Please note that there is currently a wait-list for dermal fillers and lip fillers. You are welcome to book for a cosmetic consultation for this treatment, but to avoid disappointment please contact us for further information regarding wait-list times.
Before we discuss dermal fillers it’s important to know that not all injectable products are the same, and although they work together to complement each other, they are very different. If you are new to injectables there is a good chance that you may not know this.
There are many changes that occur with aging. Our skin loses its ability to retain moisture, facial volume gradually changes with loss of bone density and changes to the distribution of the fat pads which can change the overall shape and contours of our face. We use dermal fillers to replace the moisture or (hyaluronic acid) and to restore volume to areas where facial volume loss has become apparent. We also use it to contour and balance the face and help create a more refreshed and rested appearance, to fill wrinkles and folds and to plump lips. You can read more about lip fillers here.
There is an element of artistry that goes into dermal filler treatments, and we need to view the face holistically. There is a fine line between looking your best and looking overdone. We do not promote an over done look and will have no hesitation in not doing a treatment if we do not feel it will be aesthetically pleasing. Sometimes less is more when it comes to derma fillers and caution needs to be exercised to stay within the natura proportions of the face while highlighting your natural beauty.
Lips, medial and lateral cheeks, chin, jawline, jowls, marionette folds, pre-auricualr (in fornt of the ears), Nasolabial folds, under eyes.
WHAT DERMAL FILLERS DO WE USE?
The dermal fillers we use are made from hyaluranon typically known as Hyaluronic Acid (HA). Hyaluranon is a carbohydrate, or sugar complex that is naturally present in the skin but declines with age. It promotes collagen formation and skin hydration and holds and attracts water. We do not use permanent dermal fillers as these are not able to be dissolved. We offer a range of dermal fillers of different thicknesses and cohesivity so they can be tailored to the individual.
At CosMedic Clinic we use Juvaderm ultra, ultra plus and Voluma from Allergan, the Belotero range from Merz Aesthetics and the RHA range from Teoxane.
Pricing starts at $699. More accurate pricing will be given at the consultation depending on areas injected and volumes. The cost is calculated by the amount and type of product used. Most people will have between 1ml and 3mls at each given treatment.
The cost is not determined solely by the amount of product used but also by the time and experience of your injector. We make ourselves available outside of hours should there be any complications and offer a free follow-up service.
Jaime has worked full-time in the industry for over 13 years and attends many training sessions and conferences every year. She updates her anatomy knowledge regularly and attended a dissection and anatomy workshop in 2022 run by the New Zealand Society of Cosmetic Medicine, the first of its kind for cosmetic injectors in New Zealand.
We will not see any patients for dermal fillers without first having an initial cosmetic consultation to ensure you have all relevant information to make an informed decision.
See our FAQs below our before and after photos for more information.
Before and After
Actual CosMedic Clinic patients. Non-retouched photos. Before photos shown on left and after photos on right. Individual results vary. All patient photos have been used with consent.
Images are for CosMedic Clinic use only.
Woman in mid to late 50's who stated she felt she looked "tired" and wanted treatment to make her look more rested and less tired.
From left to right: After photos taken directly after third treatment over the space of 3 years. Areas treated with dermal fillers include, lips, medial and lateral cheek, pre-auricular area (in front of the ear), chin, jowls, marionette and nasolabial folds. Some swelling to lips evident which will settle over then next week. Notice changes to her facial proportions and structure with less heaviness in the lower face, and a more defined and plumper cheek giving her some of her youthfulness back. When treating the face with dermal fillers we must view the face as a whole and look at proportions, not isolated areas in order to provide our patients the best aesthetic result.
A total of 2-4 mls of dermal filler was injected at each treatment session. The patient has also had Botox injections to the frown, forehead and crows feet over the 3 years.
Women in her early to mid 30's who was concerned about lip volume and the tear trough area.
From left to right: After photo taken directly after the last treatment to the tear troughs. Other areas treated include the medial and lateral cheek, an earlier treatment to the tear troughs, lips, smile lines and chin.
