Dermal Fillers

Dermal Fillers

Dermal Fillers are a great weapon in the battle with ageing. Has the skin on your face lost its firmness and fullness? Do you have deep wrinkles or a facial scar?

If so, a dermal filler treatment may be the solution.

Many of us agree that dermal fillers are a perfect way to correct some imperfections without having plastic surgery. We achieve this by replacing the lost hyaluronic acid and collagen that deteriorates over the years.

There is a natural gel in dermal fillers that is used to smooth out wrinkles, folds, scars, or blemishes to give your face a younger, refreshed, and more plumped appearance.

Some dermal fillers are composed of a transparent gel that is a naturally occurring component of the skin. The difference between these fillers is their thickness, viscosity, and how long the results will last.

The finer and smoother ones tend to not last as long, whilst the thicker fillers last a lot longer.

Dermal Fillers

Treatment Areas


Lip Fillers | Lip Enhancement

These are the areas of the lip that we can enhance for you:

The fleshy part of the upper and lower lips – offering volume, fullness, and a beautiful pout.

  • Cupid’s Bow.
  • Philtrum ridges: These are the vertical grooves between the nose and upper lip.
  • Perioral Lines: These lines appear on the upper lip and are usually associated with smoking.

We use Finer dermal fillers in the upper lip, where the skin is thin. These dermal fillers are very fine, they don’t really cause any lumps.

Popular Product Choice: Stylage Lips


Cheek Fillers | Jawline Fillers

Cheek fillers have the power to rejuvenate the skin and help make you look younger, more refreshed, and more elegant. It’s a procedure that gives more definition to the cheekbones and restores volume to tired-looking skin. This volume loss can occur due to age, genetics, and sun exposure.

Men tend to benefit greatly from this treatment as it focuses on the three main sections of the cheek that help to maintain a masculine look to the jawline.

Thicker dermal fillers add volume to bulky areas such as the cheeks or jawline. They are typically injected deeper than the finer fillers.

We only use high-quality dermal fillers approved by the Irish Medicine Board.

You’ll find full details of all our treatment options below.


Tear Troughs

Win the battle against Tired Eyes

The skin under your eyes is some of the thinnest on your body. Dr. Natalia Bratu is highly skilled in this field so she takes special care in selecting the most appropriate hyaluronic acid filler.

A deep tear trough can create a shadow that is perceived as a dark circle below the eye. It also creates a division between the lower eyelid and cheek that is an early sign of ageing around the eyes.

It usually only takes 30 minutes to administer a 1ML syringe. Depending on how deep your tear troughs are, you may need more than 1 treatment. Dr. Natalia will advise you of this during your consultation.

Using Dermal Fillers on this area can result in a more natural, immediate and lasting result:

  • Under-eye circles evenly corrected.
  • Hydrated, younger-looking skin.
  • Long-lasting global satisfaction, proven over 12 months.


After the eye area, the décolletage is the part of our body most prone to aging. It is far more delicate than our facial complexion because it doesn’t produce as much oil as the rest of our skin and is often the first to develop wrinkles. This area, like the expressive muscles in our face, has a lot of skin stresses placed upon it from movement, weight, and exposure to sunlight.

Treatment with dermal fillers for the décolletage doesn’t just add subtle volume. It can hydrate far deeper into the skin than topical moisturizers can and works to fill the folds from within.

It can also rejuvenate skin quality and revitalize skin tone to combat the visible appearance of the sun’s damage.

Popular Product Choice: Stylage Hydromax


Non-Surgical Rhinoplasty

Many men and women are concerned about the shape of their noses, it’s normal and here at Refine Clinic, we can alter the shape of the nose without drastic surgery or Rhinoplasty. Using premium dermal fillers, Dr. Bratu can alter the shape and subtly enhance and straighten the nose. It’s not unusual to think that a dermal filler would make your nose look bigger.

However, this is not the case at all. The dermal filler just makes the nose more symmetrical, aligns contours, and eliminates deep grooves. By adding this filler in the dip of the nose she can even out the shape.

What types of Dermal Filler are available at Refine Clinic?

Radiesse is an injectable dermal filler that temporarily adds volume to help smooth moderate to severe facial wrinkles and gives an immediate lifting and firming effect on the skin. Once injected, it directly provides volume and lift needed to diminish the signs of aging because of the calcium-based microspheres and gel that comprise the product. Both the gel and the microspheres are completely broken down by the body over time.

Radiesse – The Collagen Stimulator

In addition to an immediate filling effect, the high-quality ingredients of Radiesse stimulate the skin’s natural collagen synthesis. Thanks to the collagen-inducing effect of Radiesse, the skin regains its youthful tightness and elasticity – your natural beauty blooms again.

What makes Radiesse so special?

With just one syringe (1.5ml volume), many patients obtain an immediate and long-lasting youthful appearance. A Radiesse treatment is simple, quick, comfortable, and convenient and provides immediately visible results that last.

