Dermal Fillers

Everyone will notice . No one will know

What exactly is Hyaluronic Acid? 

In its purest essence, hyaluronic acid (HA) is a naturally occurring gel-like substance found in the body that helps to hydrate and add volume to our skin. Natural hyaluronic acid is broken down by the body in one or two days so is constantly replaced—as we age this replacement mechanism diminishes so the moisturising and plumping effects of hyaluronic acid decrease.

“When injected, it acts like an inflated cushion to support facial structures and tissues that may have lost volume and elasticity due to aging and other causes. It is also hydrates the skin by bringing water to the surface which helps give it a refreshed and more youthful appearance.”


Hyaluronic acid is used for aesthetic treatments, and has been used by doctors for injection into arthritic joints to aid movement as well as eye surgery. It is administered through a needle and bears the important distinction of being a substance that is very well tolerated by the human body.

Click on the FAQ below for more information
Will I notice the difference right away?

Yes, the aesthetic results are immediate, unlike wrinkle reducing injections which takes a few days to start working. You’ll see the results as soon as your appointment is over.

How long will the effects last?

This depends on a number of factors including age, the area you have had treated, the quantity of dermal filler injected, the quality of skin, your lifestyle and state of health. On average the effects can be expected to last 10-12 months.

When will I need another injection?

Many patients like to book touch-up injections as well as repeat injections to maintain the effects of treatment. Ask Dr.Mel for advice about aftercare.

Are there different types of dermal fillers?

There are different strengths and thickness of fillers to suit treating certain areas. Thinner, finer fillers are best suited to defining lip borders, eliminating “smoker’s lines” and finer facial lines. Thicker fillers help add volume to lips, treat nasolabial lines, and rejuvenate hands and the mouth area. The most volumising fillers replace lost volume in cheeks and recontour the cheekbones and chin, offering a smoother, more youthful appearance that lasts up to 18 months

Is there anything I need to know before I have the treatment?

We advise you to avoid using aspirin or other non-steroidal anti-inflammatory drugs a couple of days before your anti-wrinkle treatment (unless they are taken for chronic medical conditions). Avoiding these medications will reduce the risk of bruising and bleeding at the point of injection. Ask Dr.Mel if you have any concerns.

What's the difference between dermal fillers and wrinkle reducing injections)?

The dermal fillers and wrinkle reducing injections work in different ways.

Dermal Fillers mimic the hydrating and lifting effect of your skin’s natural hyaluronic acid (HA), which keeps the skin hydrated and elastic. It fills in and smoothes away facial lines and acne scars, other skin contour deficiencies, and lost volume. The most appropriate lines to treat with dermal fillers are those that are described as static—this means the deep facial lines you can see when your face is still. Static lines are due to lack of elasticity of the skin caused by sun damage, smoking, and unfortunately genetics. Wrinkle reducing injections works in a targeted way to relax the tiny muscles that cause frown lines, therefore is best used to smooth out dynamic wrinkles (those caused by underlying muscle movements).

What do Dermal Fillers cost?

Dermal Fillers are charged per syringe. It is important to enquire beforehand as  different patients require different amounts of Filler, as do different areas being treated. The best option is to make an appointment for a consultation to discuss what would work best for you.

Will the procedure hurt?

The smooth consistency of the dermal fillers allows Dr. Mel to administer it easily and smoothly. Dr Mel will apply a local anaesthetic cream beforehand to make the experience more comfortable, and inject anaesthetic if necessary. Some of the dermal fillers also contain a local anaesthetic to make the injections even more comfortable. Discuss any concerns you have with the Dr . Mel beforehand who will explain the various options thoroughly.

How long is an appointment?

The injection process takes a mere 15-30 minutes, you’ll also need to allow time to discuss what you are hoping to achieve with Dr.Mel before treatment.

Will I need to take time off work?

Absolutely not! You can have an appointment then get right back to your normal routine.

Are there any side effects?

Following injection, you may experience slight redness, swelling or bruising at the injected area. Please be assured that these side effects should not last and, after waiting a short while can be easily covered up with your usual makeup. Some areas are more prone to bruising and Dr.Mel will discuss this with you beforehand.

All skin injection procedures carry a small risk of infection which is minimised by using good sterile technique.

Are dermal fillers safe to use?

Hyaluronic acid (HA) is a naturally occurring substance; it’s actually a type of sugar. So the product itself is very safe to add to the skin. It has been used for a number of medical applications for many years including joint problems, eye conditions as well as skin lifting.

As with any treatment, there are a few minor risks. The HA is injected using a fine needle, and there is a risk of slight bruising, redness, bleeding or temporary discolouration at the area that has been treated. To discuss any concerns you may have about anti-ageing treatment with dermal fillers it’s best to discuss your options with Dr. Mel.

Who shouldn't be treated with the dermal fillers?

There is no upper or lower age limit for anti-ageing treatment with the dermal fillers (except for children), but those patients with very thin skin will need different treatment than those with thicker skin. Dermal fillers are a colourless gel injected into the skin. Dr. Mel will be able to advise on whether you are well-suited for treatment, and which product is best for which indication.

Dermal Fillers for Hands

Hands lose volume over time, similar to what happens in our faces. The volume loss occurs between the tendons, leaving the hands looking skeletal and thin. Aged hands also often look dehydrated with the overlying skin being very crepey.

Dermal Filler is placed under the skin with a cannula, in the web spaces where volume has been mossed.  The hands regain a softened look, and the skin appears plump and hydrated. Results of hand filler should last approximately 1 year, and look their best 2-3 weeks after the procedure itself.

Slide on image left to right to see before & after photo
filler 6filler 7

Results may vary. Unretouched photos taken before treatment and 1 month after treatment with 1.2 mL of JUVÉDERM® Ultra XC in the lips

filler 5filler 4

Results may vary. Unretouched photos taken before treatment and 2 weeks after treatment. A total of 3.0 mL of JUVÉDERM® XC was injected into the parentheses, marionette, corner, and vertical lip lines.

filler 2filler 3

Results may vary. Unretouched photos taken before treatment and 2 weeks after treatment. A total of 2.3 mL of JUVÉDERM VOLLURE XC was injected in the parentheses, corner and marionette lines