Dermal Filler in Newcastle by Dr Turner & Nurses
At Skin Atelier, we use only premium brand Hyaluronic Acid (HA) based fillers. HA is a naturally occurring substance in the human body. Its main role is to hydrate cells by attracting and retaining water. As we age, our skin loses its ability to retain moisture, and hence dermal fillers can be utilised to restore volume, and replenish moisture levels. This gives the skin a more rejuvenated, and youthful appearance.
Not all dermal fillers are created the same, and this allows our Cosmetic Injectors to carefully select the type of filler suitable for the indication after careful patient assessment. Whether it be for lifting, and shaping the face, lip enhancement, softening of lines and wrinkles, restoring lost volume, cheek enhancement, jawline sculpture, and balancing of facial features and asymmetries.
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About Dermal Filler
How does dermal filler work?
Hyaluronic acid is a sugar-based molecule that is found in all living organisms, in particularly high concentrations in our skin. The dermal fillers we use all contain hyaluronic acid which works to restore volume, structure and hydration by attracting water into the soft tissues and skin.
Naturally derived dermal fillers that contain hyaluronic acid are much safer and have a very low risk of allergic reactions, which was common with previous dermal fillers. The hyaluronic acid that occurs naturally in our skin is continually replenished every 2 – 3 days. As we age, the production of hyaluronic acid diminishes and this contributes to dehydration of our skin and volume loss in our face.
With modern dermal fillers, we can select the appropriate characteristics of the gel to the area we are treating. We can use a softer gel in the lips and a firmer gel closer to the bone in the cheeks or brow areas. With softer gel dermal fillers these can be metabolised by the body, or broken down and lose their volumizing effect quicker over 6-9 months. While the firmer gel dermal fillers are much more resistant to the body’s natural enzymes that degrade hyaluronic acid in our skin and last more than 18 months.
How can Dermal Filler help?
What areas are treatable?
Dermal Fillers can help revitalize your appearance, smoothing out wrinkles and giving your face a fresh and energetic look. The areas of that dermal fillers can be used for non-surgical facial enhancement include:
As you age, your body produces less collagen and elastin, which are proteins necessary for your lips to look fuller and plumper. Without these proteins, your lips can lose volume and fullness and can become very thin. If you want to restore the youthful look of your lips, lip filler is right for you. It can achieve fuller, plumper, more hydrated and restore a youthful appearance.
If you desire fuller, rounder, defined cheekbones to either restore or enhance that youthful ‘S’ curve of the cheeks than a cheek enhancement with dermal filler is an excellent treatment.
Some people with a weak cheekbone suffer from a flat, undefined cheek prominence. They are unfortunately at a high risk of early facial ageing with premature descent for the cheek fat pad as the cheekbone recedes further with ageing. While a facial implant is an excellent technique to correct this permanently, many don’t want the risks or downtime associated with surgery and prefer dermal filler treatments.
With facial ageing, the stretching of the supporting tissues and recession of the cheekbone allows the cheek fat pad to drop into the nasolabial fold. This gives the malar region a sunken appearance with excess volume in the nasolabial fold.
Dermal fillers used in cheek enhancement are firmer gel products as they a placed close to the bone, giving excellent projection and support for the cheek without the risk of being palpable. These dermal fillers give excellent longevity lasting over 18 months.
The nasolabial fold or smile line is the crease running from either side of the nose to the corners of the mouth. For some people, they may have always had a pronounced nasolabial fold even as a child. While others it develops as a consequence of facial ageing with the descent of the cheek tissue into the nasolabial fold.
The appearance of deep nasolabial folds can be improved using dermal fillers into the surrounding area to soften the fold. It is highly recommended that as part of nasolabial fold correction that the cheek is also corrected.
The marionette lines are creases or folds at the corner of the mouth. With ageing these folds deepen and the mouth can take a down-turned appearance to make you look like you’re always frowning.
Dermal fillers in this area can lift the soft tissue and restore the angle of the mouth to give a more refreshed appearance. It can be combined with a very small dose of anti-wrinkle injections to the muscle pulling down the corners of the mouth to aid in the result.
