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Important Things To Consider When Planning Dermal Filler Treatments

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By Jerome Edelstein, MD

One of the most important things to consider when planning your cosmetic, dermal filler injectable treatment in Toronto is to research and find a well-trained, highly experienced injector. Dermal fillers are available in a variety of types which are suited for different purposes and different areas of the face. Using these products with artistry and skill to sculpt and recontour your features takes talent and experience. The products do not achieve this on their own.

As well, proper medical training and cosmetic injectable training is key to avoiding dangerous adverse effects of injections done poorly. Many clinics and practitioners are offering cosmetic injections these days, such as dentists to nurses, plastic surgeons, dermatologists and sometimes, people who aren’t qualified at all.

Word of mouth, before and after photos and patient reviews are a great way to get a feel for an injector’s track record and how happy their patients are with their results. Book a consultation with your preferred injector to talk about their expertise and your options. They will discuss your goals and the considerations and risks for the procedure.

Dermal fillers will range between $500-1000 per syringe and you should certainly be aware of any shop or individual injector charging you much less than that. Depending on how old you are, your overall appearance and how many areas you want to treat, your costs could be in the thousands. A simple lip filler treatment is fairly quick and low cost – popular with young patients. However, loss of facial volume in cheeks, deeper lines and multiple treatment areas will require multiple sessions spaced out to build up a natural, overall transformation with balance and harmony of features in mind.

Discuss your budget honestly with your injector and decide together what a reasonable and optimal plan for you will be.


Once you have found a great, experienced injector, try to be open-minded about their suggested plan. Often patients who are in their 40s or older will seek dermal fillers to treat one isolated area but they may not be aware of overall volume loss or other facial aging issues which have contributed to their problem. Your injector can see features working in harmony and also knows which muscles and key areas to treat which can give the face a generally rejuvenated, younger appearance.Often, treating more than one area at a time will truly give the patient the results they are hoping for but didn’t know were possible. You could bring a picture of yourself when you were younger for your injector to see which changes have occurred on your face. It is not typically possible to look like someone else so save yourself the frustration by asking for a specific person’s lips or cheekbones. Realistic expectations mean that your own best features can be accentuated and volume lost can be restored with cosmetic dermal fillers, reversing signs of aging somewhat and improving asymmetries or other irregularities, such as sunken scars.

There are a variety of facial cosmetic fillers which are popular in Toronto and those made from hyaluronic acid are the most common of them all. HA is a naturally occurring sugar found in the body which can hold 1,000 times its weight in water. You will often see HA listed as a valuable hydrating ingredient in facial cosmetic creams.

Common HA fillers are Juvederm, Restylane, Voluma, and Total, among others. There are slight differences between these in how the particles are crosslinked together so that some are softer, “thinner” and better suited to superficial areas like the tear troughs or fine, smoker’s lines. Others are thick, cohesive and firmer gels designed to be injected deep into areas like the cheeks – giving them a lift. Your Toronto dermal filler injector will be able to suggest the most appropriate types to suit your needs. Don’t be afraid to ask what types of filler your injector has and what they have chosen for you. They should customize your treatment and the type of filler chosen for each case.


Bruising and swelling are the most common side effects of dermal filler treatments. It is important to know that bruising can usually be avoided by staying away from blood thinners such as Aspirin, Aleve, Advil, Motrin, and fish-oil supplements 2 weeks before your appointment. Tell your injector if you have known bleeding issues or are taking prescription medications.Swelling will usually resolve within 2 days and some people do not experience swelling at all. Ice can be applied, however take care not to press on the area for the first few days post injection. Your injector will provide you with simple post-procedure care instructions to follow and ensure you see the best results possible.

Dermal fillers may last anywhere from 6-18 months depending on the type used and your body’s metabolism of the product. Another thing which is important to know about dermal fillers is that, unlike the effects of Botox injections, Hyaluronic acid fillers are reversible and if you aren’t happy with your result, they can easily be dissolved with a product called hyaluronidase, in office.

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