If you are looking for the most natural lip filler treatment in London, Dublin or Dubai, you have chosen the right clinic.
Dermal filler
If you are looking for the most natural lip filler treatment in London, Dublin or Dubai, you have chosen the right clinic.
We understand why patients are wary of lip fillers. No-one wants the dreaded trout pout or duck lips. But lip filler can be natural and undetectable when it is done well, which is why we have refined our signature technique using a micro-cannula under local anaesthetic.
At my Marylebone clinic, lip filler is used to improve:
The aim is not a bigger lip. It is a balanced one that still looks like yours.
Adds fullness to thin lips, or increases volume for more impactful results.
Corrects asymmetry and helps to define the lip borders.
Tailored to individual preferences and facial features.
Quick procedure with immediate volume and minimal recovery time.
I had a great experience with Paul for lip filler and Sunekos injections. He is attentive, friendly, and very knowledgeable. He took the time to understand my facial structure, how it moved to ensure a nice balanced and natural look. Also appreciate that he isn’t afraid to say no to more treatments so that things don’t look overdone. Will always be happy to recommend!
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I have had my lip filler done a few times with Paul and they are perfect every time. A natural and full look that I get so many compliments on. Always a lush experience, I highly recommend!
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Highly recommend Paul. He really put me at ease, showed careful consideration and thought for the fact I was coming to him after having previous filler in my lips dissolved due to migration, and kept me very well informed throughout the process. Clearly highly skilled and I am so happy to have found someone I can trust with my lips for the long term!
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Dr Paul is the best! He’s professional yet every time I come visit it’s like visiting an old friend. I knew Paul was someone I could trust as he was the only person to advise me to dissolve my lip filler as it had slightly migrated and over the years has advised against certain treatments as they wouldn’t look natural/ suit my face.
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I went to see Dr Paul yesterday for some lip filler, I was very impressed with the setup of his clinic. Dr Paul was as professional and friendly as ever, answered any questions I had and reassured me that I didn’t need filler in all the places I thought I did. I felt comfortable the whole time, had minimal swelling and the shape of my lips are perfect.
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I went to Dr Elgey and had 4 mls of dermal filler which he strategically placed in the temples, cheeks and chin and I am honestly blown away by the results. It’s a real game changer! I went in feeling super nervous but Dr Elgey is so knowledgeable, professional and warm - I quickly felt at ease. We spoke at length about my concerns and then he advised me on where the filler should be placed to get the best results. I had absolutely no bruising afterwards and swelling was minimal. The result is so natural but I look so much younger and fresher. I honestly wish I had done it sooner.
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Paul is fantastic. He uses his experience to understand what you’re looking for and advise on what may work, he does not push or upsell any treatments and he has a real creativity and specialises in achieving a natural result. I trust his knowledge and skills, and his ethics.
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I have been seeing Dr. Paul for over 3/4 years for a combination of treatments and I couldn’t be happier with the results. His professionalism and meticulous attention to detail are second to none — he truly is a perfectionist in his work. He always takes the time to listen, explain the procedure, and ensure I feel comfortable. I highly recommend Dr. Paul to anyone considering aesthetic treatments — his ability to deliver natural enhancements is truly outstanding.
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Real results from patients treated by Dr Elgey. Individual results vary, and every image is shared with the patient's consent.
The treatment
Lip filler enhances the volume, shape and definition of the lips using a hyaluronic acid based gel. Hyaluronic acid occurs naturally in the body and binds to water, so once it is placed it gently plumps and defines the lip while keeping the result natural.
It is a popular treatment at our London clinic, ideal for anyone seeking fuller lips, more symmetry, or to restore volume lost with age. The gel is positioned precisely to enhance specific areas, improving fullness, balance and border definition, and it always complements a wider facial rejuvenation.
Indications and applications
Lip filler is particularly effective for:
Adds fullness to thin or deflated lips, or a little more impact where you want it, always worked conservatively for a natural result.
Corrects asymmetry and defines the lip border and Cupid’s bow, so the lips read as balanced from every angle.
Replaces volume lost with age and softens the flattening of the lip border that comes over time.
Every treatment is tailored to your lips and your goals, and can be built gradually across sessions so the outcome stays natural.
A quick procedure with volume visible immediately and minimal downtime, so you return to your day the same day.
