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 Serrurier July Newsletter: Dermaceutic cosmeceuticals

Over the last couple of newsletter editions I’ve touched on procedures that I like to perform in the winter months – the cold weather aids certain procedures with recovery.

This month is somewhat different as I want to discuss your skin. The winter in the Highveld is dry and takes its toll on your skin – dehydrated skin hastens wrinkle formation and this deterioration of skin quality makes more pronounced visible signs of ageing.

Yana at the practice was hired in the practice to provide Chemical Peels and Facials to help reduce visible skin ageing and last month we ran a midmonth newsletter detailing her skills. This month I want to let you know about the product of choice at my practice – Dermaceutic.

I hope you enjoy what follows.

Skin Rejuvenation for Non Surgical Anti-Ageing

The Story behind Dermaceutic

Developed in France and Belgium by renowned dermatologists and scientists, Dermaceutic is a range of cosmeceuticals exclusively offered at trained professionals. In other words it is only available at specialist doctors. Dermaceutic offers professional and home care products and I chose to represent them because they offer quality skin treatment, protection and safety

What makes Dermaceutic unique?

The secret behind the Dermaceutic range is that it contains an original combination of active ingredients at concentrations proven to offer results. I do not want to stock a product in my rooms without prior research to know that results are proven if used correctly.

The professional treatments offered at my rooms consist of Chemical Peels from very superficial to medium and deep peels. These Chemical Peels if used correctly can resurface the skin, stimulate new collagen growth and eliminate wrinkles. Other Chemical Peel treatments address regulating sebaceous secretion, acne also decreasing and relieving pigmentation problems.

They are all followed up too with homecare options to enhance your final result.

Surgical Chemical Peels:

The deeper the Chemical Peel the better the result, but longer the downtime. For the most aggressive Chemical Peel I will need to take you to theatre and the downtime will be significant. Your skin, when healed, will be brand new and unblemished but you will need to take about a week off work.


The Cosmo Peel

The Dermaceutic Cosmo Peel is one of Yana’s favourite treatments. It is a simple skin rejuvenation procedure with a very little down-time.

It is a highly efficient treatment that Yana will use to improve a variety of skin disorders caused by ageing:

  • Fine lines and wrinkles,
  • Smoker’s skin complexion
  • Dark sun spots.

 The Cosmo Peel treatment is usually done over several sessions. Yana usually advises 2 to 3 Cosmo Peel sessions in order to improve your skin quality.  Each treatment will last 35 to 45 minutes, but that is because we like to offer a relaxed treatment with some added extra’s.

The Spot Peel

Yana will use the Dermaceutic Spot Peel to treat:

  • Pigmentation spots,
  • Pregnancy dark spots
  • Melasma.

She also highly recommends it if your skin suffers from actinic keratoses and pigmentation disorders.

Dermaceutic Spot Peel is also perfectly suited for any kind of skin. Darker skin tones have always proven to be tricky to treat but using Spot Peel they can be safely treated with a natural blending of skin colours and no risk of hyper-pigmentation.

What happens during a Dermaceutic peel?

First, Yana will clean the skin to remove all oil and make-up. She will then apply the Dermaceutic peel using a small brush. Patients usually report a feeling of tingling and heat during the application – but nothing unbearable.

Once the Dermaceutic peel treatment is complete, Yana will remove the peel or neutralize it from the skin.

The frequency and number of treatments will be determined depending upon the peel applied, your skin condition and your desired result.
For optimum results, the sessions will need to be repeated every two to four weeks and its important to complete the treatments.

It common for patients to experience redness similar to a mild sunburn for a couple of days following a Chemical Peel. It is also of utmost importance to protect your skin from the sun – especially after a Chemical Peel.

Dr Charles Serrurier

Plastic & Reconstructive Surgeon
MBBCH (Wits), FCS Plast. Surg (CMSA)
PR. N0. 0304131

Suite 9

Life Fourways Hospital

Cedar Road & Cedar Avenue West
TEL: 011 875 1630

FAX: 011 875 163 Dr Charles Serrurier