0208 150 3400

Thames Smile

Over time our lips gradually lose volume, become smaller and flatten, the boarders. Develop fine lines and the cupids bow levels and corners of the mouth can turn downward. The result of ageing on the lips creates tired looking, unhappy and aged appearance. Gummy smiles can also affect confidence.

Simultaneous ageing effects across the bone, muscles and underlying fat cause the may cause overlying skin to sag and gravity to pull lax skin down to the mouth and chin area.

After 10 years treating the effects of ageing and skin laxity in the mouth area. Dr Hemming has developed a bespoke skin tightening and rejuvenation treatment for the smile, mouth and surrounding jaw and chin area.

Thames Smile uses skin tighteningdermal filler and Profhilo treatments in the mouth area with the addition of wrinkle injections and radiofrequency and HIFU depending on the level of treatment required to make the best results. Combined with ZO skin health for the best results.

Grouped into levels of tightening and improvement the Thames Smile has an option for all skin types and ages.

All treatments are designed just for you. The Thames Smile is a totally bespoke combination of lifting, tightening and volumizing treatments designed to stimulate collagen, hydrate and rejuvenate the perioral area as well as target stubborn, fat deeper within the jowl area. Using a combination of treatments to suit your skin and extent of collagen loss starting with Hydrafacial with the additional Lip PERK. This step can be used for everyone and repeated monthly. Should you require further lift, tightening or volumizing we can step to one of the additional levels.

Further skin tightening and hydration treatments combine dermal filler, Profhilo, muscle relaxation as well as HIFU, Radiofrequency and plasma treatment.

Muscle relaxation can be used for Gummy smile treatment to relax the gums.

There are two main types of dermal filler, made from hyaluronic acid or a collagen stimulator.

Hyaluronic acid fillers are a versatile treatment that smooths fine lines and wrinkles, restoring volume and contours to the face. Hyaluronic acid lives in all living organisms and also encourages collagen and elastin stimulation. Treatment results are seen immediately after injection and last until your body breaks down the hyaluronic acid product.

Collagen stimulators are not made from hyaluronic acid, but products that stimulate in a different way. Collagen is a naturally occurring protein found in your skin and body where it plays a key role, providing support and structure. As we age, we produce less collagen, leading to visible signs of ageing. Ellansé is a collagen stimulating filler that provides immediate volumisation followed by long-term collagen stimulation. The volumisation and correction of wrinkles is seen immediately after treatment, following which gradual stimulation of your own collagen production gives natural-looking and long-lasting result.


Is this treatment suitable for me?

The Thames Smile is a bespoke treatment designed specifically for you following consultation.  We discuss your medical history at your new patient consultation goals from treatment. Following this Dr Hemming will design your Thames Smile. Treatments benefit from skin hydration and tightening, wrinkle and fine line treatment in the lower face, natural lip hydration and volume. The Thames Smile includes skin hydrating over a number of visits 3-6 weeks apart.

We would ask you to postpone treatment if you were pregnant or breastfeeding. Treatment may not suitable if you are having immune therapy or undergoing cancer treatment.

How safe is treatment?

All our Thames Smile Treatments are performed by Dr Hemming who is extremely experienced in aesthetic injectable techniques and has a very good eye for natural treatment.

Will I feel any pain or discomfort during my treatment?

You should expect some minor discomfort or tenderness initially, this settles very quickly. We use local anaesthetic injections to help numb some treatment areas and cool compress to calm any potential swelling.

Are there any associated risks?

Side effects from Thames Smile treatments are minimal, if any, but may include. Mild bruising or tenderness, redness, dry skin and itching over the treatment area as it settles.

How much downtime is usually needed and what should I expect?

After Thames Skin mouth and lip area treatment there can be some redness and swelling and possibly some bruising. This is normal after treatment and can last a few days to 2 weeks


Following your new patient consultation or discussion with one of our lovely Thames Skin Clinic team you will have been recommended for the Thames Smile treatment.

Unlike some smile treatment you will be treated over 1-3. Visits.

At your initial visit your treatment will be discussed in full. A combination of hyaluronic acid injectable products are used to stimulate the skin around the mouth without increasing volume or causing the unnatural duck lip appearance seen in the media. By using a specialist product for skin strengthening, hydration and treatment of laxity within the skin we are able to tighten the perioral area and make more natural fuller lip treatments without an unnatural pout. All of our lip treatments are designed to create a genuine lip volume and natural happy smile.

