Cosmetic Dermal Fillers

As we age, we experience a decrease in facial volume. This facial “deflation” causes skin to sag, resulting in folds, creases, hollow areas, and jowls. Dermal Fillers or Soft Tissue Fillers, or simply Fillers, are used to target and replace this volume loss, filling the hollowed areas, propping up or lifting and smoothing out the skin.

Common popular filler brands used in a variety of cosmetic treatments include Belotero®, Estelis®, Juvederm®, Perlane®, Radiesse®, Restylane®, Revanesse®, Teosyal®, Saypha® and Sculptra®.


Common Fillers Applications

At Medical Spa Club in Richmond, B.C., Dr. Pinkhasik uses fillers to address the following problems and concerns (below is a partial list):

  • Smile lines (or nasolabial folds): lines that run from the corners of the nose to the corners of the mouth
  • Marionette lines: lines that run downward from the corners of the mouth
  • Corners of the mouth (or oral commissure)
  • Jowl: the area on either side of the chin, where skin can sag due to loss of facial volume
  • Chin wrinkles: horizontal lines that can form on your chin
  • Tear Troughs: areas below your eyes that create “bags and hollows under the eyes”
  • Lip augmentation
  • Chin augmentation
  • Facial contour augmentation
  • Hand rejuvenation

Example Results

Transformation at Medical Spa Club

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* Individual results may vary

Prior to receiving any injectable filler treatment at our Medical Spa Club clinic, you will have a thorough conversation with Dr. Pinkhasik. Your concerns will be addressed and you will be encouraged to ask any questions that you may have about your procedure. Dr. Pinkhasik will explain to you the benefits and risks of using fillers and will help you to choose the filler, or a combination of treatments, that is best suited to you.

Book Your Consultation

Call us at 604-284-5501 for any questions or book online for a consultation with our doctor to discuss your needs and options. No obligation to proceed with any treatment or service – just information so you can decide when you want to make an enhancement of your natural beauty. We are all happy to help you every step of the way.

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Frequently Asked Questions

How Much Do Fillers Cost?

The cost would depend on your needs and budgets, as well as the complexity involved, brand and the amount used. Thus, the actual treatment cost varies between $600 and $2400.

How Soon Will I See Results With Dermal Fillers?

Everyone is unique and may experience results differently with fillers.

Generally, fillers produce visible results immediately upon injection. These results may evolve slightly over following couple of days: the procedural swelling will subside, and skin will smooth out further as the filler integrates with your tissue.

There is no down time, and in our experience you can count on looking very presentable immediately after your procedure, although there may be some (usually minor) swelling and occasional bruising, so if you have an important event, you want to give yourself at least 7-10 days before it, “just in case”.

How Long Do Fillers Last?

Depending on the type of fillers and your lifestyle, results can last for 6-12 months or more.

The best way to maximize your results and increase the longevity of your fillers or cosmetic injections is to have the next treatment before the effects of the last treatment wear off. Timing your treatments prevents the muscles from fully recovering, and your smoother, more relaxed appearance will be maintained.

To prolong the results, keep yourself well hydrated and moisturized.

How Long Is The Procedure?

It is considered a “lunchtime procedure” as it usually only takes around 45 mins to an hour to complete.

Is It Dangerous To Get Fillers?

Fillers we use are non-toxic and actually nourish your tissues, so they are actually good for your skin. There is a remote possibility of sensitivity, as with anything, but it is so rare that I had not seen a case in 15 years that I had been doing this. There are, of course, procedural risks, especially with inexperienced injectors.

Are Dermal Filler Procedures Painful?

Everyone’s pain tolerance is different and we want to make you as comfortable as possible. Most people are pleasantly surprised as to how little discomfort these procedures actually involve.

Comfort levels of using fillers also vary among doctors depending on their training and experience.

At Medical Spa Club, we do everything possible to minimize your discomfort. The fillers are mixed with local anesthetic, and your skin is locally cooled to reduce your sensation of the initial injection. You may feel a varying amounts of pressure in the affected area during the procedure.

What's The Recovery Time For Fillers?

None. It is a “no downtime” procedure. There may be a little puffiness, but it is usually negligible. With canula injections, the risk of bruising is minimal. Nonetheless, we usually advise people to give a week or two before major evens (weddings, birthdays), as Murphy’s Law is still in effect: if you do it a day before a wedding, and you are unlucky enough to get bruised, it may cause an inconvenience to say the least.

Are There Any Pre or Post Care Instructions For Dermal Fillers?

Pre Care For Fillers

Stop taking medication that can thin the blood – A week before you get fillers treatment, stop taking:

  • Aspirin
  • Ibuprofen, either generic or Advil, Aleve, or Motrin
  • Exedrin
  • St. John’s Wart
  • Vitamin E
  • Fish oil or Omega-3s
  • GinkoBilboa
  • Ginseng

This will minimize any potential for bruising. Tylenol is okay.


Post Care For Fillers

  • After you have received dermal fillers treatment, some injection-related discomfort, swelling, or redness may occur at the site of injection. Applying a cold compress will help.
  • If you need something more than cold compress for discomfort, use acetaminophen (Tylenol®, Atasol®) following the directions on the bottle. The use of ASA (Aspirin®) should be avoided as it may increase bruising at the site of injection.
  • Minimize movement in the injected area for the next day or two  (e.g. Minimize smoking and/or drinking from a straw). Your new implant requires this amount of time to settle.
  • Many patients return to their normal routine/activities immediately after treatment, with no untoward effects.
  • You may gently wash injection area and apply makeup immediately after treatment.
  • Sunbathing/hot baths/sauna, excessive UV exposure or excessive exposure to cold should be avoided until the redness or swelling has subsided.
  • Immediately report any worsening or persistent symptoms or side effects to us.

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