Fillers FAQs


What are Dermal Fillers?

Dermal fillers such as Juvaderm are made from a modified form of Hyaluronic Acid. Hyaluronic Acid occurs naturally in our skin where it delivers nutrients and keeps skin moist, soft and gives it volume. As we age the amount of Hyaluronic Acid in our skin reduces and it loses elasticity, tone and volume resulting in the formation of lines and folds.

What concerns can Dermal Fillers address?

Dermal fillers can be injected into these lines to restore volume giving a rested and more youthful appearance.

Areas that can be treated include naso-labial folds (the lines from the nose to the corner of the mouth), marionette lines (which run down from the corner of the  mouth) and smoker’s lines.

How do they work?

Dermal fillers are injected into the dermal layer of the skin filling wrinkles and restoring volume. They contain Lidocaine which is a local anaesthetic to reduce discomfort during treatment. Other anaesthetic options are available such as topical cream or intra-oral nerve infiltrations.

Results are apparent immediately and while some fine lines will be gone completely, deeper lines may require a couple of treatments. Results usually last 6-8 months but this can vary.

What are the possible side effects of fillers?

  • Tenderness at the injection site.
  • Redness, swelling, bruising.
  • Nodules.
  • Can trigger an outbreak if prone to herpes simplex (cold sores) prophylactic anti-virals will be discussed.
  • Acne outbreak if prone to it.
  • Infection.
  • Allergy.
  • Firmness or discolouration at the injection site
  • Very rarely, necrosis. Necrosis is an extremely rare side effect that could occur if filler goes into or compresses a blood vessel. Every care will be taken to avoid this consequence and if there is any suspicion that this has occurred it will be dealt with by dissolving the filler away.

Am I a suitable candidate for dermal fillers?

You are suitable unless any of the conditions below apply to you.

  • Under 18.
  • Pregnant.
  • Breastfeeding.
  • Presence of a permanent filler or other product in the areas to be treated.
  • Taking Anti-coagulant medications.
  • Sensitivity to ingredients.
  • Infection in the area to be treated.
  • If you have been on Roaccutane treatment must wait for 6 months after cessation.
  • If you have had a chemical or laser peel or dermabrasion treatment wait for 6 weeks.
  • Steroid medications or Autoimmune diseases.
  • Allergy.

If none of the above conditions apply to you then from a medical view point you are suitable however we will assess your suitability at consultation to ensure that Dermal Fillers are the right cosmetic treatment to address your concerns.

What does the procedure entail and is it painful?

Topical anaesthetic cream is used for 30 to 40 minutes prior to the procedure. The dermal filler product itself contains local anaesthetic also, so you will feel quite numb before, during and after the procedure. Dentists are very experienced anaesthetising the oral/peri-oral area and are also very skilled in injecting this area in as painless a manner as possible.

The procedure is simple and straight-forward, involving a few tiny injections directly into the skin, and takes between 15–30 minutes. Results can be seen immediately.

Contour irregularities can and do occasionally occur. Massaging can usually smooth out any ‘lumpiness’ however if persistent the filler can be easily and rapidly dissolved.

How soon can I expect to see results?

Results are seen instantly after the treatment, although this gradually improves over the course of the following 2–4 weeks. Results can last between 6–8 months although optimal results can be maintained over a long period of time through regular repeated treatments. The longevity varies from person to person depending on your requirements and the severity of the wrinkles that are being treated, in addition to the particular dermal filler being administered.