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Dermal Fillers

Dermal fillers are commonly used in plastic surgery and cosmetic medicine – due to Australian law we will refer to them on this website simply as fillers but commercially they are often known by their product names.

Fillers are all different types of a synthetic product containing normal constituents of skin. The most common type of filler is based on hyaluronic acid which is naturally occurring in the skin.

Hyaluronic acid gel can help to fill, nourish and attract water to your skin cells, giving a collagen boost and creating a more luminous glow.

Using hyaluronic acid filler can improve the contours of the face , enhance our natural features and restore volume lost during the natural aging process. In the face the addition of facial volume can reverse the signs of aging by reducing:

1. Peri-oral lines (lines around the lips)
2. Nasolabial lines
3. eye bags
4. acne or facial scars or depressions depression of the temples

Dermal fillers can also be used to add volume to areas of the face.

Lip filler

Lip enhancement is a simple and safe way to achieve fuller, more sensual, and more youthful looking lips. At Mode Medispa, we offer temporary lip enhancement with dermal fillers. Depending on your specific goals, lip enhancement may be performed on upper lips and lower lips, either together or individually. Whether you’re looking to enhance your natural lip shape and size, or seeking to improve the appearance of ageing and thinning lips, we can help.

How long do the results last?

Results typically last about 8 months

What should I expect during treatment?

Lip enhancement using dermal fillers is performed on an outpatient basis in our offices. The procedure is quick and simple, and can usually be completed within 45 minutes. Nurse will place the filler strategically, using a series of tiny injections across the treatment area. Topical or local anaesthesia may be used to ensure patient comfort.

Is There Downtime With Lip Fillers?

Some redness and swelling are expected after lip filler injections, with the upper lip usually swelling much more than the lower lip. The swelling usually lasts for 48 hours so patients often avoid scheduling any social events during that time.

Cheek filler

Cheek fillers are dermal fillers used to augment and boost the volume of the areas above and around your cheekbones. This augmented appearance provides a sort of illusion of a more defined bone structure on the face. Cheek fillers can also help smooth fine lines and wrinkles on your cheeks.The results of this treatment are immediate with little to no bruising or swelling.
How long do the results last?
Results typically last about 6 months

What should I expect during treatment?

Ice will be applied to the area briefly before treatment The doctor will inject using a very fine needle. Then pressure with gauze will be applied. If a cannula is used, a small injection of local anaesthetic is injected into the skin and then a fine needle makes a small hole in the skin where the cannula is inserted.

Is There Downtime With Cheek Fillers?

After treatment, possible swelling and/or bruising can occur that subsides in a few days. This can be minimised with ice application. It is also important to keep the areas of injection cleaned in order to avoid the risk of infection. After a few days, your filler will start to settle in beautifully and you will love your enhanced appearance.

Temple filler

The temples located at the sides of the eyes can be one of the first areas to show signs of ageing. The temples are hollow or have a sunken appearance with increasing age. This makes you look tired and unwell.This area is often ignored but can be very easily rejuvenated with dermal fillers. Treatment with dermal fillers helps to restore lost volume and so helps to restore balance. The crows feet will also improve and the whole face looks more youthful and rejuvenated.

How long do the results last?

Results typically last about 7-12 months

What should I expect during treatment?

The filler Is injected in a precise location in the temple. After the treatment the area is lightly massaged. You will be able to see the results of the treatment straight away.

Is There Downtime With Temple Fillers?

After treatment there may be common injection related side-effects such as swelling, redness, itching, pain, tenderness or mild bruising. This will settle down within 2-14 days.

Jawline filler

This treatment is popular in men, who feel their face is too slim or too oval and want to have a more chiselled profile. Women who find that ageing has caused them to lose definition and want to restore a more youthful look with an upward lift of the jowls also benefit a lot from this procedure.
Contouring a man’s jaw using fillers involves creating angles and straight lines to enhance the patient’s bone structure, whereas for a woman it means creating more gentle, feminine curves.

How long do the results last?

Results typically last about 7-14 months

What should I expect during treatment?

The application of jawline fillers is administered through a series of small injections in multiple sites along the mandible. These are typically not painful, although some people may experience mild levels of discomfort as you would with any injection or a prick to the skin. If this is the case, a numbing topical cream can be applied to help reduce sensation in the jaw.

Is There Downtime With Jawline Fillers?

Any swelling should subside within 48 hours and bruising can be easily concealed using makeup.
Patients should avoid exercise for twenty-four hours after the procedure to minimise swelling. After this time, it will take approximately two weeks for the results to settle. Hard chewing should be avoided during this time.

