dermal fillers

Dermal Fillers Adelaide

Reverse the signs of ageing, correcting wrinkles and folds by adding volume to sunken skin with facial dermal fillers.

Are you aware that many of the signs of ageing can be attributed to a loss of facial volume? As we age the facial tissues thin out and lines become visible around the mouth, nose and eyes. The cheeks also lose volume and appear a little hollow. The good news is that dermal fillers can replace lost facial volume, helping to plump the lips, smooth out wrinkles and create a more youthful appearance. As an added benefit dermal fillers can also help prevent wrinkles and fine lines from worsening.

We look forward to your visit.


Dr Rahma Targett

Dr. Rahma Targett

“Trust Your Face to a Doctor Trained in Dermatology and Cosmetic Medicine”

Why Do I Need Dermal Fillers?

As we get older our face experiences loss of volume.  Our face is analogous to a grape.  When we are young it is full of volume and does not have wrinkles. As we get older that volume decreases and our face starts to resemble a saltana! Wrinkles start to form and the volume is lost.

Having a surgical facelift procedure may help to pull up the sagging skin and reduce the wrinkles.  But without adding any volume to the face, the results are often unnatural and disappointing.  After all, tightening a wrinkled saltana would only result in turning it into a pea instead of a grape.

With dermal fillers we are able to return volume to the skin again, helping to plump the skin and fill out and wrinkles and fine lines.

What are Dermal Fillers?

Dermal fillers are viscous materials that are injected underneath the skin.  They help to replace lost facial volume, smooth out fine lines and wrinkles as well as enhance the contours of the face.  Millions of men and women around the world have this procedure performed each year.  It has proven to be a cost effective way to achieve a younger looking appearance, without the need for surgery and the associated downtime.

What are Fillers Made From?

At Advanced Cosmetic Medicine we only use fillers made from Hyaluronic acid.  Hyaluronic acid is a naturally occurring substance that is already present in the makeup of your skin. It works by attracting water to keep your skin hydrated, producing a plump youthful appearance. Hyaluronic acid fillers are a soft and gel-like material that moulds well under the skin. The results are not permanent, lasting six to twelve months or before the body gradually and naturally reabsorbs the filler material. Hyaluronic acid fillers are infused with lidocaine, a local anaesthetic to help minimize any pain or discomfort during and after the treatment.

How Do Dermal Fillers Work?

Dermal fillers are gels that can be injected under the skin to help restore volume to different parts of the face.  Many contain a substance know as hyaluronic acid that replicates the actions of a naturally occurring sugar molecule, attracting water molecules to assist in hydrating the skin. The products can be injected below the skin’s surface to create more youthful facial contours and smoother, plumper skin.

Fillers can fill out small areas such as the lips and eyebrows and can also fill out larger areas such as the cheeks and the jawline. A filler can also be used together with anti-wrinkle injections, which relax facial muscles, or with other treatments such as factor 4, laser genesis or skin needling to rejuvenate the entire face.

What to Expect During Treatment?

Dermal filler injections are non-surgical treatments and can usually be completed during a single consultation session. Your first treatment will begin with a consultation with Dr Rahma Targett,  to discuss your concerns and what particular look you are trying to achieve.

Pre-treatment consultation

During your consultation, Dr targett will evaluate your areas of concern and review your past medical history. While the risks associated with dermal fillers are small, you will be required to disclose your past medical history before the treatment. Conditions such as allergies, skin and neurological conditions, or taking certain medications can put at risk your safety and may compromise the results. For example, you need to tell the doctor if you have been taking NSAIDs (e.g., aspirin, ibuprofen, naproxen) or blood thinners, because these can increase the chances of bruising.

