Dermal Fillers

As we get older, the natural aging process, the toll of gravity, and genetics can cause noticeable loss of volume in specific areas on the face. The microscopic building blocks of youthful skin include collagen and hyaluronic acid, which both decline normally with age. Deep fat pads under the skin also become thinner with age. You may notice:

-flattening of the cheeks

-deepening of parentheses lines (laugh lines or nasolabial folds)

-thinning of lips

-hollows under the eyes (tear troughs)

What are dermal fillers?

Dermal fillers help to diminish facial lines and restore natural looking volume and fullness in the face. A range of dermal filler formulations allow for their use to solve an array of aesthetic concerns: smoothing and filling wrinkles, lip augmentation, restoring facial volume, and skin rehydration. Many fillers are made of hyaluronic acid (HA), a substance that is found naturally in the skin.  In fact, one of the key factors distinguishing youthful skin is its high moisture content, and HA is the main molecule responsible for retaining water in the skin. As HA declines with age, facial volume is lost.

How do fillers work?

Dermal fillers are injectable gels that are used to fill wrinkles to make them less visible, create volume in parts of the face, plump lips, and create natural contours where desired. Because the filler is being injected directly into the target area, results can be seen instantly. Natural results can be achieved, with no effect on facial expressions.

Who may benefit from dermal fillers?

Fillers have multiple potential applications. The most common are:

  • Adding volume and smoothing out the deep creases that run from the nose to the mouth (called nasolabial folds, laugh lines, or parentheses lines).

  • Lip fillers for plumping thin lips, and smoothing out vertical lines around the edges of the lips.

  • Augmenting cheeks to enhance their shape, often restoring youthful fullness.

  • Under eye filler is popular for filling out depressions (hollows) under the eyes called tear troughs, and reducing the appearance of dark circles.

  • Defining the jawline.

  • Making indented scars from acne or chicken pox less apparent by lifting them to be more even with surrounding skin.

  • Increasing volume to fill out gauntness in the lower cheek or temple area, which most often occurs due to fat pads shifting beneath the surface of skin.

Lip filler using 1.0 mL (one syringe) of Juvederm Ultra. Love those lips!

Lip filler using 1.0 mL (one syringe) of Juvederm Ultra. Love those lips!

What types of fillers do you offer?

At Face Forward Medical Aesthetics we use a variety of dermal fillers to achieve a youthful appearance. We offer Juvederm, Voluma, Radiesse, Restylane, Restylane, Volbella, Bolotero, and Sculptra among others. Each filler has different characteristics. There is no “one-size-fits-all” dermal filler. Depending on location, anatomy, skin type, age, and specific aesthetics goals, a certain filler will be chosen that is best suited for the job, and for your specific goals. Check out before & after photos on this page, in the dermal fillers section.

I’ve heard…

The most common misconception about fillers is that the results won’t look natural. If done properly, the results should be subtle and natural. You should look rejuvenated, not over-filled. A great New York Times article recently reviewed the use of fillers under the eyes and in the temples, and is worth a read!

What are the benefits of dermal fillers?

  • Immediate results

  • Natural looking results

  • Non-surgical

  • Short downtime

  • Youthful, fuller facial features

  • Reduced appearance wrinkles

  • Restored confidence

Dermal Fillers at Face forward medical aesthetics

As part of your free consultation, Jill Canes, NP will listen to your concerns, understand what you perceive to be problem areas, and explore your expectations. After we discuss your goals, we can determine if dermal fillers are a potential solution. We work to create a treatment plan that fits your budget. Click here to find out about pricing.

What can I expect during treatment?

First, the area will be cleaned to remove all bacteria, and you may be given a topical anesthetic to numb the area prior to injection. Many filler products also contain lidocaine, a mild anesthetic, which is intended to help minimize discomfort during and after your treatment. Your provider will then strategically inject a precise amount of filler beneath the skin.

Depending on the product and the areas treated, you should see noticeable results immediately after receiving filler injections. Some patients experience mild bruising and swelling, but these are temporary and should subside over the days following treatment. You will be able to go back to your normal activities right after treatment, but your provider may ask you to take the day off from exercise or other strenuous activity.

When can I expect results?

Some people may begin to notice results within 24-48 hours. The full effect may be realized within 1-2 weeks, a visible smoothing of wrinkles in problem areas.

How long do fillers last?

Results last from 2 months to 2 years, depending on the type of filler. However specific areas can be “reversed” if needed, by injecting a substance called hyaluronidase.

Do fillers have side effects?

Overall, the side effects of injectables are relatively minor (one of the many reasons injectables have become so popular). Common filler-related side effects include bruising, swelling, redness, or tenderness around the injection site, all of which will resolve after a few days to a week.


Have a big event planned? Set aside a full recovery week before attending.

Are fillers the same as Botox?

No, fillers are not the same as Botox, but they frequently complement each other. Check out our blog on this very popular question! Dermal fillers, like Botox, are used to prevent or eliminate hallmarks of facial aging. The primary difference between the two is that Botox reduces the activity of muscles in the face that cause wrinkles. Facial fillers fill the trouble areas with collagen, which helps to stimulate collagen growth in the face as well as plump and lift the skin to replace collagen loss. This helps your skin achieve as youthful of a look as possible, as well as eliminate signs of aging that occur as a result of collagen depletion.