As we age, the face looses volume because of subcutaneous fat loss. These can be in specific areas on the face. The most common being under eyes and cheeks.

Dermal fillers help to diminish facial lines and restore volume and fullness in the face Volume enhancement can also be done for other areas of the face or body just to make them look more youthful.

Fillers can be temporary or permanent. The most commonly used temporary fillers now are JUVEDERM, RESTYLANE and the permanent filler most often used here is AQUAMID.

For the first instance it is always advisable to use a temporary filler so one can get an idea as to how it looks.

Dermal fillers can be used to:

Plump thin lips

Enhance shallow contours

Soften facial creases and wrinkles

Improve the appearance of recessed scars

Dermal fillers are very helpful in those with early signs of aging or as a addition to someone already undergoing facial rejuvenation surgery.


Though an off label use sometimes we can enhance bony contours with the use of fillers. Most commonly its done to enhance the jaw bone or the cheek bone. The filler is one which adds volume and is placed in a plane just close to the bone. Decent results can be expected but with realistic expectations. The results are not comparable to surgical Bony augmentations.

Who can do it

Anyone who is generally fit, preferably doesn’t smoke and has realistic goals on what they are looking to enhance their appearance.

Some patients might actually require a formal facelift or blepharotplasty. Non-surgical rejuvenation treatments, cannot achieve the same results but may help delay the time for the surgical intervention.

Dermal fillers recovery

There is no downtime with dermal fillers. You can resume most activities right away. But any strenuous activity is preferably avoided.

Also it is advisable not to do it just before a major public or TV appearance. The fillers absorb water and achieve a smoother and fuller look by about a week.

Your initial appearance after treatment with any dermal filler may include an “over-filled” appearance to the treated areas,mild swelling or bruising and temporary numbness or redness

These improve within a matter of hours or just a few days.

Dermal fillers risks 

The decision to use fillers is extremely personal. 

Your plastic surgeon and/ or staff will explain, in detail, any risks.

You will be asked to sign consent forms to ensure that you fully understand the procedure, as well as the risks and potential complications.

Complications from dermal fillers are uncommon. Some common ones being:


Bruising, bleeding from the injection site, swelling

Damage to the skin that results in a wound and possible scarring

Infection at the injection site

Lumps, palpability of the filler under the surface of the skin

Skin redness, rash with itching

Under- or over-correction of wrinkles. 

Although good results are expected, there is no guarantee.

In some situations, it may not be possible to achieve optimal results with a single procedure. 

Most of the temporary filler will dissolve over a period of time ranging from 4months to a year depending on the type of filler used, and they have to be repeated.

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