Signature technique
This advanced technique reduces the risk of bruising and swelling, and requires little downtime.
Using a micro-cannula, which is blunt, longer and more flexible than a traditional needle, allows for the precise administering of lip filler to both volumise and sculpt the lips. Remarkably, this can be achieved through a single point of application, significantly reducing the number of injection sites and minimising any trauma to the lips. We only ever use 1ml of dermal filler in the lip in any one sitting to ensure a more natural result. The lips can then be built over time.
One of the common reasons patients attend the clinic is the use of local anaesthetic to completely numb the area around the lip. This ensures an entirely comfortable experience, with minimal discomfort during and after the procedure. The local anaesthetic wears off in 1 to 2 hours, and patients return to their normal duties immediately.
Our signature lip filler enhances volume, shape and definition, worked conservatively for a natural, balanced result.
Lips
Technique and safety
Our signature lip filler is placed with a micro-cannula under local anaesthetic, no more than 1ml in a single session, and built gradually for a natural, undetectable result.
Your appointment
This involves a consultation to discuss your goals and assess your suitability for the procedure. We use our signature local anaesthetic nerve block technique prior to any filler injections to ensure the procedure is entirely comfortable. We inject the filler using a micro cannula to minimise risks, with occasional minor adjustments with a needle. The procedure usually takes around 30 minutes, and volume is visible immediately, although final results are assessed once swelling settles.
You can expect some swelling for 24 to 48 hours post procedure but this is usually minimal. In patients with naturally thinner lips, treatment is sometimes staged to reduce the risk of product migration and maintain a natural contour. Dr Paul will discuss your individual needs and advise on the best action plan.
The choice of filler is determined by your anatomy, tissue quality, and aesthetic goal. The lip fillers chosen depends on your requirement in terms of volume, projection, and definition, as well as your natural lip shape and physiology. Any issues related to previous treatments including migration and asymmetry can be identified and corrected prior to any treatments.
Results and technique
The longevity of lip filler results varies depending on the type of filler used and individual patient factors. On average, hyaluronic acid fillers last between 6 to 12 months. Factors such as the amount of filler injected, the area treated, the type of filler used, and the individual’s lifestyle can affect the duration of results.
Various techniques can be used to achieve different lip enhancements. We mainly use micro-cannula to ensure a smooth and natural result, which may reduce tissue trauma and bruising compared to multiple needle passes. Needle is occasionally used for more precise adjustments if needed. Each technique is chosen based on the patient’s unique lip anatomy and desired outcome, ensuring a customised and natural-looking result.
Dr Paul’s approach
Lip filler is not simply about increasing size. It is about respecting anatomy, proportion, and the way the lips relate to the rest of the face.
The upper and lower lip should exist in balance, typically following a 1:1.6 ratio. The vermilion border, Cupid’s bow, philtral columns, and oral commissures all contribute to how the lips are perceived at rest and in motion. Subtle changes to projection and contour can restore definition without creating heaviness or distortion.
Ageing of the lips is not limited to volume loss. There is gradual flattening of the white roll, elongation of the upper lip, reduced tooth show, and changes in perioral support. Treatment is therefore tailored not only to enhance, but to restore structural harmony where needed.
Every lip is assessed individually. Factors such as tissue thickness, muscle activity, previous filler placement, and vascular anatomy influence technique and product selection. A conservative, layered approach is often preferred to preserve softness and minimise the risk of migration.
The objective is always refinement rather than exaggeration: creating lips that appear balanced, well supported, and appropriate to the individual face.
Pricing
Pricing depends on:
You are quoted at consultation, once your lips have been assessed and the plan agreed, so you know the full cost before anything is booked.
Doctor-led lip filler
Lips are the treatment patients most often want undone. The difference between a lip that reads as natural and one that does not is technique, restraint, and knowing when to stop.
With over 20 years of medical practice and advanced aesthetic training, my focus is:
I would rather build your lips over three sessions than overfill them in one. That is also why I am happy to say no when a patient asks for more than their anatomy will carry.
Aftercare
At Dr Paul Elgey Aesthetic Clinic we care not only about your lip enhancement but about the long-term health and appearance of your lips. Proper aftercare is essential to the best results and a smooth recovery. Here is everything you need to know about looking after your lips after treatment.
