Attitudes towards ageing are shifting: more people are seeking treatments that help them look refreshed and well-rested, rather than dramatically different. The advances in derma fillers mean that aestheticians can achieve natural results that revival more invasive procedures like a face lift. “Aesthetic treatments have been thrown into the mainstream beauty consciousness and just like any beauty trend it’s evolving,” says Dr Firas Al-Niaimi.
Skin of colour is often thought of as ‘ageless’, with phrases like “Black don’t crack” pointing to the idea that fine lines and wrinkles appear later or less noticeably. Because of this, it may come as a surprise that dermal fillers are becoming increasingly popular with women of colour.
Francesca Otote, founder of Cactus Laser Clinic explains: “Assuming the ‘crack’ is fine lines, dermal fillers may be used to address this, although typically considered a last resort. Many clients prefer to explore less invasive treatments first, such as medical skin peels or microneedling. I am also a strong advocate for skin boosters, particularly for improving overall skin quality. While fillers certainly have their place, we more commonly utilise them for profile rebalancing and refining facial asymmetries.”
This means that fillers aren’t always about chasing youth; they can also be used to refine features and restore balance to the face, something many women of colour are seeking without losing their natural identity.
Ozempic crisis
With treatments like the weight-loss injection Ozempic, as well as other brands such as Mounjaro and Wegovy, rising in popularity, fillers are being used to address the knock-on effects. Francesca noted: “‘Ozempic face’ typically occurs due to the loss of facial fat pads, which can result in a deflated appearance and make clients look older. Dermal fillers can help restore volume, and lift and support the skin; however, when significant skin laxity (loss of skin firmness and elasticity) is present, fillers alone may not provide the desired outcome. In such cases, we recommend a combination of skin-tightening treatments to achieve more comprehensive results.”
Her philosophy is to take things gradually: “Slow and steady wins the race! While hyaluronic acid fillers are technically dissolvable, this should always be considered a last resort. I believe in having a thorough consultation with each client to discuss their desired outcomes, both short and long term, while also factoring in their budget. From there, we create a tailored treatment plan, delivered over the course of weeks or, more often, months.”
Why choosing the right practitioner matters
For Teresa Tan, founder of Tan&Co, the biggest concern is safety. In the UK, there is currently no minimum legal training requirement to administer fillers. While this is in the process of being addressed by the Health and Care Act 2022, the government’s plan will first tackle the most high-risk non-surgical cosmetic treatments (such as non-surgical ‘Brazilian butt lifts’ (BBLs) and breast fillers), before a public consultation will help shape regulations around injectables like dermal fillers and Botox in the years to come.
In the meantime, anyone can offer fillers to clients, whether they’re a nurse in an aesthetics clinic, a beautician, or an individual running a business from their home. Teresa told us: “It’s a concerning reality. While there are a few non-medics who deliver injectables with care and skill, the majority of unregulated providers operate in unsafe conditions – injecting in non-sterile environments, sourcing medications illegally, and even falsely claiming medical credentials. Without oversight from bodies like the GMC, NMC, or GPhC, there’s no accountability – and that puts patients at risk.”
Her advice? “Until stronger regulations are enforced, I urge everyone to vet their practitioner thoroughly – check qualifications, registration, and experience. You have every right to ask.”
The shift towards subtle results
Practitioners agree that the era of “overfilled” looks is fading. Teresa explained: “We’re seeing a growing awareness around mental health, body dysmorphia, and the psychological impacts of aesthetic treatments. Many patients no longer want to look ‘overdone’ – and in some cultures, even seeking treatment can still be considered taboo. We’re also learning that filler lasts much longer than once believed and can migrate over time. Personally, I’m dissolving more filler now (often placed by other clinics) than I’m injecting – and that’s a positive shift.”
Francesca echoed this: “In reality, good aesthetics is about subtle enhancement, not transforming you into someone else’s face. The best treatments are those people can’t quite pinpoint, they just notice you look fresher, more rested, and well.”
Dermal fillers are no longer just for Hollywood. They’re becoming a popular option for women of colour who want to subtly refine, refresh, or rebalance their features. But as both Francesca and Teresa make clear, the best results come when you prioritise safety, choose qualified practitioners, and focus on enhancing your own beauty, not copying someone else’s.
Brands to bookmark
Above, from left to right: NIVEA CELLULAR Epigenetics Age Rewind Face Serum, £34.99; Brow Aid IllumiLift Hydrogel Mask, £29; Bubble’s Talk Back Hydrating Lip Serum, £11
What to consider for skin of colour
If you’re thinking about dermal fillers, here are a few takeaways from Francesca and Teresa:
Start with skin health
Consume a skin-nourishing diet filled with vitamins, drink plenty of water, and use the right products for your skin type – including SPF. Teresa stressed: “Without consistent sun protection and a healthy skin barrier, you’re wasting your investment in injectables. Treatments will always look better on well-cared-for skin.”
Be wary of celebrity copycats
Francesca explained: “Unless your bone structure, skin type, and skin quality are identical to that celebrity, it’s highly unlikely you’ll achieve the exact same results. Our tweakments are all about enhancing your natural features and helping you become the best version of yourself.”
Do your research
Teresa advised: “Honestly? Start with how they look. You wouldn’t go to a dentist with bad teeth. If a practitioner appears heavily overfilled, that might be a red flag. Beyond appearances, look into their qualifications, medical background, registration with a governing body, and experience.”
Be patient
Results that last – and look natural – often come from gradual treatments over time. Rather than aiming for a full transformation in one session, a step-by-step approach allows your practitioner to build volume carefully, maintain facial balance, and give your skin time to adjust. This way, you can enjoy safe, flattering results that feel like an enhancement rather than a big change.
Don’t neglect aftercare
Darker skin tones can be more prone to certain post-treatment issues like swelling or pigmentation changes, so following guidance on avoiding sun exposure, skincare routines and any recommended touch-ups is essential.
Featured image c/o Milk Makeup
