Dermal Fillers
Dermal fillers are injectable substances that restore volume, smooth lines, contour facial features, and rejuvenate the appearance by replacing or supplementing the natural volume and structural support that diminishes with ageing. Hyaluronic acid (HA) fillers are the most widely used and are fully reversible, making them a safe and flexible option for facial rejuvenation. In experienced hands, dermal fillers achieve natural-looking, harmonious results that enhance without overcorrecting.
How Dermal Fillers Work
Ageing causes a gradual loss of facial volume — in the fat compartments, bone, and soft tissue — as well as a decline in the skin's own hyaluronic acid content. This leads to hollowness, sagging, and the appearance of lines and folds. Dermal fillers replace this lost volume, restore support to overlying skin and soft tissue, and smooth surface contour irregularities. HA fillers also attract water, providing additional hydration and plumpness to the treated area.
Types of Dermal Fillers
Hyaluronic Acid (HA) Fillers
The most commonly used and preferred filler type. Available in a range of consistencies for different areas and uses — from soft, spreadable gels for fine lines and lip enhancement, to firmer, more cohesive gels for deep volume restoration and structural support. Fully reversible with hyaluronidase enzyme if needed. Brands include Juvederm, Restylane, Teosyal, and Belotero.
Biostimulator Fillers (PLLA, CaHA)
Fillers such as Sculptra (poly-L-lactic acid) and Radiesse (calcium hydroxylapatite) work by stimulating the body's own collagen production rather than providing direct volume. They offer more gradual, longer-lasting results and are suited for skin laxity and global volume restoration.
Common Treatment Areas
Tear troughs — reducing under-eye hollowness and dark circles caused by volume loss.
Cheek augmentation — restoring midface volume and lifting the face.
Nasolabial folds — softening smile lines.
Lip augmentation and definition — adding volume and shaping the lip border.
Jawline and chin contouring — improving facial proportions and definition.
Marionette lines — addressing corners of the mouth.
Temple hollowing — restoring youthful temple fullness.
Non-surgical rhinoplasty — subtle nose reshaping without surgery.
Hand rejuvenation — restoring volume to ageing hands.
The Treatment Process
1. Facial Analysis & Planning
A detailed assessment of facial proportions, volume loss patterns, skin quality, and aesthetic goals guides a customised filler treatment plan. Photographs and detailed discussion ensure aligned expectations before treatment.
2. Injection Session
Topical or local anaesthetic is applied for comfort. Fillers are injected using fine needles or cannulas depending on the area and technique. The session takes 30–60 minutes depending on the number of areas treated. Results are visible immediately.
3. Post-Treatment Care
Mild swelling, bruising, and tenderness at injection sites are common for 3–7 days. Ice packs help manage initial swelling. Patients should avoid strenuous exercise, alcohol, and significant sun or heat exposure for 24–48 hours.
Benefits of Dermal Fillers
Immediate visible improvement in volume, contour, and skin smoothness.
HA fillers are reversible — dissolve with hyaluronidase if needed.
Natural-looking results when performed by an experienced, anatomy-trained injector.
Versatile — addresses multiple facial concerns in one session.
No surgery or general anaesthesia required.
What to Expect
HA filler results typically last 9–18 months depending on the product, area treated, and individual metabolism. Biostimulator fillers can last 18–24 months or longer. Final results are best assessed at 2 weeks once any swelling has fully resolved. A follow-up review allows for any minor refinements. Combining fillers with botox, skin boosters, and other treatments delivers the most comprehensive facial rejuvenation.