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What are dermal fillers, and how safe are they in Singapore?

Celebrities and social media influencers publicly discussing and endorsing cosmetic treatments have made them more acceptable and sought after by the public.

Celebrities and social media influencers publicly discussing and endorsing cosmetic treatments have made them more acceptable and sought after by the public.

Singaporeans are becoming increasingly aware of the benefits and low risk of fillers, leading them to take preventative measures against the effects of aging and volume loss.

But nothing is foolproof, and problems can arise with any cosmetic procedure. 

An issue with dermal fillers’ safety has been brought to light in Singapore after a woman lost her eyesight following treatment in July.

The Health Sciences Authority (HSA) is currently looking into this case of blindness because it is the first one in the area to be associated with dermal fillers. 

A company that specializes in medical aesthetics produced and sold the filler known as AestheFill, which the woman received injections of.

According to a representative of the cosmetic company, the complication was caused by a blood vessel occlusion that happened during the procedure.

The term “occlusion” refers to the complete or partial closing off of a blood vessel.

When the product was accidentally injected into the bloodstream, this happened.

Learn more about dermal fillers and the potential side effects that may occur in patients who are undergoing aesthetic procedures. 

What are dermal fillers?

Dermal fillers consist of a range of substances that are skillfully administered into specific areas to enhance the appearance of the skin and soft tissues, effectively dealing with aesthetic issues like the loss of volume in cheeks or a less prominent chin. 

Fillers are carefully administered to address the natural loss of facial volume that occurs with age and improve facial features. 

Dermal fillers are frequently sought-after non-surgical cosmetic treatments.

There is a wide variety of fillers available on the market, each with its own unique set of attributes.

Various fillers are selected according to factors such as density and the specific area being addressed. 

There are many kinds of fillers that are widely recognized and commonly used.

Hyaluronic acid fillers are a popular choice for individuals seeking cosmetic enhancements.

Here are a few examples of common types of fillers:

  • Hyaluronic acid fillers
  • Collagen stimulators 
  • Fat grafting: Fat grafting is the process of moving fat from one part of a person to another.

Botulinum toxin injections, more popularly known as Botox, are another much sought-after cosmetic surgery. 

Despite their similarities, injectable cosmetic procedures, dermal fillers, and Botox injections are actually quite distinct. 

Botox temporarily paralyzes the injected muscles, reducing or eliminating any signs of wrinkles due to muscular spasms. 

Among the wrinkles that need fixing are the ones on your forehead, between your eyebrows, and at the outer corners of your eyes (crow’s feet). The duration of treatment-related effects is typically between three and six months. 

People frequently resort to Botox and dermal fillers to combat a wide range of visible indicators of aging. Forehead lines can be softened using Botox, and hollow cheeks can be filled with dermal fillers.

In Singapore, How Safe Are Fillers?

Dermal fillers are a variety of chemicals that can be carefully injected into the skin or other soft tissues to improve their appearance.

Dermal fillers are a variety of chemicals that can be injected into the skin or other soft tissues to improve their appearance.


The Health Sciences Authority (HSA) of Singapore has designated dermal fillers as Class D medical devices, placing them in the highest risk category. 

This implies that fillers undergo stringent regulation and are subject to product registration and dealer’s license prerequisites. It is imperative that dealers also fulfill their responsibility to report any adverse events promptly. 

According to the renowned guidelines set forth by the Singapore Medical Council pertaining to Aesthetic Practices for Doctors, it is imperative to note that the administration of filler injections to the facial, cervical, and manual regions is exclusively permitted within the confines of certified clinics. 

The guidelines further emphasize that the administration of filler injections should be limited to professionals such as dermatologists, plastic surgeons, ophthalmologists specializing in oculoplastic surgery, and ear, nose, and throat surgeons with facial plastic training.

Medical professionals who do not possess specialized expertise may also be authorized to administer such injections, provided they have obtained a Certificate of Competence (COC) in the administration of filler injections.

In conjunction with utilizing medical products sanctioned by the HSA, it is imperative to prioritize the acquisition of “informed consent” to guarantee optimal safety measures. 

Informed consent pertains to the procedure by which a healthcare provider imparts knowledge to a patient regarding the potential hazards, advantages, and alternatives associated with a medical treatment or procedure. Subsequently, the patient willingly consents to undergo said treatment or procedure, having been duly informed.

Minor negative reactions, such as bruising, do not occur with great frequency, whereas serious side effects are indeed quite rare.

Cases of individuals experiencing visual impairment following a dermal filler procedure are exceedingly rare.

This phenomenon arises when an inadvertent administration of filler material transpires within the blood vessels, subsequently traversing toward the ocular vasculature.

The matter at hand is not contingent upon any particular filler substance and can manifest even under the most proficient circumstances.

There exist methods to avert such complications, which necessitate a comprehensive comprehension of the vascular structure of the facial region coupled with a secure approach to administering injections.

Bringing down the risk of fillers 

While it is true that all filler treatments carry a certain level of potential danger, it is essential to note that dermal fillers, when administered by properly trained professionals, have been shown to be safe. 

The level of risk associated with receiving fillers can vary based on several crucial factors, such as the specific injection site, the type of filler employed, and the level of training attained by the individual conducting the treatment. 

In particular areas within the central facial region, such as the nasal area and the region between the eyebrows, blood vessels are intricately interconnected with the ocular vascular system.

Accidental filler injection in these regions poses a significant risk, rendering it particularly perilous and potentially resulting in complications, including the impairment of visual acuity.

It is crucial to emphasize the importance of only using services from qualified medical professionals who must abide by strict regulations governing the administration of dermal fillers. 

It is imperative to exercise caution when considering procedures administered in unregulated settings, such as residential apartments.

In the absence of formal medical education and training, it is possible that these providers may possess an inadequate comprehension of human anatomy, which is imperative for the safe administration of these procedures.

If, perchance, adverse events were to transpire, it is conceivable that they may not possess the necessary capabilities to manage said occurrences effectively.

Dentox, along with its highly regarded founder, Dr. Howard Katz, provides diverse training opportunities. Acquiring knowledge regarding Botox and dermal fillers from recognized figures within the industry is indeed a viable option. At our course, you can be confident that you will be provided with the utmost, cutting-edge, and comprehensive education on Botox and dermal fillers. 

Please consider visiting the website for the opportunity to engage in online training. Alternatively, if you prefer a more hands-on approach, you may find the information you seek at, where live instruction is provided, allowing for direct interaction with actual patients. 

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