Dermal Fillers


… turn back the clock without surgery!

Dermal Fillers owe their immense popularity to the many ways they can non-surgically rejuvenate the face by: 

couple holding each other

The above aside, please note that not all facial lines can be corrected with Dermal Fillers. Lines that are very deep, or very ‘sharp’, may be more suited to Laser Skin Resurfacing.  Similarly, expression lines such as frown lines, forehead lines, and crow’s feet need to be treated with Anti-Wrinkle Injections. Accordingly, consumers should consult clinics that offer the FULL spectrum of wrinkle treatments to ensure they have access to the most appropriate treatment for their individual wrinkles and are not limited to only those treatments a clinic can offer.

man receiving cheek filler

Although almost everyone knows these products by name, current Government regulations prevent us from naming them on websites or in advertising – even though they were widely advertised in earlier years. We are permitted, however, to give you printed information on them, including their names, at your Initial Consultation. 

Currently for consumers, there is a bewildering array of Cosmetic Injections on the market.  Based on our many years of experience, we believe that some are better and safer than others. Accordingly, it is important you choose one that has a ‘proven track-record’ of being safe and long-lasting. 

One major concern in this highly competitive industry is that there have been reports of some unscrupulous injectors injecting patients with cheap, illegally imported, counterfeit Cosmetic Injections. 

Some of these ‘counterfeit injectables’ have been found to contain impurities capable of causing serious complications. 

The difficulty for consumers is that the packaging may look like the genuine item and be very difficult to pick as a ‘fake’! 

The only real way to safeguard yourself against such risks is to avoid the temptation of ultra-cheap Dermal Fillers and always: 

  • Choose a reputable clinic with experienced doctors. 
  • Check that the Dermal Filler you’re being offered is the genuine product. Ask to see the packaging of the Dermal Filler if you have any doubts. 
  • Avoid ultra-cheap injectable ‘deals’ as they could reflect a counterfeit product. 

Types of Dermal Fillers

Although almost everyone knows these products by name, current Government regulations prevent us from naming them on websites or in advertising – even though they were widely advertised in earlier years. We are permitted, however, to give you printed information on them, including their names, at your Initial Consultation.

To simplify the understanding of all the Dermal Fillers currently available in Australia, one can divide them into two broad categories according to how long the correction should last: 

1. NON-PERMANENT with durations in the order of 6 months to 3 years depending on the brand of Filler and its formulation: 

In this ‘Non-Permanent’ category, we recommend only those Dermal Fillers that contain the identical polysaccharide (complex sugar chain) present in ALL human and animal skin.  

Therefore, having the chemically-identical agent as your skin’s own ‘natural filler’, the risk of an allergic reaction is so negligible that no pre-treatment skin testing is required.  Most importantly, these fillers are NOT of animal origin. Instead, the polysaccharide is manufactured synthetically but it is still equivalent to that found in human skin. 

We believe that the Dermal Fillers in this group are by far the better and safer option for general use because they: 

  • provide excellent correction  
  • have a proven safety record 
  • are not of animal origin 
  • require no pre-treatment testing for allergy 
  • deliver a worthwhile duration of correction: 6 months to 3 years depending on the particular Dermal Filler used 


‘Permanent’ & ‘Semi-Permanent’ Fillers of various brand names are the other type of Dermal Filler on the market.  The active ingredients of these Fillers are not identical to those found in human skin and may therefore be considered ‘foreign’ to the human body. They initially deliver volume but then have an ongoing effect of depositing collagen permanently around the particles of Filler.  Based on the very way in which these Fillers work, they do have a higher propensity to cause Foreign Body Granulomas (hard red lumps) which would then require cortisone injections and possibly surgical excision. 

In our patients’ best interests, and based on both anecdotal and published reports of permanent complications with this group of Fillers (Report: American Journal of Cosmetic Surgery Vol. 23, No3, 2006), we do not offer this group of Dermal Fillers at our clinic.  Although tempting for some patients in terms of convenience and the perceived long-term cost advantages of a single treatment, we feel that that the increased risk of adverse reactions from these Fillers far outweighs their potential benefits. 

The Most Common Uses of Dermal Fillers 

Filling facial wrinkles, furrows and ‘hollows’ 

dermal fillers 1
dermal fillers 2

Restoring Lost Cheek Volume

lost cheek volume
cheek hollows

Creating Fuller, More Sensuous Lips

creating fuller
sensuous lips

Camouflaging Nasal Deformities

nasal deformation
nasal deformities

Enhancing Cheekbones and Chins 

enhancing cheekbone
enhancing chins

Filling Acne Scars  

filling acne scar

Filling Skin Depressions

filling skin depression

How long will my correction last? 

This will vary depending on the brand and formulation of the Dermal Filler selected, and your personal rate of dissolving the injected Filler. Generally, 6-12 months is the average duration seen with most of our Fillers, but some are known to last up to 3 years or more.  Ask our doctor how long your correction should last prior to commencing treatment.

How is it done? 

Most Dermal Filler treatments take about 20-30 minutes to do depending on what needs to be done and how many syringes are used.  Although the Dermal Fillers we use all contain a local anaesthetic, we still offer patients additional ‘numbing’ in the form of a Local Anaesthetic Cream or a ‘nerve block’ when working in more sensitive areas such as the lips. 