  • Almost Immediate correction of moderate to severe wrinkles
  • Immediate lifting and contouring effects
  • Stimulates the production of the skin’s natural collagen
  • Long-term improvement of skin quality
  • Feels soft and looks natural
  • Provides results that last a year or more in many patients
  • Allows for an easy and convenient treatment

Areas suitable for treatment

Cheek Augmentation

Give the cheeks a smooth curve or enhance facial contours with Radiesse. Moreover, by restoring lost volume, Radiesse can effectively correct the hollowing that can occur with age or disease.

Treatment of Nasolabial Folds

Nasolabial folds are a primary indication for injectable filler treatment. Radiesse is an ideal filler for nasolabial folds and provides long-lasting results.

Treatment of Marionette Lines

The appearance of marionette lines renders the expression particularly unhappy or strict. A single treatment with Radiesse immediately provides new volume and a mild lifting effect.

Contouring of the Jawline

Jawline contouring is gaining increasing relevance in aesthetic practice. Radiesse shapes and redefines drooping jawlines and jowls.

Full Facial Lifting

Radiesse can be used to achieve full facial correction. Nasolabial folds, marionette lines, and pre-jowl drooping can be all treated with Radiesse in a single session (please note that more than one vial will be required).

Volume Replenishment in Hands

Excessive age-related volume loss in the dorsum of the hand may be a medical indication for volumizing. With Radiesse®, it is possible to achieve direct volume replenishment in the hand area.


Each Radiesse syringe (1.5ml) is at an exceptionally reasonable price of €450

Definisse Fillers range provides immediate and excellent results. They can be used to add volume to different areas of the face where needed and to smooth lines and wrinkles.                   


Definisse Touch is indicated to correct moderate-to-severe facial wrinkles and folds. It can also be used to increase lip volume.


Definisse Restore is indicated for the correction of deeper wrinkles and folds, to increase or restore facial volume and remodeling of facial contours.


The Definisse core filler is intended for facial tissue augmentation in order to correct midface volume deficit, for restoring facial volume, and shaping the contours of the face.


Improves hydration, tone, and elasticity of the skin.  Indicated for injection in superficial dermal tissue or deeper. Effective in treating crow’s feet, smile lines, and smoke lines around the mouth.

Relife Definisse After Care

  • Use a cold pack to reduce swelling and redness on the injection site.
  • Please avoid physical strain, sudden head movements and sports the first day after the treatment.
  • Try to avoid direct exposure to ultraviolet light (solar exposure, lamps) in the 4 weeks following the treatment.
  • It is advised to avoid intense hot (Sauna, steam bath) or intense cold in the 4 weeks following treatment.
  • Don’t have any further cosmetic therapies for the first two weeks after the treatment.
  • Don’t masssage the injection site.
  • Limit your alcohol intake for a period of 10 to 14 days after the treatment.
  • Avoid application of make-up for at least 12 hrs post-procedure. Stay well hydrated (1.5–2.0 l water per day).

Please be aware:

  • Reactions such as redness, edema, pain, and itching may follow treatment, as may an acne-like eruption. All these reactions are linked to the procedure itself and usually resolve after a few days. Should symptoms persist please contact us.
  • Lumps and abscesses; sometimes associated with redness and/or swelling have been reported after treatment in some patients. In most cases, these side effects disappeared, however in some cases, they have lasted up to two weeks.
  • If you have had herpes simplex (cold sores) in the past note that there is always a risk that injecting any product around the lip/or previously affected area may cause herpes to flare up again.

Teosyal Puresense Redensity [II] is an injectable dermal filler specifically indicated for tear troughs (sunken under eyes).

It’s made of non-animal origin and biodegradable hyaluronic acid. Hyaluronic acid is a natural skin component that acts like a sponge and retains large quantities of water to keep the skin plumped and soft. In the fillers syringes, Hyaluronic Acid comes in the form of a gel.

Why choose Teosyal Puresense Redensity [II]?

Teosyal Puresense Redensity [II] is specifically designed for the correction of loss of volume in the delicate under-eye area. It allows for seamless, smooth volume replenishment which results in a fresher appearance.


Teosyal Puresense Redensity [II] for Tear Troughs  €350 per 1ml syringe

Teosyal Puresense Kiss   €400 per 1ml syringe

Teosyal Puresense Ultra Deep   €400 per 1.2ml syringe *Special Offer* Normally €450

Teosyal Puresense Deep Lines    €450 per 1.2ml syringe

Teosyal Puresense Ultimate    €450 per 1.2ml syringe

Why suffer in the name of beauty?

We have sourced the latest approved technology to administer dermal fillers.  The Teosyal Pen system has been designed to be gentle, consistent, and virtually painless.

  • Gentle Injections

50 % Reduction in pain intensity with Teosyal Pen’s manual injections, as reported by physicians

  • More Natural Results

Even areas that have previously been more delicate to manage can be treated, to help with the overall care of your beauty.