The brow is one of the first parts of the face to show signs of ageing. The skin on the forehead relaxes, the subcutaneous tissue in the brow area is reduced and the frontal bone recedes. This allows the brow to drop into the upper eyelid area making the upper eyelid appear heavy. Often clients present requesting an eyelid surgery procedure when the problem is simply a low brow position.
Dermal filler injections can elevate the lateral aspect of the brow, resulting in a more open and refreshed appearance. When it is combined with strategic placement of anti-wrinkle injections, we can often achieve 2-3mm of brow elevation which is often equivalent to a brow lift surgery.
Some people naturally have temporal hollowing due to the shape of their skull, however for many this occurs as part of facial ageing. It is often an unrecognized and untreated aspect in facial rejuvenation procedures. With temporal hollowing giving a sunken or gaunt appearance that makes you look unwell.
Dermal fillers to revolumize the temporals can create facial harmony and balance to restore a more youthful appearance.
There are many reasons clients choose to go a jawline enhancement procedure with dermal fillers.
• Ageing Jawline
The formation of jowls and loss of definition of the jawline is one of the most characteristic features of facial ageing. If this is significant, then a facelift procedure maybe your best option. If you are only starting to notice the loose skin, the use of dermal fillers in a jawline enhancement procedure can camouflage the jowls by blending the jowl into the adjacent areas. This helps to straighten, strengthen and define the jawline.
• Shape Of The Jawline
A jawline enhancement treatment using dermal fillers can help create a stronger jawline for a more square, masculine appearance. Some patients need more volume in the front at the chin and others need more volume at the angle of their jawline, to create a stronger, sculpted and defined jawline.
• Jawline Asymmetry
Most people have a small degree of facial asymmetry, if the asymmetry is significant and causing dental issues, then this is best corrected with surgery. For minor jawline asymmetries, the shape, size and chin position can be improved by the use of dermal filler treatment.
In youth, we have a short lower eyelid with a gentle transition into a full cheek with no defined transition point. However, due to the thin skin in the eyelid region and facial ageing, we soon develop a depression that runs from the inner aspect of the eye to the junction between the lower eyelid and cheek region. Below this tear trough depression is the bony margin of the eye socket.
With ongoing facial ageing, the depression becomes more pronounced, extending across the cheek region to fully reveal the entire bony eye socket. This process is compounded by the descent of the cheek tissue into the nasolabial region.
Dermal fillers in the tear trough, frequently combined with dermal fillers to the cheek or malar region can plump and lift the tear trough depression to give a more youthful contour to the lower eyelid and cheek region.
About a Dermal Filler Treatment
What can I expect during treatment?
Your cosmetic injector will begin your treatment with a comprehensive facial assessment and skin analysis. Once a treatment plan has been established, overseen by Specialist Plastic Surgeon Dr Turner, your Injector will then cleanse the treatment area with an alcohol wipe, and topically apply our prescription only Lignocaine numbing cream for at least 30 minutes. Once the area is adequately numbed, your injector will again cleanse the skin with chlorhexidine solution. The dermal fillers we use also contain lignocaine for added comfort during the injections and we use a combination of flexible cannulas and a very fine needle to inject the dermal fillers depending on the area being treated. Some pressure may be applied to assist with any bleeding, and prevent bruising. Your appointment will take approximately 60 mins including local anaesthetic time.
What can I expect following treatment?
Depending on the area treated with dermal filler, and the number of injections needed, you can immediately return to normal activity following your treatment. Bruising and swelling are common side effects of dermal filler injectables, however, these usually resolve within 2-3 days and can be camouflaged with makeup. Lips, nose, and tear trough are areas more common to experience prolonged swelling, however, if these symptoms persist, or any other side effects occur please contact your Cosmetic Injector at Skin Atelier. We recommend that you are reviewed after 2 weeks to access the final result and determine if any touch up is required.
Suitability for Dermal Filler
Who is suitable for dermal filler?