Your injectable filler treatment

Prior to the actual treatment, the area that is to be injected will be cleaned, and you may be given a topical anaesthetic to numb the area for your comfort. Many filler products also contain lidocaine, a local anaesthetic, which is intended to help reduce any discomfort you may feel during or after the treatment. Dr Targett will then inject a precise amount of filler strategically located beneath the skin, to achieve the desired results.  This takes a great degree of skill and artistic flair, so it is very important that you remain as still as possible during the injection phase of the treatment.

After the treatment

Depending on which product is used and the areas that are treated, you should be able to see results straight after receiving filler injections. You may experience some mild bruising and swelling, but this should be temporary and should subside after a few days. You will be able to go back to your normal activities right after treatment, but the doctor may want you to refrain from exercise or other strenuous activity.

How Long Do The Results Last?

The length of time the results will last is dependant upon the type of product used, the area treated and the patient themselves.  As a general rule of thumb, the denser the product and the deeper it is injected, then the longer the results will last.  To maintain the results you will need to have repeat treatments performed.  The benefit of this is that the doctor can adjust the amount of filler given as well as the technique to achieve the desired results.

Hyaluronic acid fillers typically last between six to eighteen months.  These types of fillers are recommended for first-time patients, which may be a bit unsure about having fillers and the results they are trying to achieve.  Filler injections performed to the lips will in most cases not last as long as fillers applied to nasolabial folds.  Some types of hyaluronic acid fillers are designed to last longer, however, they are usually restricted for use in certain areas such as the cheeks.

What Areas Can Be Treated?

  • Cheeks: As we age we tend to lose volume in the cheek region. Dermal fillers can replace this volume to fill sunken cheeks
  • Lip Wrinkles: Again, lip wrinkles are caused by loss of skin volume and continual repetitive movements.  Dermal fillers can reduce the appearance of lip lines by replacing lost volume.
  • Tear Troughs: If you suffer from loss of volume under the eyes, dark circles or puffy eye bags, you will be pleased to know that dermal fillers can help improve your appearance.
  • Nose: Non-Surgical Rhinoplasty: Dermal fillers can be used to fix minor imperfections in the nose such as asymmetry or nose bumps.
  • Lips: It is a growing trend amongst people of all ages to want to enhance the appearance of their lips.  Dermal fillers can be used to plump the lips to create a naturally youthful appearance.
  • Dermal fillers can be used on any deep wrinkles that anti-wrinkle injections cannot resolve.  Wrinkles such as frown lines, forehead lines, marionette lines, nasolabial folds, smile lines. cheek lines etc

How Do I Maintain My Results?

Dermal fillers are an effective treatment for restoring lost volume to your face as well as helping to fill out fine lines and wrinkles. Unfortunately, dermal fillers are not a permanent solution. However, by adopting a few good practices you can help prolong and maintain your results.

  1. Always discuss your goals and desired look with Dr Targett at your initial consult.  That way the best type of filler can be chosen to suit your needs.  Not only this, but a treatment plan can be formulated to maintain your results for the long term. Routine checkups, as well as skin care products, will also be recommended.
  2. It is not absolutely essential, but cutting back on alcohol after having dermal filers is always a good idea.  Alcohol causes dehydration which makes wrinkles and fine lines much more apparent. Keep skin hydrated by drinking plenty of water and regular use of moisturiser.
  3. Keep your aesthetic medicine doctor in the loop when it comes to the medications that you use.  Some medications are contraindicated before having a dermal filler procedure and some may reduce the effect of the fillers.
  4. Invest in your skin care.  To prevent further deterioration of your skin it is a good idea to follow a regular skin care routine.  This may involve using SPF before going outside in the sun as well a daily moisturiser to keep your skin soft and supple.  Other treatment such as skin needling and laser genesis can improve the production of collagen in your skin, keeping your skin younger for longer.
  5. By scheduling routine touch-ups, you are able to extend your results for longer intervals between major treatments.

Why Are There Many Different Types Of Dermal Filler?

