Dermal Fillers

Dermal fillers are FDA-approved products that are injected directly into the skin of the targeted area to restore volume and reduce the appearance of deep lines and wrinkles (especially those that are not well treated with Botulinum). Many are made from substances either found or mimicked in the body. As we age, we develop tell-tale signs of aging such as hollowing in the cheeks and deepening of the smile lines. Dermal fillers can create more volume in hollow areas and soften age lines, leaving you looking younger and refreshed.

Types of Dermal Fillers

Hyaluronic Acid Filler [Restylane, Belotero]
Hyaluronic acid (HA) is a material that is already present in our skin and FDA-approved to fill in moderate to severe facial wrinkles and folds. Various formulations have been developed for special use in particular parts of the face.

At Visage, we carry the following HA fillers:
- Restylane-L
- Restylane Refyne
- Restylane Defyne
- Restylane Kysse
- Restylane Lyft
- Restylane Contour
Calcium Hydroxylapatite [Radiesse]
Calcium hydroxylapatite is another FDA-approved dermal filler within a water-based gel. It is thicker than the hyaluronic acid fillers, which makes it more useful for deeper injections that simulate adding bone volume (e.g. cheeks, chin, bridge of nose). Studies show that it may stimulate the natural production of collagen in the skin.

At Visage, we carry the following CaHA fillers:
- Radiesse

Procedure

How It's Done

Patient comfort and safety is a priority. Prior to injection, the skin is cleansed and, per the patient’s preference, anesthesia is applied. The combination of topical numbing cream and ice provides very effective anesthesia. The needles used for the treatment are very small. In some areas, we use blunt cannulas instead or needles for a safer procedure. The injections only take minutes to perform.
Results

The results of this procedure are visible right away and are never permanent. Depending on the filler and the areas placed, effects may last 6 to 15 months.

Post-Procedure

Recovery

Temporary redness and/or swelling at the injection site is common but resolves quickly. As with any injection, bruising is also a possibility. Some areas, like the under-eye, potentially bruise more than others. Read this guide on how to prepare for cosmetic injections in order to minimize side effects.
Side Effects

Dermal filler injections have been used for decades for cosmetic purposes without serious or long-term side effects. The risk of cosmetically disturbing results like an unnatural look or skin necrosis is minimized with a skilled injector who has extensive knowledge of facial anatomy.

What Areas Can Be Treated?

During your consultation, we will help you decide which dermal filler will provide you the best possible results for your needs.

Thin Lips

Lips thin and lose projection as we age. The borders of the lip, which are well defined in youth, flatten over the years. Lip fillers can be placed at the border to accentuate the lip, in the body of the lip to add volume or in a specific manner to create more of a pout. In general, we like to concentrate dermal filler to the central lip and taper to the corners of the mouth.
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Laugh Lines

The laugh lines, or nasolabial folds, extend from the side of the nostril down next to the corner of the mouth. For many, they are among the first signs of aging and worsen as we lose volume and gain laxity with age. Dermal filler is injected under the laugh line crease to soften it. To avoid an unnatural appearance, we do not believe in trying to completely flatten the area.
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Marionette Lines

Marionette lines extend from the corners of the mouth down between the chin and jowl. The jowl, which is cheek fat that has fallen over the jawline, may deepen the marionette lines. Dermal filler may be placed in the marionette line and prejowl area to make it appear smoother. Any downturn at the corners of the mouth may also be filled and raised to create a more upturned position.
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Recessed Chin

A recessed chin may be a feature one is born with or accentuated with aging. In profile, it makes the jawline and neckline appear shorter. Dermal filler adds projection while mimicking the natural feel and contour of the chin. It may also be used to soften a double chin.
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Hollow Cheeks

Hollow cheeks are the result of age-related volume loss of cheekbone and the descent of cheek fat into the jowl. This may lead to a gaunt, tired appearance. Different parts of the cheek may need different types and amounts of filler depending on the patient's unique anatomy.
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Non-Surgical Rhinoplasty

Bumps and depressions along the bridge or tip of the nose can attract unwanted attention. Dermal filler can be used to fill in contour irregularities to smooth out the nose. We use blunt cannulas in this area to reduce risk. A full correction can be achieved in 1-2 treatments.
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Dark Circles

The tear trough extends from the inner corner of the eye to the central cheek where dark circles form. Dermal fillers elevate the tear trough to blur the boundary between the cheek and lower eyelid. Skilled injection technique is critical for preventing worsening of lower eyelid bags. A full correction can be achieved in 1-2 treatments.
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Hollow Eyes

The eye socket, or orbit, gets larger as we age and creates a deepening between the eye and eyebrow. This makes the upper eyelid appear too tall and sunken. Dermal filler placed above the upper eyelid can fill the hollow and shorten the height of the upper eyelid.
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List of Services

"I received lip filler and Dysport from Layla and couldn't be happier. I barely had any bruising and very little if any swelling. I previously had lip filler from other providers and always swelled and bruised significantly. My results are very natural. Layla made me feel very comfortable and took the time to listen to my concerns. I Highly recommend Layla and Visage."

"I had a huge bump on my nose from an injury years ago. I went in for a "nonsurgical" nose job with super low expectations and ended up beyond pleased with my results! Looks like the nose I was born with but even cuter! So pleased and so worth it. The procedure was almost painless. My friends and family literally do not believe me that just filler did this, that's how great my results are!"

“I had filler done, I was very pleased with the outcome. Dr. Patel is very thorough, patient and kind. I felt very comfortable asking questions and received answers to all my questions. I have referred the doctor to many people and will continue to do so as well as returning myself as a patient."