The addition of muscle relaxation treatment helps to release the muscles pulling the lateral corners of the mouth down and helping the oral area to look happier as well as reducing bar code lip lines caused with age. Gummy smile can also be treated with this injectable.

Local anaesthetic cream or a small injection of local anaesthetic may be used to make your treatment more comfortable.


Lip filler effects can be seen immediately, treatment tends to swell a little overnight and settles fulling over the subsequent days. After 14 days the filler should feel soft and fully integrated into it surrounding area. This part of the Thames Smile treatment lasts 6-12 months.


The hyaluronic acid strengthening treatment is injected into the intradermal layers taking 12 hours to smooth and form a fine intradermal net of collagen stimulating hyaluronic acid. Over the next few weeks the area benefits from increased hydration and your skin will glow. During which time increased collagen is starting for form and becomes more noticable 3-6 weeks later.


Your second appointment is scheduled during the collagen stimulation phase and the hyaluronic skin boosting treatment is repeated. Repetition reinforces the hydration and collagen boosting increasing the longevity of the treatment results.


The use of botulinum toxin in the oral area and chin help to smooth orange peel texture on the chin area as well as fine lines and wrinkles. Treatment takes 14 days to reach full effect.

Treatment Areas

Corrects volume loss, rejuvenates signs of ageing in lip and mouth area. Also, treatment of a Gummy smile.

Side efects

Side effects are minimal if any. Injection site tenderness and mild bruising as well as redness, dry skin and itching to the treatment area may occur. Lips can swell after treatment and will settle within 7-14 days.

Dermal fillers should not be used if pregnant or breast feeding as we have no research to prove it is safe for your foetus or child.

Care must be taken if you are currently suffering with a skin infection or allergy or taking particular medication. Your specialist will be able to advise you further if you have recently had a skin peel or resurfacing procedure. Please let the doctor know if you suffer from cold sores as treatment can sometimes trigger the virus.

More serious complications can occur which is why all of our dermal filler treatments are performed by a medically qualified practitioner who is trained in complication management.


Do not touch, rub or massage the area or apply makeup for at least 6 hours.

Immediately you may have redness, swelling, bruising, discomfort or itching these should settle over 7-14 days.

Ask your doctor to advise a pre and post skin care regime to rejuvenate the skin and maintain maximum effects.

If you suffer from cold sores these may be activated by treatment and your doctor may prescribe you some antiviral cream or tablets.


AVOID skin peels, sunbeds and laser treatments for up to 2 weeks.

Thames Smile treatments are totally bespoke creating the best treatment, designed for you to give the best results. We often get asked about the cost of treatment. At Thames Skin Clinic we pride ourselves on results rather than focus on the price of a treatment, it is more important that we get the correct quality of product rather than offer cut price treatments, products and services (especially when it comes to medical treatments). You will never see Thames Skin Clinic advertising services on social coupon sites such as Groupon as we believe they have a negative impact on our customer safety, results and satisfaction. We also wish to abide by the advertising regulator and work in a safe ethical manor.

Our prices reflect the skill, training and premier product choices we have made as well as the true reflection of the beautiful bespoke clinic surroundings.

To discuss Thames Smile treatment and for a detailed consultation regarding the best options for you treatment please call us today and book an initial consultation with our specialist practitioners. There is a charge for appointments with Dr Hemming.


Treatments offered:

Gummy Smile £290

Lip dermal filler From £495

Profhilo £525

Thames Smile Package £1500 (Includes 4ml Profhilo & 1ml dermal filler)

Additional effects

Anti-ageing and beauty treatment for fine lines and wrinkles Smooths smokers’ lines and lip lines Gummy Smile Hyaluronic acid encourages collagen stimulation Corrects lip contour alignment

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Initial appointment

New Patient consultation 45 minutes

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Treatment takes

30 minutes (following consultation) 2 or more visits

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Follow up

4 weeks following second treatment

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Lasts for

12 months

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Results take

Immediate effect, takes 2 -3 weeks to settle

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Nil. Some swelling may occur overnight at take 2 weeks to settle

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Anaesthetic required

Yes – local anaesthetic used

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Treatments from


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Percent efficacy


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Verified Reviews

Read what our valued patients have to say about their visit

03 Apr 2020

The results just keep getting better.

