Dermal Fillers

Dermal fillers such as  Juvederm are used to soften and reduce lines and wrinkles, for lip enhancement and to produce a "liquid face lift" through volumising areas where there has been loss of fat.

derma fillers

Dermal fillers are gel-like substances injected into the skin to physically lift and sculpt it, correcting wrinkles, folds, scars and asymmetries of the face. Dermal fillers are used for sculpting, shaping lips, cheeks, down turned mouth corners, the chin and jawline as well as for lip enlargement.  For the most part dermal fillers are replacing fat transfer because dermal fillers are less invasive and more reliable for facial rejuvenation than fat transfer.

Dermal fillers work brilliantly in the older face
Dermal fillers work brilliantly in the older face

The safest dermal fillers are gels made from hyaluranonic acid (a carbohydrate) that last for only a limited period of time. Because hyaluranonic acid is naturally present in the skin, but declines with aging, fillers made from these substances are an ideal choice for rejuvenation. Collagen has largely been replaced by hyaluranonic acid fillers like Juvederm.

Dermal fillers reverse ageing
Dermal fillers reverse ageing

Think of the face as it ages as being like a partially deflated balloon.  The loss of fat, bone absorption and reduced muscle tone causes the face to deflate leading to flattening of the cheek structure, lines and wrinkles plus or minus sagging of the jowls.  Replacing the fat with dermal fillers re-inflates the face producing a very natural look that generally takes years off the facial features.  Generally this will give a much more natural appearance than a facelift. We call this process 'volumising' or the 'liquid facelift'.

Dermal fillers used to project the chin forward
Dermal fillers used to project the chin forward

Modern dermal fillers last much longer than previously. The most useful volumiser called Juvederm Voluma can last up to 2 years but some types of fillers may break down after 6-9 months - it often depends on the area of the face as to how often you will need to have dermal fillers.

The latest dermal fillers at Palm Clinic include a local anaesthetic called lignocaine in the filler which markedly reduces the pain of injection making the whole process much more relaxing.

At Palm Clinic a safe and natural result is our prime goal for you. Our Appearance Medicine team of doctors and nurses are highly experienced. Palm Clinic places great emphasis on attending conferences and training courses each year to provide the highest level of care and safety.

 Softening of the peri-oral smile lines with dermal filler
Softening of the peri-oral smile lines with dermal filler
Improved hydration and definition of lips with dermal filler

Improved hydration and definition of lips with dermal filler, while retaining natural appearance.*

Dermal fillers to the lower face creates a softer more healthy look
Dermal fillers to the lower face creates a softer, more healthy look. The patient is 5 years older in the 'after' picture
 Dermal fillers reverse ageing
Dermal fillers reverse ageing
 Dermal fillers reverse ageing
Before and after dermal filler to cheeks and lips
 Before and after dermal filler to cheeks, temples and lips
Before and after dermal filler to cheeks, temples and lips
 Before and after dermal filler to cheeks, temples and lips
Before and after dermal filler to cheeks, temples and lips
 Before and after dermal filler to cheeks, temples and lips
Before and after dermal filler to cheeks, temples and lips
 Before and after dermal filler to cheeks temples and lips
Before and after dermal filler to cheeks and temples
 Before and after dermal filler to cheeks, temples and lips
Before and after dermal filler to temples
 Stubborn frown line treated with fillers
Stubborn frown line treated with fillers

FAQ

What can dermal fillers do?

Fillers are mainly used to disguise the signs of aging. They can also be used to correct some scars, plump up the lips or correct asymmetries of the face by adding volume.

Ageing of the face consists of both fine lines forming and the contours of the face changing. Different fillers are used to address both these problems.

Correcting fine lines

Lip lines, frown lines, forehead lines, smile lines and crow’s feet can all be treated by the finer fillers like Juvederm Volift. Juvederm is made from hyaluranonic acid. These fillers can be used alone for fine lines or as an adjunct to Botox for more stubborn wrinkles.

