and a more precise correction.

Dr Thierry Vidal.

Aesthetic and Cosmetic Doctor. Marylebone London.

Consultations and enquiries at Skin Oasis Clinic  25-27 George Street. W1U 3QA London

Cheek Filler, Volume Filler, Facial Filler, What to choose ?

Cheek filler, Volume filler ?

Plenty of fillers are available, cheek filler, lip filler, sculptra, voluma, implants, fat transfer, the list is endless.

Loss of volume is one of the first signs of the facial ageing process. It can happen anywhere, cheek, temple, under eye area giving a tired, sagging aspect of the face. The correction of this loss of volume requires some experience from the practitioner. Not only you have to use the right product but you also have to inject it at the right location.

As you can see on this picture the volume loss is quite global but a patient like this one will typically complain about her nasolabial folds (nose to mouth folds) and ask her doctor to inject these ugly deep folds with a filler.

Cheek filler before

Cheek filler before. Dr Vidal

cheek filler after

Cheek filler after.Dr Vidal

Doing so would be mistake and give an unnatural result because the volume would be added where it is not needed. These folds the patient is complaining about are deeper and more visible because the loss of volume has occurred above them, in the midface. There is no more support for the skin and the midface simply falls down. The volume correction should therefore been performed there.


What kind of cheek filler ?

In this case, the loss of volume is important. It would require a very large amount of usual hyaluronic acid fillers ( juvederm voluma, restylane etc..) to achieve a good correction. This would be too expensive and not very healthy as a filler is nothing else than a thick gel pushing and compressing all the structures around it.

When a large volume is required we prefer to use a poly-lactic acid filler (Sculptra). It is possible to address large areas at the same time and the filler will respect the surrounding structures. Because the obtained correction is very progressive and will create plenty of new collagen fibers the result will look very natural.

Consultations Dr Vidal Skin Oasis Clinic 25-27 George Street W1U 3QA
Tel: 020 74865134