Botox and fillers


Tees Plastic Surgery is one of the regions leading clinics providing non-surgical cosmetic treatments including Botox and dermal filler treatment.

All our procedures are performed by Consultant Plastic Surgeon Chris Dunkin who has more than 15 years experience delivering high quality, high value, clinical solutions and our experienced cosmetic nurses. At Tees Plastic Surgery you can be assured you will receive the best quality of care and a level of service that is second to none.


>> Book a consultation with our Consultant Plastic Surgeon.

Do I need a consultation?

All our new patients have a cosmetic consultation with our Consultant Plastic Surgeon Chris Dunkin. This assessment includes a full medical and cosmetic history and examination. We will then talk about what we can do to help, what is involved and what you can expect in terms of outcome, recovery and aftercare. Thereafter you can choose to have your treatment with our Consultant Plastic Surgeon or one of our experienced nurses and arrange your treatments when you want them. 

What could treatment with botox and fillers do for you?

Botox is the cosmetic treatment of choice for thousands of men and women in the UK. It softens wrinkles to give a fresher, more youthful look. However Botox is not a cosmetic and should only be administered by properly trained and experienced staff. Facial fillers are treatments that plump up the skin to reduce the appearance of wrinkles and creases and to create fuller lips. The effects of facial fillers usually last 3 to 4 months and needs repeating for ongoing effect. We only use the best HA fillers.

How do I avoid fine lines and wrinkles?

Some people are prone to facial lines and wrinkles – it runs in the family. Everyone can reduce the effects by stopping smoking and using a good quality face cream with sunscreen with at least SPF 15. You cant avoid wrinkles - but you can reduce their impact.

Aren’t there different types of skin lines?

There are two main types of skin line (wrinkle or rhytid), dynamic lines (caused by contraction of he underlying muscle) and static lines. Both can be fine lines to start with but can progress to deep lines if untreated.

So how do we treat them?

BOTOX® Cosmetic is used to treat dynamic lines by relaxing the muscles that cause the lines. The most commonly treated areas are the ‘frown lines’ between the eyebrows and ‘crows feet’ or ‘laughter lines’ beside the eyes. Dermal fillers such as Juvederm, Restylane, Radiesse and Sculptra act to replace dermal volume to plump up the skin and soften lines. They are particularly effective around the eyes, mouth and lips and are often used together with BOTOX® Cosmetic to get the best results.

What are dermal fillers?

If Botox works on the underlying muscles to prevent skin creases from forming then fillers work on the skin to plump it up and reduce the appearance of creases. We also use fillers to add volume to improve your facial shape, its contour and to produce natural-looking fuller lips.

What is hyaluronic acid (HA)?

HA is a naturally occurring part of your skin (and other tissue) that provides the natural filler for your dermis (the thick part of your skin). The proportion of HA in your skin declines as we get older and this contributes to the signs of ageing skin. HA fillers help to restore the balance of your skin, smooth out fine creases, improve deeper creases and add volume where you want it. HA fillers are soft injectable gels of stabilised, non-animal HA that closely resemble our own HA. The gel is gently absorbed and so the effect is not permanent.

Which fillers are available?

At Tees Plastic Surgery we only use the best dermal fillers to ensure you have a safe and effective treatment. We believe this achieves the best result. Different fillers are designed for different areas and we will advise you on the best solution for you during in your first consultant consultation.

• Juvederm Ultra range.
• Juvederm Voluma.
• Juvederm Ultra Smile.
• Restylane.
• Restylane Lidocaine.
• Restylane Perlane.
• Restylane Lip.

Which areas can be treated?

Dermal fillers are used to smooth away facial creases, improve facial contour and create fuller lips.

The most common areas treated include:

• Nasolabial folds (the line between your cheek and upper lip).
• Glabella lines (between your eyebrows).
• Forehead lines.
• Marionette lines (from the corner of your mouth down to your jawline).
• Nasojugal fold (between your nose and lower eyelid).
• Tear troughs (under your lower eyelid).
• Lips (for an Angelina look not a trout pout).
• Malar region for fuller cheeks.

What is the procedure like?

The treatment takes about 15 to 30 minutes, depending on the result you want to achieve. The gel is introduced precisely into the target area slowly and gently until the desired effect is achieved. You will see the benefits immediately but the final result may take a few days to settle. Tiny fine needles are used so you hardly feel it. Lips can be a little sore so we use a filler with local anaesthetic to numb the area. A little redness is common for a couple of hours after treatment. Paracetamol is rarely required. Bruising, swelling and itching are occasionally seen and usually settle in a few days.

Is the result permanent?

HA fillers are long-lasting but are not permanent. This is because the HA is slowly absorbed into your skin and usually disappears (leaving no scarring or after-effects). To ensure ongoing results a top-up treatment is recommended every 6 to12 months.

What are the downsides to dermal fillers?

HA fillers are effective and safe when used by an expert. We would recommend that you check the credentials of any person offering this type of treatment. (Dermal fillers are not cosmetics and a 2 day course does not someone an expert).

Most complications are injection-related with bruising, redness and swelling. These are usually short-lived although can persist particularly after lip enhancement for 7 to 10 days.

Can any other areas be treated?

The back of the hands and the décolletage (the area between your bra and your neck) can be improved with the judicious use of dermal fillers.

Ask us about this.

Are there any other solutions?

Botox is very helpful in the right situation and we often use Botox to help treat the cause of facial creases and fillers to improve the creases themselves. Lipofilling or fat transfer is a permanent alternative for some people. Facelift and surgery to improve upper and lower eyelids and your forehead may be required. Often we use a combination of treatments to achieve the best results for you.

I've heard that you can use my own fat as a filler - is this true?

Absolutely. In expert hands, HA fillers are easy to use, effective and safe but they need to be repeated for an ongoing result. For a more permanent solution fat can be taken from any site of excess (usually your tummy) using liposuction, prepared and then transferred. This is called fat transfer, lipofilling or liposculture (if you are French). This is a permanent solution and uses your own fat - a win win situation. See fat transfer for more information or talk to us about it.

Can fillers help with acne scars?

Fillers can be very useful for people with acne scarring and some other types of scarring. Ask us about this.

Paying for treatment

There is a charge for your first cosmetic consultation with our Chris Dunkin our Consultant Plastic Surgeon. Subsequent cosmetic consultations are FREE. You then just pay for your treatment when you want it. .

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What do I do now?

Our clinic is based at the Nuffield Health Tees Hospital Stockton-on-Tees and BMI Woodlands Hospital Darlington. 

Please contact us on 0844 272 5951 for a consultation
or click on the link below to email us.

>> click here to email us to book a consultation.