Re-contouring the face

'Volumising' is a technique that can achieve a complete facial rejuvenation - either by itself, or in combination with fine line treatments. By placing hyaluranonic acid fillers like Juvederm Voluma, Juvederm Ultra Plus or Juvederm Volift deep under the skin, it restores your youthful contours safely and effectively.  When overdone, this has been referred to as pillow face or pillow cheeks.  Most New Zealand men and women prefer a more natural balanced look and this is what Palm Clinic is renowned for providing.

Often a combination of volume and fine line treatments layered together over a couple of sessions are needed to get a really flattering facial rejuvenation.

Lips

The hyaluranonic acid dermal fillers are ideal for increasing lip size and enhancing lip shape. Whether the lips have always been small, or reduced over the years, they can be plumped up in just half an hour. Where necessary the border of the lip can be re-defined. In achieving a natural (non 'trout-pout') result, balance and restraint are vital. The lip should be in harmony with the age of the face, and should follow the ratio of 1:1.6 for top:bottom lip (i.e. the bottom lip should be bigger). Improving the appearance of the lips may also require attention to the contours around the mouth.

What is the advantage of dermal fillers?

Dermal fillers are a quick and safe way to rejuvenate the face without having to undergo surgery or a general anaesthetic. Palm Clinic has access to a large range of fillers used by highly trained staff to achieve an optimum "natural" result for you.

How long do dermal fillers last?

Fillers last between 6-24 months depending on the product used and the area it is used in.  There are "permanent" fillers available but at Palm Clinic we prefer to use temporary fillers because whilst permanent fillers are usually safe to use if you do have a problem with side effects from a permanent filler the side effect can be permanent also. Our long lasting, but temporary range of hyaluronic acid dermal fillers are dissolvable. In the very rare instance of an issue, they can be dissolved instantly.

What are the side effects of dermal fillers?

The most common side effect is temporary discomfort and possible bruising and swelling. With gentle technique we aim to keep bruising and swelling to a minimum. It is best if you don't exercise just before and after your treatment and avoid aspirin, anti-inflammatories and fish oils for one week before treatment if you want to minimise bruising.

Hylauronic acid fillers have a very low rate of complication. In very rare cases, you may have an allergy to the filler, this can be treated with hyalase, an enzyme to dissolve the filler.

Even more rare is a complication where the filler blocks a small blood vessel supplying blood to the skin. This can compromise the skin causing a small ulcer on the skin, and is amenable to treatment with hyalase also. There is an incredibly small chance of blindness. There has been one case in New Zealand with dermal filler injection to the nose. The higher risk areas (although still very small risk) for blindness are the nose, forehead, frown area and temples.

What if I don't like the result?

This would be very unusual as nearly everyone is delighted with the improvement that dermal fillers make. However if you really didn't like the result it may be that you need a simple adjustment with a little more product.

In a worst case scenario we can remove the product with an enzyme called hyalase. Your Palm Clinic doctor is always available to discuss any concerns you may have. Remember we are there to provide the result that you want!

Are dermal fillers painful?

Our dermal fillers have local anaesthetic inside the filler and Palm Clinic was one of the first Clinics to introduce these to New Zealand.  This makes the treatment much easier for clients.

Once the fillers are in place they can either cause no discomfort at all, or a very minimal discomfort. 

What is the cost of dermal fillers?

The cost depends on the amount of filler required. A consultation is required to address your concerns and advise on the amount and type of filler that is needed. Because dermal filler has a long life span a favoured option is the ‘chip away’ approach where you can slowly build on the result by adding filler as and when you want to, and budget allows.

A syringe of dermal filler starts at $800.

Consulatation at Palm Clinic with Dr Sam DunnConsulatation at Palm Clinic with Dr Sam Dunn

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Please note that individual results may vary from patient to patient, and the information provided on our website is only a guidance to the possible results.