History and Science of Dermal Fillers

Dermal fillers were initially used for filling cosmetic facial defects during late eighteen hundreds, when paraffin wax appeared somewhat effective even though it caused inflammation in patients.

This was followed by silicone oil being introduced among other products such as liquid paraffin; that lead to granuloma formation, severe infection, and disfiguration during their application process.

The New Millennium brought about improved technology with collagen derived from cow skin becoming popular.

Across decades, the growth trajectory of dermal fillers has firmly established their efficacy and utility.

The use of different materials like collagen stimulator injectables containing poly-L-lactic acid or calcium hydroxylapatite has catered for specific needs through various applications.

In recent times, innovative practices such as micro-cannulas, alongside layering approaches, as well as cross-link techniques have been adopted to enhance precision, longevity, and to achieve more realistic appearances.

There are also many areas of the body that are often overseen or neglected, such as the neck, hands, elbows, knees and other body areas where skin laxity is present with advancing age – and notably – these areas are certainly treatable using dermal fillers and other injectable modalities.

The optimal blend between filler material as well as tissue response with required placements, elicits plumper skin that may last from a longevity point of view from 12-18 months, depending on individual circumstances.

When it comes to dermal filler science – they interact with tissue at a specific location within the skin’s subcutaneous tissue. The outcomes speak loudly – filling up volume deficits and retaining moisture in the skin, all while prompting collagen production; thereby over time, leaving you looking rejuvenated, plump and youthfully firm.

The aesthetic results remain in place for varying periods starting from several months to over one year, however, this is contingent on the volume of filler used and what type of filler is utilised by your registered practitioner, whom each patient will consult with prior to undergoing treatment.

What are Soft Tissue Dermal Fillers?

If you are concerned about the appearance of ageing skin on various parts of your body, then it might be time to consider dermal filler treatment. These injections can help restore firmness to areas such as the cheeks, lips, and even buttocks, by using biocompatible substances such as hyaluronic acid or collagen stimulators.

Say goodbye to common cosmetic worries and enhance your natural beauty by seeking qualified services that will create a rejuvenated appearance you will cherish for 12-18 months.

Ageing can cause an individual’s face muscles around the eyes, mouth, or forehead to become weaker, thereby resulting in volume loss in the soft tissue of the face; which also leads to the formation of fine lines or wrinkles in the skin. Dermal fillers can be used to address concerns such as volume loss or additionally to address natural facial asymmetries.

For individuals who wish to diminish conspicuous signs of ageing, it is essential to highlight the incredible benefits offered by dermal fillers – a type of injectable filler used specifically within the dermis layer of the skin.

By targeting specific areas such as the lips, cheeks, under eyes, upper eyelid, namely areas which may have lost their youthful appearance – or other areas that are showing flaws like wrinkles or fine lines – these filler substances made from various materials can provide volume restoration, enhanced contouring, or improvements in skin texture.

To summarise, dermal fillers are a non-surgical, minimally-invasive cosmetic procedure that can help smooth out wrinkles, restore volume to the face, and contour facial features in a convenient, low-downtime manner.

How do Dermal Fillers work?

Dermal fillers act by boosting collagen production while also increasing volume within treated areas – this delivers noticeable results that elevate your overall appearance.

The process behind dermal fillers can be considered relatively straightforward. With just a few injections using either a fine needle or cannula to administer the chosen filler, patients can achieve beautiful outcomes.

The exact technique used will vary from case-to-case based on several factors such as preferred placement and appropriate filler types. Characteristically on the whole, dermal filler treatments are quite tolerable from a pain point of view, and with minimal downtime.

Types of Dermal Fillers

Opting for dermal filler treatments is for many an accessible investment towards your physical appearance, particularly when one seeks a more rejuvenated yet natural look. There are various types of dermal fillers available today that offer specific benefits depending on your aesthetic goals. Approved for use in Australia, include:

  • Hyaluronic Acid Fillers
  • Calcium Hydroxylapatite Fillers
  • Poly-L-Lactic Acid Fillers

Hyaluronic acid-based fillers account for one such option that is commonly used. Hyaluronic acid is a naturally occurring substance in our skin. The selection of dermal filler will vary depending on if you’re looking at adding volume – for example around your lips or eye areas – or to smooth out wrinkles, or to enhance certain features.

Alternate options such as calcium hydroxylapatite are available. Such options may assist in achieving facial rejuvenation due to its ability to mechanically fill and psychologically stimulate the natural collagen.

Meanwhile, Poly-L-lactic acid fillers may be considered as an option to stimulate collagen production and to redefine your skin texture with longer-term results when compared to some other options.

This is a popular option for those in search of a firmer and long-lasting youthful look or if you’re looking for options to add some plumpness and firmness back into your face. The product type works on improving skin quality while simultaneously adding structure to cheekbones or temples thanks to poly-L-lactic acid technology.

Benefits of Dermal Fillers

There are several benefits to using dermal fillers as a non-surgical option for rejuvenating the face and enhancing certain features. Benefits include:

  • Convenient and time-efficient treatment: Dermal filler injections are a minimally-invasive treatment that can be performed in as little as 30-45 minutes after consultation with your registered cosmetic practitioner.
  • Little to no downtime: Unlike surgical procedures, dermal fillers require little to no downtime, so patients can return to their normal activities immediately after the treatment.
  • Immediate results: From dermal filler injections, patients can see immediate results, such as;
    • instantly restoring volume in areas such as the temples or to achieve more fulness of the face with a liquid facelift
    • softening and reducing the appearance of wrinkles and fine lines, for example in the marionette folds
    • enhancing facial features, such as the lips and cheeks
    • improving the texture and overall appearance of the skin
  • Long-lasting effects: Depending on the type of filler used, results can last from 12-18 months.

