Dermal Fillers

The Consultation Process

Your first consultation is crucial in determining if dermal fillers are right for you. Here’s what you can expect:

1. Discussion of Concerns and Goals: We’ll discuss your aesthetic goals and explore how dermal fillers can help achieve them. If needed, we’ll also consider alternative treatments.
2. Medical History: We’ll review your medical history to ensure the treatment is safe and suitable for you.
3. Facial Assessment: A thorough evaluation of your facial structure and concerns will help us develop a tailored treatment plan.
4. Consent: If you decide to proceed, we’ll explain the types of fillers available, their benefits, risks, and expected outcomes.
5. Photos: Pre-treatment photos will be taken to assess the post-treatment effect. Photos will not be used for social media without your explicit consent.
6. Long-Term Treatment Plan: We’ll discuss future treatments that align with your aesthetic goals.
7. Pre- and Post-Treatment Instructions: You’ll receive detailed instructions to ensure the best possible outcomes and minimise risks.
8. Addressing Questions and Concerns: You’ll have the opportunity to ask questions and express concerns throughout the consultation.

The Ageing Process and Dermal Fillers

As we age, the face undergoes changes due to the loss of collagen, elastin, fat, and bone density. Dermal fillers can address these changes by restoring volume and enhancing facial contours. The amount of filler required typically varies with age:

• 20s to 30s: Smaller volumes for subtle enhancements.
• 40s to 50s: Larger volumes to address more noticeable signs of ageing.
• 60s and beyond: Significant volume restoration may be needed.

Treatment Areas for Dermal Fillers

Dermal fillers can be injected into various areas of the face to address specific concerns, including:

• Lips: Enhance size, shape, and definition.
• Cheeks: Restore lost fullness and provide a lifted appearance.
• Nasolabial Folds: Smooth and reduce the depth of these lines.
• Marionette Lines: Soften lines and restore youthful contours.
• Tear Troughs/Under-Eye Hollows: Address hollows and dark circles.
• Temples: Restore volume and balance.
• Jawline and Chin: Enhance contour and definition.
• Fine Lines and Wrinkles: Soften and reduce fine lines.
• Hands: Rejuvenate the appearance by adding volume.

Post-Treatment Care

After receiving dermal fillers, follow these aftercare guidelines:

• Avoid touching the treated area for at least 6 hours.
• Apply cold compresses to reduce swelling.
• Avoid intense heat and sunlight for a few days.
• Be mindful of makeup application to prevent irritation.
• Stay hydrated and follow any specific skincare advice.

How long will the treatment last?

• About 9-24 months depending on the product used.

When will I see the effects?

• For traditional hyaluronic acid fillers the effects are usually immediate, though the treatment “settles in” over the next 1 week. 

Follow-Up and Maintenance

The effects of dermal fillers are temporary, typically lasting between 6 to 18 months, depending on the type of filler used. Follow-up treatments or touch-ups are usually recommended every 6 to 12 months to maintain desired results.

Complementary Treatments

Dermal fillers can be combined with other aesthetic treatments for enhanced results, such as Botox, chemical peels, laser treatments, and skin tightening procedures.

Stopping Dermal Fillers

If you decide to stop getting dermal fillers, the effects will gradually diminish, and your skin will return to its pre-treatment state. Stopping treatment does not accelerate the ageing process or worsen the skin’s condition.

Alternatives to Dermal Fillers

For those seeking alternatives to dermal fillers, options include Botox, laser skin resurfacing, chemical peels, microdermabrasion, and ultrasound skin tightening.

FAQs

How long before I see the effects?

With dermal fillers, the effects are usually visible immediately after the treatment. However, it’s important to note that the full results may take a few days to become fully apparent as any initial swelling or redness subsides. In some cases, it may take up to two weeks for the filler to fully settle into the skin, providing the final, desired appearance.

How long does this treatment last?