Tear Trough Filler

A tear trough is a deep crease between the lower eyelid and upper cheek. It can sometimes cast a shadow below your eyes, resulting in a tired appearance. Some people think their tear troughs make them look older.
Tear trough filler is used to make the trough less pronounced, which can make the face look more awake. The goal of a tear trough filler is to reduce the depth of a tear trough.

How long do the results last?

Results typically last about 7-14 months

What should I expect during treatment?

Before receiving tear trough fillers, our nurse will assess your lower eyelids. They’ll also check the texture and thickness of your skin. A topical anaesthetic may be applied to the area. Nurse will inject the filler into the skin beneath your lower eyelid. She will lightly massage the area to spread the filler. The procedure is repeated beneath the other eyelid.
Is There Downtime With Tear Through Fillers?

Any swelling should subside within 48h .These side effects usually improve after 48 to 72 hours. The area under your eyelids will look fuller right away. But it can take 1 to 2 weeks to see the full results.

Skin Booster

Skin boosters are essentially vitalizing dermal fillers that revitalise the skin, improving its appearance, texture and slows down the ageing process from within. The treatment involves hydrating microinjections of a soft, gel-like substance called Hyaluronic Acid (HA) into the skin, which improves the skin’s elasticity, firmness and radiance.

How long do the results last?

Results typically last about 6-9 months

What should I expect during treatment?

Depending on the area being treated and the dermal filler used, most treatments can be performed over a ½ to 1 hour appointment. Sometimes we will ask you to come in earlier for application of a topical anaesthetic cream.

Is There Downtime With Skinbooster?

Any swelling, bruising or tenderness should subside within 48h .These side effects usually improve after 48 to 72 hours.

Earlobe Filler

One of the more uncommon, but very beneficial uses of injectable fillers is to rejuvenate the appearance of the thinned ear lobe. Adding volume to the ear lobe through an injectable filler helps expand and stretch the ear lobe out to a more youthful appearance. A small amount of dermal filler injected into a damaged earlobe adds volume to the area, returning it to a more natural shape.

How long do the results last?

Results typically last about 8-12 months

What should I expect during treatment?

Ice will be applied to the area briefly before treatment The nurse will inject using a very fine needle. Then pressure with gauze will be applied.

Is There Downtime With Earlobe Fillers?

Most of the swelling from the dermal filler will have resolved by 2-3 days after the procedure. There may be a small amount of swelling for even 2-4 weeks after the procedure.

See Before and Afters on our Instagram

For all the above reasons, in cosmetic plastic surgery, fillers are a great adjunct for facial rejuvenation. They can be used alone but often in concert with anti-wrinkle injections, skin care and facial treatments can produce a dramatic improvement in facial appearance without surgery. We also often employ them with surgery to enhance and further improve results achieved from face and neck lifts.

The Skill in Filler Injections: Why Come to a Plastic Surgery Practice?

The skill in administering filler injections for facial rejuvenation is based on a precise understanding of the underlying anatomy and selection of the most appropriate dermal fillers.
At Mode, filler injections are performed by our experienced practice nurse Karyn under the supervision of Dr Aggarwal. Karyn has years of experience in cosmetic dermal filler injections, alongside having received training from industry leaders – we are fortunate to have her skill, knowledge and experience at Mode.
Furthermore the art of filler injection is in subtlety. We firmly believe in the ‘less is more’ approach as excessive filler material can create unwanted appearances as these can look ‘done’ and unnatural.
At Mode, we have several choices of dermal fillers, all of which are TGA approved and are of a premium grade with various different properties.
At mode, we will only suggest filler treatment if it’s the right thing for you – for instance if your wrinkles or facial appearance are the result of loose skin, you may require a different treatment or surgical procedure (such as a face or necklift), in which case spending time and money on filler injections may not be worthwhile.

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Procedure Information

How are filler injections performed?

An initial consultation with our practice nurse is conducted to determine if you have any contraindications to the treatment (where it may not be safe for you to have filler injections), and to determine the location and total volume of the injections.
The injections are performed by our practice nurse, under the supervision of Dr Aggarwal.
Most injections are performed the same day except in patients:
- Who are taking blood thinning medications, or other over the counter agents that thin the blood.
- Who have an infection, cold sores, or other wounds at or near the site of potential injection.
- Who desire other treatments such as Hydrafacial or antiwrinkle treatments – these may have to be staged.
The injections are performed at our main Gordon practice.
- After an initial consultation and assessment by our practice nurse, a treatment plan is made.
- Clinical photographs are taken before and after treatment.
- The injections are conducted in our procedure room in absolute privacy.
- Ice is placed over the area to be treated, in some particular facial areas numbing cream will be applied for 20 – 30mins. The areas are marked out using a white marker as to where the filler will be placed. The filler can be placed using a needle or cannula depending on the location and desired outcome.
With any fillers we recommend you plan your treatment two weeks prior to any social engagement due to the risk of bruising. Also two weeks prior to international flights due to swelling and inflammation.
After treatment, you can return to work immediately. Some bruising and discomfort may occur during injection, and you apply an ice pack to the area to reduce this post-treatment. You will be given aftercare guidelines and how to care for your newly injected area.

