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Will dermal fillers change the way I look?

Lady in her 40s

Ask Dr Imaan: Will dermal fillers change the way I look?

Question Time

Please let me begin with apologies.

I intend this newsletter to be a weekly informational event, with some promotions such as monthly specials and offers.

As a busy mum who works full time, life gets in the way sometimes- my son got chickenpox last weekend despite vaccinations which caused a lot of unheaval.

Prior to that I had some work related issues that had me busier than usual.

Excuses aside, at one of my cosmetic clinics last Saturday, in which I saw some of my favourite patients, the question of fillers came up several times- how DO fillers work?

Many of my patients are professional women who work- from accountants to nurses, to IT professionals and dentists. They want to feel more confident about themselves, while not proclaiming to the world that they’ve had “treatment” or for people to look at them “funny”.

When I talk to these ladies about fillers, the recurrent theme is: “I don’t want anything that’ll change the way I look.”

So. How DO fillers work? Will they change the way you look inherently? Will you end up with DUCK LIPS? A SIMIAN MONKEY lower face with overfilled smile lines? A CATLIKE upper face with overfilled tear troughs?

These are valid fears so today, I want to give you an example of a lady in her late 40s that I’ve begun some full face filler work on.

Some key points first:

1. Fillers work to restore natural volume and lift to areas of the face that have begun to lose this volume due to ageing, illness and weight loss.

2. Ageing isn’t just a skin issue; a 20 year old can be wrinkled, and yet look relatively young. A 50 year old can have a smooth unlined face and still not look 20. Why?

3. Unlike anti-wrinkle injections, which work by weakening muscle action such that over time and repeated use, dynamic wrinkles decrease, static wrinkles grow fainter and skin smoothes out, filler works mainly by increasing volume, support and providing lift to drooping skin. It also attracts water to the area, smoothing out fine wrinkles and often, stimulating new collagen production.

4. Unlike anti-wrinkle treatments, which last 3-4 months, fillers generally are dearer but last longer- 4-6 months usually for lips; 9-12 months or more for cheeks and jaws, upto a year or more under the eyes and so on!

FillerFiller may be used to define a sagging jawline, or jowling; it may be used for thinning bone and skin around the ear; the temples; it can be used to replace volume lost in the cheeks, giving deep smile lines, drooping mouth corners and eye bags.

Natural tear troughSo. Back to the question. Will a filler change the way you look? In short, no. My main aim is to help you look refreshed, less tired and to look GOOD for your age.





The following are some examples:

Pre and immediately post filler treatment Also demonstrates : nasolabial folds marionette lines (pre and post)
Pre and immediately post filler treatment
Also demonstrates :
nasolabial folds
marionette lines
(pre and post)

Lady in her early 50s. Had 2mls of thick filler into her cheeks with reduction of her nasolabial folds (smile lines) while still looking like herself. Has had 0.5ml to the drooping mouth corners.

She also had 0.5ml to her chin to balance the chin better against the rest of her face.





This next lady in her late 40s is not Caucasian, and had flattening of the area of her cheeks near her nose causing eye bags, circles and prominent smile lines. She has some inherent asymmetry in her face which was minimally corrected.


2mls filler to mid cheek, tear troughs.

She had a total of 2mls of thick filler to- her mid cheek area, the area under her eyes and the area near her crows feet. I suggested she hold off antiwrinkle treatment to the crows till review at 2 weeks as wrinkles under the eyes often improve dramatically with some filler. We saw just that immediately after treatment and I expect that to improve a bit more.

In summary, a little filler can go a long way in the right hands and add subtly to your looks without it being obvious to anyone but you, and whoever you choose to inform!

Any questions? Email me at drimaanjoshi@skin-deep.com.au

Hope to see you in a clinic soon!


  • Dr Imaan Joshi has been working as a doctor since graduation from the University of Sydney in 2001. She spent years between 2004-2011 as a surgical trainee before switching to a different speciality program for work-life balance. She is passionate about her work in Medicine and especially about procedural Medicine, and loves her work as a Cosmetic Physician. When she isn't working, she is busy focusing on an active life with her family, which includes 4 active children! Dr S Imaan Joshi BSc, MBBS, FRACGP


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