Dermal filler is considered a safe treatment, and is suitable for most people. However, it is contraindicated in the following;
- Pregnant or breastfeeding
- Immunocompromised patients
- Experiencing inflammation or infection at injection site
- Acute conditions of chronic diseases
- Allergy or intolerance to the components of the filler
- Under the age of 18
Ideal Candidate for Dermal Fillers
Both men and women can get dermal fillers. You are an ideal candidate for dermal filler if:
- You are in generally good health and are not allergic to the contents of the filler
- You want to add volume to certain areas of your face while eliminating fine lines and wrinkles
- You wish to add volume to your thin lips
- People struggling with slight nose irregularities can also correct them with the help of fillers
- You want a non-invasive, quick treatment to look youthful
Dermal Filler Aftercare
What is the aftercare?
At Skin Atelier, we like to educate our patients on the importance of the ‘AC’ of aftercare.
Avoid – Try and avoid alcohol, ibuprofen, and other non-steroidal anti-inflammatories (NSAIDS) as they can increase bruising. We recommend Paracetamol for pain relief if treatment area is tender. Do not use skincare with active ingredients, including AHA’s, retinols/retinoids, or vitamin A and use only light mineral makeup for 24 hours. Avoid lipstick following lip filler. Try to avoid pressure on the treated areas, eg sleep on your back as much as possible.
Cold – Following your treatment, apply a cool compress for 15-20 minutes of each hour for the remainder of the day. Avoid direct heat and sun exposure, and avoid vigorous exercise for 24 hours.
Prices & Cost of Dermal Filler in Newcastle & Sydney NSW
How much will my filler cost?
The cost of your treatment depends on the amount, and the type of dermal filler used. Your cosmetic injector will discuss this with you at time of consultation.
For a general idea, prices start at $450/ml for a soft filler with 6-9 months longevity. A longer-lasting, thicker filler with higher lifting capabilities, is priced from $800/ml. Our prices are very competitive for experienced injectors in a Specialist Plastic Surgeon lead clinic.
Longevity of your Dermal Filler results
How often will I need to be treated?
This all depends on your personal aesthetic goals, and the realistic expectations and treatment plan you and your Injector have developed. Most fillers last at least 6 -12 months, so it would be reasonable to schedule filler appointments at least 1 to 2 times per year. With the softer fillers, they tend only to last 6-9 months. However, the firmer fillers can have effects that last 18-24 months. If the filler is placed deeper on the face, eg close to the bone in the cheek or brow it has a much longer duration. While if the filler is placed in a mobile area that is very vascular like the lips its effect is shorter. This is why with lip enhancement the treatment generally needs to be repeated after 6 months.
About Dermal Fillers
Dermal filler is a gel-like substance that is injected under your skin to revive your appearance. The goal is to eliminate fine lines, wrinkles, plump up certain areas of your face and rejuvenate your skin.
Fillers are one of the most popular, minimally invasive treatments for eliminating a few years of your face and reviving your looks. More and more people every day are diving into fillers to enhance their appearance.
One thing to keep in mind is that fillers are not a permanent replacement for the loss of fat/proteins but can mimic the skin’s structure.
Most people confuse fillers with anti-wrinkle injections. However, they both are completely different. Anti-wrinkle injections relax the muscles underneath your skin underneath and prevent the formation of fine lines and wrinkles. On the other hand, dermal fillers add volume and fullness to certain parts of your face while eliminating the appearance of fine lines and wrinkles.
Benefits of Dermal Fillers
Following are the top benefits of dermal fillers:
1. Quick Results
The best advantage of dermal fillers is that results are visible almost immediately after the treatment. You won’t have to wait for months to see results. Moreover, the fillers completely settle into your skin after two weeks.
2. Low Recovery/Downtime
There is very little downtime or recovery involved. The procedure is completed in a matter of few minutes and you can go back to your routine almost immediately after the treatment.
3. Minimal Risk
It is a low-risk procedure. Redness, mild bruising, and swelling are very common but these symptoms will disappear in a few days post-surgery. One risk is facial asymmetry. It is important to choose the right practitioner and follow all the pre and post-treatment instructions to minimize the risks.
