# Facial Fillers (Dermal Filler Injections) > Facial rejuvenation through the use of **injectable fillers** involves injecting a substance into the skin to smoothen wrinkles or deep folds such as the nose to mouth line - Canonical page: https://doctormaresky.co.za/procedure/facial-fillers - Category: [Non-Surgical Procedures](https://doctormaresky.co.za/procedure-category/non-surgical-procedures) - Procedure directory: https://doctormaresky.co.za/procedures.md - Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer ## Overview **Facial fillers** plump up the creased wrinkles and folds in the face when injected beneath the skin. Facial fillers can add fullness to the lips and cheeks and may be used in combination with other surgeries. However, facial fillers are not sufficient when smoothing severe lines and wrinkles in the face. It is best to consult with **Dr Maresky** directly to discuss your goals. ## The procedure In most cases general, a facial filler procedure is performed on an outpatient basis. The number of injections you receive and the depth of insertion depend on the type of filler you request. Fortunately, there is minimal pain involved and patients are able to resume their normal activities almost immediately. ## Preparation - **Timeline:** **1-2 weeks** before treatment ### Medical tests - No routine tests required - Allergy testing may be recommended for certain products ### Medications #### Medications to discuss stopping - **Avoid** aspirin and NSAIDs **3-5 days** before to minimize bruising - **Stop** vitamin E and fish oil supplements **1 week** before - **Discontinue** retinoids **2-3 days** before treatment #### Medications to continue - **Inform Dr Maresky** of all medications and supplements - **Inform Dr Maresky** if you have a history of cold sores (prophylaxis may be needed) ### Lifestyle - **Smoking:** **Avoid** smoking **24 hours** before to improve healing - **Alcohol:** **Avoid** alcohol **24-48 hours** before to reduce bruising risk - **Skincare:** Avoid harsh exfoliants, waxing, or laser treatments **1 week** before ### Arrangements - **Arrive** with clean, makeup-free skin - **Plan** for potential redness/swelling - schedule accordingly - **Wear** comfortable clothing - You can typically drive yourself home ## Recovery and aftercare The recovery time varies from patient to patient and will depend largely on what type of filler is used. It is recommended that patients avoid physical activity for the first **24 – 48 hours** to minimize bruising and swelling. ## Expected results Dermal fillers consist of naturally-derived or synthetic material that is directly injected into the skin to plump the area. Depending on the type of filler used, the effects may last anywhere from **six months to two years**. For semi-permanent or permanent fillers, the effects can last for **five years**. ## Frequently asked questions ### Who is a good candidate for facial fillers? Prior to a facial filler procedure, patients will undergo an initial consultation in order to determine their candidacy. The best candidates for facial fillers are non-smokers with realistic expectations of the results. ### How much do facial fillers cost? Pricing varies based on individual needs and treatment plans. A consultation is required to assess your specific requirements and provide accurate pricing. Please book a consultation or **Contact for Pricing** at gideonmaresky@gmail.com for personalized pricing information. ### What are the side effects? It's common to have some mild side effects for a few hours after having a facial filler procedure. These include an 'overfilled' appearance to treated areas, swelling or bruising, temporary numbness, redness or blue tinge, palpable lumps, and hypersensitivity reaction that can seem like an allergic reaction with hives and swelling. ### How long do facial fillers last? Duration varies by filler type and treatment area. **Hyaluronic acid fillers** typically last **6-18 months**. Areas with more movement (like lips) break down faster, while static areas (like cheeks) last longer. **Dr Maresky** will recommend the best filler for your goals. ### What are the different types of facial fillers? Common types include **hyaluronic acid fillers** (Juvederm, Restylane) for volume and hydration, **calcium hydroxylapatite** for deeper wrinkles, and **poly-L-lactic acid** for gradual collagen stimulation. **Dr Maresky** selects the appropriate filler based on your needs. ### Is there any downtime after facial filler injections? Most patients experience minimal downtime. You may have mild swelling, redness, or bruising for **1-3 days**. Many patients return to work immediately. Avoid strenuous exercise for **24-48 hours** and follow **Dr Maresky's** aftercare instructions. ### When will I see results from facial fillers? Results are typically immediate, though initial swelling may obscure final results for **2-7 days**. Some fillers (like Sculptra) work gradually over **2-3 months** as they stimulate collagen production. **Dr Maresky** will explain the timeline for your specific treatment. ### Can facial fillers be reversed if I don't like the results? Hyaluronic acid fillers can be dissolved with **hyaluronidase** if needed, providing a safety net. This reversal can be done within minutes to days if you're unhappy with results. Other filler types cannot be reversed but will gradually absorb over time. ## Indicative pricing - Estimate: R5,500 to R11,000 ZAR - Cost factor: Number of syringes - Cost factor: Filler brand and type - Cost factor: Treatment areas - Detailed cost page: https://doctormaresky.co.za/cost/facial-fillers - Final pricing is confirmed after an individual consultation. ## Consultation and contact - Consultation: https://doctormaresky.co.za/procedure/general-consultation - Contact: https://doctormaresky.co.za/contact