A total of 3mls of dermal filler was injected over 3 treatment sessions spanning 1 year to achieve these results. Not many patients are suitable candidates for tear trough filler and caution must be exercised when treating this area. Treatment to the medial cheek alone can often improve the tear trough indirectly. This patient does not have many age related changes and has had subtle enhancements with small improvements without overcorrecting.
Woman in her late 30's who had not previously had any injectable treatments and felt she had lost volume in her face. She is very fit and active and was wanting a natural looking result.
From left to right: After photos taken directly after treatment. Areas treated include the medial and lateral cheek, bottom lip, smile lines, and lower nasolabial lines, chin, jowls and marionette folds. Notice improvement in overall facial balancing, chin projection, volume restoration to mid and lower face and softening of the lines around the mouth and cheek. Notice improvement in overall facial balancing, chin projection, volume restoration to mid and lower face and softening of lines around the mouth and crows feet.
A total of 5mls of dermal filler was injected over 1 treatment session. The patient has also had Xeomin treatment to the crows feet, frown and forehead between photos.
What are dermal fillers?
The dermal fillers we use are made from hyaluronan, typically known as Hyaluronic Acid (HA). Hyaluronan is a carbohydrate, or sugar complex that is naturally present in the skin but declines with age. It promotes collagen formation and skin hydration and holds and attracts water.
Hyaluronan in dermal fillers is made by bacteria in a laboratory and is crosslinked to form a clear gel like consistency which is designed
to act like our own hyaluronan.
Who is not suitable for dermal fillers?
You can not be treated with dermal fillers if you are pregnant or breastfeeding or allergic to any of the ingredients including local anaesthetic.
If you have an autoimmune condition, you may not be a candidate for dermal fillers, and we will need further information to assess your suitability.
We will not treat you if you have permanent filler or if you have previous filler in the treatment area that requires dissolving.
You will need to delay treatment if you have any active infections around the area to be treated including for example oral thrush, cold sores, active acne, or skin infections, if you are unwell or have recently recovered from an illness or if you have planned dental treatment or surgery within 4 weeks of your treatment and any vaccinations or overseas travel or travel to very remote areas within 2 weeks of your treatment.
What is involved in the treatment?
We allow approximately 1.5 hours for this treatment. This includes consent, checking medical history, photography, cleaning the skin with antiseptic, using numbing cream if applicable, facial assessment, doing the injections, discussing aftercare, rebooking and payment. You will not be subject to injections for the entirety of this time. We always like to allow extra time to offer a more relaxed environment. If treatments are rushed this can increase the likelihood of complications and affect the overall treatment outcome.
Please ensure that you arrive at your appointment makeup-free and with a clean face.
What are the potential complications and side effects?
As with all medical treatment, there is always the possibility of side effects and potential complications. In most cases, these are temporary and resolve after a couple of weeks. These can include pain at the injection site, redness, swelling, bruising, lumps, and bumps, itching and discoloration.
Very rarely, filler can be injected into a vessel which could lead to permanent scarring and needs to be treated promptly with a dissolving enzyme which we always have in clinic. There have been extremely rare reports of blindness and stroke with filler injections. Any injector that offers dermal filler should have the dissolving enzyme available.
Although you can never eliminate the possibility of these rare events, it is very important that you go to an experienced injector who has been trained in anatomy and techniques to minimise risks and has protocols in place to manage such events should they occur. You are within your rights to ask about their experience and training and to see their emergency protocols. Your injector should provide you with an after hours contact and should be contactable and available should you need them outside of hours in the following days.
After any dermal filler treatments, we give our patients instructions on what signs and symptoms to look for and contact details should they need to contact us for a review.
Is there anything I should do prior to treatment?
If you are concerned about bruising it is advisable that you avoid alcohol for a week either side of your treatment and ibuprofen along with the following supplements, evening primrose, vitamin E, turmeric, fish oil, omega’s, garlic, ginger, ginkgo and ginseng. If you are on any blood thinning medication and medication prescribed to you by your Dr, please do NOT stop taking this and discuss this with us. From the following day, you can use arnica or hirudoid cream topically and in clinic LED therapy to assist with healing post treatment. This can also be done pre-treatment to accentuate healing.
