Dermal Fillers 2018-11-06T23:27:16+00:00

Dermal Fillers

Dermal fillers are a non-surgical treatment primarily used to shape and proportion the face, making them a very powerful tool in facial rejuvenation and enhancement. Dermal fillers are used to revolumise the face. Lost volume may cause folds, wrinkle, flattening or shriveling of an area. Facial volume loss is one of the key factors in the ageing process, and can help to replenish this lost volume and rejuvenate the face. The most common dermal fillers are made of a substance which is naturally found in the skin. Dermal fillers can address wrinkles, or treatment can be combined with anti-wrinkle injections.

Before & After


Dermal fillers are most commonly used in the lips, jowls, marionette lines, brows, cheeks, chins, naso-labial folds (the fold from the nose to the corners of the mouth), and in permanent frown lines.

Other commonly treated areas with dermal fillers include nose reshaping for those who do not want to undergo surgery, and also just under the eyebrows to give an eyebrow lift or to fill out any hollows there.

Tear troughs, or the hollows that occur under the lower eyelid, can also be filled with dermal fillers. They help to smooth the transition between the lower eyelids and the cheek, and therefore reducing the appearance of under eye hollows and/or fatty bulges.

One of the most popular reasons for dermal filler use is lip enhancement. Dermal fillers can be used to outline the border of the lips to enhance the definition of lips or in the body of the lips to enhance lip size and pout.

Finer lines are usually harder to fill with dermal fillers, and require finer fillers. Skin resurfacing with lasers is a good option for the reduction of fine lines as it is a more permanent option, but requires some recovery time.

Dermal fillers represent a diverse group of products that all have the common ability to replace the skin’s lost collagen.

They’re able to:

  • Volumise areas that should be plump such as cheeks and lips.
  • Fill in hollows that shouldn’t be present such as eye and temple hollows.
  • Erase wrinkles, both fine and coarse.

During a consultation with one of our medical staff, we will discuss and advise you on the best filler and treatment areas for you, after a careful aesthetic assessment. We will outline for you the amount of fillers required, the price, the side effects and the after-care required.

The face is firstly cleansed with anti-septic solution. Local anaesthetic may also be used in the skin to numb specific areas where the filler is to be injected. We often use ice to help numb the skin prior to any injections. Often there is mild discomfort associated with the treatment, but it is well tolerated by most patients.

Treatment times vary depending on the amount of fillers required and the areas treated, but generally take from 30 to 60 minutes. After treatment, it is possible to apply make-up if applicable, and to go about your normal activities. We usually ask you to refrain from heavy exercise however.Treatment with dermal fillers sometimes does take more than one session to get the best results. The first treatment lays the foundation for the subsequent treatments, and future treatments allow for any adjustments to be made.

There is usually some transient redness after the injections. Swelling is also present after the procedure, especially with any lip enhancement procedure. Swelling of other areas post-treatment tends to temporarily enhance the effect of the dermal filler, and it often takes 3 or more days to see the actual real improvement without swelling. Conversely, hyaluronic acid fillers often take up to a week to ‘hydrate’. They are very hydrophillic, which means they are attracted to water. Final results from fillers therefore take about a week or more, which is the time it takes for any swelling to subside and the dermal filler to hydrate.

Bruising can also occur, and if it does, it can take normally take a week or two to completely disappear.
Asymmetry is also possible, but correctable on a subsequent visit.

Small lumps can occur, and these will either dissipate in a few weeks, or may require dissolving with a different injectable product called hyaluronidase. For treatments around the eyes, puffiness can occur, and if present after one week, it will most commonly require hyaluronidase to correct.

Infection is a rare complication of dermal filler injections. Bacterial infections and viral infections (such as cold sore reactivation) can occur post-filler treatment. We help to prevent these complications through proper cleansing of the skin with antiseptic prior to treatment. Note that if you have a history of cold sores and the treatment area is around the mouth, then you should notify your treating doctor as filler treatment can cause cold sore flare ups. You may be instructed to take anti-viral medications prior to treatment if this is the case.
Generally, dermal filler treatment is very safe, non-surgical treatment for revolumising and shaping the face. They have been used safely for cosmetic reasons for over 20 years.

Yes. Despite having different actions, they are commonly used together. In fact, anti-wrinkle injections often prolong the effect of dermal fillers. Anti-wrinkle injections relax the underlying muscle that causes expression lines, and dermal fillers provide volume to fill in static lines.





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