What are the Risks and Side Effects of Dermal Fillers?

Despite dermal fillers being an excellent and convenient anti-ageing solution to address facial volume or hollowness under the eyes, it still remains a medical procedure with possible risk factors. Therefore, it’s important to understand that there are risks and potential side effects associated with this procedure and to discuss with your treating practitioner.

Risks include, but are not limited to the following:

  • Infection: Any time the skin is punctured, there is a risk of infection. While infections are rare, they can be serious if they do occur. Symptoms of an infection include redness, swelling, and warmth at the injection site.
  • Allergic Reaction: Dermal fillers are considered very safe, backed by years of research and evidence-based studies, however, very rarely some patients may have an allergic reaction to the filler material. In this rare instance, the symptoms of a rare allergic reaction must be identified early and be raised and then managed by your treating physician.
  • Numbness: A temporary feeling of numbness or paresthesia may occur due to the compression caused by the physical occupation of the space occupied by the dermal filler. Such occurrences should certainly be raised with your treating practitioner, however, in most circumstances, symptoms are temporary and will self-resolve.
  • Granulomas: these are a hyperactive inflammatory foreign body reaction to the dermal fillers, which are rare; however, when granulomas occur, they need to be identified, treated, and followed-up closely by your treating doctor. This would ideally be the original treating physician that performed the treatment in the first instance.
  • Vascular Occlusion / Necrosis: All dermal fillers are space occupying products, and as such, they carry volumising properties. Despite the refinement in injectable techniques, advancement in anatomical knowledge and safe measures practiced, there is an inherent risk of dermal filler ending up in a vessel in even the most experienced hands. Again, this is a rare complication, however it needs to be understood as a known risk and identified with prime urgency in the very stages, and treated accordingly; ideally by the treating physician.

At Pavilion Cosmetic Medicine, we pride ourselves on educating our patients about how to identify the potential complications in their early stages, and, our patients are provided with clear post-care and after-care instructions, along with access to our clinical staff during and after hours when it comes to medical management of potential complications.

Side Effects of Dermal Fillers

For individuals contemplating undergoing dermal filler treatment, it’s essential that they are suitably furnished with information about the potential side effects that come along with this treatment option.

Some of the most common side effects include:

  • Bruising: It is common to experience some bruising at the injection site. This should go away on its own within a few days.
  • Swelling: Swelling is also a common side effect of dermal fillers. This can last for several days but should eventually go away on its own.
  • Redness: The injection site may be red and tender for a few days following the procedure.
  • Itching: It is common to experience some itching or mild discomfort at the injection site.

How to Minimise the Risks and Side Effects of Dermal Fillers?

While there is no way to eliminate the risks and side effects of dermal fillers entirely, there are some key precautions that patients may take to minimise their occurrence. Here are a few tips.

1. Choose a Qualified Practitioner

One of the most important steps you can take to minimise the risks of dermal fillers is to choose a qualified and experienced practitioner. Here are some tips for finding a reputable injector:

  • Do your research: Look for reviews and recommendations online and check the practitioner’s active registration, credentials and experience.
  • Ask questions: Don’t be afraid to ask about the practitioner’s training and experience, as well as the type of filler they propose using, and ask about the potential risks or side effects.
  • Check the clinic’s credentials: Make sure the clinic is licensed and accredited, and that the staff follow proper safety and hygiene protocols.
  • Trust your instincts: If you are unable to develop a rapport with your treating physician, then do not feel obliged or pressured into having a treatment undertaken.
  • Discuss any medical conditions: Be sure to discuss any medical conditions or allergies you may have with your provider before undergoing a dermal filler treatment.

By choosing a qualified and experienced practitioner, you can feel confident that your dermal filler procedure will have greater chance of being performed safely with a desirable outcome.

2. Prepare for Your Procedure

To minimise the risks and side effects of dermal fillers, it’s important to prepare properly for your procedure. Here are some tips.

  • Avoid blood-thinning medications and certain supplements: Certain medications and supplements can increase the risk of bleeding and bruising, so it’s important to avoid them before your procedure. These may include aspirin, ibuprofen, fish oil, and vitamin E. It is encouraged to discuss your medications with your treating practitioner prior to undergoing treatment.
  • Avoid alcohol: Alcohol can also increase the risk of bleeding and bruising, so it’s best to avoid it for at least 24 hours before your procedure.
  • Stay hydrated.

How Long Does the Dermal Filler Last?

The popularity of dermal fillers among those seeking facial rejuvenation has grown rapidly due to their ability to offer improved aesthetics with minimal downtime or risk compared with other more invasive options. However, a common question that often comes up when discussing these types of dermal filler treatments is how long exactly do they last?

While there are no guarantees when it comes to individual results, as genetic-based factors play a role in determining effectiveness and longevity of results; certain things could decrease their efficacy, such as poor nutrition, lack of sleep, or environmental factors like stress levels.

Since each patient will have different individualised factors and experiences depending on intra-personal traits, which are largely outside of a practitioner’s control, it is crucial that patients choose experienced professionals for optimal levels of medical care.

