Dermal Fillers

Dermal Fillers

Dermal Fillers Introduction

As the skin ages, it gradually loses some of its collagen and fat. These are the materials that prevent the skin from becoming saggy. Thus, as we age, our skin can become wrinkled and lined.

Dermal fillers are materials is injected into the skin in areas where it needs to be plumped up again and made to look firmer thereby helping to restore skin to its former youthful appearance.

Fillers come in different viscosity, and in general, the thicker the product the deeper it is injected into the dermal layer of the skin (see diagram below). Superficial injections are used to treat fine lines whilst deeper injections are used to treat deep wrinkles and folds as well as are used for lip augmentation and nose bridge treatment.

Hyaluronic acid is a naturally occurring substance in the human body. It is widely distributed in the superficial and deep skin and is largely responsible for the skin’s elasticity and hydration. Its content diminishes with age and as the skin thins and becomes fragile, the initial skin fracture lines appear.

Pre Treatment Precautions

Please let us know if you have any of the conditions listed below:

  • Known allergy or hypersensitivity to hyaluronic acid or any reactions to previous filler treatments.
  • Pregnant or breast-feeding.
  • On any form of medications including and especially Aspirin, Painkillers (NSAIDS) or Isotretinoin.
  • Any other medical problems including and especially Auto-Immune Disease such as SLE, rheumatoid arthritis, and psoriasis.
  • A history of cold sores or fever blisters.
  • Any swelling of infection in the area to be treated e.g active acne.

Side Effects

  • Depending on the area injected and the type of filler or pain control used, you may find the procedure relatively painless to mildly uncomfortable. Treatments around the nose or lip areas are usually more painful. We may recommend a local anesthetic cream or injection prior to treatment.
  • You may experience mild redness, swelling, itching and slight pain for up to 72 hours after treatment. The discomfort may be alleviated with oral painkillers such as paracetamol.
  • There may be some bleeding at the injection sites. Place firm pressure over these sites with a clean piece of gauze and this should stop the bleeding.
  • There may be mild bruising at the injection sites that will fade after 3 to 5 days.
  • Rarely, allergic type reactions can occur after treatment with some fillers. These include prolonged redness, swelling, itching and or hardness and bumps in the skin. Such signs may appear at some or all of the points of injection. Sometimes, they can last for several months or longer, but this is extremely unusual.
  • If you have a history of cold sores, or fever blisters in the treated area, filler injections may cause them to break out again. In these cases, we may recommend that you take an anti-herpes medicine before treatment to help reduce the likelihood of an outbreak of cold sores.
  • Very occasionally, delayed side effects can occur many months after the first treatment. These side effects usually appear as red lumps showing up underneath the skin. Sometimes, these may be permanent. There is some evidence that these may be more common with some of the permanent bead containing fillers.

Post Treatment Care

  • Depending on the area treated, and which filler is used, recovery time can be from a few hours to a few days. However, most people find that they can return straight back to work after treatment with dermal fillers.
  • Avoid massaging the treated area for 12 hours after treatment. Avoid attending facials or even applying makeup. This may displace the product away from the treated area.
  • Avoid attending laser or IPL treatments for 1 week after treatment. Laser and IPL will denature the product thus removing any effect of the treatment.
  • Avoid extreme temperatures for 1 week after treatment. Avoid intense cold or even going to the sauna. This will also denature the product thus removing any effect of the treatment.

Follow Up

  • Some improvement will be noticeable immediately. The full effect of the treatment can usually be appreciated after about 3 to 7 days. This gives time for any bruising or swelling to subside and also for the hyaluronic acid to absorb water and expand to its proper volume.
  • We will schedule you for a follow up appointment within this period to determine if any additional enhancement injections are necessary.
  • Depending on the area injected and the type of filler used, treatment effects last from 3 to 6 months. Top-up treatments are then required to maintain the effect.

Fillers for Lips

Everyone loves sexy pouty lips. Age, sun damage and smoking will cause the lips to turn inwards making it look very thin. Fillers can be used to put volume back into the lips as well as shape it to give a very sexy French pout.

Lips Filler


Before


After (Fuller Lips)


Before


After (Richer Lips. French Pout)

* Individual results vary

Fillers for Nose-bridge

Most Asians have a flat nose-bridge. Enhancing the nose bridge instantly makes the upper face sharper and draws attention to the eyes. When combined with a gentle brow lift using fillers, it enhances the entire upper face and gives an instant and extremely attractive appearance.

Click here to learn more about Nose Bridge Fillers
Nosebridge Filler


Before


After


Before


After


Before


After


Before


After

* Individual results vary

 

Fillers for Skin Crease

Skin Crease Filler


Before


After

* Individual results vary

Fillers for Tear Trough

Tear Trough Filler


Before


After

* Individual results vary

Hyaluronic acid is a naturally occurring substance in the human body. It is widely distributed in the superficial and deep skin and is largely responsible for the skin’s elasticity and hydration.

All Our Doctors are Fully Certified and Trained to inject Dermal Fillers

advise


Need more advice?

