Dermal Fillers are an effective non-surgical way to treat the signs of ageing, and may also be used to treat other skin and aesthetic concerns. Dermal Fillers are also used for more holistic micro-sculpting procedures such as Dr Nerina Wilkinson’s signature Natural-Lift™ (N-Lift) and LipStrobing™.

Dermal Fillers South Africa

For a more youthful-looking appearance without having to go under the knife.

Dermal Fillers are available to create a bespoke rejuvenation or preventative treatment plan for every patient.

Wrinkles and loss of volume in the face are a natural part of the ageing process. Therefore, we are fortunate that scientists have developed a range of products to help fight and effectively delay signs of ageing.

What are Dermal Fillers?

Dermal Fillers are an effective non-surgical way to treat the signs of ageing, and may also be used to treat other skin and aesthetic concerns. Dermal Fillers are also used for more holistic micro-sculpting procedures such as Dr Nerina Wilkinson’s signature Natural-Lift™ (N-Lift) and LipStrobing™.

Dermal Fillers can allow patients to achieve beautiful, harmonious results, fine-tuning their facial proportions to truly bring out their best features and in doing so, become their most beautiful selves.

Hyaluronic Acid based fillers are one of the best choices, as it is a naturally occurring sugar found in our body’s tissues – functioning as a shock absorber, lubricant for joints, skin and connective tissues. Apart from adding volume, it also delivers nutrients to the skin to retain moisture, resulting in softer, plumper skin.

Find out more about our  approach to our Dermal Fillers treatment or book a consultation with Dr. Nerina Wilkinson & Associates now!

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Frequently asked questions about Dermal Fillers

Our approach to Dermal Filler procedures

At Dr Nerina Wilkinson + Associates we understand the importance of embracing the face as a whole. The goal is to achieve harmonious results using facial reshaping injectables and state of the art skin rejuvenating treatments. 

No area of the face exists in isolation, all are connected and often corrected indirectly through facial reshaping. Treating areas in isolation leads to exaggerated and aesthetically unattractive features. 

Fillers are no longer about “restoring volume” they are about restoring: 

  • your ideal facial shape 
  • structural support 
  • facial definition

By understanding how all areas of the face are interconnected and how treating one area communicates with another facial area, we are able to use much less product and produce constant and beautifully, natural results. The N-LIFT™ precisely places very small volumes of Hyaluronic Acid filler in multiple areas to build deep structural support to shift the balance between the elevator and depressor muscles of the face.

Who is the ideal candidate for Dermal Fillers?

If you don’t want full-scale plastic surgery, but you want to look naturally refreshed and rejuvenated, Dermal Fillers will give you instant and long-lasting results by lifting and contouring your face

Dermal Fillers can be used for:

  • Facial augmentation: Cheeks, nose, lips, chin, and jawline. 
  • Facial contouring: Temples, sagging lower lids, naso-labial folds, brow lifting.
  • Fine facial lines: Crow’s feet and smokers’ lines
  • Hands can also be rejuvenated with Hyaluronic Acid fillers

How is a Dermal Filler procedure performed?

Once the Doctor has determined and confirmed your areas of concern by means of detailed consultation, they will proceed. It’s important that you’re honest with the Doctor about your medical history, medication and expectations during this time.

You can assist the Doctor to understand your expectations. Bringing pictures of your favourite celebrity’s features isn’t particularly helpful – rather bring a photograph of yourself where you love the way you look (a picture of yourself in your 20’s might be especially helpful, as your face was at its fullest then).

This will provide you with a more realistic point of reference and help the Doctor to better understand how to enhance your natural features. We will also walk you through how to prepare for and recover from your procedure.

Dermal Fillers are performed in our consulting rooms. Your Doctor will disinfect the site where you’ll be injected, then apply an anaesthetic (such as lidocaine) to the area. The anaesthetic may be applied topically or injected prior to the procedure. The Dermal Filler, in this case a stabilised Hyaluronic Acid combination can also include additional local anaesthetic to minimise any additional discomfort.

