Dermal Fillers

Dermal fillers can rejuvenate age-related depletion of collagen and fat. This presents as volume loss, wrinkles, laxity and shadows. The most common filler is hyaluronic acid. With careful and skilful placement, this naturally occurring molecule hydrates the skin and restores volume, in turn reducing wrinkles, shadows and laxity. You can book a free consultation at our Brisbane clinics with our experienced doctor or nurse injectors who work with board-certified dermatologist Dr Davin Lim. *T & C applies.
Dermal filler treatments we offer:
  • Lip Fillers
  • Cheek Fillers
  • Jawline Fillers
  • Tear Trough Fillers
  • Collagen Stimulating Fillers
  • Dermal Fillers for Men

Our results speak for themselves

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Treatments for Active Acne

Lip Fillers
Best for: Volume & definition
Down time: 0-1 day
Comments: We give natural results
Cheek Fillers
Best for: Laxity & volume loss
Down time: 0 day
Comments: Lifts deflated cheeks
Jawline Fillers
Best for: Contouring
Down time: 0 days
Comments: Improves side profile
Tear Trough Fillers
Best for: Dark circles
Down time: 0 days
Comments: Rejuvenates the eye area
Collagen Stimulating Fillers
Best for: Skin laxity, mature skin
Down time: 0 days
Comments: Stimulates collagen
Dermal Fillers for Men
Best for: Male rejuvenation
Down time: 0 days
Comments: Fillers enhance the jawline
What’s the difference between anti-wrinkle injections & dermal fillers?
Volume replacement; a key step in skin rejuvenation

Lines of expression do best with anti-wrinkle injections, whilst lines at rest do best with dermal filler. Hyaluronic acid fillers are best for deep lines that are present even when facial muscles are not contracting. Fillers last up to 2 years, whilst anti-wrinkle injections require top ups every 4 months.

Lasers & peels address skin texture, surgery & Ultherapy skin tone or laxity, whilst dermal fillers address volume. This key step in facial rejuvenation can give the most natural results, without downtime. Our experts can address key locations including the cheeks, lips, chin, under eye & jawline areas. With over 18 types of dermal fillers to choose from, you can be assured that your injectable results will be bespoke.

Natural outcomes with injectables
Freestyle Filling; tweaking multiple areas 

Skin undergoes an age-related depletion of collagen & fat. This presents as volume loss, wrinkles, laxity & shadows. We can rejuvenate with injectable fillers. The most common filler is hyaluronic acid. With careful & skilful placement, this naturally occurring molecule hydrates the skin & restores volume, in turn reducing wrinkles, shadows & laxity.

Developing a professional relationship with your injector takes injectables to another level. Instead of treating only one area, Freestyle Filling uses the same amount of filler, scattered in key areas of the face.  This form of dermal filling gives the most natural results & it allows us to create the best profile for your face. 

Skin undergoes an age-related depletion of collagen & fat. This presents as volume loss, wrinkles, laxity & shadows. We can rejuvenate with hyaluronic acid  or collagen stimulating dermal fillers. With careful & skilful placement, this naturally occurring molecule hydrates the skin & restores volume, in turn reducing wrinkles, shadows & laxity.

FAQs

How much filler will I require?

The amount of filler depends on three main factors-

  • Your natural volume deficits in the context of optimal proportions
  • Age related volume loss
  • Your goals & expectations

This varies tremendously from person to person, but as a guide-

  • 20s-30s: 1-2 mls
  • 30s-40s:2-3 mls
  • 40s-50s+: 3mls or more

As a guide, for lips, a one ml syringe distributed appropriately is usually the right amount for most people to start. You will get all-over enhancement while still maintaining a natural appearance. Slowly building volume is very important.

Is dermal filler treatment painful?

Our injectors are skilled in the most effective techniques to deliver results with minimal discomfort.  We inject fillers containing local anaesthetic, in addition to preparing the treatment areas with topical anaesthetic where required. 

When will I see the results from dermal fillers?

Results are immediate, but results will continue to improve for 2 weeks. For locations like the lips, your best results are seen at day 10+ as the swelling is reduced. 

 

Our injectors also use collagen stimulating fillers. These fillers take 3-4 months to achieve maximum results.

How often can I get dermal fillers?

Our injectors are mindful of the ‘overfilled syndrome’. This means some patients lose sight of reality, in part due to the injector. 

Develop a professional relationship with your injector & be guided by them. Your face is our signature, so rest assured, we’re not going to stuff it up. We will pace you according to your volume loss, your expectations & importantly what we see as aesthetically pleasing.

