cosmetic MD

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DERMAL FILLERS

FREQUENTLY ASKED QUESTIONS


Who are the best candidates for dermal filler injections?

Dermal fillers can be used in both men and women who want to either enhance specific facial features such as their lips, cheeks or chin; or for adults who want to reduce the signs of ageing on their face and restore their lost facial volume of youth.

Generally, anyone over 18 years old can have dermal fillers. In younger patients, the concern is usually to increase the size of certain areas such as the lips and not so much to fend off the volume loss associated with ageing or significant weight loss.


What is the cost of dermal filler injections?

Dermal fillers are priced according to the type and amount used. You pay for what you use. The volume used is based on the amount of volume loss that you want treated. As the most common dermal fillers are pre-packaged in 1 ml syringes, we generally work in volumes of unit mls. At your initial consultation with our physician you will be provided with the exact price of your treatment.

We do run special pricing from time to time - please check our website from time to time for details, or add yourself to our mailing list to be kept updated on specials.

What can I expect?

It is a common misconception that dermal filler injections will result in oversized cheeks or “duck lips”. The goal of a treatment is to restore your youthful contours, while still retaining a natural appearance. The volume of filler used depends on the amount of volume restoration required. If a large volume is required, we may elect to spread the treatments into several sessions over a few weeks or months. This ensures a gradual restoration and is more affordable.

During the consultation at cosmetic MD, our physician will go through your medical history, discuss your concerns and expectations, and then advise on the most appropriate treatment. If it is decided that dermal filler injections form part of your treatment program, it will be explained the estimated amount you will need (the cost), any risks to treatment and what to expect following the injection. Digital photography will be performed to record your baseline appearance and movement and the results of treatment.

What happens during the procedure?

The actual injection is performed with fine needles or injection cannulas and generally takes between 10 to 30 minutes, depending on how much volume is required. We aim to minimise the discomfort by using ice, anaesthetic numbing cream or using nerve blocks in the treatment areas. We may massage the area to ensure an even distribution of dermal filler within the skin during the treatment.

Unlike anti-wrinkle injections, you should be able to notice the effect of dermal fillers immediately. There will be some redness in the treatment area which usually fades within a few hours. There will always be some injection-related swelling in the treatment area over and above the added volume of the dermal filler. This swelling will usually resolve by 2-3 days. There may also be some bruising which is usually amenable to make-up camouflage.

After the injection you can usually return to work or home right away depending on the extent of any swelling or bruising. You are advised not to touch or rub the treated area as this can alter the shape of the injected dermal filler.

Subsequent treatments will be needed at approximately 9 to 12 month intervals to maintain the volume restoration (assuming you remain at around the same body weight).

Is it safe?

The substances in our dermal filler injections are naturally occurring in the body and have been studied for over 2 decades. They have one of the best safety profiles of all prescription drugs and are considered safe.

Are there any side effects?

Dermal filler injections are generally well tolerated and have few side effects. There is usually little downtime and it is a safe walk-in, walk-out procedure.

The commonest side effects include:
  • Redness and swelling in the treatment area, which usually subsides within 2 days
  • Bruising, uncommon (but depends on treatment area - for example, lips are more likely to bruise than the cheeks), is related to the needle

Much less common side effects include:
  • Dizziness, nausea (usually related to the act of injection)
  • Lumpiness, depends on area treated, usually amenable to massaging if occurring within the first few weeks of treatment
  • Provoking of cold sores if lips treated, in patients with a history of cold sores
  • Delayed onset lumps or nodules in the treatment site, typically occurs around 3 to 6 months. This is generally an inflammatory process (not usually infective) and can be managed without any significant complications

Very rare side effects Include:
  • Infection
  • Injection of filler into a blood vessel (we will discuss this at your consultation)

If you have a big event coming up, we would generally recommend having dermal fillers at least a week or two beforehand just in case there is any bruising or delayed resolution of swelling.

How long does the effect last?

The duration of action depends on the dermal filler used (and the particular treatment area) - typically they can last between 9 to 18 months (and sometimes longer if a larger volume has been used). There is also a range of longevity in different people as some patients break down the filler much faster (or slower) than others.

You will notice that your treated areas will start losing volume moving and gradually return to their pre-treatment appearance (assuming your body weight does not change too much). Ideally, we would advise retreating before full volume depletion occurs as this is best for maintaining the effect.

Can I receive (or continue to receive) dermal filler injections during pregnancy?

At this time, we do not recommend treatment during pregnancy or while breast-feeding.

What if I don’t like the results?

The major advantage of the most popular dermal fillers is that the effect can be reversed.

If you have a dermal filler treatment and don’t like the result because it is too full or uneven or lumpy, we can dissolve the dermal filler through a simple injection of a naturally occurring enzyme.

The considerations around the reversal will be fully discussed at your consultation.

What is the difference between anti-wrinkle injections and dermal fillers?

Anti-wrinkle injections help to smooth out fine lines associated with ageing in the upper half of the face by relaxing the muscle movement in those areas. Dermal fillers are used to create contours, fill in deep wrinkles and depressions, as well as enhance facial features.

Anti-wrinkle injections and dermal fillers can be combined in the same treatment session, depending on the type of results that you want to achieve. This can be discussed at the time of your consultation.


*Under Australian law, dermal fillers (and the dissolving enzyme) are prescription-only medicines, and therefore we are unable to name the products that we use.