Potential Complications and Risks of Dermal Fillers

Be sure you familiarise yourself with the risks of Dermal Fillers before consenting to a cosmetic injecting procedure.

You may also want to read our top blogs on cosmetic injecting such as “flying after dermal fillers,” “dermal filler danger zones” and “filler over-use syndrome” when too much filler is used by an overzealous injector (or requested by a patient who doesn’t understand the importance of facial balance and insists on more).

Risks of dermal filler injections are typically minimised in the hands of a good cosmetic injecting clinician with proper training and extensive experience. Sterility of injecting, and using quality brands versus counterfeit injectables, can go a long way to help reduce risks. But that noted, not all risks can be eliminated. You WILL be taking a risk when you have a cosmetic injecting procedure, so know what they are, exactly, and what to expect.

Recommended reading on Risks of Dermal Fillers by ASPS.


Risks are involved in having Dermal Filler Injections or Anti-Wrinkle Injections. However, most cosmetic injection treatments are well-tolerated by patients who are suitable for the procedure, if the injector is highly trained/highly skilled and when the injected solutions is an approved brand versus an underground cosmetic injectable solution that might be a counterfeit injectable product. The injector MUST also thoroughly comprehend anatomy and differences between patients to help minimise your injecting risks – so choose any cosmetic injector very carefully, and be sure you DO understand the risks of having dermal fillers before you consent to having these performed.

Permanent Fillers and unauthorised products carry higher risks – watch out for the risk of encountering counterfeit anti-wrinkle solutions or fake dermal filler products on offer from cheap injecting clinics or non-medical beauty clinics.

Some dermal filler risks can NOT be controlled for and every patient is different.

So be sure you consider the risks involved before consenting to a procedure.

Some patients may also have heightened sensitivity to certain dermal filler injection treatments or anti-wrinkle / muscle relaxing injections and some patients bruise easily.

Risks | Dermal Fillers and Cosmetic Injections

  • Dermal Filler injections are a Schedule 4 Cosmetic Treatment.
  • This means dermal fillers are considered to be a prescription medicine.
  • There are dermal filler risks or dangers including but NOT LIMITED to serious harms, blindness or even potential fatalities if the dermal filler or wrinkle relaxing solution is injected into the WRONG area or a vein or artery, or if the wrong product is used, or if specific sterility and patient safety measures aren’t being taken.
  • Read the MAYO CLINIC’s list of Risks here.
  • Read the ASPS list of Risks of Dermal Filler here.

For the most part, cosmetic injections using Australian approved products and injectable solutions, administered carefully by a skilled and qualified injector to a suitable patient, are considered to be well-tolerated by the majority of patients.

There are no guarantees, however, that you will not have a reaction or be one of the few that has a complication. But for the high majority of patients, dermal filler injection treatments may be a good non-surgical solution for plumping up thinning lips or cheeks to restore lost volume due to bone atrophy and other aspects of facial ageing.

Good choices to help reduce risks of having dermal filler injections and other cosmetic injection treatments include:

  • choose a clinic that uses ONLY Approved temporary dermal fillers from a reputable brand;
  • choose a Clinic that holds sterilisation and sanitation as a high priority in terms of patient care;
  • make sure your injecting clinician explains his or her injecting strategy to your satisfaction;
  • make sure your injector has over a decade of expertise in cosmetic injections so you know they’re actually experienced versus just jumping onto the cosmetic injectables bandwagon;
  • make sure a doctor is nearby just in case something doesn’t go to plan for you;
  • ask to see their before and after photos;
  • watch how carefully they treat the products and injecting implements; ask to see the box and vial if you’re not sure; learn how to spot a counterfeit injectable solution versus the real thing (and sometimes that’s difficult); another way is to investigate where they buy their products from (a reputable Australian represented firm, or are they a bit vague about their cosmetic injecting solutions supplier)?

Table 1: Risks of Dermal Fillers & Facial Injections

We are not permitted to show you brand names of dermal fillers and other injectables in Australia, as they are a Schedule 4 pharmaceutical.  Advertising laws prevent us from naming them, but most patients do their homework and they recognise the top dermal filler brand names.

For details, see this article on Dermal Filler risks, which discusses risks of brand name dermal fillers used in Australia.

Source: http://www.sciencedirect.com/science/article/pii/S2352241016000050

Table 2. Classification of [Dermal Fillers] & Complications/Risks.

Early onset adverse effects (Hours to days post procedure)Delayed onset adverse effects (weeks to years post procedure)
Injection site reactionBiofilms
 EdemaForeign body granuloma
Hypersensitivity reaction
 Herpes simplex virus infection
 Mycobacterial infection
Tyndall effect
Surface irregularities and nodules
Vascular occlusion
 Local tissue necrosis
 Embolization of blood vessels (blindness, stroke)

Sources/Recommended Reading for Dermal Filler and Anti-Wrinkle Cosmetic Injections :

5 Danger Zones to Facial Injections (Coco Ruby)





Information about Dermal Filler Injections will be provided to you during a consultation with our professional quality Cosmetic Injecting Clinic

For more information on Dermal Fillers and risks, visit with one of our Cosmetic Injecting team members at Coco Ruby Skin & Anti-Ageing in Melbourne.

Phone us today on (03) 8849 1400