Dermal fillers can come in many different consistencies. Light and soft consistencies are used for delicate and mobile areas such as the lips. Denser consistencies are used for deeper folds. The choice of filler made by the doctor will depend on the area to be treated, the depth the filler is to be injected as well as the lifting and smoothing qualities of the filler gels.

Will My Results Results Look Natural?

Dr Targett is skilled at achieving smooth and natural looking results.  Everyone will notice how good you are looking but no one will know why!

Modern dermal fillers and anti-wrinkle injections under the guidance of a skilled and trained doctor are able to achieve subtle and natural looking results, but still retaining the natural look of who you are.

Can Dermal Fillers Be Used With Anti Wrinkle Injections?

It is very possible to combine both dermal fillers and antiwrinkle injections to perform facial rejuvenation. Using the two products together can complement each other to create a naturally balanced and refreshed look. The combination treatment is often referred to as a non-surgical facelift or a liquid facelift.  Anti wrinkle injections are effective for dynamic wrinkles and fine lines, whereas dermal fillers are effective for static deeper wrinkles.

How Long Does It Take To See The Results?

Dermal Fillers are often referred to as a lunchtime facial, for the simple reason that it is so fast and easy.  The procedure itself will take only fifteen to thirty minutes.  You should be able to resume your daily business straight after the procedure.  You may have mild swelling following the procedure.  The final result may not be seen for up to two weeks, since it may take this long for the swelling to subside.

What Are The Contraindications?

Contraindications are rare. There has been no evidence of allergic reactions to fillers currently on the market.

If you have a history of normal wound healing then you should be able to tolerate dermal fillers well.  You should not have dermal fillers if you have had recent surgery or have any active infective processes occurring.

Are Dermal Fillers Safe?

Dermal fillers are very safe, so long as they are injected by a doctor trained in Aesthetic Medicine.  Medical practitioners should not work outside of their scope of practice, as this has the potential for poor results and also adverse effects.  Dermal fillers are a medical procedure and in the unlikely event of something going wrong, you will want to be in the hands of a qualified medical doctor that can give you the proper care.

Who Will Perform My Treatment?

Your dermal filler procedure will always be performed by Dr R.Targett.  She is a registered GP with AHPRA, she is trained in Primary Care Dermatology and Aesthetic Medicine.  By having the same doctor perform your treatment each time you will assured of receiving a consistently high standard of care as well as receiving a consistent result.

Is The Procedure Painful?

At Advanced Cosmetic Medicine we endeavour to make your dermal filler procedure as painless as possible. Dermal fillers are usually well tolerated by the patient, with most patients only describing minimal discomfort.  Many dermal fillers on the market are combined with lidocaine which acts as a local anaesthetic.  The area can also be treated with a topical anaesthetic prior to the procedure if you are concerned about the pain.

Are There Any Side Effects?

Side effects are very rare when having dermal fillers and if you happen to get them they are usually short-lived. As a part of proper informed consent you will need to be advised of any possible side effects.

Mild to moderate side effects will include; numbness, itchiness, bruising and redness and swelling. It is extremely rare but there have been reports of dermal fillers causing blindness and tissue necrosis.  This would only occur if the dermal filler were injected into an artery.  Canulas are often used these days as they are not able to penetrate arteries when administering dermal fillers.

Other potential side effects include:

Allergic reactions
Skin cell death
Tissue necrosis

In most cases where side effects occur, they are caused by improper injection technique or improper dosage.
It is important to choose a doctor that is experienced and trained in aesthetic medicine to avoid these types of complications.

If you’re in good health, it is unlikely that this procedure will cause any harm. Additionally, most side effects usually go away within a  few hours.

Can I Have Dermal Fillers If I Am Pregnant?

When fillers are injected into the skin they will stay in place, they do not migrate through the body.  There is no documented evidence that fillers can harm your baby in any way.  So if you have had a filler procedure whilst pregnant, there is no need to fret. Having said this, it is best to avoid dermal fillers during pregnancy to ere on the side of caution. Always inform your doctor before having dermal fillers if there is any chance that you could be pregnant.

