Injectable fillers restore volume to the face, creating a more youthful appearance

Non-surgical treatments can be used alone or to enhance the results of your cosmetic surgery. Skin treatments, skin care, facial fillers and muscle relaxing injections are all effective and less invasive techniques of improving the quality of your skin, smoothing wrinkles and enhancing the shape of your face.

Ageing occurs at all layers of our face – our bones, ligaments, muscles, fat and skin all change with time. Non-surgical treatments can gently address all of these areas. Fillers aim specifically to restore volume and shape to the face, muscle relaxant injections help to efface wrinkles and delay further wrinkles from forming and topical skin products aim to improve the colour, hydration and feel of our skin.

Facial fillers

Only fillers formulated from completely natural hyaluronic acid gel are used at Southern Aesthetic Plastic Surgery. Hyaluronic acid naturally occurs in our skin and the connective tissues of our bodies. Used since the 1970s for medical purposes, hyaluronic acid injections add small amounts of volume to fill wrinkles, or larger amounts to fill the hollows in our faces that occur with ageing. Injected hyaluronic acid has also been found to improve the texture and hydration of skin.

Facial fillers are most effective in treating deep wrinkles

  • in between the eyebrows
  • above the upper lip
  • around the mouth (nasolabial)
  • around the chin (marionette)

Facial fillers are also useful in restoring volume to

  • the tear trough (hollow between the lower eyelid and cheek)
  • thinned lips
  • sunken cheeks
  • some scars

What does the procedure involve?

A consultation with one of our surgeons will determine the most appropriate formulation of hyaluronic acid dose (volume to be used) and areas to be targeted. Following this, the body area can be numbed with topical or injected local anaesthetic. The hyaluronic acid is prepackaged as a clear, colourless gel in small syringes. This is injected into the areas of concern. Following this, the area will appear slightly red and swollen. In most people, this resolves over the next 24 hours. It is possible to return to work on the same day as the procedure.

Are the changes permanent?

Hyaluroinc acid is a natural product. The body degrades the gel, in the same way it degrades your own hyaluronic acid, over a period of 6-24 months. While rarely required, it is possible to reverse the injection with hyaluronidase (the enzyme which breaks down hyaluronic acid in our bodies).

Plastic surgery, like any other surgical procedure, carries certain risks and potential complications. It is important for individuals considering plastic surgery to be aware of these risks before making a decision. Your plastic surgeon will explain the specific risks of your procedure and your risk profile in the context of your general health and the complexity of your procedure. Here are some of the common risks associated with plastic surgery:

1. Infection: Any surgical procedure has the risk of infection. Surgeons take precautions to minimise this risk, such as sterile operating environments and proper wound care, but infections can still occur.

2. Scarring: Scarring is an inherent risk of plastic surgery. While surgeons strive to minimise visible scarring, some procedures may result in more noticeable or keloid scars.

3. Pain and discomfort: Plastic surgery involves incisions and tissue manipulation, which can lead to post-operative pain and discomfort. The level of pain varies depending on the procedure and the individual’s pain tolerance.

4. Hematoma and seroma: Hematomas are collections of blood that can form under the skin after surgery, while seromas are collections of fluid. These fluid collections may require drainage.

5. Nerve damage: Nerves can be damaged during surgery, leading to temporary or permanent numbness, tingling, or loss of sensation in the affected area. Nerve damage can also cause muscle weakness or paralysis.

6. Blood clots: Surgical procedures carry a risk of blood clot formation, particularly in the legs. Blood clots can be serious if they travel to other parts of the body, causing complications like pulmonary embolism.

7. Anesthesia risks: Plastic surgery usually requires the use of anesthesia, which carries its own set of risks. These include adverse reactions to anesthesia, breathing difficulties, and, in rare cases, life-threatening complications.

8. Unsatisfactory results: Plastic surgery outcomes may not meet the patient’s expectations or desires. It’s important for individuals to have realistic expectations and to communicate clearly with their surgeon about their goals and desired outcomes.

9. Revision surgery: In some cases, additional surgery may be required to achieve the desired results or to correct any complications or unsatisfactory outcomes. This can increase the financial and emotional burden on the patient.