Factors That Affect How Long Dermal Fillers Last

Contributing factors include but are not limited to the filler composition (HA or non-HA), the treatment site (high or low mobility region), or other individual factors of the patient such as metabolic rate variations (slow vs fast). Primary factors include the following:

  • Type of Filler: Some fillers are made of hyaluronic acid (HA), which is a naturally occurring substance in the body that attracts water and provides volume and effects last about 12 to 18 months.
  • The Area Treated: Mobility of the area treated with dermal fillers also affects how long they last from a longevity perspective.
  • Metabolism: Most dermal fillers are made up of complex sugar molecules and one of the factors that defines their longevity is an individual’s own metabolic processes. This factor amongst others may influence repeat dosages of treatment with subsequent top-ups.
  • Lifestyle Factors: Lifestyle factors such as smoking, sun exposure, and stress can also wreak havoc on delicate skin tissue and may cause premature loss of those plumping effects you’re looking to achieve and maintain. As we know, these factors can accelerate the ageing process and cause the dermal fillers to break down faster – so don’t hesitate to make positive changes where necessary as a means to extend the duration of your dermal filler results.

How to Extend the Longevity of Dermal Fillers?

While the longevity of dermal fillers is largely determined by individual factors of the patient being treated, safeguarding yourself against excessive exposure to sunlight along with reducing smoking & heavy alcoholic drinking habits should top the list. It is encouraged that the following steps be adhered to as a means of extending the longevity of dermal filler treatment results.

  • Protect Your Skin from the Sun: Sun exposure can accelerate the aging process and cause the fillers to break down faster. To extend the lifespan of your fillers, it’s highly advisable to protect your skin from the sun by wearing sunscreen and avoiding excessive sun exposure.
  • Avoid Smoking and Excessive Alcohol Consumption: Smoking and excessive alcohol consumption can also accelerate the ageing process and impact the longevity of dermal fillers.

In general, if you want to achieve sustainable results with cosmetic dermal filler treatments and extend the longevity of your fillers, it’s best to follow healthy habits.

Common Dermal Filler Treatment Areas

Cheeks: Fillers injected in the cheek area can serve to restore lost volume, address hollowness, as well as achieve a refreshed appearance.

Nasolabial folds: These are the lines that run from the nose to the corners of the mouth. By using dermal fillers, deviations from your desirable shape in nasolabial folds are visually addressed to make them look considerably less strikingly obvious.

Lips: Dermal fillers can be used to add volume and enhance the shape of the lips. At Pavilion Cosmetic Medicine, our approach to cosmetics is to achieve natural-looking rejuvenation, in a way where volume is restored, lips are hydrated and without going overboard with an overly ‘done’ look.

Jawline: Enhancing your jawline can give an impression of youthfulness, considering how much it contributes towards facial beauty, giving a more sculpted and contoured appearance.

Under eyes: Dark circles and hollows under the eyes or tear trough area can make a person look tired and aged. Dermal fillers can be used to add volume to this area, reducing the appearance of dark circles and creating a more rested look.

Forehead: Forehead volume loss is an important ageing factor in the overall aesthetic appearance of a face. It may be overlooked, for one, because not many physicians hold the skill to address this particular area with advanced techniques. When combined with anti-wrinkle injections, the dermal filler in the forehead can give a fantastic treatment outcome.

Hands: Our hands are one of the first areas to show signs of ageing. Dermal fillers can be used to restore volume to the hands, reducing the appearance of wrinkles and creating a more youthful appearance.

Typical Dermal Filler Treatments

As we age, our skin loses elasticity and volume, leading to wrinkles and fine lines.

Fortunately, dermal fillers are one treatment modality that can help to rejuvenate your appearance by restoring lost volume, smooth wrinkles, and enhance features like your lips and/or cheeks.

With multiple types of fillers available and various areas in which they can be utilised for the face, neck and body, staying informed of the treatment options available by a registered practitioner like the Cosmetic Doctors at Pavilion Cosmetic Medicine is of upmost importance.

Common types of dermal filler treatments

Liquid Face Lift

A liquid facelift is an all encompassing non-surgical treatment that uses a combination of dermal fillers and wrinkle relaxer to lift and contour the face. This procedure is ideal for patients who want to restore a more youthful appearance without undergoing surgery.

The liquid facelift can be used to:

Nose filler

Nose dermal filler treatment, also known as a non-surgical rhinoplasty or a liquid nose job, is a non-invasive alternative to traditional nose surgery. This procedure uses dermal fillers to reshape and contour the nose, creating a more balanced and harmonious profile.

Non-surgical rhinoplasty treatment can be used to:

  • Visually improve the appearance of the nose bridge
  • Lift a drooping tip
  • Fill in a dorsal hump
  • Visually correct asymmetry
  • Improve the overall shape and proportion of the nose

Cheek Filler

Cheek filler is a dermal filler treatment that adds volume and definition to the cheeks. As we age, the cheeks can lose volume and sag, creating a tired or sunken appearance. Cheek filler can help to restore a youthful contour to the face and enhance the overall appearance.

Cheek filler can be used to:

  • Lift sagging cheeks
  • Add volume to hollow cheeks
  • Define the cheekbones
  • Create a more youthful and vibrant appearance

Lip Filler

Lip filler is a popular dermal filler treatment that adds volume and shape to the lips. Whether you want a subtle enhancement or a more dramatic transformation, lip filler can help you achieve your desired look.

Lip filler can be used to:

  • Add volume to thin lips
  • Define the lip border
  • Smooth out fine lines and wrinkles around the mouth
  • Correct asymmetry
  • Create a more balanced and proportionate appearance

Brow Lift with Injectables

A brow lift with injectables is a non-surgical treatment that uses dermal fillers to lift and shape the eyebrows. This procedure is ideal for patients who have sagging or drooping eyebrows, or who want to create a more lifted and youthful appearance.

