dermal filler
filler uses

Dermal filler helps to diminish facial lines and restore volume and fullness in the face. As we age, our faces naturally lose subcutaneous fat. The facial muscles are then working closer to the skin surface, so smile lines and crow’s feet become more apparent. The facial skin also stretches a bit, adding to this loss of facial volume. Injectable wrinkle fillers, unlike Botox injections that relax the muscle under a wrinkle, fill the line, crease, or area with one of several different substances. As a result, trouble spots nearly disappear.


face fat
fat loss as we age


What areas will filler help?

Nasolabial Folds The lines that run vertically between your nose and mouth, sometimes called nasolabial folds, can become more pronounced over time. And as these folds deepen, they can create unflattering shadows on your face that may make you look older.

Vertical Lines Above and Below Your Lips Time is working against your skin’s appearance. Every time you speak, eat, kiss, or smile, your skin remembers. Lines eventually begin to show on your face.1 The vertical lines above and below your lips can be difficult to hide with makeup and are often highlighted when a bright shade of lipstick bleeds into them.

Downturned Corner Lines of Your Mouth Downturned lines at the corners of your mouth can make you look sad or angry. While these corner lines are a natural result of gravity taking its toll, that doesn’t mean you have to live with them.

Pre-Jowl A little known area of the face that can make a big impact on the way we look is the pre-jowl area, or the pre-jowl sulcus, which is the area on either side of our chin. Facial volume loss associated with the aging process results in sagging of the skin in other facial areas. This leaves the pre-jowl area hollow.

Chin Wrinkles Over time, people may develop a horizontal line that appears across the chin in the shape of an upside down smiley face. While etched-in lines like these are the natural result of repeated expressions we make or an active chin muscle, they can also subtly add years to your appearance.

Marionette Lines Even if you have never heard of marionette lines, you probably know what they are. These lines that run straight downwards from the corners of the mouth can make you look unhappy. Marionette lines form as facial volume begins to deplete and deeper creases begin to form below the mouth.

Around the Eyes The tear trough, also known as a nasojugal groove, extends from the inner corner of the eye, following a semicircular arc and transitioning to the palpebromalar groove. 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 aging around the eyes. Patients with deep tear troughs often complain that they look more tired and older than they really are.

Check Area As you age, it’s not just about lines and wrinkles. Your cheeks can lose volume and skin may begin to sag. VOLUMA® XC is the firstand only FDA-approved injectable gel to instantly add volume to your cheek area to correct age-related volume loss in adults over the age of 21. It can provide you contour and a subtle lift for up to two years with optimal treatment.

Hollowness of Temples The temple is the region on each side of the face between the top of the cheekbone and start of the brow bone next to the eye. Sometimes a loss of volume in the temple region can create an unflattering shadow effect that can contribute to a dark, dreary appearance of the face and eyes. Most people do not look in the mirror and worry about their temples; however, increased volume in the temples can have a stunning effect on improving the youthful appearance of the face!

What type of filler should I select?

No need to make this decision on your own. We will consult with you before your treatment to determine your best plan.

Belotero is an hyaluronic acid that is designed to erase fine etched lines. Specifically lines around your mouth (lip lines), crow’s feet and any other fine lines. There is no downtime.

Juvederm this is the “next generation” smooth gel, that is a non-animal dermal filler. It provides for easier insertion with less discomfort and a more natural feel because the gel is so smooth. Juvederm Plus treats lines around the nose and mouth. While Juvederm UltraPlus treats deeper wrinkles and folds, lips and the upper face. This 15 minute procedure is known to last for approximately 3 to 6 months with minimal side effects depending on the sensitivity of your skin.

Radiesse is an FDA approved dermal filler made of a calcium substance that works in harmony to jump start your bodies production of new collagen. It is known to smooth facial lines by filling facial recessions and scars, as well as restoring volume in and around the cheeks. Radiesse is commonly used to restore fullness to hands, as well as for non-surgical nose job procedures. Known as the “lunch time” procedure this treatment can last up to 18 months. Radiesse will stimulate your own collagen growth. It is the only filler that is made in the USA. It was also named filler of the year in Europe where they have 10x more choices for fillers.

Voluma was approved by the FDA to correct lines in and around the cheekbones, cheeks and chin. In conjunction with collagen and elastin, Voluma improves your skin structure and elasticity to create a smooth, natural look. The results are immediate and lasts up to 18 months with no downtime.

Vollure is a member of the Juvederm family of products. Vollure is an FDA-approved injection used for moderate to severe facial folds and wrinkles. It may also be used to fill pitted acne scarring in the face. Unlike other fillers, Vollure features the same Vycross technology that Voluma uses.

Bellafill is a unique, injectable collagen filler with microspheres that is FDA indicated to smooth the nasolabial folds for beautiful, natural-looking correction as well as acne scars that can lasts years instead of months.


Why your face ages and what you can do

Age affects every nook and cranny of the body. Along with the wisdom, experience, and accomplishments that come with getting older, there are changes that occur in our outward appearance. Changes in our faces are most at the forefront. Dozens of changes take place as the years add up, some of them obvious and familiar:

  • Foreheads expand as hairlines retreat
  • Ears often get a bit longer because the cartilage in them grows
  • Tips of noses may droop because connective tissue supporting nasal cartilage weakens.

There are also structural rearrangements going on behind the scenes. When we’re young, fat in the face is evenly distributed. There are pockets here and there that plump up the forehead, temples, cheeks, and areas around the eyes and mouth. With age, that fat loses volume, clumps up, and shifts downward. Features that were formerly round may sink, and skin that was smooth and tight gets loose and sags. Meanwhile other parts of the face gain fat, particularly the lower half. So we tend to get baggy around the chin and jowly in the neck.

And, of course, there are the wrinkles. Those deep ones in the forehead and between the eyebrows are called expression, or animation, lines. They’re the result of facial muscles continually tugging on, and eventually creasing, the skin. Other folds may get deeper because of the way fat decreases and moves around. Finer wrinkles are due to sun damage, smoking, and natural degeneration of elements of the skin that keep it thick and supple.

Not everyone is comfortable with that, and some might like to postpone embracing those changes. The age-defying facelift, which surgically removes excess tissue and lifts sagging skin in the lower part of the face, is one way to try to stem the tides of time. But the surgery is expensive, and other procedures may be needed to achieve the desired results. There are plenty of alternatives for altering the aging face. Dermal Fillers are a quick way to fight off signs of againg.

Changes below the skin also become evident as we age. They include:

  • Loss of fat below the skin in the cheeks, temples, chin, nose, and eye area may result in loosening skin, sunken eyes, and a “skeletal” appearance.
  • Bone loss, mostly around the mouth and chin, may become evident after age 60 and cause puckering of the skin around the mouth.
  • Cartilage loss