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Dermal Filler

Fillers are extremely effective when used in conjunction with Botox, but the two products work very differently in how they reduce the detrimental effects of time. Where Botox is injected to reduce the effects of the muscles that cause wrinkles, Fillers work to replace the fullness of the skin (i.e. facial volume loss). 

We exclusively use Teosyal dermal fillers which are safe and natural. Teosyal fillers are manufactured in Geneva, Switzerland, where they follow the most strict quality standards and testing. Teosyal fillers are the purest and most advanced dermal fillers available in Canada as well as Health Canada approved. 

Cosmetic dermal fillers restore volume and fullness to the skin, resulting in the correction, reductions, and often elimination of facial wrinkles and folds. Those same industry-standard products are also used for lip enhancement.

We pride ourselves in creating an artistic accentuation of the individual’s strengths while minimizing any flaws. This may range from a subtle filling of the lips to a more dramatic creation of natural-looking cheekbones.

How it Works

Fillers are made of non-animal-based hyaluronic acid; a natural substance that already exists in the human body. The hyaluronic acid comes in the form of a crystal-clear gel called Non-Animal Stabilized Hyaluronic Acid. They are injected directly into the skin in tiny amounts through an ultra-fine needle. The Fillers are pre-mixed with Lidocaine, an anesthetic agent, which helps to make the procedure more comfortable for you. The procedure is simple and offers visible results right away.

Teosyal RHA is the first filler range with exclusive rheological properties that provide high stretch, without compromising strength. Unlike other fillers, Teosyal RHA’s unique Hyaluronic acid chains have high molecular weight as well as long chains of HA, which mimic the natural HA in our bodies. Teosyal RHA fillers were designed for dynamic facial movement and thanks to this advanced technology, Teosyal fillers can achieve effective and natural results, without compromising longevity and efficacy of results.

After Treatment

After treatment, you may experience swelling, redness, pain, itching, discoloration and tenderness at the site of treatment. This will typically last for less than a week. The use of Tylenol (acetaminophen) is permitted. If the lips were injected, the swelling may be more significant. Arnica gel can be helpful to minimize redness and swelling.

Be careful to guard against infection by keeping the skin clean, especially in the first 48 hours. You may apply a small and gentle amount of makeup after 6 hours. Avoid excessive rubbing or manipulation of the skin. Aspirin, alcohol, and heavy exercise are permitted after 24 hours.

The gel used is quite movable for the first few days so do not press on the treated area and try to sleep on your back. Avoid prolonged exposure to either hot (eg. hot tubs) or cold (eg. skiing) temperatures and prolonged direct sun for at least 2 weeks after treatment.

Please report any concerning symptoms such as redness and/or visible swelling that persists for more than 1 week to our office. It is normal to feel the sensation of newly placed filler and this feeling may last a few days to several weeks. Please schedule a follow-up appointment for 2 weeks after treatment in order to repeat your personal photos and assess the outcome of the injections. Additional injections may be undertaken at an additional fee.

Over the course of the next few weeks, the filler will settle into position and absorb water, improving the initial effect. Fillers usually last for 9-20 months depending on the area treated and the total number of syringes used.

Frequently Asked Questions

Does Dr. Oakley Smith perform the treatment?

No. Dr. Smith is strictly a Rhinoplastic surgeon and devotes his entire career to just that. Dr. Oakley is responding to a need that has been requested of him many times over the years. By bringing in superior products, and hiring the most skilled nurse injectors, Oakley feels proud to be able to offer this to patients who have been asking.

What product do you use for Derma Filler?

We use a superior product well known in the industry, called Teosyal. We welcome you to do online research and we are sure you will agree that this is the best product on the market to remodel the contours of the face.

What is Hyaluronic acid?

Hyaluronic acid is a gel that is injected into the skin to add volume, restore volume and fill in wrinkles or folds. The syringe contains hyaluronic acid almost identical to that naturally found in the body. It is completely biologically degradable.

How does it work?

A small amount is injected directly into the skin to add volume. HA is naturally integrated into the tissue and allows for the free passage of important nutritive elements like oxygen and hormones. The product will also bind water, which adds to the filling effect.

What are fillers used for?

Wrinkles can be raised to the level of the surrounding skin. The most common areas are the glabellar lines (between the eyebrows), the nasolabial folds (from the wing of the nose to the angle of the mouth) and the lips, but other sites may also be treated. Cheeks which have become flattened by the aging process can be lifted beautifully using filler. Very deep wrinkles and some types of acne scars cannot typically be treated with this material. Very superficial wrinkles are often difficult to correct.

Do the injections hurt?

Pain is very individualized and dependent on one’s tolerance to pain. Prior to treatment, a topical anesthetic cream can be applied, which takes about 30 minutes to take effect. Or in some instances, pain can be improved through the use of a nerve block similar to what you may have experienced at the dentist’s office.

What is involved in a dermal filler treatment session?

The treatment can be carried out immediately and takes about 30 minutes. The filler is injected with a very thin needle into the skin. The results can be seen immediately. Clients may/may not experience slight swelling or bruising in the treated area.

Can fillers replace surgical procedures?

No. People with excess facial skin or people who want a major resurfacing of the skin cannot be corrected with fillers alone.

Can the material be removed?

No, but since hyaluronic acid is a natural material, it dissolves with time. If you feel uncertain about the desired result, it is possible to have the treatment done in steps on different occasions.

Is it safe?

The hyaluronic acid is almost identical to that already present in the body. Since it is not made from animals there is no risk of transmitting diseases from animals or eliciting allergic reactions to common foodstuffs such as eggs, meat or chicken. Immediately after the treatment, the treatment site can be slightly swollen and/or red. This is a normal result of the injection and goes away in a day or two after treatment, and within a week after lip injections.

Are there any types of reactions that may occur?

Yes. If you have previously suffered from facial cold sores, there is a risk that the needle punctures could contribute to another cold sore eruption. If you are using any anti-inflammatory medication (i.e. Advil), you should be aware that it may increase bruising and bleeding at the injection site. Other types of reactions are very uncommon, but about 1 in 2000 persons have experienced transient swelling, redness and tenderness at or near the treatment site(s) up to several weeks after treatment.

How long does the effect last?

The filler dissolves naturally with time, and without touch-ups will eventually totally disappear from the body. How long a hyaluronic acid filler treatment lasts is very individual, depending on many factors such as the structure of the skin, lifestyle, age and metabolism. However, for the majority, about 50- 80% of the effect remains after six months. You can replenish the filler whenever you feel the need, as touch-ups can be performed any time after the initial treatment. The injected material will gradually disappear until your skin looks just as it did before the treatment.

How much does it cost?

The cost of treatment is $600 per syringe. There are a few things you should consider in addition to price:

  1. What type of medical professional is performing the treatment?
  2. Has the medical professional had a lot of experience injecting neuromodulators?
  3. Is the medical professional gentle and using the latest techniques to ensure a great result?


Find your treatment along with an estimate of costs below.

Our filler is $600/syringe.

Filler Lips
1 syringe ($600)

Filler Cheeks
1-3 syringes on average ($600-$1800)

Filler Under Eyes
1-2 syringes on average ($600-$1200)

Filler Jawline
2-3 syringes on average ($1200-1800)

Full Facial Rejuvenation
(Botox and Filler)
Dependant upon how much is needed and in which areas. (starting at $2500+)


If you are in need of financing, please click here.

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Book Your Appointment

As a promotional gift, we would like to offer you $149.00 for the first 20 units, 10 a unit after. 100 off first filler. First time customers only. This offer is valid until the end of January 31st, 2023.


Fill out the form below, call, or email us to book.

[email protected]

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