How Long Do Dermal Fillers Last Without Top-Ups?

Alongside anti-wrinkle injections, dermal fillers are one of the most popular aesthetic treatments available. They are quick to administer, have minimal downtime and can be tailored with the help of an aesthetic practitioner to achieve the best possible results.

A popular method to smooth out fine lines and restore skin elasticity (commonly lost with age), 

 offer a natural-looking refresh and help keep your skin looking rejuvenated.

Fillers are often chosen because they provide long-lasting results that can be tweaked, touched up or even reversed, depending on your needs. They work by attracting water to the area of injection, adding volume naturally.

We use hyaluronic acid (HA) fillers, a substance naturally produced by the body that attracts and retains significant amounts of water. This not only helps to add volume but also provides hydration, an essential factor in maintaining healthy, youthful-looking skin.

The volumising benefits of fillers can often be seen within an hour of treatment, although it may take a few days for swelling and bruising to settle and reveal the full result.

Exactly how long HA fillers last depends on a wide range of factors, including your metabolism, the blood flow around the injected area, lifestyle choices, injection technique and the specific type of filler used.

In general, the effects of dermal fillers last between six and 18 months without any top-ups or additional treatments.

Longevity varies depending on the area treated:

• Lips and mouth: Results tend to be shorter-lived—often around six months—due to increased blood flow and constant movement in this area (talking, eating, smiling, etc.), which naturally accelerates the breakdown of hyaluronic acid.
• Cheeks and jawline: These areas experience less movement and slower filler metabolism, meaning results can last up to 18–24 months, depending on individual factors.

Typical signs that it’s time for a top-up include the return of fine lines, reduced volume, and a gradual loss of contour in the treated area.