A brow lift with injectables can be used to:

  • Lift sagging eyebrows
  • Improve the overall shape and contour of the eyebrows
  • Create a more open and alert appearance when combined with wrinkle relaxers

Temple Rejuvenation / Temple Fillers

Temple rejuvenation, also known as temple fillers, is a dermal filler treatment that adds volume and definition to the temple area. As we age, the temples can become hollow and sunken, creating a tired or aged appearance. Temple rejuvenation can help to restore a more youthful contour to the face and enhance the overall appearance.

Temple rejuvenation can be used to:

  • Fill in hollow temples
  • Create a more youthful and vibrant appearance
  • Improve the overall shape and proportion of the face

Chin Enhancement and Chin Fillers

If you’re looking for ways to enhance your facial features with a more defined and sculpted jawline, then do consider the option of chin dermal fillers.

Through the use of dermal fillers we can augment and strengthen the chin anatomy in order to harmonise it with your jawline and improve the chin projection from a profile view.

Jawline Contouring with Dermal Filler

With jawline contouring treatment using dermal filler, one may avoid the need for dramatic alteration to their facial structure – often avoiding a need for surgical options. Using dermal filler, we can enhance your bone structure and create a more sculpted or chiselled appearance.

This non-invasive jawline treatment most typically involves injecting hyaluronic acid fillers along the jawline and the chin area, with minimal recovery time. Treatment may be performed on those aged in their twenties and upwards.

One can typically resume their daily activities shortly after dermal filler treatment. You may experience some inflammation and bruising after the treatment, however, these conditions usually heal without interventions.

Tear Trough or Tear Trough Filler

Do you have dark circles or hollowing under your eyes that make you look tired and older than you feel?

If so, tear trough filler injections to the under eye may be a suitable treatment modality for you to consider. Alternatively, there are other treatment modalities worth considering such as the AccuTite non-surgical blepharoplasty.

These procedures involve administering hyaluronic acid fillers under the eye area to reduce the appearance of under eye dark circles or a sunken hollowing under the eyes.

Marionettes and Peri-Oral Lines & Marionette Folds

Marionette folds or peri-oral lines can be treated with noticeable results using dermal fillers. This particular treatment approach typically involves injecting hyaluronic acid fillers into around your mouth to fill them in for a volumising outcome and to create a smoother, more youthful appearance.

Marionette folds treatment using dermal filler is a time-efficient procedure that is relatively painless with no downtime, and you can expect to see results immediately. You may experience some swelling and bruising after the treatment and can return to their normal activities right away.

Acne Scars Fillers

Acne is a common skin condition that affects many people, leaving behind scars that can last for years after the acne clears up.

Acne scars fillers are a safe and effective solution for reducing the appearance of acne scars. This cosmetic treatment involves injecting hyaluronic acid fillers into the indentations left by acne scars to address them in and create a smoother, more even skin texture.

Acne scars fillers treatment is a time-efficient and convenient procedure, with minimal downtime. Side effects of the acne scars treatment may include swelling, bruising and discomfort, but these side effects typically fall away within a few days.

At Pavilion Cosmetic Medicine we also offer other acne scarring treatment modalities, which our clinical team will happily consult with you about in during a doctor consultation or skin assessment booking.

Upper Eyelid Filler

With advancing age, loss of bone structure around the eye in the socket can cause hollowness and depth around the eyes, which may lead to an ‘aged’ or ‘older’ look.

Upper Eyelid Filler can help restore the youthful, open-eyed look by adding volume to the eye area. This treatment involves injecting a hyaluronic acid-based filler into the upper eyelid under the dermal tissue to achieve the desired results.

This injectable treatment is non-surgical, meaning there is no incision made on your skin. You can return right back to your daily routine immediately after treatment, with very little to no downtime required.

Eyebrow Filler

Eyebrows play a vital role in framing the face and can make a significant impact on one’s overall appearance. As we age, our brows can start to sag, giving the appearance of a tired or angry expression.

Eyebrow filler is a popular dermal filler treatment that can restore a more youthful and lifted look to the brows. The treatment involves injecting fillers into the brow area to lift and reshape the brows.

Ear Lobe Fillers

Over time, our ear lobes can become lax and de-volumised, leading to an aged appearance. Ear lobe filler is a treatment that can add volume and shape to the ear lobes, giving them a more youthful appearance. The treatment involves injecting a small amount of dermal filler into the ear lobe.

The procedure takes about 30 minutes and is relatively painless. You may experience some minor swelling and bruising after the procedure.

Forehead Filler

The forehead is a common area for wrinkles and fine lines to form, and as we get older, we may notice horizontal lines and wrinkles on the forehead, as well as hollowing or volume loss in the forehead. Forehead filler is a popular dermal fillers treatment that help address these concerns and create a more youthful, refreshed appearance.

The forehead filler treatment involves injecting fillers into the forehead area to rejuvenate the upper third of the face by replacing lost volume. This is a convenient procedure that is performed in a time-efficient manner, with minimal downtime, and we can observe immediate results.

Treatment can be performed in combination with forehead wrinkle relaxer.

Frown Line Filler

Frown lines, also known as glabellar lines, are vertical wrinkles that appear between the eyebrows when we frown or furrow our brows. These lines can make us appear angry or stressed, even when we’re not.

