1 East View, Carleton in Craven, Skipton

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And Terms of Business

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Terms of business

General Health Policy

Our practice uses digital medical history registration forms for new patients and for updating existing patient records. This form seeks health information, and it is particularly important that it is filled out correctly and fully. If you are aware of any changes to your medical history since you last filled out the form, it is vital that you inform us. If you have any questions please inform us once you have arrived at the practice or the clinician directly. On occasion, and with your permission, it may be necessary for us to contact your pharmacy or medical clinic to tailor care appropriate to your general health.

For severe anaphylactic reactions please advise your clinician directly during each visit.

Payments for all treatments are expected on the same day in full unless pre-arranged. Any laboratory work is required to be paid for in advance, unless pre-arranged.

Where payment is not made within 14 days of your appointment, we reserve the right to charge interest on any overdue amounts at a rate of 2.5% per calendar month and such interest shall compound monthly.  If enforcement action is required to recover any debt, all collection and enforcement costs will be charged to the patient.

Out of consideration for others, we kindly ask that you provide a minimum of 24 hours’ notice if you wish to change or cancel your appointment. If insufficient notice is given a £50 fee will be incurred and ‘no shows’ may be charged at full price – subject to discretion. Any person who. repeatedly cancels within 24 hours or fails to attend more than two appointments, will be require to lodge a deposit of £100 prior to any further appointments being arranged.

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The Truth About Filler Longevity: Longevity, Migration, and Fixes

Hyaluronic acid (HA) fillers primarily migrate and persist rather than simply dissolving on a predictable 6 to 12-month timeline. While the body’s natural enzymes do break down HA, cross-linking in fillers makes them highly resistant. Consequently, un-dissolved gel deposits can remain trapped and shift under the skin for years.

The Science of “Dissolving” vs. Reality

  • Long-Term Persistence: MRI studies have revealed HA filler residue lingering in the skin 5, 10, or even 15 years after the initial injection. The gel does not magically disappear; it integrates into your soft tissue and continues to draw in water.
  • Natural Breakdown Limitations: Your body naturally produces an enzyme (hyaluronidase) that breaks down HA. However, this natural breakdown is most active in the first few weeks following an injection. The body does not maintain sustained, high levels of this enzyme long-term, as it would destroy your body’s native HA.

 

Understanding Filler Migration

  • How It Happens: Filler does not just sit completely still. Over time, factors like gravity, repetitive facial muscle movements (smiling, chewing, talking), and lymphatic spread cause the gel to disperse and settle into surrounding areas.
  • Overfilling: Migration is highly accelerated by repeatedly “topping up” the same area with too much product over time, eventually causing the tissue to lose its shape and the filler to spill out of the original injection plane.

 

How to Fix It

If you notice lumps, puffiness, or volume where it shouldn’t be (such as above the lip border or under the eyes), the filler needs to be actively corrected:

  • Synthetic Hyaluronidase: A trained practitioner can inject synthetic hyaluronidase, an enzyme that safely breaks down and dissolves the HA gel, allowing your body to naturally reabsorb it.
  • Multiple Sessions: Because migrated filler is often spread out into the tissue, achieving a complete correction may require multiple sessions of hyaluronidase.

 

For more information on correcting and managing migrated HA fillers, consult an experienced medical professional to explore options.