Non-Surgical Aesthetics: Botox & Dermal Fillers

As aesthetic treatments are becoming more and more advanced, I am also seeing an increase in their popularity at my practice. An increasing number of patients are noticing a lack of volume and elasticity that cause wrinkles and lines as they age yet they are looking for an alternative to a facelift surgery.

Closeup portrait of an attractive young woman posing


Winter has been giving your skin a hard time and summer is not too far away which means that now is the perfect time to give your skin a healthy glow, a smooth texture and a young, more sculpted appearance!

To book a consultation, don’t hesitate to phone my Fourways rooms on 011 875 1630.

I hope you enjoy what follows!



Deciding on undergoing Botox and/or dermal fillers injections is a great idea as they will restore your face’s youthful appearance in a very subtle manner with no recovery time incurred!

My website offers more information about Botox 

Botox is a wonderful option if you wish to erase frown lines, crow’s feet, forehead wrinkles or lip wrinkles. When I inject Botox into the muscles responsible for these wrinkles, it instantly relaxes them, improving or eliminating the bothersome lines and wrinkles.

The patients I treat with Botox are 65 years old or younger but something worth knowing is that you should not wait for severe, deep wrinkles to develop before you book your Botox appointment! Getting Botox injections before your skin reaches an advanced state of ageing is great to prevent the formation of severe wrinkles. And remember, Botox is not just for the ladies! The treatment’s affects can last from 4 to 6 months.

Of course, touch ups will be necessary to keep your skin smooth and youthful. Botox usually requires top ups which are in fact full dose treatments:

  • Every 3 to 4 months in the first year
  • Every 6 months in the second year
  • Every 9 months in the third year

A Botox treatment can fit in during your lunch break! You will be able to drive and resume your normal activities afterwards. And since the results are so natural and subtle, no one will know!




My patients often ask me what the difference between Botox and dermal fillers is

and it is a fact that these two products are indeed completely different and do not lead to the same results. Simply put, Botox paralyses the muscles causing the wrinkles to appear whereas dermal fillers plump out the wrinkles from the inside out. While Botox can only improve wrinkles caused by movement of facial muscles, dermal fillers are best suited for a wider variety of wrinkles and creases, such as nasolabial folds, smile lines, and lip lines. It can also be used for nose reshaping or cheek enhancement!

During the consultation I will assess the signs of ageing your face is displaying and together we will discuss whether to go for Botox or fillers.

If you would like to know more about dermal fillers, visit my website 

I use both Restylane and Teosyal dermal fillers for facial aesthetic treatments at my practice. I love how multi-dimensional they are. In using these brands, I get the assurance that I am working with the safest and most efficient products on the dermal fillers market. My goal is to offer predictable and satisfactory results at all times.
During a dermal filler treatment I will inject the hyaluronic acid (which is naturally occurring in the body and a very clear gel) into the skin in tiny drops with an extremely fine needle.

The product also brings water to the surface of skin to keep it looking fresh and supple. I ensure that nothing is over-done such that the results are subtle and natural-looking.

Just like Botox injections, filler injections are often called “lunchtime treatments” because you can be in an out of my rooms within a half-hour!

Restylane and Teosyal work beautifully on those areas that tend to give away your age such as:

    1. Neck
    2. Décolletage
    3. Backs of your hands.

Just as a quick final note, I offer liquid facelifts at my practice. Liquid facelifts beautifully combine Botox and fillers to sculpt, fill up and rejuvenate the face in all the right places!

I hope you enjoyed this newsletter? You can read my other newsletter on skin rejuvenation here and remember to visit my website as well as the various social media platforms where I post daily for informative updates!





Welcome to my September newsletter! This month in my newsletter I want to talk about skin rejuvenation. In my practice I see many patients who tell me they will never ever undergo surgery but they still want to slow down ageing and have younger, fresher looking skin.

This is why they choose to have Dermal fillers and Botox injections. This month I will give you some insight about these two very popular treatments.

They are the perfect way of removing years from your face without having to experience pain or recovery. It is quick, safe and predictable, with a very high satisfaction rate from my patients.

Remember to follow my Facebook page and for extra information on all the treatments and procedures I offer, head over to my website !

Dermal fillers

Handsome mature man.

Dermal fillers give us options to:

  • Rejuvenate your skin,
  • Correct wrinkles,
  • Replace volume and
  • Can provide good insight to possible surgical outcomes – should that be the route you are considering.

I have many patients that in no way want to undergo surgery, and that is fine, they chose to have Dermal Filler treatments to keep them looking young and refreshed with beautiful skin to reverse visible signs of ageing.

Restylane Vital is skin rejuvenation treatment option that combines superbly will with Facelift surgery or as a treatment on its own. This treatment inlvolves injecting the pure, crystal-clear hyaluronic acid gel into the skin in micro-droplets with an extra-fine needle.

The results are a fresh, natural and more youthful appearance plumping up your skin from within and encouraging the formation of new collagen. You will enjoy a  long-lasting, natural and safe improvement to your skin by gradually releasing its benefits over several months.

The natural action of Hyaluronic acid is to attract moisture to the skin. As the molecule degrades it attracts more and more moisture to maintain Hydrobalance in the skin.

Extra hydration means thicker and plumper skin and therefore less wrinkles… Making it the perfect wrinkle treatment.

The most popular Dermal Filler treatment areas are:

  • Laugh lines
  • Lip outline
  • Lip volume
  • Wrinkles
  • Liquid face lifts
  • Skin rejuvenation (Restylane Vital)

Immediately after treatment with dermal fillers, you may look a little red. Sometimes clients can see small raised nodules at the treatment site; this is a normal reaction and will subside within a day or so.



