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Dermal Fillers

What Is Dermal Fillers?

Dermal fillers are a naturally-derived or synthetic material that is directly injected into skin with the purpose of plumping that area to the point where the wrinkle, depression, or fold is gone. Depending on the type of filler, positive effects can last anywhere from six months to two years; for semi-permanent or permanent fillers, the effects can last up to five years, and there are reports of even longer-lasting results.

An important point to note is that Dermal fillers are different than Botox since Botox is usually injected into areas of the forehead and for wrinkles around the eyes to relax muscle movement that results in wrinkles. At the same time, dermal fillers have a plumping smoothing effect.

Since both these treatments have different effects, many people tend to get a combination of both so as to get a stunningly younger looking face.

Before Deramal Filler Treatment

During your consultation, your cosmetic surgeon will evaluate your area of concern and review your medical history. While the risks associated with dermal fillers are minimal, you need to fully disclose your medical history prior to treatment, as certain allergies, skin and neurological conditions, or medications can jeopardize your safety or results.

What To Expect?

To begin the treatment, the area will be cleaned, and you may be given a topical anesthetic to numb the area prior to injection. Your provider will inject a precise amount of filler strategically beneath the skin. Depending on the product and the areas treated, one would be able to notice results immediately after receiving filler injections. Some patients may experience mild bruising and swelling, but these are temporary and should subside over the days following treatment.


Dermal fillers treatment are perfect solutions to fix concerns related to the following:

  • Adding volume and smoothing out the deep creases that run from the nose to the mouth (called nasolabial folds or laugh lines).
  • Plumping thin lips and smoothing out vertical lines around the edges of the lips.
  • Augmenting cheeks to enhance their shape, often restoring youthful fullness.
  • Filling out depressions (hollows) under the eye area.
  • Making indented scars from acne or chicken pox more even with surrounding skin.
  • Increasing volume to fill out gauntness in the lower cheek or temple area, which most often occurs due to fat pads shifting beneath the surface of skin.

There are basically two types of dermal fillers: – Synthetic and Natural Dermal Fillers

One of the most common natural fillers is hyaluronic acid which is known to have a much smaller risk of causing an allergic reaction. Results are immediate but will only last for 12- 18 months (occasionally up to two years) because the filler eventually breaks down causing the benefits to vanish. It is recommended that once the fillers start to dissipate one needs to get more filler injected to maintain results. Most people who get fillers will need at least one follow-up injection within a year.

Synthetic fillers last much longer than naturally-derived ones and are considered semi-permanent even though they don’t really dissipate. Wrinkles start to return only because your face continues to age or you continue to get sun damage due to being lax about protecting skin.

Your cosmetic surgeon will be best person to advice you on the kind of filler you need.

Post Dermal Fillers Treatment

You should be able to resume normal activities immediately in most cases.
It’s important to understand possible improvements and have realistic expectations.

  • Immediately after the treatment, there may be redness, bruising, swelling, tenderness, and/or itching near the injection site. Avoid itching , massaging, or picking around the injection site. This is normal and generally disappears within a few hours to a few days. If these symptoms last more than 3 days, please contact our clinic.
  • We will provide you with ice, arnica cream and tablets, and bromelain tablets – all of which can reduce or resolve potential bruising
  • You may take acetaminophen (Tylenol) to reduce any pain as necessary


The procedure takes around 30-45 minutes and patients can expect to notice the effects for as long as 18 months after treatment. There is even precedence of results lasting up to 24 months in some cases.

Facial fillers can be used on a wide range of patients, and is primarily used for skin rejuvenation and the reduction of lines and wrinkles. It can also be used to treat scarring in some cases. Other suitable candidates are those seeking to add structure and volume to the face. There is no known risk to those who are pregnant or breast feeding, but we would advise against having treatment under these circumstances.

We believe that only medically trained clinicians should perform injectable treatments. The result of treatment is only as good as the practitioner. Not only has Dr Anand performed 1000’s of treatments on a wide range of patient types, he has an artistic eye, bountiful experience and teaches his advance skills to delegates internationally.

