DERMAL FILLER MELBOURNE

DERMAL FILLER FOR EYES

 Dermal filler is based on hyaluronic acid

Filler cosmetic injections around eye area are common for rejuvenation of lost with age volumes. Dermal fillers are based on a natural moisturising ingredient, hyaluronic acid, which all our body tissues contain and which we loose as we age. Hyaluronic acid is stabilized by a special cross-linking process of it’s molecules to ensure that filler lasts longer.

Around eye area, hyaluronic acid fillers are used to fill in eye wrinkles, lift up eyebrows, provide support for drooping lower eyelids, mask eyebags, fill in upper eyelids hollow areas, tear troughts.

Eye filler is a lunchtime procedure, well tolerated, although our cosmetic doctors at the Melbourne cosmetic clinic often use numbing cream for additional pain relief. Tear trough filler effect usually lasts 6-8, up to 12 months.

Cosmetic injections around eyes are considered advanced level of filler injections. Most common side effect is bruising (around every 5th patient), which can be masked by concealer make up. There are possible more serious complications, which VISTA Clinic Australia cosmetic doctor in Melbourne will discus with you during free cosmetic consult.

Are their possible complications of eye filler augmentation?

Tear Troughs or eye area filler augmentation is one of the most advanced areas for filler injections, where even experienced doctors are careful or reluctant to inject. Vista Clinic Melbourne cosmetic clinic invested into an additional training and careful technique. Possible complications include immediate and possibly dangerous like blindness or blood vessel occlusion (never happened at Vista Clinic or with any of our doctors. In fact, all such serious complications occurred in hands of poorly trained professionals, while we are waiting for regulators to introduce safe regulation of cosmetic injections for our community). More often complication can be associated with infection (again, never happened in our clinic as aseptic technique and hygiene is strictly followed at Vista Clinic Australia), bruising, lumpiness, herniation. In most cases when Dr Miller or other doctors at Vista Clinic Australia had to correct bad cosmetic results from somewhere else, delayed lumpiness and herniation were due to not adequate patient selection – likely, due to lack of training of injectors. 

Good news are that hyaluronic acid based fillers have immediate antidote, dissolving the filler within few seconds. 

Please, always seek appropriately trained and officially operated cosmetic injectors. Due to high incidence of counterfeit fillers injected by dodgy operators, Vista Clinic Australia do not accept such patients for correction.  We don’t know what substances was used and how it might react. Please, seek help of plastic surgeons or dermatologists, who are specializing on such area. 
Vista Clinic Australia happy to accept patients for correction of bad results from official cosmetic injectors.

DERMAL FILLER UNDER EYE

What is a tear trough?

Loss of facial fat under-eye area caused by aging, genetic anatomical predisposition, lack of sleep or stress results in the deficiency of support for the skin; deep dark-looking fold appears. That is normally called a tear trough.

Could the problem solve itself?

Unfortunately, no. Loss of fat tissue is irreversible process. As soon as it’s gone, it’s gone forever.

What are the options to treat the area?

The most popular treatment for tear trough is a dermal filler because of quick and long-lasting results. A small amount of filler is injected into the depressed area just above the bone. Very often cheek fat is also involved in the process so both pads should be reasonably treated together. In this case the amount of dermal filler will be between 1-2 ml.
Another option what can give you semi-permanent results is lipofilling. Patient’s own fat is taken from the area with a greater storage of adipocytes such as love handles, tummy or buttocks during liposuction then injected into cheeks and tear trough using sterile syringes. The results may last up to 5-10 years but it’s important to know that is a surgical procedure, risk and complications are involved.
Some other techniques such as anti-wrinkle injections, threadlifting, PRP and mesotherapy can be recommended depends on the skin condition and severity of fat loss.

When can I see the difference?

When a dermal filler is used the results appear immediately and after a short recovery time (around 1-5 days) you can see the best outcomes.

Is it dangerous?

Tear trough is an area of face with a higher risk of complications. Great knowledge of face anatomy and doctor’s experience are essential for a correct and safe treatment.

How long the results last?

The results normally last up to 9-12 months. A combination with other techniques such as PRP or
microneedling can significantly increase the time.

Are there any contraindications?

Like for any cosmetic injectables contraindications are

• Acute or chronic infections
• Cancer or chemotherapy
• Pregnancy and breast feeding
• Some medications (please consult a registered medical practitioner)

How much does it cost?

Great news is even a small amount of filler can do a big difference. The treatment starts with 0.5 ml of dermal filler which would cost around $299, if in the cheeks to provide support, and $600 if tear troughs are being treated.

