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.
Lip enhancement or augmentation using dermal filler is one of our most popular dermal filler treatments and can benefit people of all ages. Lip fillers can be used both for rejuvenation purposes to replace volume where it has been lost in the aging process, and for subtle volumising of a more youthful or thinner lip to create more definition and balance.
This is a non-surgical procedure and is administered through injections by a qualified medical professional giving instant results.
As we age, the lips and the surrounding area are particularly vulnerable to volume loss. Lip Fillers may help in smoothing out lines, adding volume, helping to define the shape of your lips and achieving symmetry. The corners of the mouth can begin to droop, which can create a sad or angry look. Additionally, the v-shaped area of the upper lip, known as the Cupid’s bow, begins to flatten out. Vertical lip lines may also appear and cause lipstick to bleed.
Skillful and artistic placement using small volumes of a soft filler are the key to creating a natural-looking lip. The amount injected and the type of filler used are determined at your consultation after a full facial assessment of the whole face to ensure symmetry is maintained.
We do not use more than 1ml at a time to the lips as an isolated treatment but can treat other areas of the face with dermal filler at the same time and can add further volume to the lips at future appointments. This is to minimise potential complications and overfilling.
WHAT DERMAL FILLERS DO WE USE FOR LIPS?
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 use dermal fillers to replace the moisture or (hyaluronic acid) and to restore volume to areas where facial volume loss has become apparent.
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 and is then determined by the type and volume of product used. If multiple areas are treated and more than one syringe is used then the treatment is discounted.
Please note that 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 to attend to you outside of hours should there be any complications or concerns in the days following your treatment and offer a free follow up service.
Jaime has worked full time in the industry for over 12 years and attends many courses, training sessions and conferences every year. She updates her anatomy knowledge regularly and recently attended a dissection and anatomy workshop n 2022 run by New Zealand Society of Cosmetic Medicine and the first of its kind for cosmetic injectors in New Zealand.
We will not see any patients for dermal fillers without first having an 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.
Women in her late 30's who already had good volume to her lips, but wanted some hydration and a little more plumpness, particularly to the bottom lip.
From left to right: After photos taken 2 week post treatment once healed. Small amounts of dermal filler have been placed into the top lip border to define the lip and fill the fine lines starting to develop above the top lip. Dermal filler has also been placed in the bottom lip to plump and create more of a pout to the middle two thirds. The perioral area has been treated to give further support to the lips.
Total of 2 mls of dermal filler to the lower face, 0.5mls of which was placed in the lips.
A woman in her mid 50s who has lost some of the volume to her lips with aging and wants them restored to look more youthful and hydrated. She already has a great shape to her lips but is lacking a little volume, particularly in the bottom lip.
From left to right: After photos taken 2 weeks post treatment once healed. Dermal filler has been carefully placed in the top and bottom lip to hydrate plump and even out the ratio between the top and bottom lip.
Total of 1ml has been used in the lips and to the fine lines and depressions beneath the bottom lip.
Woman in mid 40's wanting to show less gum when smiling and a slight increase in volume particularly to top lip.
Photos from left to right: After photos shown directly after treatment. Some swelling and bruising evident which will settle over the next one to two weeks, particularly in the top lip. The bottom lip has also been treated to keep within the natural proportions of the lip and maintain balance. Placement of filler is very important to the end result to avoid any unwanted lumps and bumps, filler migration and to provide a natural appearance.
A total of 0.5mls has been injected into the lips. Her marionette folds, mid face and jowls have also been treated in these photos. Total of 2.5mls.
What dermal fillers does your clinic use?
At CosMedic Clinic for our lip treatments we use Juvaderm ultra from Allergan, Belotero Shape, Intesne, Contour and Balance from Merz Aesthetics and the RHA1 and RHA2 from Teoxane.
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.
Hyaluranon 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 hyaluranon.
We only use dermal fillers from reputable companies that are FDA approved, Medsafe approved for use in New Zealand and are made of hyaluranon so that they can be dissolved if necessary. 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 cohesively so they can be tailored to the individual but for the lip area we only use soft dermal fillers.
Who is not suitable for dermal fillers?
You cannot 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. All patients are required to have a consultation prior to treatment and this will be discussed in further detail at this time.
How long does lip filler last?
As we use soft dermal fillers for lip augmentation, they will generally last 6 months to 1 year, although there are some cases where dermal fillers have still been seen on ultrasound several years later and others where it has been metabolised it in as soon as 3 months, although this is rare. Duration is dependent on the product used, the area injected and the individual person. Most people will get around 9 months from their initial treatment and it is recommended that to maintain results this is reviewed at 6 to 9 months and further treatment then planned if required.
What if I want more volume?
Further volume to the lips can be added after 6 weeks minimum, however we will only add more filler if we believe it will not distort the lips and will remain natural looking. It may be recommended that you wait 6 to 9 months until further volume is added and build volume more gradually, particularly if you have a very thin lip. This will all be discussed with you at your cosmetic consultation and at follow up reviews and determined based on the individual.
Will I look “done”?
No. Our aim is always to create a natural and normal looking lip. Our treatments are subtle, and we do not follow trends as this can increase risks and lead to overfilling, ledges, migration, and distortions of the lip. No two lips are the same and we are all unique so too should our lips be. If you have a very thin lip, we are not able to give you a very full lip but can gradually increase volume and create a nicer shape while respecting the normal function of the lip.
Does it hurt?
The short answer is yes, although everyone’s pain tolerances are different. Dermal filler itself is not typically stingy and does have a small amount of local anaesthetic in it but some of the injections can be a little stingy and there are certain areas that hurt more than others such as the lips. We use a very fine needle for lip injections and are gentle in our injection technique to make the treatment as comfortable as possible. We will also numb your lips with a strong topical anaesthetic cream prior to 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, applying numbing cream to the area which is then left on to take effect, 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 effect the overall treatment outcome.
Please ensure that you arrive to your appointment makeup free and with a clean face.
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 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.
How do I 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 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 mediation and medication prescribed to you by your Dr, please do NOT stop taking this and discuss with us. 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.
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.
What should I book?
We usually have a waitlist for lip 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.
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 lip fillers?
Lip 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 lip 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.
Dermal Filler - to volumise areas that have lost volume over time and fill deeper lines where reduced muscle contraction is not recommended.
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 email@example.com
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
Botox® 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.
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.
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