What Medications Should I Avoid Before Having  Dermal Fillers?

1) Before your procedure, you should stop all blood thinners, including aspirin and ibuprofen for 5 to 7 days before the treatment. Blood thinners would make you more prone to bruising during the procedure.
2) Before stopping your blood thinning medication it is very important that you consult with your doctor that prescribed the medication.
3) Some supplements are also known to have blood thinning properties and are best avoided for a few days before your dermal filler procedure.

What is The Post Procedure Care?

  • Any swelling and bruising may be eased by applied a cold compress the area.
  • Please avoid excessive or strenuous exercise for the rest of the day, after treatment.
  • If you are experiencing pain after the procedure, you may take paracetamol. Do not take NSAIDS such as ibuprofen as this may thin your blood causing bruising.
  • You should not massage the area after the procedure, even though it may be sore. Massage may disrupt the filler position.
  • Do not drink any alcohol for twelve hours after the procedure. This will help prevent any unwanted swelling and bruising.
  • Cleanse and apply makeup to your face using gentle motions only.
  • Try to avoid excessive facial movement of the region for the first few days as the filler settles.
  • Dr Targett may discuss other aftercare procedures at your appointment. She will be available by phone, should you have any concerns following your procedure. Please do not hesitate to call should you have any concerns.

How Can I Reduce Swelling After Having Dermal Fillers?

The main area where you are likely to swell after having dermal fillers is under the eyes and the lips.  These two areas tend to swell quite a bit.  About 20% of patients will have significant swelling after their treatment and the swelling will be at a maximum the day after their treatment. The best thing to do is to be prepared for swelling and don’t be overly alarmed.

To decrease the swelling after your dermal filler treatment there are certain things that you can do to help.

1)Keep the head elevated as much as possible for the first 24 hours.

2) Avoid sleeping on your face.

3) Use ice compresses immediately after the procedure.

4) The day after your treatment use a warm compress to help increase the circulation and make the swelling go down.

The significant swelling may last up to 2 to 4 days.  The residual less significant swelling may last up to 2 weeks. It is always best to wait 2 weeks before returning to access the success of the treatment.


This website should not be used as a substitute for receiving proper medical advise from a licenced practitioner. It should not be used for medical advice or for medical diagnosis. Examples, predictions and results suggested in this page may vary from person to person. Results may not always be immediate and may take some time for swelling to subside etc.  Results can be affected by a number of factors including, general health, diet, adherence to post procedure care instructions etc.

Dermal Fillers Have a Number of Different Applications to Rejuvenate The Face;

Nasolabial lines are the two skin folds that traverse from both sides of the nose to the corners of the mouth.  They are often referred to as nasolabial folds.  These lines can be seen from an early age and are often what makes us look older than  we are.  In our twenties these lines are often only seen when we are speaking or smiling, but as we grow older they become static and can be seen even when we are not speaking or using facial expression.  Dermal filler an an effective treatment for Nasolabial folds.

It is very hard to feel refreshed on the outside when you don’t loon refreshed on the outside.  Having dark circles and bags under the eyes can make anyone look much older than they really are.  Tear trough fillers could be the solution you have been looking for.  At Advanced Cosmetic Medicine your treatment results will have a natural look so that you can look refreshed and revitalised.


Marionette lines derive their name from Marionette puppets.  The lines that traverse from the outer corner of the mouth and down the chin look similar to the mouth of a puppet. Marionette lines not only can make you appear much older than you are but they can give you a sad or angry expression.  Dermal fillers are an excellent solution to this problem.

Temporal hollows are the result of losing fat and other subcutaneous tissue due to the ageing process.  As we age we can even have a loss of bone.  This causes a very unhealthy gaunt appearance.  Most people do not seek treatment for this complaint and are surprised when this is pointed out to them.  Treating this area with dermal filers can create a better overall shape to the face, with a smooth transition from the temporal hairline to the peri-orbital area.