What is the difference between Botox and Dermal Fillers?

Dermal Filler treatments are the treatments for filling wrinkles from the inside out or treatments like plumping lips.

Botox is a muscle-relaxing agent derived from Botulinum toxin that reduces wrinkles and fine lines by temporarily relaxing the muscle. The theory is very simple: Stop the muscle from forming a wrinkle and thereby eliminate it.

The most common area of treatment is frown lines of the forehead. But Botox may also be used to treat numerous areas including:

  • Crow’s feet
  • Excessive sweating
  • Migraines

Unlike Restylane and Teosyal, which treat deep wrinkles, Botox can be used to treat fine lines and wrinkles on the face, especially the brow area and the “crow’s feet” around the eyes.

Expect each Botox treatment to last approximately 4 months and it takes about 15 minutes to complete the procedure. If it is your first time getting Botox, it might take a little longer because I will need to examine and explain as much as possible for you to feel safe and comfortable.

What happens during a Botox treatment?
First I will mix the Botox powder with saline to create the botox solution. Then I use a very fine needle to inject the toxin into the overactive muscle. It sounds simple but placement and technique do play a role so always work with a trained plastic surgeon who understands facial anatomy.

How long before you’re able to see results from Botox?
Do not expect to see the results immediately after a Botox procedure as they usually start being noticeable 2 to 5 days later, when the toxin takes effect.  

Did you know?

Not many people know this but it is possible for me to combine Botox and fillers. This is called a Liquid Facelift and works so beautifully as the two products complete each other really well. This procedure is a great way for me to mimic facelift results yet there is no recovery whatsoever and it also enables you to fix different problem areas in one session.

Some of my patients come for Dermal Filler treatments to test the results before opting for more permanent surgical options. If this a potential reason for undergoing Botox and dermal filler treatments I will not perform surgery until the product has completely degraded from the treatment site.

Of course you can simply opt for the surgery too; the choice is entirely yours. Remember to visit my website for additional surgical information.

Lastly, did you know that dermal filler treatments can be done quickly in my rooms, but also in combination with surgery under anaesthetic? Simply ask me if this is something you are considering.

I hope you have all enjoyed this newsletter on skin rejuvenation at my practice. Remember to follow and like my Facebook page and share all the info with those around you!

Dr Charles Serrurier January 2012 Newsletter

Dermal Fillers and Botox

Welcome back and best wishes for a fruitful 2012. I know I promised some feedback from my Breast Reconstruction Congress in Milan but with time so short to get this out on time I thought I would include it in February. I hope you don’t mind.

This month I decided to talk about Dermal Fillers and Botox. Reason being that we have all, most probably, overdone it through the festive season and this is a quick way to look and feel great for the New Year.

Botox and Fillers are common place procedures now and they go hand in hand with each other. Techniques too have evolved, so much so that we can now treat nearly any facial indication – at least temporarily.

I hope you enjoy.

Dr Charles Serrurier

Botox (Botulinum Toxin Type A)

Botox is without doubt the worlds most popular non-surgical tratment for wrinkles. Botox itself is works as a muscle relaxor – the principle being that if you cannot move the muscle causing the wrinkle then the wrinkle cannot appear.

In essence the substance is a purified protien and it has been FDA approved for Aesthetic use since 2002 – satisfying me to the products safety.

“A common name for a combination treatment of Botox and Fillers is called a Liquid Facelift”

Early indications only treated glabellar lines and crow’s feet but today Plastic Surgeons treat nearly every line or wrinkle on the face and even use Botox to reshape, re-contour or even alter specific facial features.

 The treatment is quick and relatively painless. On average we can use anything from 20 units to 50 units of Botox per patients to achieve the desired result.

The final result will only be visible after a few days and the treatment will last for approximately 4 months – when you will have to return to undergo treatment again.

 I often combine my Botox with Dermal Fillers for a better aesthetic result.

Dermal Fillers

Dermal Fillers like Botox are designed to treat wrinkles and lines, but in this case I inject Hyaluronic Acid (HA) into the skin to plum the wrinkle from the inside out.

The treatment is again very short and immediately after the treatment your skin may be red or a little swollen, this will subside within a few days. Dermal filler treatments are not permanent and the correction lasts approximately 9 months.

Dermal filler technique has advanced too and we can now not only treat nasolabial folds and plum lips, we can these days reshape noses, redefine jaw lines and improve the volume in your cheeks amongst a dozen or so other treatment options.

I only use FDA approved dermal fillers in my practice to ensure peace of mind when it comes to safety.

Also proving popular within the Dermal Filler portfolio is the idea of skin rejuvenation. Studies suggest that micro-droplets of HA injected into the skin greatly improve the quality and texture of the skin – this treatment is called Vital and is perfect for any age.

Needle vs. Micro Cannula

In many cases patients are wary of the needle and having to undergo an injection for treatment.
With regards to Botox injections we use a tiny 32 gauge needle (approximately the width of a human hair) and it is in fact the Botox itself that causes a stining sensation.

When it comes to Dermal Fillers there are different needle options for optimum results but now also a Micro-Cannula. The Micro-Cannula allows a full treatment from one entry point.
The Cannula is not advisable for all indications but where possible it offers a less painful treatment with less risk.

Of course in my practice you will always have everything explained to you in detail and each option will be decided upon to maximise your result both clinically and aesthetically.
I hope this newsletter stimulates some thought but also educates too.