Facial Fillers
Dermal fillers are soft hyaluronic acid gels placed under the skin to replace lost volume, lift folds and reshape features such as the lips, chin and jawline. The change is visible the same day, settles fully in about 2 weeks and lasts 9 to 18 months depending on the product and the area.
Facial fillers in Surat at Elegance Clinic are injected by Dr. Ashutosh Shah, a board certified plastic surgeon, using licensed hyaluronic acid brands that can be dissolved if you ever change your mind. The goal is restoring your own proportions rather than adding volume for its own sake. This page explains where fillers work, where they do not, what each area costs, and the risks an honest clinic should tell you about.
Filler or Botox, which one do you actually need?
These two treatments are often confused. Botox relaxes a muscle so that movement lines stop forming. Filler adds structure and volume where the face has hollowed or flattened. If your line is visible only when you frown, Botox is the answer. If the hollow or fold is there when your face is completely still, filler is the answer. Many faces need a little of both, and the assessment tells you which.
Where dermal fillers are used
| Area | What it corrects | Usual volume | Typical cost |
| Lips | Thin lips, uneven shape, lost border definition | 0.5 to 1 ml | Rs. 15,000 to Rs. 30,000 |
| Cheeks | Flat or hollow midface, tired look | 1 to 2 ml | Rs. 22,000 to Rs. 50,000 |
| Under eye, tear trough | Dark hollows and shadows under the eyes | 1 ml | Rs. 20,000 to Rs. 35,000 |
| Nasolabial folds | Deep lines from nose to mouth corners | 1 to 2 ml | Rs. 18,000 to Rs. 40,000 |
| Chin | Weak or receding chin, poor side profile | 1 to 2 ml | Rs. 20,000 to Rs. 35,000 |
| Jawline | Undefined jaw, early jowls | 2 to 4 ml | Rs. 40,000 to Rs. 90,000 |
| Nose, liquid rhinoplasty | Small hump, drooping tip, minor asymmetry | 0.5 to 1 ml | Rs. 20,000 to Rs. 40,000 |
| Temples | Hollowing at the sides of the forehead | 1 to 2 ml | Rs. 22,000 to Rs. 45,000 |
| Hands | Visible veins and tendons | 2 ml | Rs. 35,000 to Rs. 60,000 |
Filler is priced per millilitre in India, generally Rs. 15,000 to Rs. 45,000 per syringe depending on the brand and how thick the gel is. The ranges above reflect typical pricing in Surat and are a guide only. The exact plan comes after your face is assessed, because a small face may need half the volume of a larger one for the same effect.
Who is a good candidate
- Adults who look tired or gaunt because of volume loss rather than loose skin
- People who want a defined jaw, chin or lips without surgery
- Patients wanting a nose contour change without an operation and without downtime
- Anyone who wants a change that can be reversed if they dislike it
- People with realistic expectations about maintenance every 9 to 18 months
Fillers are avoided during pregnancy and breastfeeding, over active skin infection or acne at the site, in people with a history of severe allergic reaction to hyaluronic acid products, and in anyone on blood thinners without a physician clearance. If the real problem is significant skin laxity, filler will add weight without lifting, and you will be advised about a thread lift or surgery instead.
What happens during the session
The face is cleaned and numbing cream is applied for 20 minutes. Most modern fillers also contain a local anaesthetic. The gel is placed with either a fine needle or a blunt cannula depending on the area, with the cannula preferred around the eyes and nose because it reduces bruising and vascular risk. Treatment takes 20 to 45 minutes. You see the change immediately in the mirror before you leave.
