What is Filler?

Filler works to fill out or tent up hollows in the face that are naturally occurring genetically.

There are many types of fillers on the market. At The Melbourne Smile Centre, we use a newer generation version called Hyaluronic Acid. This creates a softer, more natural result. Hyaluronic Acid is natural constituent of the facial structure and encourages hydration. So, it absorbs ten times its weight in water. Therefore, not only does filler fill in a defect (such as a hollow) in the face, or enhance a structure such as lips, it also adds moisture to that particular site. This improves the overall appearance.

Fillers fill out or tent up hollows in the face that are naturally occurring genetically, with age or fatigue. They also improve the look of thin crepey skin. Common areas treated with filler include the lips, the trough under the eyes, the cheekbones, the nasolabial lines and frown lines.

The multiple types of filler relate to their density. Different parts of the face require different densities. For instance, the thinner areas of the face under the eye require a lighter weight density. In the lips we use a moderate to medium density filler. Also, in the nasolabial lines and frown lines, medium body density lasts longer in the tissue, but can also increase the volume effects. We use higher density fillers to enhance cheekbones and enhance or reverse drooping of the middle facial third which results in the ageing appearance. Use of filler in the upper third helps to reverse the sag of tissues and minimises need of filler in the lower facial thirds.

Do I need Anti-Wrinkle Injections if I also get Filler?

It depends on what you want to treat. Anti-Wrinkle Injections are usually one aspect of treatment when we’re looking at full facial rejuvenation. The important thing about our treatment plan is discussing the importance and health of skin. We’ll look at your use of sunscreens and creams and other forms to help improve the texture of skin. Anti-Wrinkle Injections are very useful for minimising the effects of lines in the skin that are active. Fillers lift facial tissue that is sagging due to ageing. Anti-Wrinkle Injections work in synergy with facial fillers to deactivate muscles that can pull the facial tissues downwards, thereby countering the effects of fillers which lift facial tissues. Dr Wong can assess and provide a thorough treatment plan that will utilise multiple facial rejuvenation methods to achieve the most optimal and natural result.

Who is suitable for Filler?

Filler can be used in any age group male or female and ultimately it depends on the patient’s desires and needs. Because it’s a natural product and ultimately is dissolved by the body, it’s also a reversible treatment. Of course, that means maintenance and need for top ups, but this will depend on the density and how long each treatment will last. The thinner density for example lasts anywhere between 4-6 months, the medium density lasts 6-12 months, the denser fillers can last up to 18 months.


What are the benefits of Filler?

Fillers are often mistaken with Anti-Wrinkle Injections as a form of facial rejuvenation. They do two different things. Anti-Wrinkle Injections are useful to help reverse the effects or the desired outcomes from fillers by deactivating countering muscles. Fillers are very useful to basically replenish volume in the face and also to lift structures that have sagged due to ageing. As a reversible agent, after 4- 18 months, the filler product will naturally dissolve. It will also act to retain and enhance moisture at the site to improve the skin texture and also improve and even out the hollows and defects in the face.


Side effects?

Although rare, complications are possible when injecting fillers. The important thing is to go to someone who understands the limitations of Hyaluronic Acid. When it comes to injecting a site, medical knowledge and understanding of the anatomy at that site is crucial to avoid complications such as excessive volume causing obstruction of blood supply to an organ and causing eg. blindness. Training to reverse the effects of treatments in emergency situations is important. Not all clinicians aren’t are aware of the effects or have knowledge about how to treat complications

As our facial rejuvenation practitioners at The Melbourne Smile Centre have both medical and dental qualifications, we understand both the anatomy when it comes to treatment, but also the constituents that make up a beautiful smile. That is to say, that you’ll be in extremely safe and expert hands here.

If you unsure about whether or not you want to treat a particular area then start slowly. First, with a lower volume and then stage the treatment over multiple visits – 2-3 weeks apart. The nice thing about filler is that, if you don’t like the result then the treatment is reversible.


Why go to The Melbourne Smile Centre for Filler?

We are both medical and dental practitioners. The anatomical knowledge that we have here is important. We can ensure that the amounts of fillers treated aren’t overdone in certain areas which causes complications.

At the Melbourne Smile Centre we’re always looking for ways to optimise smiles. We often find that the face (which is the frame of the smile) may need a bit of enhancement after cosmetic dental treatment. Having a filler to improve the shape or contour of the lips, and improve or minimise the lines in the face is an important aspect of a patient’s treatment outcome.