You’ll need to remain very still while your Doctor injects the filler material. The needles used are very fine, so most people experience only mild discomfort.

After your treatment the Doctor will discuss the relevant after care with you and you will be provided with ice to soothe the areas. Your doctor may ask that you come in for follow-up appointments to evaluate your results and administer additional injections if needed.

How long does a Dermal Filler procedure take and what is the recovery period?

Treatment time can vary between 30 – 45 minutes, depending on the area(s) treated. You’ll be able to go home right away, and no downtime is required.

You may have some swelling and bruising and will need to follow your aftercare instructions, but should be able to return to normal activities within a few hours.

How long do results from Dermal Fillers last?

The full results of your treatment may take up to 14 days to take full effect.

The results will last for an average of 12 – 18 months, depending on the condition of your skin, the area treated, amount of product injected, injection technique and lifestyle factors such as sun exposure and smoking.

Be sure to discuss the timing of follow up procedures with your Doctor to maintain your results.

What do Dermal Fillers cost?

The cost of treatment depends on your face shape, concerns, personal goals, how much product is required, and the treatment(s) required. You will be provided with an estimate after your initial consultation with one of our Aesthetic Doctors.

We are unable to provide you with an exact cost/quotation pre-treatment as an in-depth consultation is part of our individualised and holistic Aesthetic Couture journey to help you achieve the results you desire; we quote on the steps required to achieve this outcome, not simply on the amount of product required.

Please contact us for any more information.

Are Dermal Fillers safe?

Dermal Filler procedures are normally safe when performed by a qualified Aesthetic Doctor.

Dermal Fillers are substances that have been used for a long time to improve features and surrounding skin. In the past, harmful substances used in Dermal Filler procedures could cause adverse reactions and side effects.

As a result, doctors have continuously improved on and sought out better ingredients to help them perform this procedure safely, with minimal or no adverse reactions. A stabilised form of Hyaluronic Acid is our ingredient of choice for Dermal Filler procedures, providing the skin with superior moisture and other benefits without causing complications.

What are the possible risks and complications associated with Dermal Fillers?

When performed properly by an experienced Doctor/Surgeon, Dermal Filler procedures will typically result in few very side effects.

However, possible side of effects that can occur may include:

Dermal Fillers: Side Effects, Risks & Complications

Normal Occurrences During Dermal Filler Injections:

  • Bleeding and bruising:
    It’s possible, though unusual, to have a bleeding episode from a filler injection or local anaesthesia used during the procedure. Bruising in soft tissues may occur. Bruising takes a week to settle down, but healing can be accelerated with the use of ice 3 times/day for 5 minutes.
  • Swelling:
    Swelling (oedema) is a normal occurrence following the injections. It decreases after a few days.
  • Pain:
    Discomfort associated with injections is normal and usually of short duration.

Other symptoms and risks associated with Dermal Filler procedures

  • Needle marks:
    Visible needle marks from the injections occur normally and resolve within a few days.
  • Acne-like skin eruptions:
    This can occur following the injection of tissue fillers and generally resolves within a few days.
  • Skin sensitivity and erythema:
    skin rashes, itching, tenderness and swelling may occur following injections.
  • Infection:
    Although unusual, bacterial, fungal, and viral infections can occur. Herpes simplex virus infections around the mouth can occur following a tissue filler treatment. You should advise your doctor if you suffer from cold sores and receive the necessary prophylaxis. Should any type of skin infection occur, additional treatment including antibiotics may be necessary.
  • Damage to deeper structures:
    Deeper structures such as nerves and blood vessels may be damaged during the injection. Injury to deeper structures may be temporary or permanent.
  • Skin lumpiness:
    This tends to smooth out over time.
  • Visible tissue filler material:
    It may be possible to see some type of tissue filler material that was injected in areas where the skin is very thin. Granulomas: Painful masses in the skin and deeper tissues after a filler injection are extremely rare but can occur.
  • Migration of filler:
    The filler substance may migrate from its original injection site and produce visible fullness in adjacent tissue or other unintended effects. Allergic reactions and hypersensitivity: Fillers should not be used in patients with a history of multiple severe allergies, severe allergies manifested by a history of anaphylaxis, or allergies to gram-positive bacterial proteins. Allergic reactions may require additional treatment.
  • Drug and local anaesthetic reactions:
    There is the possibility that a systemic reaction could occur from either the local anaesthetic or epinephrine used for sensory nerve block anaesthesia when tissue filler injections are performed. This would include the possibility of light-headedness, rapid heartbeat (tachycardia), and fainting. Medical treatment of these conditions may be necessary.
  • Accidental intra-arterial injection:
    Although extremely, while injecting, fillers could be accidentally injected into arterial structures and produce a blockage of blood flow. This may produce skin necrosis in facial structures or damage blood flow to the eye, resulting in loss of vision.
  • Scarring:
    Fillers should not be used in patients with known susceptibility to keloid formation or hypertrophic scarring.