Although, a series of wrinkle relaxers every 4 months is a preferred and primal approach to address the frown area, in some patients, dermal filler use to the frown lines area will assist in lifting a sunken glabellar region, as a means to support the wrinkle relaxer treatments.

Hand Fillers

While most people focus on their facial appearance, the hands can also give away our age. As we age, the skin on our hands loses volume, making the veins and tendons more visible, and the skin becomes thin and crepey.

Hand fillers can help to restore volume to the hands, smooth out wrinkles and lines, stimulate collagen production, creating a more youthful appearance.

Hand Filler is an advanced and rewarding procedure, which, when performed by an experienced practitioner, can add to the rejuvenated appearance of the hands.

Nasolabial Fold Filler

Nasolabial Fold Filler is a non-surgical procedure that can help smooth out these lines and restore a youthful appearance to your face. It is a quick and easy procedure that can be completed in 30-45 minutes with minimal downtime required.

Neck Line Filler

Neck line filler, also known as neck rejuvenation with dermal filler, is a revolutionary way of giving your neck a hydration boost by injecting hyaluronic acid-based fillers into the skin on the neck that restore youthfulness by smoothing out wrinkles and fine lines while still replenishing volume in that much-affected part of our bodies naturally.

Neck line filler treatment not only does help improve dryness characterised by ageing, but it also stimulates collagen production which helps sustain long-term improvements ultimately in texture elasticity gradually with every session taken over time, providing a better-looking tone than before each session increasing confidence levels.

The procedure typically takes around 30 minutes to an hour, depending on the extent of the treatment, and can conveniently be performed in a cosmetic clinic setting.

Hyalase Filler Dissolver

Use of the Hyaluronidase enzyme (also referred to as ‘Hyalase’) has revolutionised the dermal filler treatments as it gives the injector the ability to dissolve the dermal filler and thereby reverse any untoward aesthetic or physiological effects.

Pre-treatment questions

How Much Dermal Filler May I Need?

Dermal fillers represent a popular non-surgical option for restoring youthfulness back into ageing faces, but determining adequate quantities remains an area of questioning among many users.

Dermal filler treatment plan development and tailoring by a trusted and experienced practitioner like the Cosmetic Doctors at Pavilion Cosmetic Medicine is the fundamental first step in the process. This is where the cosmetic consultation and pre-treatment assessment by your treating practitioner becomes vital. Our Cosmetic Doctors of many years’ experience in the field of aesthetics will discuss with you factors such as your areas of concern, your goals, expected outcomes and your budget – all before tailoring a personalised treatment plan for each individual patient.

To achieve your desired results, the recommended dosage of dermal fillers (or number of mLs) is dependent on multiple variables such as target area(s), anticipated outcome(s) and the patient’s specific anatomical variations among others. Therefore, there is no one-size-fits-all answer to how much dermal filler you need without engaging with your treating practitioner prior to your treatment.

Understanding How Much Dermal Filler You May Need

Factors to Consider

As with any cosmetic procedure, undergoing a dermal filler treatment requires careful consideration of several factors before deciding on the appropriate volume of dermal filler needed.

  • One crucial factor is the area being treated – larger areas like cheeks or temples generally require more product than smaller ones such as lips or under eye hollowing.
  • Another significant factor is your desired results – if you prefer just minor enhancements rather than an obvious transformation in your appearance from the procedure itself – less product would be requested from your practitioner accordingly.
  • Moreover, every individual has their unique anatomical variations meaning that each patient’s dose may differ. For instance, people with naturally slim faces would likely demand lesser amounts compared to those who have fuller facial features.

It is essential always to seek consultation from trained professionals before making any decisions concerning dosages for dermal fillers to ensure that the treatment planning occurs and the procedure itself is delivered appropriately to your individual needs.

How Much Dermal Filler Do You Need for Specific Areas?

For those interested in dermal fillers understanding the amount required for specific areas is crucial in achieving desired results.

When it comes to lip augmentation, one syringe of filler (1mL) will provide subtle improvements in volume while multiple syringes may be necessary for those seeking significant enhancements.

Cheek fillers typically require an average of two to three syringes (2-3 mLs) to restore lost volume and create that much sought after youthful appearance.

Finally, those looking to enhance their jawline should consider using fillers as part of their beauty regime as they can provide instant definition. On average, two to four syringes (2-4 mLs) of filler are required for the jawline – although this may vary based on the individual patient’s circumstances.

Aesthetic concerns regarding under eye hollowing affect people from all walks of life. Thankfully, cosmetic options exist to address the under eye area of concern. One non-surgical option to treat under eye dark circles or under eye hollowing is dermal filler, which typically calls for one to two syringes (1-2 mLs) of filler per eye – with the volume of filler used in treatment varying based on severity and individual preference – making it a convenient and low downtime procedure that can yield noticeable aesthetic improvements.

Achieve a More Youthful Look with Dermal Fillers

Who Can Benefit?

Lines, wrinkles, facial sagging and volume loss aren’t just signs of ageing – they’re also signs of stress and exhaustion that can take their toll on our faces over time. This being said, whether your concerns lay with the and nasolabial folds or marionette area around the mouth, dermal fillers offer an effective solution to help achieve a youthful appearance that can make us feel more self-confident.

Dermal fillers are becoming increasingly popular among individuals seeking noticeable results through non-surgical options to enhance their appearance, without downtime or long recovery periods.

Thin lips or facial scarring resulting from previous acne outbreaks can be difficult issues to address for many people who want smooth skin free from acne scars and blemishes. By injecting dermal filler material into targeted areas of the face, individuals can achieve more symmetrical facial contours and greater definition along the lip’s borders. Such a treatment may be considered for individuals looking for an alternative approach that produces natural-looking and immediate results.