Come down to Our Clinics for a discussion with Our Doctors, or call our clinics for more information:

1.) Robertson Walk (+65 6238 7810)

2.) Bencoolen Street (+65 6884 4119)

3.) Novena Medical Centre (+65 6397 2095)

4.) Scotts Medical Centre (+65 6694 2348)

5.) Somerset – Orchard Building (+65 6262 0762)

6.) Katong – East Coast Road (+65 6635 2551)

Where to find us – here

Click Here for Contact Details, Address and Opening Times.

Selected clinics are open on Saturday and Sunday.

Doctor’s Schedule here

Email: doctor@drtanandpartners.com

Click Here for Contact Details, Address and Opening Times.

For lady patients who prefer female doctors, we have professional certified female Doctors to attend to your medical needs.

About Dr. Tan
Dr. Tan graduated from the National University of Singapore in 2001. His residency was in the two largest public hospitals in Singapore; Tan Tock Seng Hospital and Singapore General Hospital.

Find the profiles of our panel of doctors.

32 Comments

  1. hi,

    if i were to purchase a syringe of Juvederm ($700, from what im reading on the site), and then use it for nose bridge and lip fillers, would that be enough?

    If i do this, will the charges be the same? ie $700 + consultation.

    • Hi Liz, 1 syringe may not be sufficient for nose bridge and lip.
      Also, Nose bridge and lips require different types of fillers. Filler for nose is too hard for the lips.
      2 syringes of fillers (1 for nose and 1 for lip) would be $1300 before GST.

  2. Hi, could I have an estimation of the total cost of doing the lip filers +consultation + follow up?
    Thanks

  3. Hi, Doc,

    May I know what hyaluronic acid product is used for dermal filler? Is it FDA approved? THanks ~

  4. Hi Doc, i would like to ask, does sniffing poppers (amyl nitrate, isoamyl nitrate) have any negative effects on dermal fillers around the nose or eye area? Thank you.

  5. Dr tan,

    in your previous comment u specifically answered of the cost voluma is 700$ 1 syringe. I just had my consultation and was told that 1 syringe of voluma actually cost $1300. Please clarify.

    • Dr Elaine told me of this. There was some mis-communication. Voluma comes in 2 different packaging. The 2ml Syringe costs $1300. The 1ml Syringe costs $700. Apologies for the confusion. Dr Elaine will email you to clarify this same point.

  6. Doctor,

    is it possible to only inject half a syringe and leave another half for next time?

    • By right that is not supposed to be done because of the risk of bacteria growing in the un-used portion. But I know a lot of Doctors do it.

  7. is there a reason why ur clinic only uses juvederm?

    • Because we have been using it all this while and are very familiar with it. Also because we feel it is safer both for us and our patients that we use products from an established and reliable source. Juvederm is from Allergen who are the makers of Botox. They have many years of experience in the aesthetic medical field. Their products have been comprehensively tested and approved by FDA, Europe and Singapore’s HSA. Allergen also provides continuing training and development for doctors like us. So we are always kept update on latest injection techniques to produce good results as well as remain safe. I guess in a nutshell it is because we feel Juverderm is the safest.

  8. are remaining fillers able to inject under the eyes to create “eye bags?”

    • It depends on what fillers were used. For creating eyebags, you need to use a very thin filler (Juvederm Ultra). This is also used for finelines but NOT used for nose bridges, naso-labial folds etc.

  9. dr tan are u based in SGH/TTHS? will 1 syringe of filler be enough for my chin?

    • Sorry I am not. We have 3 clinic locations: Novena, Bencoolen and Robertson Walk. The chin is usually described as a ‘bottomless pit’for fillers. It can easily take 1 whole syringe of Voluma (the thickest filler) and most of the time will require a second syringe. You can always use 1 syringe first and see how you like it before proceeding with another.

      • how much will it cost for 1 syringe for voluma? if i were to make an appt with you, how can i know which of the 3 clinic you will be at?

        • $700 1 syringe. You can see me at Novena. Or you can see Dr Elaine at Robertson Walk. She is very good in chin fillers.

          • Other than the cost of the syringe, what additional cost are there?

          • There is a consultation charge of $35. All prices quoted are excluding GST.

  10. is one syringe enough to fill both my nose and chin?

    • The nose will take about 1/3 to 1/2 of a syringe. The Chin can easily take 1 whole syringe sometimes even more. You can start with the nose then put the balance into the chin then decide if you want some more in the chin.

  11. Hi doc, I haf SLE currently on hydroxichlorinque 300 and prenisoloine 3mg .can I still do fillers?

    • drtan

      The Prednisolone will increase risk of bruising, bleeding and infection. If there is infection, there is higher risk of scarring. You have to accept these increase risks if you want to still go ahead with fillers.

  12. Hi, can i check what is the charges like for filler on nose bridge?

    • drtan

      $700 for 1 syringe of Juvederm. You might not use the entire syringe for the nose bridge. Some people use as little as 1/3. However some patients use the whole syringe. It really depends. The balance can be used for other areas of the face.

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