What should I book
We usually have a waitlist for dermal filler patients and will not see any patients for dermal fillers without first having a cosmetic consultation to ensure you have all relevant information to make an informed decision. We therefore do not allow online bookings for dermal filler treatments.
If you are an existing patient and have not yet spoken to us about this treatment, you will need need to book a free 15 minute consultation to further discuss dermal fillers, check suitability and give recommendations and pricing.
You can book here.
How long do fillers last?
The type of fillers that we use generally, last anywhere from six months to two years although there are some cases where dermal fillers have been metabolised as soon as three months (although this is rare), and others where they have been seen on ultrasound several years later. This can be dependant on the product used, the area injected and the individual person.
Does it hurt?
The short answer is yes, although everyone’s pain tolerances are different. Filler is not typically stingy and does have a small amount of local anaesthetic in it but can be an unusual sensation and there are certain areas that hurt more than others such as the lips. We use both cannula and needle depending on the area we are injecting.
Jaime has a very gentle approach and does her best to minimise any discomfort. We use a very strong topical numbing cream for sensitive areas such as the lips, and is applied in the clinic prior to treatment.
Will I look “done”?
No. Our aim is always to create a natural and normal look that keeps within the proportions of your individual face shape. Our treatments are subtle, and we do not follow trends as this can increase risks and lead to overfilling, ledges, migration, lumps and distortions. No two faces are the same and we are all unique so too should be your filler treatment. This is why we are not able to give quotes without first seeing you in person and doing a full facial assessment to determine the best treatment for you.
What is the downtime?
No makeup for the remainder of the day and you will need to avoid any strenuous exercise, hot tubs, saunas, swimming pools for the next week. No international flights for 2 weeks or travel to very remote areas. No dental treatments for 4 weeks.
You may look a little red and have some mild swelling after the treatment particularly to the lips. We do our best not to bruise you, but this is not a guarantee, and you should always prepare for and expect bruising. Bruising can last for up to two weeks and we do not advise dermal fillers inside of 2 weeks before any big event, ideally you would want to wait 6 weeks to allow time for the filler to settle.
We will provide you with more detailed post care instructions to take home with you after your appointment and will send out information in the weeks preceding your appointment. It is also advised that you avoid exposure to UV rays, the sun and extreme temperatures for 2 weeks.
What can I do to prepare for the treatment?
If you are concerned about bruising it is advisable that you avoid alcohol for a week either side of your treatment along with the following supplements, evening primrose, vitamin E, turmeric, fish oil, omega’s, garlic, ginger, ginkgo and ginseng. If you are on any blood thinning medication and medication prescribed to you by your Dr, do NOT stop taking this and discuss with us prior. From the following day, you can use arnica or hirudoid cream topically to speed up the healing process and LED therapy for healing post treatment. This can also be done pretreatment to accentuate healing.
If you are unwell, have recently been unwell or have had or have any scheduled surgeries or dental treatment in the 2 to 4 weeks either side of your treatment date you will need to contact us as we may need to delay treatment.
Who should perform the treatment?
Dermal fillers should only be performed by a Dr, Dentist, or Registered Nurse trained in cosmetic medicine. Registered Nurses working in the field of cosmetic medicine must have oversight from a Dr with specific qualifications such as Dr’s who are a member of NZSCM. As with all our injectable treatments, your treatment will be performed by a Registered Nurse trained in cosmetic nursing. Our cosmetic nurse Jaime has been working in the industry for over 13 years and has oversight from Dr Henryk Poczwa, member of NZSCM and owner of the Vein and Skin Clinic in Wellington. Dr Poczwa visits Invercargill regularly and meets with Jaime.
There are varying levels of training and experience in the industry so please ask your injector questions if you are unsure. We are very transparent about this and happy to answer any questions.
What other treatments complement dermal fillers?
Dermal filler treatment can be a stand-alone treatment or combined with other services to further enhance your treatments and meet your aesthetic goals. A personalised treatment plan can be created at your cosmetic consultation. Treatments typically combined with dermal filler include:
Medical grade skincare - prescribed for your individual skin care needs to improve skin health and quality improving the overall result of your treatments and aiding recovery time.