Hand rejuvenation is becoming a popular anti ageing treatment.  It can boost self esteem and make you feel young and confident again.  Unfortunately our hand are one of the first places we show our age. This is because they are exposed to UV radiation, especially if we drive a lot. This results in age spots on the hands.  Also as we age we lose fat and collagen from the hands, making the veins and bones underneath more prominent.  Dermal fillers can help to replace this lost volume.


For females, a cleft chin is rarely seen as an attractive feature.  It is a simple matter to treat a cleft chin by the use of dermal fillers.

Chin Augmentation refers to the non surgical use of dermal fillers to augment the shape of the chin.  Chin augmentation can help to define the chin in a more natural and cosmetic pleasing manner.  No surgical augmentation using dermal fillers is quick and easy and has no downtime. For an underset chin, it can be used to make the chin appear more prominent.

Non Surgical Rhinoplasty otherwise known as nose augmentation or a nose job, is a popular non surgical approach to correcting the shape of the nose. This is perfect for those that have minor nose irregularities  and wish to smooth out minor bumps and humps.

Did you used to have nice puffy cheeks, only to notice that over the years they have deflated due to ageing? As we age we lose facia fat, elastin and collagen, which leads to hollow cheeks, creating a gaunt look. Dermal fillers can be used to give the cheeks back the volume they used to have.

Doesn’t everyone want full and beautiful lips?  You may have always had thin lips or you may have noticed that as you have grown older the lips have become thinner.  Lip augmentation or lip fillers / lip  enhancement is a simple procedure that can give you the full and shapely lips that you have always wished for.

If acne scars bother you then fret no more, there is a solution at hand.  For piled and sunken scars, dermal fillers can be injected under the skin to fill the sunken skin so that it appears flush with the skins surface.  By using vascular laser and laser for pigment removal the colour of the scar can also be faded.

A non surgical facelift or liquid facelift used both dermal fillers and anti wrinkle injections to create that overall perfect look and without the surgery!  The dermal fillers replace the lost volume from ageing and the anti wrinkle injections help smooth out the wrinkles.  The perfect partnership creating a new youthful you.

There are a variety of reasons for dark circles under the eyes.  People often wrongly think that fatigue is one of the reasons.  Illness, lack of sleep and alcohol are often the culprits. A fair complex combined with thin skin is often the cause of dark circles.  Filler injections can be placed under the skin to conceal the blood vessels and melanin that discolour the skin surrounding the eyes.  Loss of skin volume beneath the eye can also lead to the appearance of dark circles.

Eye bags are often caused by the ageing process.  Loss of muscle tone and loss of collagen and elastin all combine to cause the skin below the eyelid to sag or droop downward.  Often there is also a loss of volume in the mid cheek zone which highlights the eye bag even more.  Dermal filler help fill the void between the mid cheek zone and the eye bag making eye bags less noticeable.

Bio stimulation is the latest technology for restoring lost volume and reducing the appearance of wrinkles.  It stimulates the body’s natural collagen production, providing skin volume that can last for over one year.

If you are suffering from stretched, thin and sagging earlobes then your ears may well benefit from injections of hyaluronic acid dermal fillers.  Your ears will become plumper, fuller and better able support heavy earrings.  Stretch marks and ear creases can also be erased.

Hyaluronidase is an enzyme that is often used to reverse or to dissolve dermal fillers.  We often get clients from other clinics that are not happy with the results and want the treatment to be reversed. This is an effective treatment and takes just a few days to take effects.

Facial Contouring Dermal Fillers are an excellent way to highlight your facial features as well as restoring your facial contours due to volume loss with age.

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Advanced Cosmetic Medicine

55,55 Melbourne St,

North Adelaide

SA. 5006

Ph: 0403 690 031