  • 9/10 patients would prefer to have their next injections with Teosyal Pen (90.6%)  vs. manual injections.
  • 9/10 patients would recommend Teosyal Pen to their friends (91.7%) vs. manual injections
  • Faster Recovery

Afterward, you can quickly resume normal activities, such as going back to work the same day. When patients are questioned about “why would you recommend Teosyal Pen to your friends?”, some answered:

  • Good result, fewer marks
  • Natural results and no pain
  • Fewer side effects
  • Less bleeding
  • You can quickly return to your normal daily life
This medical device is a regulated health product bearing the CE marking (CE 0434), under this regulation. * Kantar Health. The European TEOSYAL®PEN trial included 30 physicians and 236 patients. 42 patients had never received a manual injection with a hyaluronic acid-based filler. Report N°40HB64. 2014. ** For more information, please consult the user guide of TEOSYAL®PEN.

Before & After Photos

Looks that clients want to achieve (remember every client is different)

Non-Surgical Rhinoplasty | Nose Realignment

natalia-patient-nose-before       natalia-patient-nose-after

Lip Fillers | Lip Enhancement


Cheek Fillers


Tear Trough Filler


Tear Troughs

crows-feet-eg   bright-eyes-model

Pre & Post Treatment Advice

  • For the best results, and to minimize the chance of bleeding or bruising at the injection site, please avoid all blood-thinning medications and supplements for one week prior to  your appointment. This includes over-the-counter medication such as aspirin, ibuprofen, or Aleve. Also avoid herbal supplements such as garlic, vitamin E, ginko biloba, St. John’s Wort and omega-3 capsules. If you have a cardiovascular history, please check with your doctor prior to stopping use of aspirin. 
  • Please inform us if you have a history of Perioral Herpes to receive advice on antiviral therapy prior to treatment. 
  • Avoid topical products such as Tretinoin (Retin-A) retinols, retinoids, glycolic acid, alpha hydroxy acid, or any “anti-aging” products for two days before and after treatment.
  • Do not drink alcoholic beverages 24 hours before or after your treatment to avoid extra bruising.
  • Do not use dermal fillers if you are pregnant or breastfeeding, are allergic to any of it’s ingredients, or suffer from any neurological disorders.
  • Use a cold pack to reduce swelling and redness on the injection site.
  • Avoid physical strain, sudden head movements and sports the first day after the treatment.
  • Try to avoid direct exposure to ultraviolet light (solar exposure, lamps) in the 4 weeks following the treatment.
  • Refrain from intense heat (Sauna, steam bath) or intense cold in the 4 weeks following treatment.
  • Don’t have further cosmetic therapies for the first two weeks after the treatment.
  • Don’t massage massage the injection site.
  • Please don’t drink significant amounts of alcohol for a period of 10 to 14 days after the treatment.
  • Avoid application of make-up for at least 12 hrs post-procedure. Stay well hydrated (1.5–2.0 l water per day).

Frequently Asked Questions

That’s no problem at all. Dr Natalia will take her time with you. She will go through the treatment and do her absolute best to reassure you. If at any point you decide not to have treatment that is also no problem.

Before your treatment, a cool gel pack can be held to the skin to numb the area. Numbing cream is available also but is rarely used as the injections are so quick to take effect. These don’t hurt, it’s just like a little pinch. Some patients who bruise easily may find that they may have a slight small bruise e.g. near the sensitive eye area, post-treatment.

Arnica cream is a fantastic healer for bruises and speeds up the recovery time for any bruising. Taking Arnica pillules before and after your treatment can also speed up the recovery time for bruising. These can be found in homeopathy and health food stores.

Some people may have a fear of needles but still would like treatment. If you make us aware of this we can be mindful and look after you.

Dermal fillers are very different to anti-wrinkle treatment. Dermal fillers, such as Restylane are most frequently used to ‘fill’ facial lines, wrinkles and folds (known as static wrinkles) or add volume deep into the skin to enhance facial contours (e.g cheeks) and features such as the lips.

Anti-wrinkle treatments work differently by temporarily relaxing muscles that cause dynamic wrinkles. Dynamic wrinkles occur as a result of facial movement rather than loss of volume in the skin and this type of injections has gained wide acceptance as a method of treating this type of wrinkle.

The use of Anti-Wrinkle Injections has expanded over the years with wide acceptance among aesthetic healthcare practitioners to use it to treat other areas of the face, although not formally licensed.

Absolutely! Dr Natalia may combine a variety of non-surgical cosmetic procedures over the course of a treatment plan to help you achieve the youthful look you would like to achieve. This gradual process will result in a more subtle change to your appearance and progressively gives you a younger, fresher appearance. Also, a combination of both Anti-Wrinkle Injections and dermal fillers such as Restylane or Belotero to treat very deep frown lines, where the line has been etched into the skin over the years, has been proven to be more effective in achieving that smooth glabellar area between the eyebrows compared to exclusively treating with the Anti-Wrinkle component.

Anti-Wrinkle Injectables stop the lines from forming and dermal filler can be used to lift the line out and smooth the skin.

Contact us for more information on Dermal Fillers.

Appointments can be made via our Booking Page, email, or via phone. Please be advised that our secretary may need to ask some personal questions to help decide which appointment type is most suited to your needs.