Profhilo® in Richmond, London

No. This is the most important distinction. Profhilo is not a filler — it doesn't add volume or change facial structure. Instead, it's a bio-remodelling treatment that stimulates your skin's natural collagen and elastin production. The hyaluronic acid acts as a catalyst, triggering your fibroblasts to produce more structural proteins, resulting in improved skin quality from within. If you're concerned about volume loss, fillers are appropriate; for skin quality, Profhilo is the gold standard.

Profhilo contains the highest concentration of stabilized hyaluronic acid available — 32 mg/mL. It's specifically formulated to stimulate fibroblasts and collagen synthesis, not just hydrate. Other HA treatments may be fillers (for volume) or serums (for surface hydration). Profhilo's unique biphasic release mechanism provides immediate hydration plus long-term collagen stimulation. This makes it far superior to standard dermal fillers or topical HA products for bio-remodelling.

Most patients experience minimal discomfort. We use ultra-fine needles and inject slowly to minimize sensation. Many patients describe it as slightly uncomfortable rather than painful — certainly less uncomfortable than Botox. No anaesthetic is required, though we can apply a numbing cream if you prefer. The entire treatment takes 20–30 minutes. Most patients are surprised by how well-tolerated it is.

Initial results appear within 1–2 weeks as the hyaluronic acid hydrates the skin — you'll notice improved skin texture, smoothness, and a subtle glow. However, the real bio-remodelling magic happens over 4–6 weeks as collagen and elastin production ramps up. Full results from a course of two are most evident at the 8-week mark. This gradual improvement is natural and sustainable, unlike the immediate but temporary effects of some other treatments.

A single session provides noticeable improvement, but a course of two sessions (4 weeks apart) creates substantially superior and more lasting results. The first session initiates collagen synthesis; the second reinforces it. Two sessions together trigger more robust fibroblast activity, leading to greater collagen accumulation and more dramatic skin remodelling. Most patients who've done both will tell you the difference between one and two is night and day.

Results typically last 6–9 months. This is longer than most fillers because you're not relying on a material staying in place — you've actually stimulated your body to produce more collagen. Over time, with regular maintenance treatments every 6 months, many patients find results become increasingly long-lasting as collagen continues to accumulate. Some patients report that after several courses, they can extend intervals between treatments.

Absolutely. Profhilo works beautifully alongside Botox (for comprehensive facial rejuvenation), dermal fillers (combining skin quality improvement with volume restoration), or chemical peels (for deeper resurfacing). Many patients have Profhilo for skin quality and Botox for expression lines, for example. During your consultation, Mr Chalhoub will discuss whether a combination approach would optimize your results.

Profhilo is exceptionally safe. Most common side effects are mild and temporary: slight redness, pinpoint swelling, or minor bruising at injection sites. These resolve within 24–48 hours. Rarely, patients experience temporary nodules or a mild allergic reaction. Serious side effects are extremely rare. Hyaluronic acid is a natural substance found in your body, and Profhilo has an excellent safety profile with millions of treatments administered worldwide.

No. Profhilo is not recommended during pregnancy or breastfeeding. While hyaluronic acid is a natural substance, there is insufficient safety data for use during these periods. We recommend waiting until you have finished breastfeeding before scheduling treatment. This is a standard precaution for all injectable treatments.

Most patients begin Profhilo in their 30s when they start noticing fine lines, loss of skin elasticity, or general dullness. However, there's no "right" age. Some preventative patients in their late 20s start Profhilo to maintain skin quality, while others don't begin until their 50s. The best time to start is when you notice skin quality concerns — fine lines, texture issues, lack of radiance. During your consultation, Mr Chalhoub will assess whether Profhilo would benefit you.

Profhilo is one of the most thoroughly studied bio-remodelling treatments available. Hyaluronic acid is a naturally occurring substance in your body, and Profhilo has been used safely for over a decade with millions of treatments administered worldwide. It has an excellent safety profile when administered by a qualified practitioner. Mr Chalhoub's extensive training ensures precise technique and optimal results with minimal risk.

Profhilo can often be combined with Botox on the same day. However, we recommend waiting at least 2 weeks after Profhilo before having other injectable treatments or facial procedures like peels or laser work. This allows the bio-remodelling process to establish without interference. Your practitioner will advise on the optimal timing during your consultation.

During your free consultation, Mr Chalhoub will assess your skin type, skin quality concerns, and aesthetic goals. He'll explain how Profhilo works, show you before/after photos, and discuss whether treatment would benefit you. He'll recommend whether a single session or course of two is ideal, discuss realistic expectations, and answer any questions. There's absolutely no pressure to proceed — we want you to feel informed and confident in your decision.