Contra-indications for Dermal Fillers

It is advised that you do not receive Dermal Filler injections should you be affected by any of these medical conditions:

  • Allergy / hyper-sensitivity to fillers or lidocaine
  • An open wound with infection
  • Localised/systemic infection (bacterial or viral)
  • A low platelet count
  • Pregnancy and / or nursing mothers
  • Auto-immune disease
  • Diabetes
  • Poor wound healing or Keloidalis
  • Patients on anticoagulants
  • Active skin cancer

Dermal Fillers: Before and After

What to do before a Dermal Filler procedure

2 Weeks prior to your Dermal Filler treatment, we advise you strongly to avoid:

  • alcohol
  • garlic
  • lidocaine
  • fish oil supplements
  • aspirin or any other anti – inflammatory drugs for pain, swelling and/or fever, such as medicine containing diclofenac, mefenamic acid, indomethacin or ibuprofen. Ask your doctor or pharmacist whether your medication includes any of these ingredients. This will reduce the risk of bruising or bleeding at the point of injection.

Because bruising and swelling are the most common side effects, especially in sensitive areas like the lips, schedule appointments at least 48 hours before any major event.

Please let us know if you have been to the dentist / oral hygienist or if you are planning to go to the dentist/ hygienist in the next 4 weeks. When your teeth are cleaned, bacteria are released into your mouth and travel into the bloodstream. Fillers are considered an implant, a foreign substance in the body, and these excess bacteria increase the risk of infection and the formation of Biofilm (bacterial infection).

If this is your first visit you will need to provide us with information regarding your medical history and any medical concerns, as well as details of any allergies you have or medications you are taking. There is no need for an allergy test unless your medical practitioner feels it’s necessary.

Day of Dermal Filler procedure

Please note that you will have to arrive without make-up to prevent any Biofilm (bacterial infections) when doing Dermal Filler treatments.

What to do after a Dermal Filler procedure

Please follow these instructions carefully to aid in achieving optimal results:
For 4 hours – do not lie down or do strenuous exercise and similar activities, nor should you do anything that increases the blood flow to the injected area

For 12 hours – avoid alcohol consumption
Avoid make-up application for 2 hours at the injection sight to avoid contamination in the area

For 24 hours – do not rub or massage the treated areas as this could influence the effect of the product

For 2 weeks – avoid direct sun exposure, UV light, freezing temperatures and saunas.

Tiny bumps or marks will go away within a few hours after your treatment, applying ice lightly to the area will offer relief

For 4 weeks – Avoid dental procedures and any invasive skin or surgical procedures.

Please note that no treatment can halt the ageing process completely, you will require top-up treatments if you want to maintain the effect, so please ask your Doctor when she would recommend rescheduling another appointment.

Dermal filler treatment: Before & after images

dermal filler before and after patient image - side profile

dermal filler before and after patient image

Where are Dermal Filler procedures performed in Cape Town?

Dr Nerina Wilkinson + Associates is a private, high end, luxurious clinic located in the prestigious V&A Waterfront in Cape Town. Dr Wilkinson founded the House of Aesthetic Couture and Skin Science. Your treatment will be performed at Dr. Wilkinson’s clinic.

What is the type of anaesthesia used during a Dermal Filler procedure?