However, before committing to any dermal fillers type of treatment, it is important to make sure you’re eligible for treatment by meeting a few key requirements. The examples below cover off on some requirements to be asked by your treating cosmetic practitioner, which will need to be confirmed by the patient prior to treatment.

  • Patient to provide full disclosure of relevant medical details before any treatment commences.
  • Patient to confirm that they are in good general health.
  • Patient to have realistic expectations of possible outcomes.
  • Patient to be in compliance with the recommended treatment plan and post-care instructions.

What are some dermal filler preparation and after-care factors to consider?

For those interested in improving their facial appearance through cosmetic means such as dermal fillers — a popular choice due to its effectiveness is adding volume, enhancing and contouring — and this the appropriate level of preparation is pivotal to achieve the desired results while minimising the risks.

As the dermal filler procedure involves injecting a gel-like substance under the skin to add volume that can last 12-18 months, the pre-treatment protocol requires certain precautions to be followed beforehand. Examples of this include avoiding blood thinning medication beforehand, not wearing makeup immediately following treatment for 24 hours. Below we delve into some of the key preparatory and precautionary steps necessary pre and post your treatment at Pavilion Cosmetic Medicine to ensure patient safety and optimal results.

Preparation aspects before your dermal filler treatment undertaken at Pavilion Cosmetic Medicine

We recommend:

  • That you please notify our clinical team prior to your treatment if you are taking regular aspirin, fish oil, krill oil or any other blood thinning medication as these may interfere with your procedure. Further instruction will be provided on an individual basis by our clinical team on the day of treatment.
  • Avoid alcohol and/or smoking one week prior to your appointment as this can interfere with your procedure and subsequent recovery.
  • Please notify our clinic of any changes to your health history, treatment history or medications since your last appointment or any questions relating to your treatment.
  • If you are prone to cold sores, you may take prophylactic antiviral prior to treatment as recommended by your physician.
  • For optimal results, we encourage all patients to remain well hydrated, rested and nourished.

After your dermal filler treatment undertaken at Pavilion Cosmetic Medicine

We recommend:

  • No strenuous exercise for 24 hours.
  • It is recommended to avoid make-up 24 hours post procedure to prevent the risk of infection at an injection site(s). You may apply light mineral make up where necessary.
  • Avoid physical pressure for 3 days post procedure; such as massage and/or facials to the treated area. If wrinkle relaxer has been used in conjunction with dermal filler avoid pressure for 2 weeks.
  • Avoid prolonged exposure to sunlight, UV light, saunas, and freezing temperatures for 2 weeks post procedure.
  • Intermittent icing can be applied as required to the treated area for up to 6 hours post treatment to aid in the reduction of bruising and swelling. You may also use arnica cream to reduce the appearance of bruises.
  • For Lips; If any small bumps occur, you may lightly massage the area with clean fingers and antibacterial ointment such as Bepanthen, to aid in dispersing the product. If this does not self-resolve, you may book a review, 2 weeks post injection.
  • We supply you with a single complimentary (unless stated otherwise) LED Light Therapy skin treatment after your procedure with us. This encourages cell renewal and aids the recovery of potential bruising and swelling. For full benefits 6 sessions spaced 2-3 days apart are recommended for of LED Light Therapy.

Possible outcomes to expect post dermal filler treatment

  • Swelling and bruising can give the appearance of “unevenness” to the treated area, this should settle as any bruising or swelling resolves. If this does not self-resolve, you may book a review, 2 weeks post injection.
  • Please be aware that a holistic treatment may be advised to achieve desired aesthetic results. Book a consultation or review to discuss further options. Reviews can be booked from 2 weeks post Dermal Filler injection.
  • IMPORTANT: If you experience prolonged/increasing pain and a change in skin colour to white, blanching, itching, and/or a rash to the area injected within 24 hours after your treatment, please contact your treating clinic or practitioner immediately.


Getting Ready for Dermal Filler Treatment

Dermal fillers are an excellent way to enhance and rejuvenate one’s appearance. However, it is crucial to prepare adequately before undergoing this treatment.

Beneath we have touched on some of the key factors that each patient should consider prior to undergoing dermal filler treatment.

Choose a Currently Registered Practitioner

The first step is finding a registered healthcare professional, who is experienced in cosmetic injectables – someone who has a current AHPRA registration and ideally someone who is experienced in administering dermal fillers. You may want to start by asking friends or family members, who have had successful treatments for their recommendations. Also, do your own research.

  • Check for the presence of a current AHPRA registration.
  • Seek out trusted and high authority Doctor-led Cosmetic Clinics, with experienced aesthetic/cosmetic doctor injectors.
  • Check the clinic’s website, read reviews.
  • Review any before and after photos and/or information available for the practitioner in question relevant to the dermal filler treatment you are interested in (if available) on the clinic’s website or owned social media profiles such as Instagram or TikTok.

Consultation With Your Practitioner

Once you’ve found your ideal injectables doctor schedule a consultation with them, so they can examine your face and discuss what goals and expectations you have regarding this procedure. It’s important not just to listen but also ask pertinent questions about what type of filler will be used as well as any potential side effects associated with it.

Avoid certain medications and supplements

It is important to discuss this with your treating doctor to ensure that you avoid certain medications and supplements.

