Dr Sarah Boxley injecting dermal filler

Dermal Fillers

As we mature, we begin to lose our youthful facial volume, which contributes to the formation of folds and wrinkles.

When we are younger we see “dynamic” wrinkles/lines in parts of the face where there is a lot of muscle movement. Over time, these lines might linger a little longer, or become a little deeper, even when your face is at rest, and are then referred to as static wrinkles.  This is where dermal filler can help.

For adults of all ages, dermal fillers are an excellent tool for those seeking to reshape their features, restore volume to the face, improve age-affected skin, or postpone the effects of ageing. Men and women from all walks of life have undergone this treatment to help add or restore volume, vitality and aesthetic balance to the face.

At The Skin Clinic Fremantle, our doctor-only team of injectors have a holistic approach towards beauty. With an emphasis on symmetry, balance and harmony we can enhance facial contours and create your ideal, most aesthetically pleasing facial shape.

The possibilities go beyond just filling a line on the face. By combining advanced injection techniques with the highest quality products and an element of artistry, we use dermal fillers not just to “fill” but to highlight your natural beauty, recapture the contours of youth and realise each individual’s aesthetic potential.

In a consultation before your procedure, your doctor will explore your reasons for treatment, as well as your needs, expectations and aesthetic goals. They will explain how the treatment will be performed and the measures we will take to help you achieve your ideal facial profile. Your doctor will work closely with you to create a treatment plan that will allow you to enjoy a refreshed, smoother profile for longer.

As a holistic skin clinic, we can explore a total face enhancement plan that can also include skincare, dermal therapy treatments or laser resurfacing if necessary.

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The natural ageing process can cause changes to the curves and contours of your face due to volume loss. Areas prone to volume loss include the cheeks, lips, brows, temples and jawline. One of the first noticeable signs of facial ageing is the development of the “naso-labial fold” – the fold of skin that runs from the edge of the nose to the corner of the mouth. This is formed when the fat and soft tissue that normally sits high on our cheeks starts to lower. This is often combined with the formation of “tear-troughs” – areas of volume loss under the eyes. This is where dermal fillers can help.

The lips are a key focus point when communicating and especially in terms of attraction. Over time, the outer layer of the lip becomes thinner and the corners of the mouth can drop. The V-shaped are of the upper lip, known as the Cupid’s Bow, begins to flatten out and our lips become elongated and lose their youthful fullness. These static lines and areas of volume loss can be corrected using injectable dermal fillers.

There are a number of different dermal fillers available. The most commonly used and popular temporary fillers are those made from a naturally occurring sugar complex. Found within the tissues of living cells, including human skin, this sugar complex assists in skin hydration by attracting and holding water. It combines with collagen and elastin to help provide skin structure and elasticity.

Within a range of dermal fillers there are products of different thicknesses, or strengths, to enable tailoring of the treatment for each individual. An effect can be seen immediately following treatment, but typically full results are seen at 2-4 weeks. The premium brand of filler that we choose to use at The Skin Clinic Fremantle consists of a range of products that last for 9-24 months.

Another common choice is a collagen-stimulating filler. In addition to addressing wrinkles and folds, this type of filler uses the body’s natural response to stimulate collagen production for long-lasting, natural-looking results. This type of filler contains tiny particles (microspheres) of a substance that has been used for many years in medical applications such as absorbable sutures. The microspheres are evenly distributed within a carrier gel, which fills the areas of skin affected by volume loss. Over the course of a few months, the smooth microspheres stimulate your body’s natural collagen production. As the microspheres are broken down by the body, these collagen structures are left behind and continue to fill and provide volume to the skin. This bio-stimulant filler can be used in most facial areas other than the lips and results can last for more than 4 years.

Our natural ageing process causes changes to the elastin and collagen in the face, contributing to the formation of folds and wrinkles. As our face gradually loses its volume and youthful contour, we can sometimes develop a prematurely aged and tired look. Dermal fillers are used to both correct and postpone signs of ageing, as well as for beautification of a single feature in younger adults.