Your doctor will disinfect the site where you’ll be injected, then apply an anaesthetic (such a lidocaine to the area). The anaesthetic may be applied topically, injected, or may be included in the syringe.

Why Hyaluronic Acid as a Dermal Filler?

In the past, many Dermal Fillers have caused adverse reactions and scientists sought out a filler that would not react negatively within the body. 

Hyaluronic Acid is the ideal choice of Dermal Filler, delivering nutrients to the skin, allowing it to retain moisture, and produce softer plumper skin. Hyaluronic Acid is the filler of choice for many doctors worldwide as it is unlikely to cause an allergic reaction; it is stable and injects smoothly. Apart from adding volume, it also delivers nutrients to the skin to retain moisture, resulting in softer, plumper skin.

Another benefit of Hyaluronic Acid fillers is that they are instantly reversible with an injection of hyaluronidase, an enzyme that simply melts the filler away. 


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The Aesthetic Couture Team

Dr Nerina Wilkinson - experienced cosmetic surgeon in Cape Town

About Dr Nerina Wilkinson FCS (Plast SA)

Dr. Nerina Wilkinson is considered the “go to” expert for patients seeking a highly personalised bespoke facial rejuvenation treatment plan. She takes her clients on an ultimate curated journey to beauty and confidence..

The Aesthetic Couture Team

Known as facial rejuvenation experts with an artistic eye for detail, our team of Aesthetic couture doctors have pioneered industry changing dermal filler treatments such as LipStrobing TM and our trademarked signature non surgical Natural-Lift TM

Our Patients'


An excellent team who will tailor make a skin treatment plan for you. They are all extremely knowledgeable and professional and use all the latest anti aging technologies and treatments. Amazing attention to detail from the beautiful space to the follow up care kits and check in emails from the therapists. Really a five star experience.

J Anastasopoulos

I have been with Dr Nerina Wilkinson and her team since 2021 and the level of professionalism is unmatched. So are the treatments, they truly have a solution for almost every skin or aesthetic concern. Could not love them more!

A Davids

My experience at Dr Nerina Wilkinson has been nothing but significant! I feel that for the first time, I understand my skin. Thanks to the lovely Louné, that has created a specific skin plan and routine for me. I am 39 years old and struggle with Pigmentation and Skin ageing. Our goal is to make my skin look as fresh, natural and glowing as possible. I have the utmost confidence in Louné to reach my goal. I started my journey with them in January 2023 and my results after doing a Meline Peel are already proofs that I am on the best plan. I am excited and confident to reach my goal and cannot wait for my next appointment! I would definitely recommend their professional opinions.

T Strauss

This is my honest review. I was very sceptical when I made an appointment at Dr Nerina Wilkinson and Associates, I thought like every other place that has influencers going there that it wouldn’t hold up to its reputation. I was wrong! Very wrong. Dr Cindy Kerbel was incredible, she took her time to explain not only my skin but all the available options for my skin. She has such a warm and kind energy. You immediately feel cared for. Honestly you won’t regret going here. I cannot wait for my next appointment. Thank you!

J Bentel

To avoid prolixity, you know your people are undeniably unbeatable when arguments relating to your age arise in conversations (read online dating apps). Despite clinging to the ‘wrong side’ of 30, I’ve made peace with those who assume I am still at varsity. Between Marisa and Bernice (with a shout-out to Natalie (as well as the rest of the team)) my skin and jawline (and the rest) have never looked more delicious. And when the Finance and Facility Manager is also a vibe, you know you’ve found a gem of a team! In short, I’m addicted (hypothetically, of course) to the needles (in a healthy wholesome way, naturally) and am never looking back (in particular at old Facebook photos when youth was allegedly in my favour). Thanks for keeping my aesthetic *ish together.

A Wright

I am so glad that, at the age of 30, I finally decided to come here! Such a warm and professional atmosphere, and Chantel made me feel so comfortable and excited for this journey. After my in-depth skin analysis and consultation, I was very happy with the first treatment, and for what has been planned ahead. Thank you!