I’ve been visiting Doctor Anna for over a year to revitalise my skin with topical treatments. As I grew to trust her professionally, I decided to take that bold journey to address my dark circles which have gotten worse with age. I was incredibly nervous and a bit scared that I would look unnatural or vastly different after treatment. From the first day of treatment, I was excited and pleased with the results. It’s been two weeks now, and the results just keep getting better. I feel beautiful. The cherry on the cake is my loved ones and close friends haven’t noticed a thing!


20 Mar 2020

Amazing place, lovely staff

I was a bit apprehensive as I had never had a facial before but when I arrived and met Lizzie she put me as ease immediately and the treatment out of this world. Amazing place with lovely staff and a wonderful experience.


19 Mar 2020

I really trust Dr Anna Hemming

I have been coming to Dr Anna Hemming for wrinkle treatment for the past 4 years. I’m always happy with the fresher natural look she gives me. Friends have been surprised when I tell them I haven’t been on holiday and that my rested look is actually wrinkle treatment. I really trust Dr Hemming to do the best for me and feel safe in her experienced medically qualified hands. So, now she has opened a fabulous new clinic I’m venturing to other treatments. I’ve just had 3 LED sessions with aesthetic practitioner Lizzi (who is very knowledgeable and super friendly) and these have really plumped up my skin . I’ve booked a Hydrafacial for next week. The clinic is a uncluttered minimalist space with the latest skincare equipment. It feels hygienic yet relaxing. It’s a pleasure to visit. Thank you.


18 Mar 2020

I absolutely love the results of the filler on my face and lips

Hi everyone, could you please let Dr Hemming know that I absolutely love the result of the fillers on my face and lips. I wanted a natural look and discussed this with her, and I have to say I was a little anxious about putting filler in my lips but I love them. I have the natural look I discussed with Dr Hemming and the one I was hoping for, it has given me a real confidence boost. Stay safe love Marian x


28 Feb 2020

Anna is Amazing

I am very happy with the treatment and service I received. Very friendly staff and Dr Anna is amazing. I’d love to come again.


05 Feb 2020

Treatment delivered with great skill

Attentive professional treatment delivered with great skill


09 Jan 2020

I can highly recommend Dr Anna Hemming

I started to develop skin issues around my eyelid area. Having been to see two other dermatologists who were unable to assist due to the delicate and sensitive area around the eyes, it was a welcome relief for Dr Anna Hemming to be recommended to me. She immediately put me at ease, talked me through the available treatments, provided me with a quote and arranged to see me again to carry out the procedure. Within 2 weeks of the initial consultation my treatment was completed. It has made such a difference to my face already. I feel more confident and am so relieved to have found a consultant who not only listened but carried out a procedure that I was told was not possible. I can highly recommend Dr Anna Hemming and have already to my friends. I have no doubt I will use her again for any other derma-logical procedures.


12 Dec 2019

Anna makes you feel totally relaxed

Anna makes you feel totally relaxed and inspires confidence with her knowledge.


13 Feb 2019

Helped improve my skin

She helped me improve my Skin. I wish I met her 10 years ago. I never thought my Skin will glow and get rid of my acne.


22 Jan 2019

Fabulous results!

Amazing! As I new client I was very impressed with the wrinkle treatment consultation, procedure and results. Dr Anna is first class at providing that much sought after rested and refreshed look.

Heather Latham

10 Jan 2019

Just excellent!

Anna is amazing, she really understands what her patients need and doesn't try and over push any product or procedure. She always does what is just right. Thank you Anna.

Terrey Burr

09 Nov 2018


Amazing person and Dr, professional, extremely knowledgeable, caring and friendly, makes you feel relaxed and comfortable. I’ve been a few times now to Dr Hemming, I always look forward to going, and the results are always incredible.

Amanda W

18 Jan 2019

Absolute Professional

I first came to Anna when I suffered from tired, dry and lifeless skin very prone to breakouts. Anna put me on a skin rejuvenation programme using some amazing products and my skin is now the best it’s ever been and I now get frequent comments on how amazing my skin looks!

