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Dermal Cosmetic Fillers

Injectible Facial filler, injectible cosmetic filler

Injectable fillers (Injectible Facial filler, injectible cosmetic filler), are soft tissue fillers that are injected into the skin to fill facial wrinkles, giving you a more youthful appearance, for a fraction of the cost of a facelift, with no downtime or recovery period.

Fillers enable us to completely change the profile, depth and shape of a person’s face.  These fillers are temporary as they are eventually absorbed by the body.


Types of Fillers Dr Melissa uses:

Hyaluronic acid only/HA fillers (Belotero, Juvederm®, Restalyne™, Princess)

When injected, HA acts like a sponge - absorbing water and plumping/augmenting the area it was injected into. Very good for hydration, volume or building a youthful, rounder look.

Lasts: from 6 months to 1 year. Very little is sometimes needed for a touch up.

Cost: R2500 - R3500 per ml required (depending on the viscosity needed)

Reversable: Yes






 Calcium Hydroxylapatite in the form of microspheres (Radiesse®)

Calcium hydroxyapatite is found in teeth and bones and is used for medical filler applications including cheek, jaw, skull and chin filler (semi-permanent). It stimulates the body to form new collagen. This is supposed to make CA last longer, therefore reducing the need for regular  touch-ups. Additionally, the microspheres add volume that lasts longer than HA Fillers and cause a more intense stimulation of collagen in the skin layers.


EXCELLENT for hand rejuvenation!

Clinically proven to last  > 1.5 years

Reversable: No


Radiesse is the answer!

 Radiesse A FillerRadiesse A Filler 

Are dermal Fillers safe?

Fillers should only be injected by a trained medical doctor as there is still a very small chance of complications occurring; even in the most skilled hands.

Make sure your doctor is very well trained and an experienced injector - not just as a add-on to their regular practice!

Fillers may cause some mild bruising, temporary swelling, or temporary redness at the injection area.

Rarely, allergic reactions are experienced, as with all medications.

The major disadvantage of Fillers is that the effects are temporary!

For the most part, however, the effects can last from a few months up to a year and a half.

But the molecules used are still in a solid state, which as such, can occlude any artery in the vicinity the Filler was injected into. This causes a sudden reduction of blood flow to the area, and if not dissolved within a few hours, cell death and necrosis follows. This is easily spotted during the injection though,  and can be reversed easily with a chemical that breaks down the molecules within minutes. This chemical (Hyaluronidase) is a naturally occurring substance in the body, which is also the reason for the resorption of the Filler over months.



Why do I need Fillers?

Dermal fillers can plump thinning lips, give an instant eyebrow lift, rebuild cheekbones, decrease hollowing/dark circles under the eyes, decrease the appearance of smile wrinkles and overall just give you a well-rested and rejuvenated appearance.

They can be done in less than 1 hour, and have little to no downtime.


They are used to:Mouth Fillers

Sculpt cheekbones, eyebrows and straighten your nose or profile

Fill temples

Fills wrinkles, acne scarring and skin creases

  • Plumps lips
  • Lift cheeks while filling the hollows (Radiesse®)
  • Rejuvenate hands (lessen creepy, thin skin and smooth around visible veins)
  • Shape/mould the face


Injectable Dermal Fillers; unlike Botox® (which relaxes muscles under wrinkles); fill lines, creases, or hollows that have developed with normal aging . As a result, trouble areas or wrinkles instantly “fill up”/plump.

Fillers are not a static/permanent thing, though. Your body resorbs them over 4 - 18 months,

depending on the type of Filler used, and the area it was injected into.


Filler after care

  • Filler can be moulded for up to 7 days in some cases. So NO sleeping on your face, sides or front is allowed for 1 week. Preferably use a Travel pillow to prevent any of these positions.
  • If placed correctly you shouldn’t be able to move the Filler without a pretty aggressive massaging technique.
  • There may be no/some downtime such as bruising, swelling and redness, especially around the eye and lip areas.
  • Filler is either placed within the skin; just beneath the skin or onto the bony structures of the face.
  • Just wait 40 min before doing any physical activity so that bruising is minimized, then continue with your normal day.
  • It's totally safe to apply make-up softly, without pressure, 1 hour after your injections.
  • Do not use retinol or any product that is too active for a few days over the injected area.
  • Do not sit in direct sunlight (car drivers beware!) or undergo Laser treatments for 2 weeks after.
  • No pressure is allowed on the area (no hats, sweatbands, “Doek”, Buffs or Helmets) for 7 days.
  • No lying down or sleeping on the injected area for 7 days after.
  • No massages/saunas for 7 days.
  • Do not rub or massage your filled areas, as you may displace the product.
  • Lips may swell for 48 hours but decrease to the immediately after injecting volume you had.

 Are Fillers the same as Botox®?

Not at all. While Botox® affects muscles; Filler does exactly as its name suggests: it's used to fill wrinkles or even out any mismatches in volume on the face.

Where can Filler be injected?

  • Crow’s feet under the eyes
  • Hollow and dark circles under eyes (tear troughs)
  • Fill in Temple hollows
  • Volumizing cheeks (angular cheekbones)
  • Dr Melissa is skilled in also using it along your jawline to counteract age-related bone resorption (wider jaws are found in younger people, the older we get the thinner your face looks)
  • Elevate the lip corners, outline lips, fill lips, rebuild your Philtrim (flattens with age)
  • Ear lobe that fold over or are too thin
  • Horizontal neck creases
  • Straightening the nose bridge
  • Creating round “apples” of the cheeks
  • Eyebrow lifts can be achieved (less hooding of the eyes)
  • Chin wrinkles, laugh lines
  • Barcode/Smoker’s  lines above lips

How long will my Filler last?

Lip fillers only last 3-6 months in 90% of patients (Try the SkinBoosters™ for 6months longevity!)

Cheeks, temples, hands, jaws and brows last 12-18 months at least.

Radiesse® lasts at least 12 months and stimulates your own collagen continuously!


What if I get too much/unsymmetrical Filler injections?

Finding a qualified practitioner, like Dr Melissa,is extremely important as you're less likely to end up with botched results. If however, you have a botched result, please come see Dr Melissa IMMEDIATELY, so that she can either dissolve the Filler with another chemical injection, or add more to make it symmetrical (it is a fine balancing act!).

Luckily, as with most things in life, the change isn't permanent.

Just given time, the face will reposition itself. You get your original look back without any after effects - other than more hydrated and strengthened skin texture.



Severe pain, intense redness, numbness or skin discoloration is not normal! It could indicate that the Filler is occluding an artery! Please contact Dr Melissa with any queries - no matter how minor they may seem (take a picture too). It is usually possible to dissolve the bit of Filler that is causing the obstruction within 24hrs after the procedure. It is an extremely rare complication, but it does tend to occur more when practitioners are not experienced in using Fillers. Feel free to contact Dr Melissa if you are concerned after having Fillers injected by another practitioner, for an opinion or correction.