Dermal Filler

Dermal filler is a staple tool in cosmetic and anti-aging treatment, and has applications in the majority of visible cosmetic and age related changes. It’s use can be both dramatic, or subtle; it has versatility

Despite seeming somewhat straightforward and simple, to have a detailed understanding of how to correctly utilise dermal filler as a tool takes time, education and experience. This is the difference between a good result, and a great result. Traditional soft tissue dermal fillers are made of a water-attracting molecule, but they are not all the same. Different types have different applications depending on treatment goals, and depending on the patient’s needs, and tissue quality.

The face is 3 dimensional, as are the natural cosmetic imbalances, and age related changes that non surgical cosmetic treatment aim to correct, thus the correct approach (Especially for soft tissue dermal filler), is to plan, and execute a treatment considering all angles and dimension, as well as how the face appears at rest, and on animation. Dr Aaron has extensive knowledge and experience in anatomy, and so understands the face in all dimensions, and all layers.

Considering the changes and imbalances that exist and occur in the skin, fat, muscle and bone, one can explain the typical cosmetic concerns in the young (Hollow eyes, poorly defined jawline, flat cheeks), and those in whom age is a concern (Tiredness, sagginess, anger, and sadness). These changes define the hallmarks of different needs at different life stages, and how they change as one ages. A proper treatment, based on volumetric correction will specifically target each change to a specific extent to balance and improve these harmoniously.

The face must be considered as a whole, if one is to achieve a balanced appearance. Proportion discrepancy in one area will affect the perception of the entire fac. Considering age, again, the face ages as a unit, but the manifestations of these changes differ in different areas. What we see is often a reflection of changes in multiple areas and layers.

Accordingly, treating and rejuvenating the face as a whole is key, as is treating the causes of visible changes (Rather than the visible manifestation). These concepts are how good and repeatable results can be achieved, without overfilling single areas (Which leads to imbalance).

Ideal aesthetic appearances are relatively consistent between people (But often vary between culture and ethnicity). Beyond rejuvenation and anti-aging, soft tissue dermal filler can be used to optimize balance, proportions, and facial harmony to accentuate positive features, and strengthen weaker ones in both males and females. Having trained extensively overseas, and in different cultures, Dr Aaron understands the importance of diversity in aesthetics. A meticulous plan, and precise treatment, combine to provide the optimum outcome that achieves a look that works for you and your goals.

Extending beyond aesthetic enhancement and balance, volumetric correction can also be applied in certain cases of deformity and imbalance that are both congenital, and acquired following trauma or surgery.


The procedure takes between 10 and 30 minutes depending on the amount of treatment. Different types of anaesthetic may be used to reduce discomfort. Some people report minor discomfort, but this settles quickly, as the product is mixed with local anaesthetic. The Dermal Filler is injected using either a sharp needle, a blunt cannula, or a combination of both depending on Dr Aaron's assessment. After your treatment there may be mild, transient discomfort, and some swelling. Dr Aaron does not routinely follow up his Dermal Filler patients, however there is the option of a review if you have any concerns related to your treatment.

Dermal Filler is a safe treatment, with minimal risks and side effects. Some side effects of Dermal Filler treatment are as follows: - Swelling and bruising. - Asymmetry due to swelling (Temporary). - Irregular lumps (Usually resolve without intervention). There are very rare complications that it is important to be aware of. These include severe life threatening allergic reactions, infections, granulomas (Swollen nodules), and blood vessel blockages that very rarely lead to stroke, blindness, and death of tissue around the treatment site. The Dermal Filler used by Dr Aaron can be reversed in the case of complications, however this does not guarentee resolution of the eventuated risks. This treatment is strictly not performed in people who are pregnant, breastfeeding, having IVF treatment, or planning any of the aforementioned; or in those who have taken prescription acne medication from their Dermatologist in the preceeding 3 months.

The longevity of Dermal Filler depends on the type used, and the location treated. In general, more mobile areas of the face metabolise filler faster. As a guide, the Dermal Filler used by Dr Aaron lasts from 6-18 months. Reversible Dermal Filler wears off gradually over time. Thus you may begin to lose a visible effect before all of the Dermal Filler has been metabolised.

There are a few steps to take before your Dermal Filler treatment to ensure the best outcome, and the lowest risk of side effects. They include: - Ceasing all anti-inflammatories, aspirin, herbal supplements, fish oil, krill oil, glucosamine and vitamin E 1 week before your treatment (Unless you have been advised to take these by a Medical Practitioner). - Avoiding alcohol for 2 days before your treatment. - Attend your appointment without makeup. If you do not adhere to the above your treatment may still proceed, but you will have a higher risk of side effects.

Following your treatment you will be provided with full aftercare instructions. You will be able to resume most normal activity immediately. You will be numb around the treatment area temporarily due to the effect of the local anaesthetic. There may be discomfort as the anaesthetic wears off. The most important instructions are the following: - Apply an ice pack gently for any discomfort and to reduce swelling. - Do not massage the treated area. - Avoid major dental treatment for 2 weeks (Clarify with your dentist regarding suitability is you are unsure). - Avoid strenuous exercise for 24 hours. - Avoid alcohol for 24 hours. Full details of the treatment aftercare can be found here. The Dermal Filler can take over 4 weeks to fully integrate with your tissue. In this time it is important not to be concerned regarding the outcome. The Dermal Filler will soften over time, and swelling will reduce. Dr Aaron can review you at after 4 weeks if there are any concerns.