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The Risks Associated with Injectable Dermal Fillers

Dr. Vi Sharma has worked in the field of cosmetic surgery

He has a Bachelor of Medicine & Bachelor of Surgery, Monash University; and former member of the Australasian College of Aesthetic Medicine and the Royal Australian College of General Practice.

The benefits for those that have received dermal filler injections are quite evident by their proudly beaming faces. Although over the past 15-years filler products and variety have improved drastically it is necessary to discuss the risks. Risks associated with quality dermal fillers done by a professional cosmetic doctor are minimal. However, you have to be realistic and understand as with just about anything there are potential risks with any facial cosmetic procedure or product.

The Risks Associated with Injectable Dermal Fillers

Risks Associated with Injectable Dermal Fillers

Injectable dermal fillers are a popular cosmetic treatment to address wrinkles, fine lines, and other signs of aging on the face. While these treatments are generally considered safe, there are some risks associated with dermal fillers that patients should be aware of before undergoing the procedure. Here are some of the risks associated with injectable dermal fillers:

  1. Allergic Reactions: Some patients may have an allergic reaction to the filler material, which can cause redness, itching, and swelling at the injection site. In rare cases, anaphylactic shock can occur.
  2. Infection: Any time a needle punctures the skin, there is a risk of infection. Infection can cause swelling, pain, and redness at the injection site.
  3. Hematoma: A hematoma is a collection of blood outside of a blood vessel. It can occur if the needle accidentally hits a blood vessel during the injection. Hematomas can cause pain, swelling, and bruising.
  4. Nerve Damage: Injecting fillers in certain areas of the face can damage nerves, resulting in pain, numbness, or weakness in the affected area.
  5. Asymmetry: Dermal fillers can cause asymmetry in the face if they are not injected evenly or if the filler migrates to one side.
  6. Lumps and Bumps: Sometimes, the filler can clump together or form small bumps under the skin, which can be visible or felt under the skin.
  7. Necrosis: In rare cases, dermal fillers can block blood vessels, which can lead to the death of skin cells in the affected area.
  8. Migration: Over time, the filler can move from the injection site to other areas of the face, causing a lumpy or uneven appearance.
  9. Granulomas: Granulomas are small, firm bumps that form under the skin as a reaction to the filler material. They can be difficult to treat and may require removal.

It is important to consult with a qualified and experienced injector who can discuss the risks and benefits of dermal filler treatment, and help determine if it is the right choice for you. Additionally, patients should be sure to disclose any medical conditions or medications they are taking before undergoing the procedure.

Common Side Effects of Injectable Dermal Fillers

Redness and bruising at the injection sites are some of the most common potential side effects that can occur post procedure. There is also possible swelling, slight tenderness and pain as well. This is caused by the soft tissue of the skin being disturbed during the injection process and should not be considered anything too serious generally. Sometimes itchiness may occur around injection sites for a few days. If you experience these kinds of symptoms, they disappear typically around a week after treatments. If you do have redness or some mild swelling you can mask it usually with makeup until it resolves.

Less common risks with using dermal fillers that can occur in very rare cases are eruptions at injection sites, bumps that form under the injection site or skin sores. These possible risks are caused by the filler not being absorbed and metabolized by the body as it usually occurs. Bleeding wounds or infections of skin tissue where fillers were injected on occasion are reported. Allergic reactions to fillers have occurred as well but often only when using bovine sourced collagen which our doctors do not use and which is rarely offered on the Australian market anymore.

Health Canada and the U.S. Food and Drug Administration have documented that the risks associated with injectable fillers are “uncommon” and vary depending on the type of filler used.

Dermal Filler Migration

On some rare occasions, the filler may move to a location that was not the original point of injection. This is called as you likely expected “migration” and was reported more often in previous years when filler was first introduced into the cosmetic facial industry. Due to a skin tissue reaction sometimes occurring a leaking of the filler material through the skin can take place with potential for skin damage. At time hard nodules have formed at injection sites that will sometimes require surgical intervention to have removed. Medical journals have also documented anaphylactic shock which is a rather severe allergic reaction that will require necessary emergency procedures.

While infrequent, rare more extreme side effects or reactions can produce fear in anyone considering having a procedure. This is why it is so important to only visit certified, skilled and professional cosmetic doctors and well-run clinics and have them do the procedure. At Skin Club Cosmetic Doctors in Melbourne, our commitment to not only using the best quality products and staff with no compromises when it comes to hygiene and cleanliness makes us a great option in this regard. By booking a consultation with one of our doctors, we will be able to put your mind at ease by not just making sure you are well informed but allow you to ask any questions you may have.

We have a large amount of before and after photos available for viewing to show our the quality outcomes we achieve for our patients. After a thorough discussion with the cosmetic doctor, you will be able to make an informed and clear choice on how you would like to proceed if you choose to do so. Knowledge matters especially when it comes to cosmetic procedures and when you have a well-informed understanding of the situation and what’s involved you can determine with comfort if the dramatic results that can be achieved outweigh the possible uncommon risks.

What are the risks of Dermal Fillers?

Dermal fillers, also known as soft tissue fillers, are a type of cosmetic treatment that involves injecting a substance into the skin to add volume and smooth out wrinkles and fine lines. There are several risks associated with dermal fillers, including:

  • Bruising, swelling, and redness at the injection site
  • Infection
  • Allergic reactions
  • Lumps or bumps under the skin
  • Changes in skin color or texture
  • Blood clots
  • Tearing or damage to blood vessels, which can lead to skin necrosis (death of skin tissue) or blindness.

It’s important to find a qualified and experienced provider who can minimize these risks. Also, it’s important to have realistic expectations and to discuss the potential risks and benefits with a medical professional before undergoing any treatment.


In conclusion, injectable dermal fillers are a popular cosmetic treatment to address wrinkles, fine lines, and other signs of aging on the face. While the procedure is generally safe, it is important for patients to be aware of the potential risks associated with dermal fillers, such as allergic reactions, infection, nerve damage, and lumps and bumps. Patients should consult with a qualified and experienced injector and disclose any medical conditions or medications they are taking before undergoing the procedure. By doing so, patients can make an informed decision about whether dermal fillers are the right choice for them and reduce the likelihood of experiencing any unwanted complications.


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About Dr Vi

Dr Vi Sharma is a renowned and highly trained cosmetic surgeon in Sydney, practising cosmetic surgery since 2012. He has a worldwide loyal patient base. He has a bachelor of medicine and a Bachelor of Surgery from Monash University. Dr Vi Sharma is a former member of the Australasian College of Aesthetic Medicine and the Royal Australian College of General Practice. Along with treating patients, he also provides training for doctors and nurses regarding aesthetic and cosmetic treatment modalities.

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