To minimise the risk of infection, avoid wearing make-up around your lips before your appointment. Make-up can introduce bacteria to the area, which could lead to complications during and after the procedure.
Avoid applying make-up, especially around the lips, for at least four hours before your treatment. Afterwards, it is best to avoid lipstick or other products for at least three days to let the skin heal properly.
Smoking can impair healing and increase the risk of infection. It is best to avoid smoking both before and after your treatment to allow for the best possible recovery.
Smoking narrows the blood vessels in the skin, reducing blood flow and nutrients, which leads to wrinkles, sagging and discolouration. To protect your skin, it is best to stop, particularly after a treatment like lip filler.
We recommend not flying for at least two days after your lip filler treatment. Changes in air pressure during a flight can worsen swelling and bruising, and staying local means you are nearby should any follow-up be needed.
Air travel soon after filler can worsen swelling. It is best to let your lips heal fully before flying, and we recommend discussing your travel plans at your consultation so everything goes smoothly.
Alcohol thins the blood and can increase the likelihood of bruising and swelling. It is best to avoid alcohol for at least 24 hours before and after your lip filler procedure.
To reduce the chances of inflammation and bruising, avoid alcohol both before and after your appointment. Alcohol thins the blood, which can delay recovery and lead to more swelling than usual.
A doctor-led consultation focused on natural, balanced results. Share your goals and concerns and we will guide you through the most appropriate treatment plan.
If you are curious about the procedure, aftercare, or potential side effects, the answers to common questions are below. From understanding how much filler is right for you, to how to avoid common issues like migration, this covers what you need to feel confident in your lip filler journey.
Lip fillers are primarily composed of hyaluronic acid, a naturally occurring substance in the body that retains moisture and adds volume to the tissue. This makes it ideal for lip enhancement, giving a plump, hydrated look, and it is reversible for added safety. We only use premium hyaluronic acid fillers for results that are subtle and natural.
Lip fillers typically last between 6 and 12 months, depending on the filler used, the amount injected, and how your body metabolises the product. Longevity can also vary with lifestyle factors such as sun exposure, exercise and smoking. At your consultation we create a plan to help your lips keep their shape and volume over time.
The procedure is designed to be as comfortable as possible. We use a local anaesthetic before placing any filler, so discomfort is minimal. Some patients report a slight pinch or pressure during the injection, but this is usually well tolerated. Afterwards you may have mild swelling that settles within a few days.
Lip filler is generally safe but does carry some risks. Swelling and bruising are common and usually settle within a few days. Less commonly, lumps can occur and are often temporary or dissolvable, and infection or allergic reaction are rare. Dr Paul has treated thousands of patients and works to keep every treatment safe and comfortable.
Migration is when filler moves outside the targeted area, such as above the lip border. It is rare when treatment is done well, and we keep the risk low by using premium products, a gentle cannula technique, no more than 1ml per session, and spacing treatments so the lips settle. If migration does occur it can be dissolved with hyaluronidase and corrected.
It is best to avoid strenuous exercise for at least 24 to 48 hours after treatment, as raised blood flow can increase swelling and bruising. Gentle activities such as walking are fine, but keep your heart rate low for the first day or two, and avoid heat from saunas or hot showers, which can also worsen swelling.
Avoid blood-thinning medication such as aspirin and ibuprofen, and supplements such as vitamin E or fish oil, for about a week beforehand to reduce bruising. Come well hydrated and having eaten, and arrive with clean lips and no make-up. Flag any history of cold sores so antiviral cover can be arranged before treatment.
Yes. If you are not satisfied with the result, or if a complication occurs, hyaluronic acid filler can be dissolved using an enzyme called hyaluronidase, restoring your lips to their natural state. The procedure is quick, and Dr Paul is experienced in managing any adjustment needed after treatment.
Immediately after treatment your lips may feel slightly firm or swollen as part of normal healing. This is temporary, and once the filler settles your lips feel soft and natural. Minor lumps can sometimes appear but usually resolve within a few days, and can be gently massaged if needed.
Written and medically reviewed byDr Paul Elgey, Aesthetic Doctor & GP: MBBS MRCGP · MHRA (Medicines and Healthcare products Regulatory Agency): hyaluronic acid dermal fillers are CE-marked medical devices.
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Dr Paul Elgey Aesthetics • UNTIL Marylebone, 1 Orchard Street, London W1H 6HJ
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