Frequently Asked Questions

Some answers to common questions for those who are new to injectable cosmetic solutions

What is a Dermal Filler?

A dermal filler is a substance that is injected into the skin layers to provide volume and definition while filling in and softening wrinkles. It can also be used to add volume and softness to the lips. Dermal fillers are often made with a synthetic hyaluronic acid solution.

How do Fillers Work?

Young skin is smooth and elastic because it contains a lot of hyaluronic acid. As we age, the amount of hyaluronic acid in the skin gradually diminishes. As a result, the skin becomes dryer, thinner and more wrinkled. We use fillers that are a long-lasting- but not permanent- synthetic form of hyaluronic acid. When fillers are injected under the surface of the skin, the gel mimics the naturally occurring substance by adding volume to the skin and smoothes out lines on the face.

Different products are used for specific areas of the face. For instance, the product which will best be used to fill vertical lip lines where lipstick can “run” is different from the one that is used to flatten the folds which occur by the side of the nose and mouth. Other products are more appropriate for filling out the cheekbones or improving the contours of the lips. The choice for which product to use is based on individual treatment area needs, patient preference and injector’s plan of care. To find out what treatment options are available to you, book a consultation with on of our expert staff medical staff.

What Areas Can Fillers TReat?

Hyaluronic acid can be used to both correct moderate wrinkles and fine lines. It is particularly effective in treating the cheeks, mid-face, jowls, temples, jawlines, tear troughs and also other fine lines. Fillers can also be used to enhance the shape, texture, and fullness of the lips.

What Should I expect from my treatment?

Dermal filler injection treatments generally take about 30 - 60 minutes, are relatively painless, and don’t require any downtime. The effects of dermal filler injections have been known to last from 9-18 months, depending upon the area being treated.

Are there any side effects?

Some of the most common side effects of HA fillers, that typically last for less than a week, include swelling, redness, mild discomfort and tenderness at the site of treatment. We also recommend not having filler injections within 14 days of an important event (including air travel) as patients are more likely to experience bruising and swelling with this procedure.

In rare circumstances, a blood vessel may have inadvertently been injected which could cause damage to the tissue or even tissue breakdown if left untreated. Our staff are able to address this extremely rare complication should it occur.

Am I a good candidate for dermal fillers?

Dermal fillers are best suited to patients seeking to soften moderate wrinkles and fine lines. If you have deep lines or severe wrinkles you would like to soften, we can suggest other products that might be more effective for meeting your cosmetic goals.  During your consultation, your health care practitioner (HCP) will discuss your aesthetic goals and medical history, and take these into consideration when deciding what course of treatment is right for you.


Neurotoxin injections (ie. Botox, Xeomin, Dysport) are used to smooth dynamic wrinkles, or those wrinkles that appear as a result of facial movements like frowning, squinting, smiling and other expressions. Treatment works by temporarily blocking nerve impulses to the facial muscles causing them to relax.


The needles used to inject botulinum toxin are very this and the injections are most very deep. Most patients describe a pinching feeling during the injection, though very little pain.


You will be able to go back to normal activity right after treatment. Your provider will ask you to take the day off from exercise or strenuous activity, and to keep your head upright and to avoid rubbing your face for the rest of the day. Very mild redness or swelling at the injection site, and minor bruising are some possible side effects.


For some treatments, you should not expect to see results immediately. Depending on the patient, product used, area treated and dose, final results are typically reached between 4-10 days after initial treatment.

How does Microneedling work?

Microneedling is a procedure that uses a specialized device (a “pen”) to repeatedly puncture the first few layers of skin using tiny sterile needles. This micro-damage generates new collagen formation that can lead to smoother, firmer skin. It can be used to treat conditions such as acne scarring, fine lines, wrinkles, large pores, brown spots and other pigmentation issues. Microneedling is typically performed in a series of 3-6 sessions for the best results. These treatments can be combined with topical application of specific serums or even PRP (platelet-rich plasma obtained from the patients' own blood drawn in the clinic).

Microneedling has little to no downtime, is less expensive than laser treatments and are relatively comfortable with the use of pain-numbing cream before the procedure.

What to chemical peels do?

Chemical peels are cosmetic treatments involving the application of medical grade acids of varying strength and composition to the face, neck or hands. These acids penetrate the upper layer (epidermis) of the skin to break down or loosen dead skin cells , allowing the body to slough off this layer.  Chemical peels may be used for conditions such as acne, enlarged pores, scarring, redness, rosacea and hyperpigmentation.  These treatments are best followed up with a regimen of post procedural home-care to give the best healing results.

The best type of peel for each patient is determined based upon their skin type, as well as specific skin concern. They can help promote a more youthful and unblemished appearance.

What makes "medical grade” skincare different from over-the-counter products

Medical grade skincare lines are formulated using Health Canada approved active ingredients to treat a variety of conditions.  These products require a prescription from a physician due to the strength and effectiveness of the active ingredients.  Generally medical grade skincare lines use highly-stabilized ingredients, with more advanced absorption and delivery to reach deeper areas of the skin.  In addition, the recommendation from a health-care professional for these products ensures that they understand the active components of each product and are assured of the quality and safety for each patient.

When you compare the price tag between over-the-counter and medical grade skincare, you get better value with medical grade products because you are assured to be getting superior ingredients produced using higher standards, with superior delivery systems.

What is PRP (“Vampire Facial”) and what can it do?

A. PRP (Platelet Rich Plasma) also referred to as the “Vampire Facial” is a procedure in which the patient’s blood is drawn at the time of treatment, and a component is isolated (plasma) to inject into areas of the face or onto the surface of the skin after a procedure such as microneedling. The platelets in the plasma break down and release growth factors that stimulate collagen and the body’s own healing processes. For best results, treatments should be done in a series of 3-6 treatments, spaced about 1 month apart.

PRP therapy for hair loss is a three-step medical treatment that also uses the patients own plasma injected into the scalp. The PRP helps trigger natural hair growth in patient with pattern baldness, increasing blood supply to the hair follicle, and increases follicle thickness. For best results, PRP therapy to the scalp requires three treatments, about 4-6 weeks apart.  Maintenance treatments are required every 6 months to help maintain effects.

What is a “Thread Lift”

A thread lift is a non-surgical procedure that uses suspension threads with absorbable sutures that are fed under the skin to lift and reposition tissues without adding volume. This procedure elevates mid face to address nasolabial folds, marionette lines and jowls. It can also lift cheeks without adding volume and eventually helps build collagen over time. Results may last from 18 months to 3 years. Silhoutte Instalift device is the only Health Canada approved thread on the market.


Enhancing your natural beauty.

413 Medical Aesthetics is continually engaged in the latest training, education and technique improvements in order to deliver safe, effective, and current therapies in a comfortable and relaxed setting. Patient well-being is always our first priority, and if a procedure or treatment is not required, we will always let them know. Our goal is to help you achieve beautiful, natural results.

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