How much time does it take?

The initial consultation and injections take approximately 1 hour.

How quickly will I notice the effects?

Effects begin immediately. There may be some bruising and swelling which will subside over the following week (it may worsen in the first 2- 2 days); and therefore it can take a week or so to determine final outcome from the filler injection.
In general we will ask patients to return at the 2 week mark, to review the effects.

Procedure FAQs

What is the cost of filler injections?

Please visit our price list for further information.
Costs are directly related to your facial concerns and desired outcomes.
If you dont like your fillers they are reversible, with the dissolving agent called Hyalase. An enzyme this is injected into the filler area, which accelerates the breakdown of hyalauronic acid filler.

I am concerned that a plastic surgery clinic costs more for my filler injections.

In general the cost per mL of filler is often more at a plastic surgery clinic. This is because:

the injections are being performed by our experienced plastic surgery nurse under the supervision of Dr Aggarwal. You are paying for the skill and expertise of the injector and in general you get what you pay for.
We will only ever use products from the largest manufacturers of fillers. This is generally Galderma, or Allergan, Vevacy, or Merz. We do not source cheap filler material, or permanent fillers. These reputable filler products are expensive, because they have proven track record with respect to safety.
We only ever inject in the safest environment:
- Dr Aggarwal is available on site and readily available for advice, support, or his technical ability. This is often not the case in cheaper clinics or cosmetic surgeries.
- The procedure is performed in our purpose built procedure rooms with good natural lighting and aseptic conditions.
- We are results driven – we do not perform injections on a commission basis and do not need to fill a quota to see results.
- We use appropriate preparation with ice packs or anaesthetic cream reducing your discomfort.
- We have knowledge of underlying facial anatomy and therefore argue less risk of inadvertent injection of a critical blood vessel. There has been one case of blindness due to fillers in Sydney (not in a plastic surgery clinic).
- If a critical event were to occur, we have an evidence based protocol to perform a reversal of treatment. We stock hyalase on site, to dissolve filler material if required in an emergency or for cosmetic reasons. This can make the difference between a safe and catastrophic outcome. Again, not all sites may not adhere to these protocols or stock dissolver as it is an expensive medication.
We would encourage you to seek injectables only where they are performed safely, and by an expert practitioner equip to handle any situation that may occur.

Risks & Complications

Filler injections are not recommended for:

Patients who are on blood thinning medications
Patients taking over the counter supplements than thin the blood such as Fish Oil, Gingko, Ginseng, Turmeric, and Aspirin or Nurofen based medicines.
Patients who have previously had a reaction to or significant complications from filler injections.
An active facial infection or taking oral antibiotics

Patients with clotting disorders or autoimmune disorders
Pregnant or breastfeeding mothers
Patients who have a know reaction to lignocaine (or lidocaine) a local anesthetic agent or to mannitol
Caution with patients with anaphylaxis to bee stings

General Risks

General risks of filler injections include

Bruising
Discomfort
Tenderness
Swelling and redness

Less common risk

Infection – the skin is prepped before injection, however there is a small risk of infection.
Insufficient effect – the desired result is less than what you desired. This may require additional volumes of filler material as not all areas can be treated with a single syringe of filler.
Lumps – from uneven filler material placement however most of these can be massaged away. A period of time is set aside for all swelling to resolve first.

Specific Risks

Rare specific risks of dermal filler injections include

Asymmetry – filler can improve or accentuate asymmetries. Furthermore it can create an asymmetry not present prior to injection.
Delayed inflammatory nodules – can be up to 6 – 12 months after injection. Sometimes they can respond to antibiotics or steroid injections but can be difficult to treat.
Tyndall effect – if filler is placed too superficially it can create a bluish tinge to the area
Blockage of a blood vessel with filler
- The entire face is rich with blood vessels. All of these blood vessels have connections to one another.
- Accidental injection of a blood vessel especially an artery with filler can result in stopping the blood flow to an area of the face.
- With no blood flow the skin cells cannot get oxygen and may cause cell death which could leave a permanent scar.
- Although very rare the most significant complication is blindness (till date this has occurred in 1 patient in a Sydney clinic from injection of a filler material in the nasal bridge and there have been around 100 reported cases in the world)
Critical problems, if they occur with hyaluronic acid filler, can be dissolved immediately with hyalase.