How long will the results from facial fillers last?

At Cutis Dermatology we offer 14 grades of dermal fillers that can last from 6 to 24 months. The duration of effect depends on several factors including facial structure, your metabolism, & the product selected. 

 

Fillers used in Australia are not permanent. They are naturally absorbed over time, meaning you can choose whether to continue to maintain the effects in the future. Hyaluronic acid dermal fillers are also completely reversible using an enzyme to dissolve them. 

 

How does fat transfer compare to dermal fillers?

Our dermatologists may consider fat transfer in some patients with large volume deficits- typically requiring 10-15 ml of dermal filler. 

Fat lipotransfer uses your own fat that is obtained from the thigh, flanks or abdomen & repurposed back into key areas of the face. A patient’s fat is the most “natural” filler, and the fat has a much better longevity. There is more swelling than with other fillers, but the results are natural & often long lasting. The biggest drawback is the unpredictable nature of fat resorption. We will discuss if this treatment is suitable for your goals. 

 

Do we fill under the eyes to treat dark circles & tear troughs?

Yes, we do, but we perform it only for patients who have suitable tear troughs. If your anatomy is not suitable, you will develop lumps & bumps. 

 

Important concepts to grasps are-

 

  1. Only some patients are suitable
  2. Support of the mid cheek is often required for most
  3. Under correction is your friend
  4. The area takes in water over time, especially with some brands of filler

Can dermal fillers migrate?

Dermal filler migration means that your dermal fillers have moved or spread unintentionally over time. This is rarely seen, but it is more common in areas such as the tear troughs, & lips (especially if filler is placed in the upper lip). 

If your fillers have migrated, it is not always noticeable. Migration can present in many ways, a lack of a defined border between the lip edge, blue under the eyes or lumps & bumps. 

Dermal filler migration can happen for a number of reasons, including- 

  • Brand of dermal fillers used: Use only the best brands on the market.
  • Placement of filler, always know who you are allowing to inject your face. 
  • Quantity of filler injected: Too much filler injected into an area can cause “bleeding” elsewhere
  • Aftercare: Always follow the correct aftercare procedure

What is the difference between hyaluronic acid & collagen stimulating dermal fillers?

In short, HA fillers are reversible & give an immediate one to one correction, meaning what you see is what you get. Collagen stimulating fillers are not reversible & give better results over time, typically 3-4 months post injection.

 

90% of our patients receive hyaluronic acid dermal fillers, & 10% collagen stimulating fillers. Collagen stimulating fillers are useful in-

 

 

  • Older patients requiring collagen stimulation
  • Large volume defects & volume loss
  • Areas such as the jawline where we require more structure

How do dermal fillers work?

The most common dermal fillers are made with hyaluronic acid, a sugar molecule that attracts water. Hyaluronic acid dermal fillers can:

  • Smooth out lines around nose & mouth 
  • Restore volume to sunken cheeks or temples
  • Reduce vertical lip lines 
  • Volumize, define & enhance the lips
  • Smooth out a chin creases
  • Enhance the jawline
  • Improve symmetry among facial features
  • Remove acne scars

What are the potential side effects of dermal fillers?

The common side effects of dermal fillers can include redness, tenderness, swelling, & bruising. Asymmetry is another common side effect that is easily corrected.

Serious complications including nerve damage, arterial occlusion & infection are extremely rare.

Lumps & bumps after fillers typically subside within 72 hours. For thicker dermal fillers it’s common to feel lumps but not see lumps for up to 2 weeks. 

Migration of fillers can occur with incorrect placement or the use of certain brands. It is reversible with hyaluronidase. 

Delayed nodules are more common than reported. Our dermatologists see at least one case every week referred from other clinics. Most can be settled down without the requirement for dissolving them. 

Arterial occlusion is a very rare side effect of dermal fillers, early & appropriate intervention is required. 

What is the aftercare with dermal fillers?

After dermal filler injections: avoid touching, pressing, or manipulating the filled areas for 12 hours after treatment. You can apply an ice pack to alleviate swelling & bruising. 

Avoid drinking alcohol or doing strenuous exercise on the day. You can resume your activities the very next day. 

If there is a visible bump, you can massage the area, however our injectors will inform you if this is required. Depending on the areas treated and the product used, you may feel “firmness”. These areas will settle within 1-2 weeks.

Do we use cannulas or needles to inject?

Our injectors use both needles & cannula techniques to deliver dermal fillers. 

