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Dermal Fillers

Dermal fillers

A very fine needle is used to ‘fill’ the wrinkle, line or skin depression with a product. The wrinkle-smoothing effects of most dermal fillers are temporary and regular treatments are needed to maintain the effect.

Some of the different types of dermal fillers include:

  • Collagen: Suitable for deep lines and some scars. The effects last for about 18 months.
  • Hyaluronic acid: Suitable for thin surface lines, such as those that occur around the mouth and across the forehead. The effects last for about 12 months.

Complications of dermal fillers

Serious, commonly reported complications of dermal fillers include:

Vascular occlusion – this occurs when filler is injected into or around an artery, causing blood flow to be reduced or stop. Skin may look pale (blanched) and start to turn blue over a period of 24 hours.

Any of these can occur shortly after an injection has been administered; all require urgent ‘reversal’ treatment by a medical practitioner to reduce the risk of death or long-term complications.

Additional possible side effects and complications may include

  • Bleeding
  • Bruising
  • Swelling and redness where you were injected
  • Itching
  • Skin discolouration
  • Bacterial infection
  • Viral infection
  • Ulceration of the skin where you were injected
  • Lumps (nodules) forming under the skin
  • Allergic reaction
  • Permanent disfigurement and scarring
  • Haematoma (a collection of blood under the skin or in the deeper tissues)

weakness of the muscles of the face, head and neck, which can have undesirable effects on swallowing, vocal cord function and eye movements (double vision)

inflammatory reactions – especially associated with unregistered dermal filler products which may require surgery to remove.

Self-care suggestions after cosmetic injectable treatments

Be guided by your medical practitioner. General self-care suggestions for the first few days following cosmetic injections include:

not exposing the treated skin to extremes of temperature (such as saunas)

keeping the treated skin areas clean

not touching or rubbing the treated areas

using paracetamol for pain relief

seeing your medical practitioner if you experience unusual symptoms or if you have any concerns.