Aftercare and downtime
- Expect mild swelling for 24 to 72 hours, most obvious in the lips
- Ice gently for 10 minutes at a time on the first day
- No pressing, massaging or facials on the area for 2 weeks
- Avoid gym, sauna, steam and alcohol for 24 to 48 hours
- Sleep slightly propped for the first two nights
- Plan any wedding or event at least 2 weeks after treatment, not 2 days
How long fillers last and what happens next
Lip filler is the fastest to soften, usually 6 to 12 months, because the mouth is constantly moving. Cheeks, chin and jawline hold longer, often 12 to 18 months, and structural products in the temples can last up to 2 years. Fillers do not stretch the skin permanently and they do not have to be continued once started. If you stop, the area simply returns to its untreated state over a few months.
Risks you should be told about
Common and temporary effects are swelling, bruising, tenderness and small lumps that settle or are massaged flat within two weeks. Less commonly, filler placed too superficially can show as a bluish shadow, which is corrected by dissolving it.
The serious risk, though rare, is vascular occlusion, where filler enters or presses on a blood vessel and restricts blood supply to the skin, most dangerously around the nose and under the eyes. Warning signs are severe pain, blanching or a dusky patch of skin, or any change in vision. This is an emergency and needs immediate treatment with hyaluronidase, the enzyme that dissolves hyaluronic acid. It is the single strongest reason to have fillers done in a medical setting with hyaluronidase on hand rather than at a salon or a home clinic.
Fillers can be dissolved
Because hyaluronic acid fillers are reversible, an unwanted result is not permanent. A small injection of hyaluronidase breaks the gel down within a day or two and the area returns to how it was. This safety net is a genuine advantage of hyaluronic acid over permanent injectable materials, which are not recommended for the face.
Frequently asked questions
Do dermal fillers hurt?
Numbing cream is applied first and most fillers contain a local anaesthetic, so the sensation is usually pressure rather than pain. Lips are the most sensitive area and a dental style block can be used there if needed.
How long do fillers last?
Lips generally hold 6 to 12 months. Cheeks, chin and jawline last 12 to 18 months. Structural products in the temples can last up to 2 years. Metabolism, exercise levels and the area treated all affect how quickly the gel breaks down.
Can fillers be removed if I do not like the result?
Yes. Hyaluronic acid fillers are dissolved with an injection of hyaluronidase and the area returns to its previous state within a day or two. This is why reversible hyaluronic acid products are preferred over permanent injectables.
Will my face look puffy or overfilled?
Not when the volume is matched to your proportions and built up gradually. Overfilled faces usually come from too much product placed in one sitting. Starting conservatively and reviewing after two weeks avoids this.
Is there any downtime after fillers?
You can return to work the same day. Swelling peaks at 24 to 72 hours, mainly in the lips, and bruising if it happens takes 5 to 7 days to fade. Book any important event at least two weeks after treatment.
Are dermal fillers safe?
Hyaluronic acid fillers have a strong safety record when injected by trained medical professionals. The rare but serious risk is filler entering a blood vessel, which is why the injector must know facial anatomy and keep hyaluronidase available for immediate use.
How much do dermal fillers cost in Surat?
Pricing is per millilitre, generally Rs. 15,000 to Rs. 45,000 per syringe depending on the brand and area. Lips typically need 0.5 to 1 ml, cheeks 1 to 2 ml and jawline 2 to 4 ml, so the final cost depends on how much volume is needed.
Which is better, dermal fillers or fat transfer?
Fillers are quicker, need no surgery and are reversible, but they need repeating every year or so. Fat transfer uses your own fat, lasts longer and treats larger areas, but it is a surgical day procedure and part of the transferred fat is reabsorbed.
Do fillers stretch the skin permanently?
Normal volumes do not. Skin is elastic and returns to its previous state once the gel breaks down. Stretching becomes a concern only when very large volumes are repeatedly placed in the same area over many years.
Plan your filler treatment in Surat
At Elegance Clinic, a filler consultation includes a facial proportion assessment, a discussion of how much change you want, an explanation of which brand suits the area, and a clear quote per millilitre before anything is injected. Call +91 83205 00350 or book online to plan dermal filler treatment with Dr. Ashutosh Shah.