For some situations, such as lips, chins and cheeks, we may offer you the choice of injecting the Filler with a Cannula instead of a needle.  Needles have sharp points but a Cannula has a blunt, rounded tip that greatly reduces the risk of bruising!  This technique is especially useful in Lip Augmentations with the lips being so richly supplied with blood vessels.  

Immediately after treatment, you may have some slight and temporary swelling of the injected area due to the Dermal Filler’s ‘hydrophilic’ property of attracting water to itself from the adjacent tissues.  However, this is minimal and usually settles within 72 hours. 

When Are Treatments Contra-Indicated? 

  • In the presence of any active skin infection e.g. active acne 
  • During pregnancy or lactation. 
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Facial Enhancements with Dermal Fillers is a huge growth industry. As such, more and more doctors and an increasing number of Nurse Injectors are entering the field. So, before you decide who will inject your Dermal Filler, consider each of the following: 

The Experience of Your Injector is Paramount 

Anyone can inject a Dermal Filler under your skin but it’s knowledge and experience that gives an injector the right ‘feel’ of precisely how much and how deep the Filler needs to be deposited. 

An increasing number of Nurses are becoming ‘Nurse Injectors’ 

Dermal Fillers are classified by the Australian Therapeutic Goods Administration as S4 Products and accordingly IT IS ILLEGAL FOR A NURSE TO INJECT A DERMAL FILLER UNLESS YOU HAVE FIRST HAD A CONSULTATION WITH THE DOCTOR OF THAT PRACTICE.   

Unfortunately for patients, some Nurses are circumventing these Regulations by using Skype with doctors away from the premises to obtain their authority to inject the Dermal Filler. Such Skype consultations are NOT in the best interests of patients as they can never replace a detailed, face-to-face consultation with a Doctor experienced in the use of Dermal Fillers.  

Making your treatments more comfortable

Please note that Nurses are not permitted by law to inject Local Anaesthetics.  Without a Local Anaesthetic injection, your treatment could prove quite painful. Some Nurses apply ice or EMLA cream as an alternative to a ‘block’ but it’s never as effective.

Don’t choose the cheapest quote

Experienced doctors may charge slightly more but this is usually a reflection of their skill and experience.  And it’s skill and experience that sets one result apart from another! 

Ensure the Dermal Filler you are about to have injected is the GENUINE product! 

There have been a number of reports and warnings about serious complications from cheap, counterfeit Dermal Fillers illegally imported from overseas. The packaging may suggest that the Filler is genuine but if it is a just a clever copy, the counterfeit Filler could contain impurities capable of causing serious complications. The safest approach is to only go to reputable clinics and not be tempted by cheap injectable ‘deals’

Remember, YOU are the consumer, YOU are spending your hard-earned dollars and you deserve the highest professional standards and the best possible results for your money.  Don’t accept anything less!

Frequently Asked Questions

What are the various Dermal Fillers available in Australia?

Unfortunately, current Government regulations prevent doctors from displaying their names on websites. However, we are permitted to give you printed information on them, including their names, at your Initial Consultation. 

Basically, there are two broad categories of Dermal Fillers available: Permanent and Non-Permanent. Based on reports of adverse reactions, we do not recommend or offer Permanent Fillers. 

 How long do Dermal Filler corrections last?

Owing to the reported risks of adverse reactions, we do not recommend Permanent Fillers. 
In the safer Non-Permanent category, we have a range of Fillers that last anywhere from 6 months to 3 years depending on their brand and formulation. Our Doctor will discuss all of these with you, and their individual costs, at your Initial Consultation. 

What criteria should I look for when choosing where to have my Dermal Filler?

Choose an experienced injector. Anyone can inject a filler under the skin but it’s knowledge and experience that gives a practitioner the precise ‘feel’ as to how much and how deep the Filler needs to be deposited.

An increasing number of Nurses are injecting Dermal Fillers. Unfortunately, Nurses are not permitted by law to inject Dermal Fillers unless the patient has been first consulted by a doctor of that practice. Some Nurse Injectors circumvent these Regulations by having a doctor remotely assess the patient on Skype. This can never replace a proper face-to-face assessment by a doctor experienced in Dermal Fillers. Furthermore, Nurses are not allowed to administer local anaesthetic ‘nerve blocks’, so your treatments could prove more painful. The Sydney Cosmetic & Plastic Surgery Clinic is a ‘Doctor-Only’ clinic and all treatments are performed by experienced doctors, not ‘Nurses Injectors’. 

Be wary of ultra-cheap prices: An increasing number of counterfeit Dermal Fillers are being illegally imported into Australia and some of these have been shown to contain impurities capable of causing serious complications. 

What are the costs?

We have a range of different Dermal Fillers to suit every purpose. They vary in cost according to the brand, formulation and duration. They range anywhere from $499 to $880 per syringe. At your Initial Consultation, our Doctor will discuss all your Filler options prior to any treatment. 

What makes our Lip Augmentation techniques so very different to others?

We love creating beautiful, sensuous lips and we offer both Needle and Cannula Techniques in this regard. Our Doctor will recommend whichever technique they feel will give you the ‘look’ you’re after! 
If you decide to have the Cannula Technique, its benefits are:

NO PAIN because unlike Nurse Injectors, doctors can administer a nerve ‘block’ like dentists use to make your lips numb and pain-free. 

REDUCED RISKS OF BRUISING because the Filler is injected with a blunt-tipped cannula that doesn’t tear tiny blood vessels and cause bruising like needles can. 

REDUCED RISK OF LUMPINESS because the cannula deposits fine threads of filler, not clumps of Filler.