Dermal fillers help to replace lost volume that occurs with the ageing process. As we age there are a number of processes that contribute to changes in the face that we see in the mirror. Firstly we lose the fat pads in the face which help keep the skin plump and young. The facial bones change causing loss of cheekbones and widening of the orbit. Collagen is lost in the skin causing laxity.
Dermal filler treatment | Cityskin Melbourne & Sydney
Dermal fillers help to replace this lost volume and thereby giving the face a more youthful appearance. Fillers last between 6-24 months depending on the dermal filler used and the amount injected but can vary from person to person. Cityskin uses the more expensive filler containing lidocaine, a local anaesthetic which makes the procedure less uncomfortable.
How does dermal filler work?
The way I like to describe dermal filler is using the analogy of a valley with a river running through it. Imagine we are placing dermal filler under the river bed to lift up the valley to make it almost flat. It is now no longer a valley but now a flat plain. If you imagine that deep lines on the face is like a valley – we place dermal filler under the skin to lift up the skin and reduce the appearance of the lines.
When injected under the skin, dermal fillers attract water and over the next few days will swell slightly. This produces a lifting effect and in this way dermal filler looks better in the days after injection. Over time, dermal filler is broken down naturally by the body.
What is the difference between anti-wrinkle injections and dermal fillers?
Anti-wrinkle injections relax muscles, reducing the crumpling of the skin and in doing so softening lines. Dermal filler is placed deeper under the skin to restore lost volume and hide shadows.
Think of dermal filler as being the structural supports in a building and anti-wrinkle treatment being the plaster on the walls which provides a smooth surface.
The video below shows Dr Brown from Cityskin describing the difference between dermal fillers and anti-wrinkle treatment.
What does dermal filler look like?
Dermal fillers are clear and feel gelatinous. They vary from thin dermal fillers which flow easily from the tip of the needle to thicker fillers which are firmer. Generally speaking the thicker the dermal filler the longer it lasts and the more lift it provides. We have to be careful to place thicker dermal fillers deep under the skin to avoid causing small lumps and bumps.
Thicker dermal fillers are more often used in cheeks, marionette lines, chins and in the jowl area. Thinner fillers are more often used to treat fine lines around the mouth and in the lips where we want a nice, smooth spread of the filler without overfilling. The video below shows Dr Brown showing 1ml of filler in a vial.
How much dermal filler will I need?
The amount of dermal filler that you may need depends on the degree of volume loss or depth of the line that we are treating. As a general guide we use the following amounts of dermal filler:
- Nasolabial folds – 1.0ml
- Marionette lines – 1.0 – 2.0ml
- Cheek enhancement – 1.0 – 3.0ml
- Lip enhancement – 1.0ml
- Temples – 2.0ml
- Chin – 1.0ml
We work with you to get the result that you are looking for and take our time to make sure you are happy with the result. Most people want to emphasise features rather than change their appearance and we aim to do this with careful placement of dermal filler. The dermal filler is dissolvable so if you want the effects reversed this can be done for you.
Which areas can be treated with dermal fillers?
We offer a wide range of dermal filler treatments at Cityskin – some of which you may not have heard of before. Click on the links below to read about the most common dermal filler treatments that we offer at Cityskin.
Dermal filler and anti-wrinkle treatment for full facial rejuvenation
A combination of dermal filler and anti-wrinkle treatment can be used to rejuvenate the face. We often talk about ‘decade dosing’ to fully rejuvenate the face- 3ml in your 30’s, 4ml in your 40’s, 5ml in your 50’s and 6ml in your 60’s. Have a read all about full facial rejuvenation here.
Are dermal fillers painful?
Dermal fillers contain local anaesthetic which numbs the area that is being injected. Some areas of the face are more sensitive such as the middle of the lip. At Cityskin we use the more expensive dermal filler containing lidocaine- a local anaesthetic which can reduce discomfort.
How long do dermal fillers last?