Crow’s Feet

These are wrinkles that form in the corner of the eyes. They can be caused by ageing, sun exposure, expressions and smoking.

Frown Lines

When we contract our forehead muscles, deep lines can materialise. Also referred to as an “11”, frown lines form in between your eyebrows. Over time, these lines start to linger and prove to be a bugbear for many.

Smoker’s Lines

The use of fillers can smooth and fill out these crepey lines, creating a much softer, younger-looking appearance.

Marionette Lines

Located just below the corners of the mouth, the marionette lines can make you look sad or angry when relaxing your face.


Thin lips are not necessarily a result of ageing; many men and women are born with thinner lips. If you would like to add volume, but avoid an exaggerated look, Musk Clinic can use the most advanced lip fillers to enhance your natural lip shape.

Nasolabial Fold

Also referred to as “smile lines”, these lines run down the sides of the nose to the corner of the mouth. Most of us notice these when smiling, laughing or talking, but over time they can develop into static lines.


Ageing usually contributes to volume loss. The round, full look diminishes as the fat pads in our cheeks gravitate downward. Cheek Fillers can be used to plump up the skin.


Inevitably, the skin loses its elasticity and firmness over time. Sun damage in particular can contribute to this aged look on the chest area, and the thinning of the skin can amplify the neck bands, adding years to your appearance.”

With any injectable treatment, there can be some slight bruising or swelling that accompanies it. This should not persist much longer than a day, and is easily cover-able with makeup.

Tabloid newspapers and magazines love to sensationalise. Fact. Sadly, there are people out there who have have botched cosmetic work done, and as a result have exaggerated, excessive looks achieved by dermal fillers. In the past, facial fillers have contained harmful ingredients that are either too bulky and robust for the area they were used for, or had side-effects associated with them.

Being a relatively young industry, it is comparatively very advanced and forward-thinking to traditional medicine, which has taken hundreds of years to fine tune to the standard that it is today. In the last twenty years or so, the cosmetic industry have managed to develop new ways to treat patients for a whole range of indications and conditions, and have drastically improved the way patients are treated, the results that can be achieved, and how they come about.

Rest assured, if the clinician uses the correct type of product, and has the required skill-set needed to inject, results can appear natural and sophisticated.

While there are permanent fillers available on the market, we do not use them at Musk, nor do we believe in them.

We promote the use of temporary fillers, as patients should have the ultimate say on what they would like from their treatment. If permanent fillers are used, there runs the risk of the patient not liking the result achieved and not being able to reverse the effects of treatment.

With HA fillers, not only are the results temporary, they can also be reversed with a special product called hyalase. The majority of reverse work carried out at Musk is with patients who have had previous treatments elsewhere. We state to filler patients that it is reversible, and this work can be done at Musk, to add reassurance. You will always be in control of your results.

This is a possible side-effect to treatment, yes. Patients are not advised to massage the area themselves, as this may move the product. After a few weeks, your clinician will invite you back to make minor adjustments, if needed. They use a special massage technique which settles the product and what is left will be the final result.

9 times out of 10, family and friends won’t notice cosmetic treatment, instead recognising (especially with dermal fillers) a more youthful or refreshed look. At Musk Clinic, we aim to leave the patient with a look that enhances natural assets, rather than distorting them, and treat all patients with this in mind.

The most popular fillers we use are from the Juvéderm VYCROSS® range by Allergan.

Juvéderm Volbella

Volbella is designed specifically for the lip and mouth area. The gel fills in lip lines and wrinkles, augmenting the lips and perioral areas.

Juvéderm Voluma

Voluma is used to replenish lost volume, especially in the cheeks, and can improve the overall shape of your face.

Juvéderm Volift

Volift can be used on various areas, including the lips, the nasolabial folds and around the brow line. It is used to compliment the other products and elevate the features, reducing the appearance of medium to deep lines and depressions.

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