Mr Matthews favours the use of hyaluronic based fillers, such as the Restylane range, which require a top-up after four to six months rather than permanent fillers with ‘foreign material’ as these can sometimes cause great trouble if, for instance, infection occurs.

Restylane injections are carried out on an outpatient basis, with or without local anaesthetic as necessary. Restylane causes some localised redness which tends to settle quickly (approximately 24 hours).