0208 150 3400

Profhilo Structura

Profhilo Structura is the highest concentration of pure hyaluronic acid (90mg/2ml), and when injected underneath the dermis in the subcutaneous fat it restores the adipose tissue’s health to create a significant and exceptionally natural lift.

The movement of fat within compartments, due to time and gravity, can result in an inferomedial displacement of the overlying skin envelope. This repositioning or shift of fat often leads to increased hollows in the cheeks and to a flattening of facial angles. Consequently, there is a loss of fat volume in the middle and lateral cheek compartments.

Profhilo Structura is an injectable pure hyaluronic acid treatment placed in the lateral mid face adipose (fat) tissue injectable, which regenerates, and repositions fat on the sides of the face to lift and restore healthy subcutaneous skin layer.

Following a hugely successful pre-launch study treatment programme which Dr Anna Hemming played a key role,  we are one of the first clinics in the UK to be using Profhilo Structura, we have a huge amount of experience performing the treatment and a detailed understanding of the science behind it. Dr Anna travelled to Milan where pharmaceutical company, IBSA produce their pure Hyaluronic acid products and she has first-hand training from the international trainers in their bespoke training facility. Dr Anna joined 2 IBSA international key opinion leaders to present at the UK launch this June.

We use Profhilo and Profhilo Structura in combination with each other as well as our other injectable and energy based treatments to provide a fully comprehensive skin restoration programme, including the Thames Neck Lift, Thames Face Uplift and Thames Smile.

Profhilo Structura treatment is ideal for patients who want subtle, natural looking treatments to restore small imperfections rather than radically change their appearance. Treatment has minimal side effects, patients do not find treatment painful, if anything it is quick, pain free  and can be done during ones lunch break as there is no/minimal downtime.

At Thames Skin Clinic, we use a couple of different techniques, depending on your area of concern, either to help lift sunken jowls, or improve pre auricular hollow which cause the lower face to sink inwards.

Treatment improves

  • Loss of Volume
  • Jowls
  • Facial Hollowness
  • Skin Laxity
How many sessions will I require?

Following an initial consultation with Dr Anna to assess your suitability, goals and expectations, a course of 2 treatment sessions with a 30-day interval is recommended.

When will I see results?

Many of our patients experienced a lift immediately after their first treatment, however results will become more prominent in the 2 months after the full course of 2 sessions is complete.

How long do the results last?

After a few weeks Profhilo Structura will restore and regenerate the adipose tissue in the side of the cheek, aiding the lifting and hydration of the subcutaneous layer. Effect can migrate to the dermis which can also feel more hydrated. Crepey skin overlying depleted fat pads is rehydrated and causes a smoothness t the skin too. This regeneration lifts the jowl upwards and if we are treating sunken hollows the volume is restored in a natural looking smooth way.

Results of the restoration in the adipose tissue with depend on the condition of this layer at presentation. After 6-12 months we can review the skin and assess the need for additional treatment. For patients with very depleted and disrupted skin treatment would be recommended closer together initially.

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

Patients may experience a tiny swelling after treatment, and a bruise may appear on the single injection sites. This will dissipate within a few hours and should not disrupt your day.

Are there any associated risks?

We take every precaution to ensure risks are. Treatment is injected using a cannula as cannula injections are have fewer associations with vascular compromission or occlusion events. We require every patient to have an initial consultation with Dr Anna who will thoroughly assess your suitability before any treatment is carried out.

Is the treatment painful?

Before injecting, a numbing injection (or cream) will be applied to the cannula site in order to minimize discomfort. Profhilo Structura will then be administered via a single injection site using a cannula to further minimize discomfort. Because of this, most patients remark on how pain-free the treatment is.


First your medical history will be taken followed by an examination of your skin concerns. You can discuss whether Profhilo Structura treatment is suitable for you and address your expectations from treatment. When the treatment has been fully explained you will be required to sign a consent form and a photograph will be taken for your confidential records.

Following cleansing local anaesthetic can be applied if needed.

Your Profhlio Structura treatment will then commence with superficial single site injection.

Following treatment you an antiseptic cream or lotion will be applied, normally Clinisept+

Treatment is a safe and effective way of tightening and lifting your skin.

Your comfort levels and expectations are important factors which are considered in your consultation.

Treatment areas

Profhilo Structura treatment can be used on the lower face, injected in two specific ways depending on your goals.

Treatment is offered as a 2 session course (using 90mg/2ml Profhilo Structura  per session) with 30 days between treatments.

Side effects

Side effects are minimal if any. Injection site tenderness and mild bruising may occur.

It should not to 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 diagnosed with neurological or bleeding disorders, currently suffering with a skin infection or allergy or taking particular medication. Your specialist will be able to advise you further.

Please discuss any current medication with the doctor, especially if you are taking aspirin on Ibuprofen. Medication may need to be stopped before treatment.



  • There may be some tenderness, redness, swelling and bruising around the injection site. This is normal and will subside, usually within a few days (or hours).
  • If swelling or pain persists or you are concerned, please contact the clinic as soon as possible.
  • Use a cold pack to reduce swelling and /or redness.
  • Do not massage or manipulate the treated area.
  • Apply a SPF 30+ sun screen. Recommended ZO skin health SPF 30 + primer, or ZO Skin Health Sheer SPF50.
  • Stay hydrated
  • No recover times is required and you can return to your daily activities immediately.
  • Avoid any further cosmetic procedures for 2 days after treatment.
  • Avoid wearing make up for 12 hours post treatment
  • Avoid extreme temperatures (hot and cold) for a minimum of 7 days after treatment (no saunas, steam rooms, sun beds or sun exposure).
  • Avoid touching treatment area without first cleaning hands (can use Clinicsept+)
  • Avoid strenuous exercise for 24 hours
  • Avoid Swimming for 48 hours
  • Avoid alcohol for 24 hours after treatment

Ensure you have booked your second treatment 30 days after the first and a follow up 1 month after your second treatment.

If you have any concerns following treatment with Profhilo Structura please contact Dr Hemming immediately.

To discuss Profhilo Structura treatment and for a detailed consultation regarding the best options for you, please call us today and book an initial consultation with our specialist practitioners.

Initial appointment

New Patient consultation 45 mins

Read more

Treatment takes

15 minutes (following consultation)

Read more

Lasts for

6-12 months, permanent with maintenance treatment

Read more

Results take

3-6 weeks with full results 3 months after final treatment

Read more


Possible localised bruising or swelling. Reserve 12-24 hours for skin to settle

Read more

Before and After Treatment

Results after a 2 session course (using 90mg/2ml Profhilo Structura per session)

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!


Call 0208 150 3400 for more information about treatments and consultations

Get in touch
Make an enquiry

Make an enquiry

    Please consent to providing your above data to us in accordance with our privacy policy.