performing cosmetic treatments for over 20 years

Dermal Fillers


Sonya, Stella and Maddy have been extensively trained and have more than 40 years experience in using dermal fillers to correct fine and deep lines in the face. A plethora of completely satisfied patients are testament to the Appearance Medicine teams artistic eye and ability to rejuvenate the appearance without over-correcting. Sonya, Stella and Maddy are truly artists when it comes to using dermal fillers for facial rejuvenation.

“What is most rewarding about my work is when a patient looks in the mirror after treatment and goes wow! I look amazing! I know they are really happy and their self-confidence goes up to a new level! This has to be the best job in the world. Each day I make a difference to a person’s life and that is extremely rewarding.” – Sonya Ferguson


SF slides Page 2SF Slides page 9



Areas that can be treated with Dermal Fillers

Fine facial lines Deep facial lines Forehead lines
Upper eyelid lines Frown lines Nose lines
Cheek enhancement Nose enhancement Chin enhancement
Lip definition Lip volume Lip lines
Chin crease Acne dents Facial scars
Tear Troughs:
the groove between the lower eyelid and the cheek
Accordion lines:
large smile lines from the lips to the cheeks
Nasolabial Folds:
from the nose to the corners of the mouth
Marionette Lines:
from corners of the mouth to the chin

The Tristram Appearance Medicine Team specializes in volumising the ageing face and can offer some of the most advanced procedures found anywhere in the world. Why not book in for a total face consultation with Sonya, Stella or Maddy and discuss your concerns and how these amazing new products can help you look as young as you feel?

Individual results will vary.  Talk to your health professional about your individual situation.

Frequently Asked Questions

What is a Dermal Filler?

A dermal (skin) filler is a gel which is carefully injected beneath the skin’s surface to diminish the depth of facial folds and wrinkles, and provides definition and volume to lips. The injectable gel acts as a skin “filler” to gently restore structure and volume to the skin. Dermal fillers are used to softly enhance your lips or to smooth out facial wrinkles and folds, and provides a natural look and feel. 

What is a Dermal Filler made of?

Most dermal fillers are made from a natural complex sugar called Hyaluronic Acid. Hyaluronic Acid (HA) is found naturally within the tissues of living cells, including human skin. HA assists in skin hydration by attracting and holding water and also combines with collagen and elastin to provides skin structure and elasticity. In its natural form, HA is a single chain sugar, which is naturally metabolised (broken down) by the body within days. It is important that a dermal filler is not metabolised by your body quickly, so that the results last for as long as possible. To achieve this, HA is cross-linked, a process by which individual sugar chains are linked together to form a kind of mesh which takes the body much longer to metabolise.

How does a Dermal Filler smooth out wrinkles?

Unlike BOTOX®, which treats dynamic wrinkles by relaxing the muscles that cause wrinkle-forming facial expressions, dermal fillers are placed below the skin’s surface to literally ‘fill in’ or ‘plump up’ the static wrinkles and folds that are present at rest. Dermal fillers are used to diminish the depth of wrinkles and create a smoother, more refreshed facial appearance that should last for at least 4 to 12 months. 

How do Dermal Fillers enhance my lips?

Dermal fillers enhance the lip contour and lip definition by treating the border of the upper and/or lower lip. Treating the lip body can also enhance lip volume. The results should last 4-12 months. 

What does a Dermal Filler procedure involve?

A dermal filler treatment is a non-surgical procedure. A topical cream or local anaesthetic may be administered to help numb the area being treated. The procedure should cause only minimal disruption to your daily routine and the majority of people resume their normal activities after the procedure. 

How long does a Dermal Filler treatment last?

The longevity of treatment with a dermal filler varies from person to person depending on how quickly your body naturally metabolises (breaks down) HA. Generally the results should last for 4-12 months. 

Are there any side effects?

Because the HA in the dermal filler is naturally present within the skin and not derived from animals there is no need for an allergy pre-test before treatment. HA dermal fillers have been clinically studied for many years with many clinical trials. The injection itself should cause minimal discomfort. Side effects are generally temporary injection site-related effects including swelling, bruising and redness. Less frequently temporary pain, firmness, lumps, itching and discolouration can also occur at the injection site. The majority of people resume their normal activities immediately following the procedure.

Important Safety Information

Hyaluronic Acid Gel Dermal Fillers (including Juvederm™) are Prescription Only Medicines. You should consult a doctor for advice on your own personal use of these medicines. Tristram Appearance Medicine has doctors available for further consultation regarding the use of these products.

Please visit the following link for Important Consumer Information regarding Juvéderm® Dermal Filler.