Make your consulting doctor aware of any medications or supplements you may take – this is crucial as certain products can increase bruising or bleeding risks during and afterward, which should be addressed accordingly by your doctor/specialist before proceeding further. Prior to treatment, your healthcare provider may recommend temporarily discontinuing specific medications such as blood thinners.

Plan for downtime

During the recovery phase after dermal filler treatment, you may experience minor side effects including redness, bruising, or swelling. For this reason, it’s prudent to plan some downtime to be able to recover and allow ample healing time.

In some cases, it is advisable that you take leave from work or social activities until fully recovered. Your healthcare provider will advise on specific aftercare protocols on the day of treatment, which could entail avoiding strenuous activity or avoiding extended periods of time in sunlight.

Aftercare for Dermal Fillers

Following guidelines precisely post dermal filler treatment is indispensable towards achieving optimal results while mitigating potential risks of complications simultaneously.

Follow Your Practitioner’s Instructions

Your practitioner will give you explicit care instructions that might involve avoiding certain activities, ice or heat applications over the treated region along with regular sun protection measures diligently adhered to. Make sure you follow these directives closely while also addressing queries or doubts promptly with your providers assistance.

Management of Swelling and Bruising

While swelling and bruising are common side effects accompanying filler injections, having appropriate care measures substantially reduces their impact. Ice packs/cold compresses tend to benefit in minimising swelling and bruising while anti-inflammatory arnica cream/supplements recommended by your practitioner may also aid in diminishing inflammation and bruising.

Protect your skin from the sun

Protecting your skin from harmful UV radiation remains a significant aspect of long-term skin health regardless of cosmetic treatment involved. Sun exposure could cause discoloration, hyperpigmentation or other skin damage that could significantly mar the desired dermal filler results. Regular application of sunscreen would help minimise these effects.

Avoid specific activities

Avoiding certain activities like strenuous exercise, swimming or using saunas are some ways that can positively impact your healing process by reducing swelling and bruising around the treated areas due to increased blood flow caused by physical strain. Adhering meticulously towards these recommendations is key in ensuring you get optimum results that last longer than expected!

Your commitment towards achieving optimal results doesn’t stop after receiving dermal fillers – it continues with mindful post treatment care habits advised by your practitioner.

The Cost and Maintenance of Dermal Fillers

Dermal fillers are able to provide a rejuvenating outcome without the need for surgery. However, before committing to the procedure, it’s important to consider both the initial investment and ongoing maintenance required.

Pricing of Dermal Filler Treatments

Dermal fillers can be an effective way to enhance and rejuvenate your appearance. Understanding what affects the cost of these treatments is therefore crucial if you’re looking to decide what options best suit your needs. Costs are typically calculated per syringe (or per mL of filler), and there are several variables will dictate what the pricing charged works out to be.

  • The cost of dermal fillers varies depending on the type of filler, the location of the treatment and some other individualised factors. The cost of dermal fillers is generally measured based on volume of filler used, and the number of syringes required will depend on the extent of the treatment.
  • It is advisable that you invest in treatment with someone that carries the required AHPRA registration, appropriate injectable training, and whom has gained significant practical experience – such as the Cosmetic Doctor practitioners at Pavilion Cosmetic Medicine,
  • Aside from just product prices, consultation fees or facility charges might not be included in initial quotes from some unnamed clinics. Withholding information about these pricing factors makes it difficult to understand the totality of pricing.
  • It is important to note that the cost of dermal fillers may not include additional costs such as consultation fees, anaesthesia, or facility fees. Therefore, it is essential to discuss the total cost of the treatment with your practitioner before proceeding with the treatment.

Types of Dermal Fillers

Dermal filler treatments vary on several factors such as the area treated, the desired results, and other individualised factors to be assessed by your treating cosmetic physician.

  • Hyaluronic Acid (HA) fillers are the most commonly used, which do well in treating fine lines, volumising deficits, and enhancing facial features. Results last 12-18 months.
  • Calcium Hydroxylapatite fillers offer an excellent solution for deep wrinkles or folds; they have longer effects lasting up to 18-24 months.
  • Poly L Lactic acid fillers serve to stimulate collagen production and help treat deeper wrinkles or facial volume loss. These collagen stimulating injectables offer impressive results that can last up to 24 months. Pricing of this option may be higher than the aforementioned types, however, many patients find the investment worthwhile given the longer-term longevity.

Maintenance of Dermal Fillers

Age-related changes in our face, neck and body are inevitable, so for those who use dermal fillers as part of their anti-ageing routine, ongoing maintenance and refinement in treatment plans as time goes on will enable you to enjoy perpetual results.

By adhering to recommended aftercare practices patients will have a better chance of extending the longevity of dermal filler results.

Top-ups of dermal fillers specifically, are typically recommended every 6-12 months, depending on the individual patient and their personal circumstances.

Transparent pricing at Pavilion Cosmetic Medicine

Dermal Filler Price Guide

Volume of Dermal Filler (HA)
Total Cost including GST
1 mL in one [1] treatment session$770 per mL
2-3 mLs in one [1] treatment session$700 per mL
4 mL or more mLs in one [1] treatment session$650 per mL

For a tailored treatment plan and a fixed cost quuote for your procedure, book a Doctor Consultation or treatment session with one of our Cosmetic Doctor Practitioners

Tips for Maintaining Dermal Fillers

  • Avoiding sun exposure levels throughout the day to avoid damage.
  • Avoiding breakdowns while sustaining hydration levels consistently through daily water intake.
  • Don’t touch or massage treated areas. If you experience any discomfort or swelling, consult your treating physician.
  • Avoid strenuous exercise for the first day or two after receiving your fillers – excessive sweat and exposure to air-borne pathogens may make the treatment area susceptible to infection.