What should I do after the treatment?

• Don’t heat the treated area for 24 hours
• Don’t use any makeup products for 24 hours or mineral makeup for 12 hours
• Avoid sleeping face down for at least 2 weeks after the procedure
• Use sunscreen and sunglasses
  Do not massage the area

DERMAL FILLER FOR FOREHEAD

DERMAL FILLER FOR NOSE

Straightening dorsum of the nose 

Popular procedure. Dermal filler is used to sculpture straight nose. The area is highly vascularised and has high tension of tissues, therefore doctor will likely use step by step approach. Correct as much as safe at 1st procedure (most of patients it’s enough).  If you wish to continue, we will let filler material settle within 2-4 weeks, and then inject more for correction.

The procedure is usually well tolerated, under local cream.

Nose doesn’t look bigger as very small amounts of dermal filler in precise areas placed.

It is always a possibility to dissolve filler within few seconds.

DERMAL FILLER FOR CHEEKS AND MIDFACE

On the other hand, firm, long lasting fillers are good for deeper strictures of the aging face. They are popular at our Melbourne cosmetic clinic with patients specifically asking for volume fillers. Such fillers replace bones, which we loose with age. Long lasting dermal filler provide s very good lifting capacity, but would be too lumpy or protruding if placed too superficially or in highly mobile area like lips augmentation and around mouth area.

Volume fillers usually prescribed by your Melbourne cosmetic doctor for cheeks, chin, jaw line, temples augmentation, but it can be also used in combination with soft dermal fillers in different areas. Dermal fillers with high G prime (volume, firm fillers) provide structure, and soft fillers contour thinning lips, lift eyebrows, tear troughs and other face indications.

Approximate dermal filler estimate:

20-30s  –  0.5-1.5 ml

30-40s  –  0.5 -2ml

40-50s –  1 -4 ml

50-60s  – 2-8 ml

*your cosmetic doctor in Melbourne clinic will discuss with you the best treatment and filler for you

Is filler painful?

Usually filler is well tolerated without need in pain relief.

Melbourne cosmetic doctors use  a strong topical numbing cream. Dermal filler contains anaesthetic also. VISTA Clinic Australia usually advises to arrive 15-30 min earlier your appointment to allow enough time for anesthetic to work.

What are the costs?

Starts from $250 for 0.5 ml.

$449/ml of hyaluronic acid dermal filler, which lasts 9 month- 1.3 years.
If need more lift and volume, 1 ml costs $559, but it also lasts longer.

Under eye area (tear trough) is commonly needed with cheek augmentation. It is a high skill area, performed by minority of practitioners, therefore it is more expensive.
Total estimation,  most patients pay $250  – $1100 all together.
More information you can find at our cost page.

You can discuss most suitable for you dermal filler with your cosmetic doctor in Melbourne cosmetic clinic.

Hyaluronic acid fillers which are soft are usually used more superficially, under eyes, to fill in wrinkles. They are quite natural and easily moldable in appearance, provide good hydration of the skin, but they last not too long.

VISTA Clinic Australia usually advises you to book your next appointment after you have seen your cosmetic doctor, so, you can choose the day and time most convenient for you.

DERMAL FILLER FACELIFT

non surgical procedure at doctor’s office

What are options for cosmetic non surgical face lift?

There are many modalities available in modern cosmetic physician hands (we are still not magicians, but getting there). All options are for educational purposes only – VISTA Clinic Melbourne experienced physician will discuss best treatments for your individual face. We are trained to do all cosmetic procedures legal in Australia, therefore you can be sure in the best treatment plan.

• Chemical peels to address sagging skin, pores, age spots and other concerns. Skin tightening will create mild facelift.
• Threads which is a strongest for lift up face skin. Modern threads are safe and effective
• Wrinkle subcision is also called “cheap facelift” – by eliminating wrinkles of central face, the fresh look is achieved.
• Fat dissolving of lower face will provide facelift by shifting balance of the face up (no fat weight is dragging face down).
• Plasma skin tightening device by contraction of collagen and sublimation of face tissues
• Mono threads  by building stronger and thicker collagen threads along the thinning skin areas with wrinkles. Creates carcass of the skin architecture.

The process of non surgical lift can be not as dramatic and fast, but without many risks or downtime, like with peels and biorevitalisation/ Some procedures have more downtime, but more permanent and visual effect, like wrinkles subcision. 

