Dermal Fillers – A Complete Guide to this Popular Treatment

Dermal Fillers – an Overview

dermal fillers

Dermal fillers are one of the most popular nonsurgical cosmetic treatments available, enjoying a 94% Worth It rating on They are sometimes referred to as a non-surgical facelift, as they can lift and restore a youthful appearance, smooth deep lines or plump thin lips.  They are composed of specially linked molecules hyaluronic acid (HA), a naturally occuring substance in the body which supports skin and soft tissue. Because of aging, diminishing levels of HA and subcutaneous fat begins to show in areas such as around the eyes, cheeks, and lips.  Gravity accentuates these changes and contributes to lines around the nose and mouth, and dark circles or grooves under the eyes.

Dermal Filler FAQ

How do dermal fillers work?

Dermal fillers are gels made of hyaluronic acid a naturally occurring type of sugar molecule. There are different types and strengths of gels which are placed under the skin at varying depths to restore volume, lift, contour, and restore a more youthful appearance.

Dermal filler is placed in precise locations at varying depths below the skin using a needle or blunt injection cannula. The type of dermal filler is carefully selected depending on the area being treated and the amount of lifting effect desired. For example, a dermal filler with a long lasting, higher lift would be preferred in the cheek whereas a smoother, more supple filler would be used in the lips or near the eyes.

How long do dermal fillers last?

The effects of dermal fillers are noticeable immediately and tend to improve over time due to their hydrophilic properties and ability to induce collagen formation.

Over time, dermal fillers, composed of hyaluronic acid (HA), will gradually break down and be absorbed by the body. In general dermal fillers last around 6-9 months, but this time may be much longer (up to 2 years) in areas like the cheeks, or shorter in smaller areas with more movement such as the lips.

Of note, some MRI studies have shown that in some patients, dermal filler can last several years.

How much do dermal fillers cost?

The price of dermal filler treatment starts as low as 150 for a small touch up or 179 for a mini lip.  Overall price will depend on the area being treated, the complexity of the treatment, as well as the product used.  We specialize in natural results to help you look your best.    Whether you want to restore a youthful appearance or subtly enhance already beautiful lips, dermal fillers can help you to look and feel your best! If you are considering dermal filler or any other cosmetic treatments, we invite you to book a free, no obligation consultation with our physician.

Do dermal fillers hurt?

Dermal filler injections are more sensitive but overall are usually well tolerated. Almost all dermal fillers are premixed with the anesthetic lidocaine. We have a variety of methods, including ice packs, numbing cream, and vibration devices to help make dermal filler injections more comfortable. There is always a possibility of bruising, but this is minimized with careful injection technique and a thorough knowledge of facial anatomy. We also use blunt cannulas where possible to minimize the risk of bleeding and injury to blood vessels and nerves.

What are the risks and dangers of dermal fillers?

Bleeding and Bruising: Bleeding is usually minimal and resolves within a few minutes. It is possible to have a bleeding episode from the injection of the local anesthesia or filler that requires treatment, but it is unusual. Bruising in the area is also an expected reaction and can take up to a week to resolve.

Swelling: Swelling is also expected and may take several days to a week to resolve. It is unusual but medical treatment may be necessary if swelling is slow to resolve.

Pain: Some discomfort is expected with injections but usually lasts less than a day.

Other risks that are less likely, but may occur, include the followingAcne-like skin eruptions, Skin sensitivity (rash, itching, tenderness), Skin infection, Damage to nerves or blood vessels, Skin lumpiness, Scarring, Skin necrosis (death of the skin), Hyperpigmentation (darkening of the skin), Reactivation of herpes infection (blisters or skin sores).

One of the risks with using this product is unintentional injection into a blood vessel. The chances of this happening are very small, but if it does happen, the complications can be serious, and may be permanent. These complications, which have been reported for facial injections, can include vision abnormalities or blindness.

What should you do before getting dermal fillers?

Be well rested and stay hydrated. Remove makeup so that skin is clean and dry in the areas to be treated. For 3-5 days before dermal fillers, avoid supplements which could cause increased risk of bruising or bleeding, such as: garlic, ginseng, ginger, green tea, ginko, Omega 3, fish oil, Vitamin E, anti-inflammatory medication like Advil or Ibuprofen. Do not stop any prescription ASA or blood thinners. Please let us know in advance if you have any history of cold sores as preventative medication may be recommended.

Instructions after dermal filler treatment:

After treatment, avoid direct pressure on the treated areas for at about 24-48 hours. Moderate exercise is ok. Mild bruising, swelling or discomfort may occur. Let us know right away if you have excessive bruising or notice increasing pain or other skin changes. A optional follow up appointment is recommended about 2 weeks after your treatment for touch ups which are free of charge.

How soon can makeup be applied after dermal filler?

Please wait a few hours after dermal filler treatments before applying makeup.