4. Long-Lasting Results but not permanent
The results of the fillers last anywhere from 6 months to a few years. You don’t have to worry about getting touch-ups every few days. It is better to stick with fillers that last for a shorter span of time if it’s your first time getting fillers.
5. Confidence Booster
Our looks matter. They play a major role in making us feel great and fabulous. The fillers improve your appearance in a very subtle way and boost your confidence by 10 folds.
How Dermal Fillers Addresses Your Concerns and Issues?
Dermal fillers can help:
- Plump up hollows on your face.
- Eliminate fine lines and wrinkles.
- Soften the creases on your face.
- Rejuvenate your skin.
- Change the look of your aging hands.
Types of Dermal Fillers
There are various types of dermal fillers available in the market. Some of them are:
1. Hyaluronic Acid
These are the most commonly used type of fillers that improve the contours of the skin, reduce depressions, and help with scars, lines and other facial injuries.
2. Calcium Hydroxylapatite
Calcium Hydroxylapatite is naturally present in the bones of the body. It is very similar to a mineral compound and is used to correct modern and severe nasolabial folds, frown lines, marionette lines and enhance the fullness of facial contours.
It is a semi-permanent filler that plastic surgeons user to correct the depressed scars, treat facial fasting as a result of taking HIV medication, and plump up thin lips.
4. Polylactic Acid
It is one of the fillers that trigger the production of collagen in your own body. Polylactic Acid is also called a stimulator and works best for plumping up fine lines, wrinkles and rejuvenating the skin.
It is a semi-permanent filler that is used to treat wrinkles (both medium and deep). It is also used as a suture material for over 40 years. The one downside to PMMA is that it can take months for the patient to see complete effect.
Risks and possible complications of Dermal Fillers
If you follow the right pre and post-care instructions and choose the right practitioner, you won’t have any problems. However, there are certain risks and concerns associated with them that are:
- Skin eruptions that resemble acne
- Facial asymmetry
- Excessive bleeding
- Skin damage and bruising
- Formation of lumps and bumps
- Swelling on the treatment site
It is important to immediately contact the practitioner or the plastic surgeon that gave you fillers if any of these symptoms occur.
Dermal Filler Procedure
The procedure of dermal fillers involves the following steps:
1. Facial Mapping and Examination
The first step involves a thorough examination of your face. The surgeon, nurse or administrator will look at the appearance, skin tone and areas to be augmented. Then, your face will be marked for administration of injections.
2. Anaesthetic and Cleansing
The injection sites will be cleaned thoroughly with the help of an antibacterial agent with no traces of dirt and makeup. Then a topical anaesthetic will be applied to your skin to numb it so you don’t feel any pain prior to injecting dermal filler into your skin.
The process of injecting dermal filler begins. It typically takes a couple of minutes per site. The administrator will inject, massage and evaluate the treatment site as they go.
The procedure will be completed in less than 15 minutes.
4. Final Clean Up
Once your results appear satisfactory, your skin will be cleaned up properly, any blood that sits on your skin will be removed along with all the markings.
You might be given a cold compress to alleviate any kind of discomfort.
Results of Dermal Filler Treatment
You can instantly feel and see a difference in your face. It typically takes 3 to 7 days for people to see complete results. The results last anywhere from six months to a few years. Following the post-treatment instructions thoroughly as well as maintaining good health will improve the outcome and make fillers last much longer.
Before and After Photos of Dermal Filler
Look at these before and after photographs of our patients to see the results of dermal fillers.
Dermal Fillers Aftercare
Although it is a non-invasive treatment, there are certain things you need to be mindful of after getting fillers to achieve the best results. Follow these steps after getting dermal fillers and you will be sorted:
Sleep on your back for the first week to avoid putting pressure on the treatment site.
2. Massaging Treatment Site
Do not massage the treated area under any circumstances.
3. Facial Treatments
Avoid getting any facial treatments for a week or two after dermal fillers.
4. Sun Protection
Wear sunscreen and do not expose yourself to direct sunlight.
5. Soothing Gel
If required, use a soothing cream on the treatment site as per your injector’s recommendation.