Botox and Xeomin (Anti-wrinkle injections) – to reduce muscle contraction and smooth out the overlying skin, softening lines, and wrinkles, and preventing the formation of deeper lines.
Profhilo (bioremodelling) - used to provide deep hydration and improve mild to moderate skin laxity. Profhilo also works well as a preventative treatment as it stimulates fibroblast cells to increase collagen and elastin formation and has been shown to preserve fat stem cells under the skin lost with aging. This is not a volumising product like dermal fillers.
IPL photorejuvenation - to reduce redness, rosacea, pigmentation, sunspots and improve skin tone.
Tixel Resurfacing – Tixel is an energy-based skin resurfacing treatment used to reduce lines and wrinkles, improve pigmentation, skin texuture, scarring and stretchmarks including scarring from acne and in the treatment of active acne. Unlike other treatments it can be used safely around the delicate eye area, an otherwise difficult area to treat. Tixel bridges the gap between microneedling and fractional ablative laser, but with less downtime than laser.
DermaFrac (microneedling with serum infusion) - combines collagen induction therapy with needling, suction to aid in lymphatic drainage and serum infusion in a quick, low pain, low downtime, and effective treatment. Used to improve skin texture, hydration, brightness and reduce the appearance of pigmentation, dark spots and acne.
We value confidentiality and this is very important to our clients. Our space is set up with this in mind and is very private. We gain informed consent before performing any treatment and all our patient photographs that are viewable to the public are used with the consent of the patient. You have the right to withdraw the use of your photographs at any time.
We also offer our patients the option to prepay to our bank account. If prepaying, please use your name as a reference. You must already be a patient of ours and of discussed the treatment you wish to prepay with us to use this service. If you have prepaid and no longer wish to continue with treatments, you can either keep this as a credit for future use on any of our products or services, or you can have a refund. There is a $50 admin fee to have the credit refunded back to your account.
You can purchase vouchers via our online shopping page. When booking an initial appointment online, vouchers are not accepted, and you must make the payment online but they can be redeemed in the clinic towards your treatment or on products. If booking through us the initial booking fee must be made as a bill payment to our bank account. Returning patients are not charged a booking fee.
Bookings can be made by going to the book now or visiting our FB or Instagram pages. We support online bookings.
Patients can also book by texting or phoning the clinic on 027 3876 393, filling in the contact form below or emailing us at firstname.lastname@example.org
If contacting us by phone or email, please be aware reception is not always covered and we are often busy with patients but will endeavour to get back to you at our earliest convenience.
Cancellations and No-shows
We ask for at least 48 hours’ notice for any cancellations. The more notice we are given the more chance we have of filling that appointment space so please be mindful of our time.
Cancellations outside of this time may be charged a fee depending on individual circumstances and no-shows will be charged a fee.
We try and accommodate our patients to the best of our ability and if you have paid a booking fee and notice has been given, we can reschedule your appointment and hold the deposit. If you do not pay your late fees, you will be unable to book with us in future.
Contact CosMedic Clinic
81B Don Street, Invercargill
027 387 6393
Appointments are essential
Juvederm Ultra™ & Juvederm Ultra Plus™ are medical devices Class III for the filling of medium size and deep facial wrinkles by injection into the skin and for creating definition and volume in the lips. Contains 24mg/mL. cross-linked hyaluronic acid Juvederm has risks and benefits. Cautions: Use in an area that has been treated with another dermal filler, people with autoimmune disease, or who are pregnant, breastfeeding, under 18 years of age or have an increased susceptibility to keloid formation and hypertrophic scarring. People on blood thinning medicines. Possible side effects: injection site inflammatory reactions (redness/swelling, itching/pain on pressure) induration or nodules; discolouration; weak filling effect. If you have side effects or concerns speak to your doctor. Product and treatment costs will apply. Note: Juvederm treatment lasts about 12-24 months. For product information check with your doctor or product information at Allergan (NZ) Limited, Auckland.
