Injectable Fillers

The use of injectable facial fillers is one of the fastest growing areas in the field of cosmetic surgery. Many advances have been made in the last 5 years which have led to safer, more predictable and longer lasting fillers.

As we age, our faces lose volume. This creates more prominent wrinkles and skin folds while features become less distinct. Dynamic wrinkles caused by facial movement such as smiling and frowning appear. Injectables were designed to subtly reduce these signs of ageing.

Injectables include two basic classes:

  • Fillers, to restore lost volume
  • Botulinum toxin injections, to lessen the appearance of wrinkles through smiling, frowning, concentrating and looking surprised.

Most fillers work by filling the lip or wrinkle with volume. These are gradually digested by the body. Botulinum toxin injections work by weaken the underlying muscles to decrease their overlying dynamic movement.

For those wishing to avoid the injection of any foreign material, lipotransfer, the harvesting and reinjection of your own fat, may be a more preferable option.

Who is a Candidate?

  • Facial fillers are administered over a wide age range
  • Younger patients seeking fuller, plumper lips
  • Older patients seeking wrinkle reduction and fuller lips
  • Those seeking a reduction of folds around the mouth to look younger

Intended Results

  • Fuller and plumper lips
  • Softening of superficial and deep wrinkles
  • Softening of wrinkles which appear during facial movement – smiling, frowning, concentrating and looking surprised

Procedure Description

  • This procedure is usually performed in a clinic office
  • Most surgeons use a topical anaesthetic cream and also administer local anaesthetic injections prior to injecting fillers
  • Ice may be applied before and after injection
  • Immediate swelling may create the appearance of over treatment – this swelling generally resolves in several hours

Recuperation and healing

  • For most patients, fillers can be injected in the lips or wrinkles and they can return to work the next day
  • Occasionally a patient swells dramatically, especially in the lips – so a first-time patient may want to schedule the initial injection on a Friday
  • Bruising may occur but can usually be covered with make-up. It is a good idea not to schedule filler injections right before an important social function

Other options

  • Lipotransfer: the use of your own fat taken from one area and reinjected into facial lines and wrinkles (after preparation)
  • Volume restoration through cheek or chin implants
  • Forehead and facelift
  • Eyelid surgery (Blepharoplasty)
  • Chemical peel
  • Laser resurfacing


The specific risks and suitability of this procedure for a given individual can only be fully determined at the time of consultation with your cosmetic surgeon. Minor complications which do not affect the overall cosmetic results occur occasionally. Major complications are rare.