Dermal fillers last between 6 and 24 months. In areas of the face where there is more movement dermal filler can wear off quicker. We choose the correct dermal filler for your treatment based on how much of a volumising effect you are looking to achieve. The more volumising, longer lasting fillers are generally not used in areas where there is a lot of movement, for example the lips. Longer lasting dermal fillers are firmer and better placed in areas such as the cheeks and marionette area.
How much does dermal fillers cost
At Cityskin we charge from $650 for 1ml of dermal filler depending on the clinic that you attend. Have a read of our dermal filler cost page to find out more about all treatment prices.
Have a read of our costs page for a full breakdown. We do not use collagen or permanent dermal fillers at Cityskin as we feel that they are not safe.
Are dermal fillers permanent?
No – unlike collagen injections, the dermal filler that we use at Cityskin can be dissolved using a special enzyme.
Well, it depends. There are two main fillers that we use in Australia. One is made by Allergan and the other by Galderma. We are not allowed to discuss the names of the fillers on websites so click on the company names to see which brands they are.
If you are looking to treat the bags under then the best dermal filler would be the one with the least viscosity and water absorbing properties to prevent puffiness. The best lip filler for the lips is one in the medium viscosity range and the best volumising filler for loss of cheek volume is the most viscous.
Dermal filler before/after photos – Cityskin patients
Cheek, tear trough and marionette dermal filler
In the photo below our patient has had 1.0ml of dermal filler to each cheek and 0.5ml to each marionette line. This has lifted the cheeks, reduced the appearance of the tear trough, giving a rejuvenated appearance
Our second patient, in her late 50s has again had 1ml dermal filler to each cheek. This has restored volume to the cheeks whilst keeping a natural look. You can also see that our patient has had anti-wrinkle treatment to the frown and forehead to reduce the lines.
Nasolabial fold before /after photos
Our patient is in his early 30s and wanted to reduce the appearance of the nasolabial folds. Dermal filler has been used in threads to the area to soften the shadow of the nasolabial fold. The dermal filler will last approximately 1 year.
Lip dermal filler before/after photos
Lip dermal filler can restore volume to the lips but can also improve lip proportions. The patient in the photo below has been treated by Mr Erik Koppert at Cityskin Hawthorn. She has had dermal filler to the upper and lower lips but you can see that, by placing more filler in the lower lip it has restored a lovely upper to lower lip balance.
Our second patient is in her 20s and has good lip proportion before treatment. She noticed that her lipstick cracked and the lips felt dry. We have treated with 1.6ml of dermal filler over 2 sessions to give fullness to the lips. She has a lovely lip ratio (upper : lower lip size) so we did not need to treat this.
What are the risks of dermal filler treatment?
The main risks of dermal filler include:
- Bruising at the time of treatment
- Swelling afterwards
- Puffiness in the area of treatment. The tear trough area (under the eyes) is the highest risk area of this
- Blue-ish discolouration if dermal filler is injected too superficially – known as the ‘Tyndall effect’
Unlikely risks include affecting blood vessels in the area of treatment, the need to dissolve filler, infection and granuloma formation.
We minimise risk by using sterile gloves and cleaning the skin with an anti-septic (chlorhexidine or betadine) prior to treatment. The risk of bruising is reduced by using a cannula to deliver the dermal filler into the appropriate area.
At Cityskin we DO NOT use permanent dermal filler. We use the leading dermal filler brands in Australia. The dermal filler that we use can be dissolved if needed meaning that it is the safest form of filler to use.
Do dermal fillers cause collagen production?
Dermal filler does not boost collagen production itself. It is made of a substance, which we cannot name ingredients, due to regulations, that adds volume under the skin. Collagen production as a result of dermal filler injections may stimulate a small amount of collagen synthesis due the trauma caused from the needle, or the cannula entering the skin.
Cityskin – experts in safe dermal filler treatment
We are highly trained in safe dermal filler treatment and will discuss risks of treatment with you on the day. Watch our video below to see Dr Brown talking about dermal filler risks.