TEOSYAL RHA® 1, TEOSYAL RHA® 2, TEOSYAL RHA® 3, TEOSYAL RHA® 4, TEOSYAL® PURESENSE REDENSITY 1, TEOSYAL® PURESENSE REDENSITY 2, TEOSYAL PURESENSE KISS ®, TEOSYAL® PURESENSE GLOBAL ACTION, TEOSYAL® PURESENSE DEEP LINES, TEOSYAL® PURESENSE ULTIMATE and TEOSYAL® PURESENSE ULTRA DEEP TEOSYAL KISS®, RHA KISS®, TEOSYAL® MESO, TEOSYAL® GLOBAL ACTION, TEOSYAL® DEEP LINES, , TEOSYAL® ULTIMATE and TEOSYAL® ULTRA DEEP are trademark of the firm TEOXANE SA. These products are gel that contains hyaluronic acid, and 0.3% by weight of lidocaine hydrochloride They are class III medical devices. Caution for people on blood thinning medicines. Local side effects: inflammatory reactions (redness, oedema, pain at the point of injection), haematomas, itching, temporary loss of sensitivity around the injected area, disorders of pigmentation in skin and hair, abscesses, indurations, nodules (possibly granulomas). General manifestations: immediate hypersensitivity up to anaphylactic shock, migration of the implant. Rare but serious adverse events associated with the intravascular injection of soft tissue fillers in the face have been reported and include temporary or permanent vision impairment or blindness, skin necrosis and stroke. Lasts 9 -12 months. Please consult your doctor pharmacist for more information. Please refer to instructions for use, local distributor. Healthcare Logistics, Auckland.
Belotero® is a Class III medical device to smooth facial wrinkles and folds, correct facial atrophic scars, restore of enhance the lips or restore facial volume Belotero has risk and benefits. Ask your specialist if Belotero is right for you. Contains transparent cross-linked sodium hyaluronate gel of nonanimal origin with lidocaine 0.3% to reduce local pain. Do not use if you have a skin inflammation or a skin infection or until the infection is healed. Precautions. There is a risk of infection. Tell your doctor if you are on blood-clotting medicines as there could be an increased risk of bruising or bleeding at the injection site. Possible side effects: swelling, bruising, redness hardening of the skin, pain, altered colour or itching. Lasts 6-12 months You will need to pay for this product and doctor’s fees apply. Merz, Sydney. Distributed by Healthcare Logistics, Auckland
is a prescription medicine for the treatment of frown lines , horizontal forehead lines and crow’s feet round the eyes. Botox® has risks and benefits. Ask your doctor if Botox is right for you. If you have side effects, see your doctor. You will need to pay for Botox® and clinic fees will apply. For details on precautions & side effects consult your healthcare professional or the Consumer Medicine Information (CMI) at www.medsafe.govt.nz. Botox® treatment lasts about 4 months and further courses of treatment may be necessary. Should only be administered by trained medical professionals. (contains botulinum toxin A 50,100 & 200 units) Allergan (NZ) Limited, Auckland.
is a Prescription Medicine containing 50, 100 units of incobotulinum Type A, purified Botulinum toxin type A complex for injection. It is used for the treatment of frown lines on the forehead, lateral periorbital lines and horizontal forehead lines in adults. It should be administered only by trained medical professionals. Talk to your specialist about the benefits/risks of this procedure in appearance medicine. Xeomin treatment lasts about four months and further courses of treatment may be necessary. Cautions: people receiving blood thinning medicines, care at the proposed injection sites, pregnancy and lactation. Possible side effects: headache, pain, swelling or infection at injection site, local muscle weakness including drooping eye lids, lack of feeling & nausea. Treatment last for up to 4 months. You will need to pay for this medicine. Discuss with your specialist if Xeomin is right for you. For more information or for a copy of CMI please contact the NZ distributor: Merz, Sydney. Distributed by Healthcare Logistics, Auckland
Profhilo®, containing low & high molecular weight hyaluronic acid, is a Class III medical device for the treatment of the face and body for contours redefinition and laxity remodelling where skin laxity is a problem. Profhilo has risks and benefits. Do not use with treatments such a laser resurfacing or medium deep skin-peeling. Caution in people on blood thinning medicines. Do not inject into inflamed areas or intravenously or intramuscularly. Possible side effects: pain and swelling at injection site. Accelagen Pty. Ltd. Whanganui.