Dermal and Lip Fillers
Dermal Fillers: Restore, Enhance, and Rejuvenate
Dermal fillers are a cornerstone of modern, non-surgical facial rejuvenation, offering patients the ability to restore volume, soften lines, and enhance facial contours with immediate, natural-looking results and minimal downtime. Whether you're seeking subtle enhancement or more comprehensive facial balancing, fillers provide a safe, customizable option for revitalizing your appearance without the need for invasive procedures.
The use of injectable materials in cosmetic medicine dates back to the late 19th century, when physicians experimented with paraffin and animal-derived collagen for facial enhancement. However, it wasn’t until the 1980s that fillers gained popularity with the introduction of bovine collagen. These early treatments were limited in duration and had a higher risk of allergic reactions. A significant advancement came in the early 2000s with the FDA approval of hyaluronic acid (HA)-based fillers such as Restylane® and Juvederm®. Hyaluronic acid is a naturally occurring substance found in the skin and joints, making these fillers well-tolerated, hydrating, and biocompatible.Since then, the field has evolved to include an array of advanced fillers tailored for specific concerns—from refining fine lines to restoring deep volume in areas like the cheeks, jawline, and temples.
Dermal fillers work by restoring volume beneath the skin’s surface, smoothing wrinkles, enhancing contours, and improving facial symmetry. Most popular fillers are made from hyaluronic acid, which draws in water and adds hydration, resulting in a plumper and more youthful appearance. Other advanced formulations include calcium hydroxylapatite (found in Radiesse®) for structural support, and poly-L-lactic acid (found in Sculptra®) which works gradually by stimulating the skin's natural collagen production over time. These products are expertly injected into targeted areas such as the lips, cheeks, nasolabial folds, chin, and temples to deliver both subtle and transformative results, depending on your goals. Our providers can help you determine which product is the best for you.
During your visit, a licensed provider will begin with a detailed consultation to assess your facial anatomy, skin condition, and desired outcomes. Clinical photography may be used to guide the treatment plan. After cleansing the skin, a topical anesthetic may be applied for comfort. Many fillers also contain lidocaine, a local anesthetic that further minimizes discomfort during the procedure. Using a fine needle or blunt-tip cannula, the filler is gently injected into the designated areas. The entire appointment typically takes 30 to 60 minutes, and patients can resume most daily activities immediately afterward. Mild swelling or bruising may occur but is usually temporary.
Dermal fillers offer several benefits. Results are often visible immediately and can be tailored to your individual anatomy and aesthetic preferences. Fillers are especially effective at restoring youthful volume, softening deep lines, and enhancing natural features like the lips, chin, or cheeks. Some formulations even stimulate your body’s own collagen for long-lasting skin health benefits. Treatment requires little to no downtime, and hyaluronic acid-based fillers are reversible with an enzyme called hyaluronidase, providing peace of mind for patients who are new to injectables or seeking temporary enhancements.
Longevity of results varies depending on the filler type, area treated, and your individual metabolism. Hyaluronic acid fillers such as Juvederm® and Restylane® typically last 6 to 18 months. Radiesse®, made with calcium hydroxylapatite, provides results for 12 to 18 months and also stimulates collagen. Sculptra®, which builds collagen gradually, can offer results that last up to 2 years. Maintenance appointments are recommended to preserve your results and can be scheduled at regular intervals based on your aesthetic plan.
Proper preparation can enhance your treatment experience and outcomes. We recommend avoiding blood-thinning medications (such as aspirin, ibuprofen, or fish oil) for 5 to 7 days prior to your appointment to reduce the risk of bruising. Alcohol should be avoided for 24 hours beforehand, and skincare products like retinol or exfoliants should be discontinued 2 to 3 days before treatment. Please inform your provider about any recent dental work, vaccines, or history of cold sores.
After your filler treatment, care is simple but important. Avoid touching or massaging the treated areas unless instructed. Refrain from intense exercise, saunas, and alcohol for 24 hours. Applying a cold compress can help reduce swelling if necessary. Mild bruising or tenderness may occur and typically resolves within a few days. To maintain optimal results, stay well-hydrated, avoid facials or dental procedures for 1 to 2 weeks, and use gentle skincare and daily SPF.
Dermal fillers are ideal for adults seeking natural-looking enhancement or facial rejuvenation without surgery. Whether you're looking to refresh your appearance, address signs of aging, or define your features, fillers offer a versatile and highly effective solution tailored to your unique goals.