Dermal Fillers

Dermal Fillers

… turn back the clock without surgery!

  • Fill facial wrinkles & furrows
  • Restore lost facial fullness
  • Fill skin depressions
  • Fill acne scars
  • Create fuller, more sensuous lips
  • Enhance facial features such cheekbones and chins

Currently for consumers, there is a bewildering array of Dermal Fillers on the market.  However, in our opinion, some are better and safer than others. Accordingly, it is important you choose one that has a ‘proven track-record’ of being safer and long-lasting.

One major concern in this highly competitive industry is that some unscrupulous injectors are injecting patients with cheap, illegally imported, counterfeit Dermal Fillers.

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

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

Accordingly, for your safety, always:

  • Choose a reputable clinic.
  • Choose an experienced Doctor.
  • Ensure the Dermal Filler being offered to you is the genuine product you’re expecting. Ask to see the packaging of the Dermal Filler if you have any doubts.
  • Be very cautious about ultra-cheap injectable ‘deals’ as they may reflect a counterfeit product.

Types of Dermal Fillers

Unfortunately, and despite the fact that these fillers are already well known to the public, current Australian Government regulations prevent us from mentioning them by name. We can, however, forward you printed information on them, including their names, if you contact us and personally request it.

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 3 months to 3 years depending on the brand of Filler and its formulation:

In this ‘Non-Permanent’ category, we only recommend 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 best choice 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: 3 months – 3 years depending on the 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 the best interests of our patients, 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 recommend these Fillers at our practice.  Although tempting for some patients in terms of convenience and the perceived long-term cost advantages of a single or fewer treatments, the increased risk of adverse reactions compels us to advise patients to exercise caution if considering their use.

What are Dermal Fillers most commonly used for?

  • Filling facial wrinkles, furrows and ‘hollows’ as a result of ageing or weight loss.
  • Enhancing facial features such as cheekbones and chins
  • Depressed injury scars or surgical scars
  • Acne scars
  • Non-surgical Rhinoplasty to camouflage nasal deformities in those not wanting surgery.
  • Lip Augmentation to add volume and definition and make lips fuller and more sensuous.

How long will the correction last?

This will vary depending on the individual, the brand and specific form of the Dermal Filler used, and where it is injected.  Our Doctor will advise you as to how long the correction should last once he/she has assessed your face and you have chosen your Dermal Filler.

How is it done?

A treatment takes about 20-30 minutes depending on what needs to be done and how many syringes are used.  Although the Dermal Fillers we use do contain a local anaesthetic, we still recommend a ‘nerve block’ for the more sensitive areas such as lips in order to make your treatment pain-free.

For some situations, we may recommend injecting the Filler with a cannula as opposed to a needle.  Needles have sharp points but a cannula has a blunt, rounded  tip that virtually eliminates the risk of bruising!  This technique is especially useful in Lip Augmentations with the lips being so richly supplied with blood vessels. By using a cannula instead of a needle, we can create beautiful lips and fill cheeks without any bruising or lumpiness!

Immediately after treatment, you may have some minimal and temporary swelling of the injected area due to the Dermal Filler’s ‘hydrophilic’ nature of attracting water to itself from the adjacent tissues.  However, this is always 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.



Facial Enhancements with Dermal Fillers is a huge growth industry.  As such, more and more doctors and an increasing number of nurses 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 filler under the skin but it’s knowledge and experience that gives the practitioner 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 DERMAL FILLERS UNLESS YOU HAVE FIRST HAD A CONSULTATION WITH THE DOCTOR OF THAT PRACTICE AND THE DOCTOR HAS ISSUED A PRESCRIPTION TO THE NURSE FOR THE DERMAL FILLER.  Unfortunately for patients, some Nurses are circumventing these regulations by using Skype with doctors away from the premises in order to obtain their authority to inject the Dermal Filler. This practice is NOT in the best interests of patients and the Government has said it intends to review the legislation in relation to Nurse Injectors using Skype consultations in this manner. Skype consultations can never replace a detailed, face to face consultation with a Doctor skilled 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 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 you’re expecting:

    There have been many 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  go to  reputable clinics only 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 referring to them by name.  However, we are permitted to give you printed information on them, including their names, if you personally request it.

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

How long do Dermal Filler corrections last?

Owing to reported risks of adverse reactions, we do not recommend or have ever used Permanent Fillers.

In the safer Non-Permanent category, we have a range of fillers that last anywhere from 3 months up 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, and Skype consultations are not a substitute for 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. We do not employ '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 and infections.
What are the costs?

We have a range of different fillers to suit every application. They vary in cost according to intended purpose, brand, formulation, and duration. They range anywhere from $399 per 1ml syringe to $880 per 1ml syringe. At your initial consultation, our Doctor will discuss all your Filler options with you prior to any treatment.

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

Our philosophy has always been to create fuller but very natural-looking lips and our special Cannula technique allows us to deliver fuller lips with:

  • NO PAIN because we are a Doctor-Only Clinic and unlike Nurses, we can administer a nerve ‘block’ like dentists use to make your treatment pain-free.
  • REDUCED RISKS OF BRUISING- because we don’t inject the Filler with a needle. Instead, we use a blunt-tipped cannula that doesn’t tear tiny blood vessels to cause bruising like needles can.
  • REDUCED RISK OF LUMPINESS because the cannula deposits fine threads of filler, not lumps of Filler.

Once you experience our Cannula technique, you’ll never want your lips done any other way!

Before and After photos

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