Dermal fillers are most commonly used to:

  • Rejuvenate mature lips, which lose volume and become thinner with time.
  • Enhance younger lips for a plumper, more defined overall outline, or a more balanced proportion.
  • Suppress the overactivity of the upper lip muscles that can cause a gummy smile, reducing the amount of gum that shows whilst maintaining a natural-looking smile.
  • Support and lift downturned lip corners (the marionette fold) which can portray a sad or even angry appearance.
  • Smooth out lines around the lips (smoker’s lines), which may cause lipstick to bleed.
  • Soften cheek folds (nasolabial folds) and elevate cheeks that have sagged and lost volume over time, for a fuller, more youthful profile.
  • Lighten hollows under the eyes (tear troughs) to reduce a tired or stressed appearance and to give a more well-rested look.
  • Strengthen and sculpt the chin and jawline to give a more balanced or contoured profile.
  • Subtly reshape the nose for a more flattering and proportionate shape and size

Our pre-procedure advice to minimise potential side-effects will be discussed with you at your initial consultation appointment. It is important that you do not attend for a dermal filler procedure if you are unwell on the day. Please call us to rearrange your appointment. You can find our cancellation policy here. It is very important that you do not have any dental work in the 2 weeks proceeding and following your dermal filler appointment, to minimise the risk of infection.

Treatment with injectable dermal filler is a non-surgical procedure. As with any injection there may be some slight discomfort, which varies from one person to another and depends upon which product is being used and what area is being treated. Local anaesthetic cream is applied to the skin prior to treatment. Local anaesthetic is also included in the injection of the product, which has been shown to improve comfort and simplify the treatment as a separate anaesthetic injection is not usually necessary.

The procedure may take 15-45 minutes and you should generally be able to resume normal activities upon leaving. It is recommended that you do not apply make-up for 12 hours following your treatment and that you avoid lengthy exposure to the sun, UV rays and extreme temperatures for 2 weeks. Further aftercare will be discussed will you at your initial consultation if appropriate.

Many patients notice that once they have had a dermal filler treatment their friends, colleagues and family notice a difference, but can’t put their finger on what has changed. Treatment with these dermal fillers is a subtle enhancement, rather than a radical change.

While you may experience no downtime at all, as with all medications, side effects can occur. Reported side effects of dermal fillers include injection side redness, pain, firmness, swelling, lumps & bumps, bruising, itching or discolouration.

In the vast majority of cases these effects are temporary and should resolve within a week. There are certain steps you can take prior to your procedure to minimise the risk of bruising, and these will be discussed with you at your initial consultation. We also have various techniques to speed up the resolution of bruising when it does occur and it is recommended that you follow the aftercare advice provided with your procedure.

Injection of any sort of dermal filler in any area of the face carries an incredibly small but very serious risk of permanent blindness. It is therefore important that your dermal filler procedure is performed by a medical practitioner with knowledge of the relevant anatomy, who has been fully trained in injection techniques in order to minimise this risk. It is also important that your dermal filler procedure is carried out on medical premises that carry appropriate emergency equipment, with staff available who have been trained in how to use this.

The longevity of treatment with dermal fillers varies from person to person depending on how quickly your body metabolises (breaks down) the product, and whereabouts the filler is placed. The range of fillers that we most commonly use at The Skin Clinic Fremantle, produces results can last from 6 months to 2 years, although maintenance or top-up treatment can be done during this time so that obvious changes in your appearance are minimised.

How much are Dermal Fillers?

All our cosmetic injectables are performed by highly qualified and experienced medical doctors and therefore our prices can not be compared to those available from commercial chain clinics utilising nurse injectors.

FACECost from*
1ml$750
2ml$1350
3ml$1850
4ml$2250
LIPSCost from*
1ml$600
2ml$1050
PACKAGESCost from*
Enhance: 2ml cheeks + 1ml lips$1650
Restore: 8ml total face$3900

*Depending upon injector and product used

From 1st October 2016, Medical Board (AHPRA) guidelines (regarding the provision of cosmetic procedures) require that a consultation is performed, followed by a “cooling-off” period, prior to any cosmetic treatment. At The Skin Clinic Fremantle, patient safety is paramount and we fully endorse and adhere to these Guidelines. Therefore it is not possible for you to have a dermal filler procedure without prior consultation. The cost for a initial consultation with one of our doctors is $100, which is redeemable against future treatments.

Appointments for initial cosmetic consultations, and for dermal filler procedures (following consultation) can be made via our online booking system, or by calling the clinic to speak to one of our Aesthetic CoOrdinators.

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or contact us to arrange your appointment.