Charlotte Edwards

08 Nov 2018

A very relaxed environment

A very relaxed environment and felt very safe in Doctor Hemmings hands. Very pleased with my results and will be going back. I would thoroughly recommend Dr.Anna to my friends and family!

Alex Lyons

11 Nov 2018

All round great experience

Efficient, friendly and super informative. You can tell that Anna has been in the practice for years and knows exactly what she is talking about.


08 Nov 2018

100% recommend Dr Anna

I recently saw Dr Anna and am extremely happy with the results. The treatment and product were fantastic as was her manner and professionalism. She really listened to my areas of concern and came up with a fantastic treatment plan and my before and after shots are really impressive!

Ali Branson-Willis

01 Nov 2018


I would heartily recommend Dr Anna Hemming to anyone seeking cosmetic treatment. She is truely up to date with all the latest techniques and products, and she practises with great skill and subtlety - her friendly manner makes consultations a pleasure. 5 stars.


04 Oct 2019

Satisfied Client

I am delighted with the results of my first treatment for plasma blepharoplasty with Dr Anna. What a difference in just one treatment. Dr Anna is highly professional and was really supportive, reassuring and informative. I have already booked my second treatment.


01 Nov 2018

Highly recommended!

Excellent. Very professional, knowledgeable and friendly. I felt very relaxed and well looked after. Never rushed. All options were explained and I was shown new ideas that I had not heard of before from other practitioners. Highly recommended. I feel lucky to have found Anna.


28 Aug 2018

Clearer skin at last!

Dr. Hemming is the best when it comes to skin health and rejuvenation. I’ve been loving the OZ skin health range and it’s really improved my skin. (Clearer skin, tighter all over and reduced pore size). I’ve been spot prone all my life and was so fed up with nothing ever working. Finally I have a plan that is clinically proven and safe for my long term skin health. Thank you Dr. Hemming!


12 Apr 2018

Great listener

Great listener, tailors treatment to needs brilliantly. Recommend her services to all! Great doctor!


20 Jul 2017


Dr Anna Hemming is extremely professional and knowledgeable in all kinds of treatments and skin care where her expertise is second to none. I have known Dr Hemming for many years and she successfully treated my children’s acne and now she is successfully treating my middle age complaints. She is an inspiration and always full of enthusiasm for the help she can give her patients.


15 Aug 2017

I look younger!

I received Fractora treatment now 3 weeks ago from Dr Hemming. There has been a slow healing and gradually I see myself less tired looking and my lines have noticeably reduced . The beginnings of a jowel I had along my jawline has disappeared which is exactly the part of my face that bothered me most. It seems as if I’ve had a face lift! My skin is firmer and the hollows less deep. I dare say I look younger.


21 Mar 2017

I will definitely be back

It was great to find Dr Anna, she works in a very professional environment. She has a great eye for detail. I am very happy with my results and I will definitely be back to find out more about your skin care range too.


08 Mar 2017

No make up and loving it

No make up and loving it, you have totally sorted out my skin. You have a gift, use it! One happy 40 year old. Love you!


21 Aug 2020

Go, you will not be disappointed.

I have recently moved to Barnes and was searching for someone that could deliver wrinkle injections on my skin but I wanted someone reputable, Doctor led, and that didn’t over do my face as I don’t want it to look like I have treatments. I had my appointment with Anna, the lovely lady that owns this clinic and what a brilliant experience it was for me. I knew my end result would be exactly what I was after. I shall be back, for other treatments because I feel I’m in safe hands and you all know what you’re talking about. No I know why Anna has such a great reputation within the industry. She is not only a wealth of knowledge when it comes to skin but I feel at ease and taken care of in her beautifully designed clinic in Twickenham. Go, you will not be disappointed.


31 Jul 2020

Dr Anna and her team are professional

I’ve had the pleasure of going to Dr Anna for a few years now and was delighted when she opened The Thames Skin Clinic as so close to where I live. The space is gorgeous and bright so perfect for any treatments you may require! I’ve been used to, in the past to going into these darkened rooms where they surely can’t treat you properly. Dr Anna and her team are professional and friendly in the right measure and make you feel at ease and confident that you’ll walk out of there looking and feeling a million dollars!! Would def recommend a visit to see for yourself!


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