Dermal fillers are gel-like substances that are injected beneath the skin to restore lost volume, smooth lines and soften creases, or enhance facial contours. The fillers we use are made up of Hyaluronic Acid (HA), which is a natural occurring sugar found in our own skin. HA can also help hydrate the skin, as it is hydrophilic (water loving). HA fillers are also reversible with a medication called Hylenex, which dissolves filler.
Off-label means using a medication for something other than what it is FDA approved for. Off-label prescribing is legal in the U.S. Healthcare providers, such as doctors and nurse practitioners, can prescribe FDA-approved medications for purposes that are not on the label if they feel that it is appropriate and beneficial for the patient. Different types of dermal fillers may be used in areas that are not FDA approved, but would benefit the patient the best per the recommendation of the provider.
There are many different types of filler, and pricing differs accordingly. Here’s a list of the different fillers, what they are used for, and how long they last.
Volbella $700 - Lips and tear troughs (under eyes). This filler is thin and is best for natural looking results. Lasts up to 1 year.
Juvederm Ultra $700 - Lips, superficial lines/wrinkles, mild nasolabial folds. Lasts up to 1 year.
Juvederm Ultra Plus $750 - Nasolabial folds, deeper lines/wrinkles. Lasts up to 1 year.
Vollure $850 - Nasolabial folds, jawline, chin and cheeks. Lasts up to 18 months.
Voluma $975 - The MACK DADDY of the Juvederm filler line! This is a thick filler ready to contour jawlines, cheeks, chins, and deep nasolabial folds.
8-point Lift (includes 3-4 syringes of a combination of filler).
No two people are the same, and the number of syringes a person needs will differ from the next. But, just to give you an idea…
Temples 1 - 2 syringes per side
Tear Trough 0.5 - 1 syringe per side
Cheeks 2 - 4 syringes per side
Nasolabial Folds 0.5 - 1 syringe per side
Marionette Lines 0.5 - 1 syringe per side
Lips 1 - 2 syringes *always start with 1*
Chin 1 - 2 syringes
Jawline 2 - 4 syringes per side
8-point Lift (includes cheek, chin, jaw, pyriform aperture) 3-4 syringes total
Being poked with a needle is never fun. We try to make it as comfortable as possible by using a potent, prescription strength, Lidocaine based cream known as BLT cream. We can also use other techniques, such as vibrating tools for distraction, breathing exercises, music, and/or ice for discomfort. We go nice and slow, and are always talking you through it.
When you first arrive, we will discuss expectations and review consents/intake forms. Then, BLT cream is applied to all injection sites. You will then wait and numb for about 20-45 min, depending on where we are injecting. Lips take the longest!! It may even be a good idea to arrive 15 minutes early to numb for lip filler. The actual procedure takes about 20-30 minutes. You’ll receive after instructions at the end of your procedure.
Before your filler treatment, there are several things you can do ahead of time to ensure your appt goes smoothly!
Avoid blood thinning products 1-2 weeks before your treatment. This includes aspirin, NSAIDs (Motrin, Advil, Aleve, naproxen, ibuprofen), fish oil, St. John’s Wort, flax, Vit E, Vit D, garlic, Ginkgo Biloba, ginseng, etc. Stopping/avoiding these medications will decrease your risk of bruising and bleeding. (DO NOT STOP PRESCRIBED BLOOD THINNERS, it is not safe and you are not a candidate if you take prescribed blood thinners.)
Avoid alcohol 24 hours before your appt. I know, bummer. But drinking alcohol also thins your blood, and will increase your risk of bleeding and bruising.
Pre-medicate as needed. If you get cold sores, take your antiviral before your treatment to avoid a flare up. Take any antihistamine the morning of your treatment.
Absolutely. Please limit to one person per patient. Space is limited. Please, no children if you can help it.
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