Dermal Fillers

Dermal fillers are also known as wrinkle fillers, facial fillers, soft-tissue fillers, or injectable fillers. As we age, we lose volume and elasticity in the face resulting in visible wrinkles, lines, and folds. Dermal fillers are injected into the skin to help re-volumize the face and soften the appearance of wrinkles. Fillers can also be used to add volume to thin lips and to add contour to cheeks and other areas of the face giving a more youthful appearance.

Some can even be used to improve the appearance of aging hands. Many dermal fillers, such as Juvederm, Juvederm Voluma, Restylane, Restylane Silk, Perlane, and Belotero Balance, are composed of hyaluronic acid. Radiesse is a dermal filler composed of calcium hydroxylapatite. Your provider can guide you as to which product is right for you. Treatments typically take about 30 minutes and are relatively painless.

Treatments cost $650 or more depending on the type of filler used and the quantity needed to achieve the desired result. Treatment results can last a year or more.


Restylane-Logo-Restylane® is designed to smooth wrinkles, sculpt lips and shape facial contours. It is a clear, synthetic gel made with hyaluronic acid, a natural substance that is found throughout your body. It carries little risk of allergic reaction. The most common areas for treatment are the glabellar lines (between the eyebrows) and the nasolabial folds (from the root of the nose to the angle of your mouth). With its unique ability to bind with water, Restylane remains in your skin for many months.

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Radiesse-LogoRadiesse is an injectable implant material that can fill the lines around the face, especially the laugh lines. Unlike bovine collagen, no allergy testing is required. The material can be placed without any skin testing. Although slightly more costly than collagen, in the long term, less money is actually spent. Other applications for Radiesse include filling out depressions and scars on the face. The correction achieved is both predictable and long lasting.


meirson-perlane-logo-300x125Perlane® is an injectable filler used to treat deep facial lines, augment the lips and contour the cheeks and chin. Made by the same company that produces Restylane®, Perlane contains purified hyaluronic acid, a sugar found naturally in the body that works with collagen to keep the skin smooth and supple. It is hypoallergenic and does not require a pre-treatment skin test. With its unique ability to bind with water, Perlane continues to perform up to 60% longer than collagen.


Belotero_Logo_RGB2Belotero is the latest, most advanced form of dermal filler available today. It has a unique ability to integrate with the tissues of your skin, providing volume and a more youthful shape to your face. Belotero can reduce lines and wrinkles while enhancing your own facial contours.

It is particularly effective in treating certain areas of the face, including:

  • Smile lines, or nasolabial folds, that appear between the side of the nose and the corner of the mouth
  • Vertical lip lines, or perioral lines, that form just above the upper lip
  • Corners of the mouth, or oral commissures, because when volume is lost in this area it can give the appearance of a persistent frown
  • Marionette lines, which form between the corners of the mouth and the chin and tend to become deeper with age


juvederm_logo2Over time, permanent furrows and deep wrinkles develop in the skin as a result of aging, overuse and constant muscle contractions. These lines can make you look older, sad, angry or tired, most often developing around the eyes and mouth, as well as between the eyebrows and on the forehead. Fortunately, dermal fillers such as JUVÉDERM® XC Injectable Gel can erase these signs of aging to restore a younger and more refreshed appearance.

JUVÉDERM® XC is a new, FDA-approved formula of the effective JUVÉDERM® XC dermal filler that lasts up to 1 year. It contains lidocaine, a local anesthetic, to minimize the mild discomfort previously associated with this treatment. This injection is made of hyaluronic acid, a naturally occurring substance in the skin that adds volume and hydration. Injected directly into targeted areas of the skin, JUVÉDERM® XC reduces the appearance of wrinkles and folds while also smoothing skin for an overall enhanced appearance.

Patients can achieve a fuller, younger appearance while still maintaining the natural features that define who they are. JUVÉDERM® XC is most effective in reducing the appearance of nasolabial folds, the lines that run from the bottom of the nose to the corner of the mouth on both sides of the face, and does so with improved comfort over other types of injectable fillers.

Candidates for JUVÉDERM® XC

JUVÉDERM® XC injections are ideal for any patients who are unhappy with the signs of aging present on their skin and are looking to enhance their overall appearance. JUVÉDERM® XC is the first hyaluronic acid filler FDA-approved for safe and effective use on persons of color. There are no major risks associated with this treatment.

In order to achieve satisfactory results, it is important for patients to have realistic expectations for their treatment and understand that JUVÉDERM® XC injections will not completely alter your look. Your doctor will help you decide whether or not this treatment is right for you after a physical examination and discussion of your desired goals.

JUVÉDERM® XC Procedure

JUVÉDERM® XC injections take about 15 minutes to administer in your doctor’s office with no need for any type of anesthesia. This filler is formulated with 0.3% lidocaine, a local anesthetic, to numb the skin and provide an overall more comfortable experience. The injection is administered under the skin in the targeted area to add volume or fill in wrinkles and folds. After the injection, your doctor may gently massage the treated areas.

Once treatment is completed, patients can return to their regular activities right away, with virtually no downtime. For the first 24 hours after treatment, patients should avoid strenuous exercise, excessive sun or heat exposure and consumption of alcoholic beverages to reduce the risk of complications after treatment. Some patients may experience mild side effects such as redness, swelling or itching, but these usually go away on their own after a short time.

Results of JUVÉDERM® XC

The results of a JUVÉDERM® XC injection are visible immediately after the procedure, and will continue to improve over the next few days as any swelling and bruising subside. Results are expected to last six to nine months, but in many cases last up to year, the only hyaluronic acid filler to last that long.

Most patients achieve their desired results in just one treatment session and may only require yearly touch-up treatments in order to maintain results. As always, the results of this procedure may vary, but most patients are more than satisfied with their enhanced appearance after JUVÉDERM® XC.

Risks and Complications

While JUVÉDERM® XC is considered safe for most patients, there are certain risks associated with any kind of treatment. Some of these risks may include temporary redness, pain and swelling at the injection site, as well as bruising, itching, discoloration and infection. Most of these risks are considered rare, and can be further reduced by choosing an experienced doctor to administer your injection.

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voluma-logoJUVÉDERM Voluma™ is an FDA-approved dermal filler formulated specifically to add volume to the face around the cheeks and chin. This is the only injectable gel created to provide a subtle, natural enhancement to the mid-face, addressing changes in definition that occur over time. JUVÉDERM Voluma can help restore more youthful contours by plumping up the area that so often loses volume as part of the aging process. It can also return a firmer shape to the jaw line when some softening has set in.

JUVÉDERM Voluma is not only an effective treatment method, but it is long lasting as well. In many patients, the results will last for a period of up to 18 months.

The active ingredient in JUVÉDERM Voluma is hyaluronic acid (HA), which is a substance naturally produced within the skin. As we get older, the levels of HA present in the skin begin to decline, resulting in a loss of volume and sunken or sagging cheeks. JUVÉDERM Voluma integrates into the existing collagen and elastin in the skin tissue to offer greater support and elasticity. This can provide a noticeable smoothing and firming to the skin and lend the facial structure more substantial definition.

JUVÉDERM Voluma is the latest in the Juvederm line of dermal fillers. These various formulas have a successful history of reducing the appearance of wrinkles and folds in the skin and rejuvenating the face.

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