Do not smoke or drink for at least six weeks post the fillers.
7. Moderate Temperature
Do not expose yourself to extremely hot or cold temperatures. Avoid saunas and tanning beds for a week or two.
Skip exercising for a minimum of 24 hours after the treatment. It can increase the risk of bruising.
9. If in doubt – Contact your Clinic
At any point post dermal fillers, you feel that things are not going well, immediately contact your clinic. It is always better to be safe than sorry.
Dermal Filler FAQs – Questions about Fillers
- Are dermal fillers better than anti-wrinkle injections?
Both work amazingly well and none is better than the other. However, there is a slight difference between the two. Anti-wrinkle injections eliminate existing wrinkles and also prevent the formation of new wrinkles. On the other hand, fillers fill the hollow parts of the face, add volume and rejuvenate your skin.
- Are face fillers worth it?
They are totally worth it if you are looking for a non-surgical procedure to enhance your looks. They not only eliminate fine lines and wrinkles but also rejuvenate your skin while plumping up certain areas of your face. Face fillers are quick, effective and most importantly, non-invasive.
- Can you get fillers under your eyes?
Of course, you can get fillers under your eyes to eliminate the hollows. It is one of the most common treatments people get to get rid of the tired appearance and look refreshed.
- Do fillers make you look younger?
Yes, fillers can totally make you look younger by eliminating wrinkles, fine lines, restoring the hollows of your face.
- Does filler stay in your face forever?
No, the fillers will not last in your face forever. They can last anywhere from six months to a few years based on the type.
- Does massaging filler break it down?
Yes, massaging can break down or remove a small amount of unwanted filler.
- How long do dermal fillers last?
Fillers can last from six months to a few years. The longevity depends on the type of dermal filler and how well you take care of your body afterwards.
- How long does it take for fillers to settle in your face?
Lucky for you, dermal fillers are quick acting and they settle in your face in a matter of two weeks. You will feel completely normal and get used to the feeling of fillers by then.
- How many syringes do I need for marionette lines?
For marionette lines, you need one to two syringes of fillers per side.
- How many times can you get fillers?
There is no specific limitation on how many times you can get a filler. It all depends on your personal preference as well as the recommendation of the practitioner.
- Is 1 ml cheek filler enough?
Yes, it is more than enough. In fact for people who are just starting to dive into the filler, 1/2 ml of filler is enough for your cheeks.
- Is 60 too old for fillers?
Not at all. You can get fillers at 60 to refresh and revive your looks.
- What age should you get fillers?
There is no right and wrong age to get fillers. Whenever you feel that you need some extra help, it is important to visit an expert and get their opinion.
- What does dermal filler do?
Dermal fillers reduce the appearance of fine lines, wrinkles and plump up your skin while adding volume to the hollow parts of your face.
- What does it feel like to get fillers?
While getting fillers, you won’t feel anything except the initial prick. In the first few days, you will experience the feeling of fullness in your lips, under eyes or cheeks (depending on where the filler is). After a few days, you will get used to it and won’t feel anything unusual.
- What to avoid after fillers?
There are plenty of things you need to avoid after fillers. Here are a few:
- Avoid exposure to intense hot and cold temperatures.
- Do not put pressure on the treatment site.
- Stop exercising for at least 24 hours.
- Avoid using Retinol, Vitamin C, AHAs or makeup for 24 hours after the treatment.
- Do not go for facials, face waxing or any other facial treatments for 2 to 3 days after getting the fillers.
- Sleep on your back from a few days post fillers to avoid pressure on the treatment site.
- Where can I get fillers for my face?
You can get fillers pretty much on your entire face; lips, cheeks, smile lines, jawline, temples, chin, nose, frown lines, and your nose.
Medical References for further reading about Dermal Fillers
If you want to learn more about fillers, you can go through the following links for further study:
Meet our Skin Atelier Nurses & Injecting team
Nurse Emily – Injecting Nurse – Newcastle NSW
Nurse Janelle – Injecting Nurse – Dee Why – Sydney NSW
Nurse Stephanie – Injecting Nurse – Newcastle NSW
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