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Dermal Fillers

dermal-fillersDermal Fillers | Cosmetic Injectable Sydney

Like Botulinum toxin, dermal fillers are considered a minimally invasive cosmetic procedures. They can be performed in a medical office setting without the use of sedation/ pain medication on an outpatient basis.

In contrast to Botulinum toxin, dermal fillers do not act on the muscle. They are structurally similar to collagen and as such act by adding volume to certain areas on the face. In the hands of an experienced practitioner, dermal fillers are injected to either decrease the appearance/depth of wrinkles or increase the size of certain facial structures.

As a general guideline, Botulinum toxin is primarily used in the upper face, eyes and above, and dermal fillers are primarily used in the lower face. There are, however, certainly exceptions to this guideline. For example, Botulinum toxin can be used to decrease the appearance of smoker lines on the upper lip or the amount of upper gums that show when smiling, often called a gummy smile. It can be used to decrease the size of the jaw or a pebbled appearance of the chin. It can even be used to decrease the appearance of vertical bands on the neck. Alternatively, dermal fillers can be used to fill in deep wrinkles on the upper face like frown lines, crows feet or, if very deep, the horizontal lines on the forehead.

Unlike Botulinum toxin, patients see immediate results upon completion of dermal filler injection (Botulinum toxintypically takes 3-7 days to take full effect).

Additionally, dermal fillers last approximately three times as long as Botulinum toxin, about 9 to 12 months per treatment.

To decrease the appearance/depth of wrinkles, popular dermal filler injection sites include but are not limited to the nasolabial folds, marionette lines, tear trough, and frown lines.

To increase volume, popular injection sites include but are not limited to the lips, cheeks, jowls, and temples.

About Dermal Fillers

There are many types of dermal fillers on the market today. The most popular of which consist of a substance called Hyaluronic Acid.

Hyaluronic Acid is structurally similar to collagen and has the same appearance when injected into various areas and depths of the face. In addition to directly adding volume to the face, Hyaluronic Acid stimulates new collagen formation and acts as a scaffolding for the new collagen. Moreover, it is hydrophilic, meaning ‘water-loving’, and as such has the additional property of attracting water to the injection sites for increased volume.

Because Hyaluronic Acid is a naturally occurring substance in the human body, there is a near zero risk of an allergic reaction.


Dermal fillers come from the manufacturer in pre-drawn 1 ml syringes. As a result, you must buy a minimum of 1 ml as we cannot use part of the syringe on you and part of it on someone else. Most patients only require 1 syringe but some people want more depending on which area(s) they want treated.

We primarily use Juvederm by Allergan, the same company that makes Botulinum toxin, and Restylane, by Galderma.  Both products come pre-mixed with lidocaine for decreased pain during injection.

Juvederm and Restylane last approximately 9 months.  If you are looking for something longer lasting, however, Allergen recently released Voluma, a dermal filler with a 2 year effect.

Prices are as follows:

1 syringe of Juvederm or Restylane: $750.00
2 or more syringes: $600.00 each

1 syringe of Voluma: $950.00
2 or more syringes: $800.00 each

How much dermal fillers?

Post-Op Care

There may be some bruising immediately following your procedure. This is more common with dermal fillers than with Botulinum toxin as a result of the nature of the substance injected as well as the location of the injections. If this occurs concealer can aid in decreasing the appearance and Arnica Gel can be used to decrease the duration of the bruise. Arnica Gel can be found at any drug store.

Immediately after the procedure, you may have some redness/swelling at the injection sites. This is your body’s normal inflammatory response and it will not last long.

Wait a few days for the swelling to fully decrease and the product to settle in before making a final decision if you are happy with the results and remember we can always add more.


Does getting dermal fillers hurt?

Dermal fillers tend to be more painful than Botulinum toxin. One reason for this is the they are commonly injected into more sensitive areas of the face.

Some patients prefer a topical cream to numb treatment sites prior to injection. This helps but does not eliminate the pain associated with the procedure. Additionally, we primarily use Juvederm XC, a formulation that includes lidocaine. As a result, each subsequent injection tends to be less painful than the previous.

Because the lips are amongst the most sensitive areas, we perform a dental block prior to treatment. This includes application of an anesthetic gel to the gums and a few lidocaine injections.

How long after the procedure does it take to see results?

Great news anyone who needs instant gratification, results are immediate. That being said, final results tend to take a few days to appear. Initially, there may be some bruising/inflammation and overall volume tends to increase over the course of the first couple of days.

How long does the dermal filler last?

Juvederm lasts between 9 and 12 months depending on amount and site of injection. Other fillers are comparable in duration.

What will happen if I get dermal filler one time but do not continue to get it on a regular basis?

If you do not continue to get it on a regular basis, the effects will wear off . You will NOT get more wrinkles or decreased volume than you previously had.

Will it be obvious that I’ve had a cosmetic procedure?

We are very careful not to over-do dermal fillers.  It is better to under fill an area than overfill it and give you a obviously overdone look.  We can save what you do not use for a subsequent visit and we can always add more. Reversing a dermal filler injection is possible with subsequent injections of an enzyme that breaks it down, although this can be a messy, unpleasant experience.

Is there anyone who should not get dermal fillers?

Yes.   Do not get dermal fillers if you have a skin infection at the planned injection site. Treat the infection. We’d love to see you afterwards.

I’m pregnant. Can I still get dermal fillers?

Although it’s unlikely there will be any adverse side effects to your baby, Clear Dental recommends not undergoing the procedure if you are pregnant.