The duration of dermal filler results varies depending on the type of filler used, the area treated, and individual factors like metabolism. On average, the effects of dermal fillers can last anywhere from 6 months to 2 years. Hyaluronic acid fillers tend to last 6 to 18 months, while other types of fillers, like calcium hydroxylapatite, can provide results for up to 24 months.

Does the treatment hurt?

Dermal filler injections typically involve some level of discomfort, but the procedure is generally well-tolerated. Most fillers contain a local anesthetic like lidocaine to minimize pain. Additionally, a topical numbing cream may be applied before the procedure to further reduce discomfort. Some patients may feel slight pressure or a mild stinging sensation during the injection, but severe pain is uncommon.

Will I be sore after my treatment?

Yes, it is common to experience some mild soreness, tenderness, or swelling in the treated areas after dermal filler injections. These side effects are usually temporary and should subside within a few days. Over-the-counter pain relievers and cold compresses can help manage any post-treatment discomfort.

Will I be swollen or bruised after my treatment?

Swelling and bruising are common after dermal filler injections, especially in sensitive areas like the lips or under the eyes. Swelling typically peaks within the first 48 hours and gradually subsides over the next few days. Bruising, if it occurs, can take up to two weeks to fully resolve. Applying cold compresses and avoiding strenuous activity can help reduce these side effects.

Is there any downtime?

Dermal filler treatments generally involve minimal downtime, and most patients can resume their regular activities immediately after the procedure. However, it is advisable to avoid strenuous exercise, excessive heat (such as saunas or hot showers), and alcohol for 24 to 48 hours after the treatment to minimize swelling and bruising.

Can I wear makeup afterward?

It is generally recommended to avoid applying makeup for at least 24 hours after receiving dermal fillers. This allows the tiny injection sites to heal and reduces the risk of infection. After this initial period, you can resume your regular makeup routine, but be gentle with the treated areas.

Is this treatment safe?

Yes, dermal fillers are generally considered safe when administered by a qualified and experienced healthcare provider. The most commonly used fillers are made from substances naturally found in the body, such as hyaluronic acid, which reduces the risk of allergic reactions. However, as with any cosmetic procedure, there are risks, including infection, asymmetry, or unintended effects. It is important to discuss these risks with your provider before treatment.

What are the side effects of this treatment?

Common side effects of dermal fillers include temporary swelling, redness, bruising, and tenderness at the injection sites. In rare cases, more serious complications can occur, such as infection, allergic reactions, or vascular occlusion, which can cause tissue damage. Choosing an experienced provider and following their aftercare instructions can help minimize these risks.

Can I have this treatment at the same time as other treatments?

Yes, dermal fillers can often be combined with other non-surgical aesthetic treatments, such as anti-wrinkle injections, chemical peels, or laser treatments, to achieve more comprehensive facial rejuvenation. The timing and combination of treatments will depend on your specific goals and should be discussed with your healthcare provider to ensure optimal results.

What happens if I stop this treatment?

If you decide to stop dermal filler treatments, your skin will gradually return to its pre-treatment appearance as the filler material is naturally absorbed by the body over time. There is no rebound effect or worsening of your skin condition; however, any improvements made by the fillers will diminish, and the natural aging process will continue.

Who is unsuitable for this treatment?

Dermal fillers may not be suitable for individuals who are pregnant or breastfeeding, have a history of severe allergies, or have certain skin conditions or infections at the injection sites. Those with autoimmune diseases or who are on certain medications should also consult their healthcare provider before considering dermal fillers.

What alternative treatments are available?

Alternative treatments to dermal fillers include anti-wrinkle injections, laser skin resurfacing, chemical peels, microneedling, and ultrasound-based skin tightening treatments like Ultherapy. The best alternative will depend on your specific concerns and aesthetic goals.

How much product is typically used for each area?

The amount of filler used varies based on the area being treated and the desired results. For example, lip augmentation may require 0.5 to 1 ml of filler, while cheek enhancements might need 1 to 3 ml. Your healthcare provider will assess your needs and recommend the appropriate amount during your consultation.