F Badenhorst

I’ve gone for 2 appointments so far and 1. the service is incredible, such friendly and professional staff, 2. I had my skin analysed and then also went for a skin treatment and my skin is thanking me for it. I cannot wait to go back for more treatments. Highly recommend.

N Jacobs

I recently went to Dr Nerina Wilkinson + Associates to help me with my Rosacea. Walking into their beautiful, tranquil space is transforming alone. I love that they have a signature scent, which smells amazing. Each member of the team is passionate about what they do and incredibly knowledgeable, whilst always staying informed with the latest in skincare, technology etc.

B Georgiades

During my extended stay in Cape Town, I (Black American female), visited Dr. Nerina Wilkinson + Associates to maintain my skincare regimen while abroad. I was fortunate to work with my skincare specialist to develop a tailored skincare treatment. Not only did I receive great service, but she also provided detailed insight into the current state of my skin and offered additional recommendations for overall skin health. Chantel was excellent, demonstrating both kindness and informative expertise, and the facility was beautiful. And overall, I did see improvement in my skin’s texture and evenness, but I still have a ways to go.

C Okpara

Growing up I did not pay much attention to looking after my skin properly, but after starting my journey with Dr Nerina Wilkinson + Associates it has become one of the most important steps in my daily routine and I am loving it thanks to their delightful, informed and supportive team. I have always struggled with broken capillaries and dehydration, but have never known how to go about treating it and preventing further damage in the future. I had my first IPL session last week and I am absolutely shocked by the amazing results thus far. I was very wary about leaving my home during the COVID19 pandemic, but the team at Dr Nerina Wilkinson + Associates not only made me feel incredibly safe but I was also treated like a true queen during my session. After the treatment I received a ‘lucky packet’ of aftercare products and Bernice was there at my every beck and call (as I had many questions which were answered in such a timely and gracious manner). She also recommended products that have made my face feel softer and more youthful than ever before and I can already start seeing/feeling a difference. I am so grateful to the incredible team and I look forward to a future of beautiful care and loving myself in my own skin.

K Fourie

Growing up in the US, I went to dermatologist after dermatologist, and each one said the same three things: I have acne, it’s genetic, and it could be a lot worse. When I moved to Cape Town a few years ago, I heard from a friend that I needed to go see the women at the Nerina Wilkinson skin clinic, so I made an appointment – but I didn’t expect anything different. I left their office after my first appointment with Kim and I had some real hope for my skin to improve. She changed my home care, worked out a long term plan for me, and even gave me her personal cell number so I could message her if things weren’t working. It’s been over two years now and I have never been so happy with my skin. Kim and the other women at the skin clinic form the kindest and most caring team of professionals and I can’t thank them enough. From scalp PRP treatments for thinning hair, to lasers and peels for my rosacea, I’ve tried my fair share of treatments at this office and every single one of them has been worth it – I can honestly say these women have helped me feel like the best version of myself!

A Newell

“I have spent too much money over the past 10 years in hope to sort out my pigmentation and skin texture. Visited many (un)professionals and bought the most mediocre skincare. I heard about Dr Nerina via a friend. My last hope and the best decision I made. I was introduced to the Me Line peel and their skincare…this is now my go to as my skin has never looked this good and healthy ever. Extremely professional team, Bianca was my therapist. If you are looking for skin changing results and are serious about proper skincare, you should visit them. It’s worth all the money you will spend. An investment worth it…”


“Thank you to the wonderful ladies at your skin clinic. I have always suffered from problem skin. They have over the last few months advised me on the correct skincare and through their dedicated treatments I am now proud to show my skin without wearing too much makeup.”

Skincare Treatments

“Every day I look in the mirror, I can’t believe that this new skin in mine! I reached a point in my life where I thought that I would have to live with the consequences of the severe sun damage I have caused myself through years of surfing. Not only have you given me new skin Nerina, you have actually given me a new life.”

L.S, CO2 Laser Resurfacing Treatment

“My grateful thanks to you all for everything you do for me, and I mean that from the heart of my bottom!”

Skin Science Treatments

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