The benefits of using blunt tipped micro cannulas include:

  • Minimal downtime: A blunt cannula technique reduces the likelihood of swelling & bruising, requiring less downtime compared to sharp needles. 
  • Safer technique: A blunt tipped cannula has a much lower risk of piercing an artery. This ensures that it is a much safer option for fillers in key locations. 
  • Decreased risk of bleeding & bruising: While sharp needles can pierce blood vessels below the skin, a blunt cannula can push them aside – hence less swelling, bleeding and bruising.
  • Better comfort levels: Having multiple sharp injections with needles feels painful & uncomfortable. A cannula is more comfortable.

How do we treat patients who have Tindall under the eyes?

Tindall or blueing under the eyes is common with hyaluronic acid dermal fillers. It occurs because of light refraction & is due to either too much HA concentration or too superficial placement. 

We tackle this problem by dissolving your filler, then either re-filling with another low concentration HA filler or a special technique of collagen stimulating filler. 

When do we fill temples with dermal fillers?

The temples are one of the first places to lose volume, especially in women around the age of 30-40.  Dermal fillers in this area can-

Provide balance to the face, reducing the ‘pinched’ look of the upper ⅓ of the face.

Provide lift of the outer ⅓ of the eyebrow. This frames the face.

What techniques do we use & teach for temple fillers?

We use one of three techniques to fill this area. The choice depends on your injector & your anatomy / volume deficit. 

  1. Shotgun method with a sharp needle. Great for low volume correction. 
  2. Above the superficial fascia. More advanced method, used for temples with high volume loss. It can marginally lift the cheek. 
  3. Between the superficial and deep fascia. This technique provides a better blend compared to above. 

What are Skin Booster dermal fillers?

These are superficially placed dermal fillers that address skin quality issues over volume. Hyaluronic acid placed in the upper layer of skin either manually, with a V2 Injector gun or Aqua Gold microneedling mesotherapy is a perfect steppingstone if you are new to injectables. 

Skin Boosters will not alter your shape/volume but can give you an indication of the power of hyaluronic acid. Superficially placed fillers don’t have the longevity of deep dermal fillers. 

Does HIFU, lasers or radiofrequency break down dermal fillers?

No. Our dermatologists have written a paper on this. It’s because energy devices do not reach over 70 degrees. Dermal fillers are stable to over 110 degrees for several minutes as part of the sterilization process.

Can I get Botox & dermal fillers on the same day?

  1. Yes. We fill first, then Botox later. The order is important as this reduces migration of Botox, which can lead to unwanted side effects such as reduced muscle contractions elsewhere. 

Can I get laser & dermal fillers in the same session?

In most cases, yes. It’s because we place dermal fillers in a much deeper plane than superficial laser resurfacing. You do need to clear this up with your injector & your laser technician. They will run this by our dermatologists for clearance. Dermal filler & deep fully ablative lasers are not advisable. 

How do we dissolve dermal fillers?

Hyaluronidase is a special enzyme occurring naturally in the human body. This breaks down hyaluronic acid. A synthetic version is used to break down hyaluronic acid dermal fillers. Our skilled injectors can precisely place hyaluronidase or Hyalase in key focal areas of fillers to dissolve them. 

 

You may find that you need multiple sessions to break down all the filler. Different types of filler respond in different ways to treatment. Also, if you have had many filler treatments, the filler builds up over time. It may be that the filler has become integrated into the tissue. The most common areas we dissolve include:

 

 

  • Under the eyes or tear trough fillers. Over time this area takes in water making fillers look lumpy & blue
  • The lips, especially if there is filler migration 
  • The cheeks as fillers can accumulate over time

Which lasts longer, Botox or dermal fillers?

Hyaluronic acid fillers, which come in a variety of thickness, last 6-24 months. Collagen stimulating dermal fillers last beyond two years. Longevity depends on the type of filler, location & importantly your metabolic rate. 

Botox can last around 3-6 months. Longevity is shortest in areas of repeated movement including the lips (lip flip) & marionette areas. 

Why choose Cutis Dermatology Brisbane?

Our team of dermatologists & cosmetic nurses have been using injectables for nearly 20 years. We not only have comprehensive training in facial aesthetics, but we train the industry. Our dermatologists are national & international trainers for Allergan. 

Do we use Hyalron Pens to inject dermal fillers?

It is skin to using a flamethrower to cook your steak. No, we don’t. We do however see lots of side effects from this treatment, including persistent lumps, bumps & dermal filler infections.  

Ask us more about this treatment