10. Psychological and emotional effects: Plastic surgery can have psychological and emotional impacts, both positive and negative. While many people experience improved self-esteem and body image after surgery, others may struggle with unrealistic expectations, body dysmorphia, or dissatisfaction with the results.

It’s crucial for individuals considering plastic surgery to consult with a qualified and experienced plastic surgeon who can thoroughly explain the risks and benefits specific to their desired procedure. Understanding and carefully weighing these risks against the potential benefits can help individuals make informed decisions about whether to proceed with plastic surgery.

Muscle relaxing injections:

1 Bruising and Swelling: Injection sites may experience temporary bruising, redness, and swelling, which typically resolve within a few days.

2 Headache: Some individuals may experience a mild headache after the injection, although this is usually temporary and goes away on its own.

3 Ptosis: Ptosis refers to drooping or sagging of the eyelid. In rare cases, the neurotoxin can migrate to nearby muscles and cause temporary eyelid drooping. This effect is usually temporary and resolves within a few weeks.

4 Muscle Weakness: Neurotoxins work by temporarily paralyzing muscles, which can occasionally result in unwanted muscle weakness in nearby areas. For example, if too much toxin is injected into the forehead, it could cause the eyebrows to droop temporarily.

5 Asymmetry: In some cases, there may be a slight difference in the results between the treated areas, leading to temporary asymmetry. This can be corrected with additional injections if necessary.

6 Allergic Reactions: Although extremely rare, some individuals may have an allergic reaction to the neurotoxin. Signs of an allergic reaction may include itching, rash, hives, difficulty breathing, or swelling of the face or throat. Immediate medical attention should be sought if these symptoms occur.

7 Unintended Effects: Occasionally, neurotoxins can have unintended effects on facial expressions, causing a frozen or unnatural appearance. This can happen if the injections are administered incorrectly or in excessive amounts.

It’s important to note that most complications associated with neurotoxin injections are temporary and resolve on their own. However, it’s crucial to consult with a qualified medical professional who has experience in administering these treatments to minimize the risks and ensure the best possible outcomes.

Filler injections, which are commonly used for cosmetic purposes to add volume and reduce the appearance of wrinkles or lines, can sometimes lead to complications. While most filler injections are safe and well-tolerated, there are potential risks and side effects that can occur. Here are some of the complications associated with filler injections:

8 Infection: Although rare, there is a risk of infection at the injection site. Signs of infection may include redness, swelling, pain, warmth, or the development of pus. Prompt medical attention is necessary if an infection is suspected.

9 Allergic reactions: Some individuals may have an allergic reaction to the filler material. Symptoms can range from mild irritation and redness to more severe reactions such as hives, itching, swelling, or difficulty breathing. Allergic reactions require immediate medical attention.

10 Bruising and swelling: Bruising and swelling are common side effects after filler injections. They usually resolve on their own within a few days to a week. However, in some cases, they may persist longer or be more extensive.

11 Hematomas: A hematoma refers to a localized collection of blood outside of blood vessels. It can occur as a result of injury to blood vessels during the injection process. Hematomas can cause pain, swelling, and discoloration. Large hematomas may require drainage.

12 Nodules or lumps: Occasionally, small lumps or nodules may form under the skin after filler injections. These can be felt or seen and may require additional treatments, such as massage, steroid injections, or, in rare cases, surgical intervention.

13 Migration or asymmetry: Fillers can sometimes migrate from the injection site to other areas, causing asymmetry or undesired effects. Careful injection technique and expertise can minimize the risk of migration.

14 Tissue damage: In rare cases, filler injections can damage blood vessels, nerves, or other surrounding tissues. This can lead to severe complications, including tissue death (necrosis) or vision loss if blood supply to the eyes is affected.

15 Granulomas: Granulomas are small, firm nodules that can form in response to the filler material. They are typically inflammatory reactions and may require treatment with steroids or other interventions.

It’s important to note that the risk of complications can vary depending on the type of filler used, the injection technique, the skill and experience of the injector, and individual factors. To minimise the risk of complications, it is crucial to choose a qualified and experienced medical professional for filler injections and discuss the potential risks and benefits beforehand.