Another key aspect in maintaining dermal fillers is diligently following any post treatment instructions given by your injector – whether that be avoiding certain foods or medications skipping out on makeup for a certain period or using specific treatments like cold compresses.

Questions to Ask and Red Flags to Avoid when Choosing a Dermal Filler Practitioner

As patients seek out minimally-invasive procedure options like dermal fillers to enhance their appearance, choosing the right provider is a vital decision in the process.

Below we have identified some key questions that you should ask of your practitioner, and some key red flags to watch out for in terms of warning signs. These factors may assist one in identifying a suitable practitioner to partner with you to deliver optimal aesthetic results that are aligned with your

Your Questions Answered

Questions to Ask

As a dermal filler injector, are you a registered health practitioner with AHPRA?

To start off on the right foot, take steps to check and ensure that any potential practitioners you are considering are licensed professionals appropriately trained in administering facial injections such as these fillers. This will not only indicate expertise but also ensure your safety throughout the process.

What types of dermal fillers do you use?

Enquiring about the types of fillers utilised by the practitioner will assist you in understanding why those specific products have been selected by your potential practitioner and why.

This information and rationale will serve to give you confidence in the dermal filler treatment before going ahead and inform you as to the practitioner’s approach is aligned to your expectations.

Be sure to ensure that the product choice us TGA approved.

Can you provide before and after photos of previous patients?

Viewing before and after photos from past clients may help to give you an idea of the results you can expect from treatment. Demonstration of previous work may speak to the level of experience held by the practitioner in delivering successful outcomes for patients like yourself.

We note that before and after photos may not be available to each and every practitioner, given the consent requirements for release of photos. But there’s no harm in asking!

What is the cost of the dermal filler treatment?

It’s also key that costs are discussed clearly with no hidden fees or surprises from your potential provider. Candid conversations about these matters can help establish trust and proper expectations from both parties.

Red Flags Factors to Avoid

Dermal fillers have become increasingly popular as an appealing alternative to surgical enhancement procedures, however, with popularity comes responsibility especially in choosing your service provider. There are several rookie practitioners out there who can put your health at risk by delivering treatments with lack of experience or with malpractice. Delivery of treatments without the appropriate methods, care and experience may lead to suboptimal results, or even permanent damage.

To assist you in avoiding such mishaps, we have prepared some common red flags that you should watch for when choosing where and who will handle your dermal filler treatments.

Your Questions Answered

Some Common Red Flags

Red Flag #1: Unregistered practitioners

One of the most crucial warning signs when searching for reputable dermal filler practitioners is identifying unlicensed professionals trying their luck at administering injectable treatments.

A registered healthcare practitioner with AHPRA is essential. You want to ensure that your practitioner has passed relevant tests demonstrating adequate knowledge about safe delivery of treatments, hence minimising risks associated with injectable substances.

For optimal results and for your own safety, avoid unaccredited practitioners at all costs.

Red Flag #2: Lack of Qualifications or Experience

When researching potential providers look for those who have a current registration with AHPRA and preferably have a qualification with the specialist colleges such as the Australasian College of Aesthetic Medicine (ACAM).

Red Flag #3: Cheap Prices

Avoid practitioners offering cheap prices as this can be a red flag indicating hidden costs such as low-quality service and inferior-quality products or lack of necessary qualifications and experience.

Seeking value for money with cosmetic enhancements does not mean going for extremely cheap options, particularly since they may compromise on quality and safety measures.
While its natural to compare pricing when making a significant purchase decision, it is often advisable to avoid dermal filler practitioners offering ridiculously low prices as the products and procedures may not only be ineffective, but they may also pose serious health risks.

Red Flag #4: Lack of Consultation

A major indicator of professionalism is whether your practitioner offers a consultation before proceeding with treatment. Those who do not, should be avoided.

Consulting the patient prior to treatment allows both parties to gain insight into your unique needs and specific circumstances – which is invaluable information in determining how best the practitioner can help you achieve desired outcomes while minimising risk factors present on an individual basis.

Red Flag #5: Pressure to Make a Decision

Don’t let pressure from practitioners push you into hasty decisions about your dermal filler treatment.

A trustworthy practitioner will always give you ample time and information to make an informed choice, which aligns with your goals and comfort level.

Feeling rushed or coerced during consultations is cause for concern so be sure to choose someone who values your input and wellbeing.

Red Flag #6: Lack of Aftercare Support

Remember that proper post-care and aftercare support is essential in achieving overall success following any dermal filler procedure.

To achieve the optimal results from dermal fillers, it is important to choose a practitioner that prioritises aftercare support.

Practitioners that fail in this regard are not reputable and should be steered clear of.

Red Flag #6: Lack of Transparency

Transparency is key when it comes to choosing a dermal filler provider. A reputable provider will always be transparent about the products they use, the costs involved, and any potential risks or complications.

If a practitioner is not transparent or avoids answering your questions, this is a red flag to avoid. Always ask questions and ensure that you’re fully informed before proceeding with any treatment.

Red Flag #7: Lack of Positive Reviews

A reliable and trustworthy provider of dermal fillers will have positive reviews from satisfied patients. It’s important to read up on past experiences before choosing your provider as a lack of positive reviews or overly glowing feedback may indicate shady practices that could harm your health and skin in the long run. Always look for a clinic and practitioner with a track record of positive reviews and satisfied patients.

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