DERMAL FILLER DEFECTS CORRECTION

CHIN CORRECTION WITH FILLERS

Chin is a central part of the face and plays significant role in overall appearance of the face. 

In case of cosmetic defects, it is difficult to hide with make up or hair style. At Vista Clinic Australia, we have treated patients, whose quality of life was significantly affected by chin scars, dumping or other problems. People avoid going out or having relationship and psychologically struggling a lot.

It is important to know that there are a lot of options available to help in the modern cosmetic medicine. You don’t have to suffer in silence or go through expensive and significant plastic surgery.

To name the few non-surgical chin correction options, are French subcision (or separation), dermal filler augmentation, muscle relaxant injections, threadlifting and thread reshaping, fat dissolving injection, minor liposuction.

In this case, the patient had traumatic deformation of the chin, causing significant changes. The patient had no downtime, despite the bruising caused by the French subcision technique (bruising is a common complication of the procedure, but such controlled trauma actually is good as release growth factors and enhance regeneration). Such bruising easily covered with make up .

Combination of dermal filler containing hyaluronic acid (natural moisuriser) and the defect release by subcision created immediate improvement. However, for stable results, up to 3 procedures are recommended.

Filler lasts approximately 1 year and subcision is permanent.

INITIAL CHIN FILLER AUGMENTATION

Most of VISTA Clinic Australia patients prefer subtle and natural look. Slight improvement with injectable fillers, then let the filler settle, then decide if top up again.

Small chin is most commonly due to genetic predisposition. It is commonly associated with not clear jaw line and sometimes even double chin even in not overweight individuals.

Our body naturally tend to keep balance, therefore changing balance from a small chin to a larger, more define chin, it is important to go step by step. Initially VISTA Clinic Australia cosmetic doctor will improve your chin to certain degree only.

Filler is  a gel structure, but in approximately 2 weeks filler becomes more firm, solid structure. That’s time for the next correction, if needed. Initial filler is already firm and will be a basement for the next layer of the filler.

Such approach ensures longer lasting filler, more natural results, and less amount of filler (= cheaper overall cost for patient).

DERMAL FILLER FOR LOWER FACE AND JAW LINE

NASOLABIAL FOLDS

Before and after

COMPLEX ACNE TREATMENT

1. Peelings x5
2. Biorevitalisation x3
3. Mesob*tox technique
4. Filler

INDIVIDUALLY TAILORED TREATMENT

1. Dr Miller peeling
2. Filler – micro threads thechnique, 2ml

INDIVIDUALLY TAILORED TREATMENT

1. Dr Miller peeling
2. 1ml filler lips, perioral lines and liquid face lift

DERMAL FILLER FOR LIPS

*art of cosmetic doctor at VISTA Clinic Australia (hands of Dr Larissa Miller)

Different styles – every face needs individual approach and what you consider to be most suitable. 

Improvement of lips and area around in harmony

It is important to ensure the natural results. More youthful lips on a background of wrinkles around might create so called “effect of new wheels on an old car”. Although in most young patients it is not obvious, most of our VISTA Clinic Australia patients prefer harmony in improvement.

Lips are aesthetically connected to the appearance of nasolabial folds, Marionette’ lines and vertical lines/wrinkles around the mouth.

This patient had few minor injections on lips and around lips, all together only 1 ml, but the whole lower face looks more natural and rejuvenated.

Lips are most sensetive to pain. What is the strongest anaestetic techniuque to make lip filler pain free procedure? 

Regional (dental) block  – V2 +/- V3 branches of the infraorbital and mental nerves.

Pre-cautions:

No effect on area under nose – most painful

When more sensetive to pain from lip filler injections? 

Pain more sensitive with caffeine intake, lack of sleep, hormonal variations, stress

It is  art in creating (and perhaps sculpturing) beautiful, youthful and natural lips. Like patients describing “kissable” or “sexy” looking lips, but it actually is about being best version of yourself by enhancing your natural lips.

How the injection is performed?

Lips are sensitive, therefore strong (prescription only grade) anaesthetic cream is applied. In case if pain is still a concern, dental block with local anaesthetic (similar to the one when you go to dentist to treat your teeth).

How long does it take?

Usually the treatment takes 15-30 minutes all together with consultation.

How to decrease pain from cosmetic injections of dermal filler?

-Deep breath in when inserting needle

-tap the cheek to “fool the brain”

-Distract (videos/music on background)

-Avoid peri-menstrual period or times of stress

-Ice

-Vibration devices

– strong anaesthetic cream 20 min before procedure

– dermal filler contains numbing agent.