Dermal Fillers

Dermal fillers are injectable medications used to plump up areas of treatment. Commonly, they are used on the face to help enhance shallow contours, plump the lips, soften facial creases, remove wrinkled and improve the look of recessed scars.

What is the difference between Botox and a Dermal Filler?

Botox, Xeomin and a few other injectable medications made from the botulinum toxin are designed to paralyze the tiny muscles in the face that allow you to furrow your brow, squint, etc. Because you can no longer move those muscles to create the wrinkle, it keeps your skin in better condition over time. Dermal fillers work by literally filling in the deep lines and creases.

What can be treated with Dermal Fillers?

Commonly, they are used on the face to help enhance shallow contours, plump the lips, soften facial creases, remove wrinkled and improve the look of recessed scars. Dermal fillers can be used at the corners of the mouth to treat a downturned smile, to fill nasolabial folds (smile lines), to smooth-out smokers lines around the lips, to reshape chin lines, to add more definition to cheeks, to fill in the tear troughs (for those who feel they have “sunken” eyes), to correct brow droop and more! Dr. Rafi will discuss treatment options with you during your appointment.

What happens during a Dermal Filler treatment?

Like all of our cosmetic treatments, a Dermal Filler treatment begins with an in-depth assessment of your skins current state. Dr. Rafi will assess the potential treatment areas and work with you to decide how aggressively to work on each area.

After the assessment is done, Dr. Rafi will work with you to determine whether topical pain management is needed (a quick swipe of lidocaine cream) and will begin injecting the appropriate areas.

How long does it take?

Plan to be with us for an hour to an hour and a half, depending on how many areas need to be treated. The actual time for injections is quite fast, but Dr. Rafi likes to ensure that each of her patients is given a thorough assessment before treatment begins.

Does it hurt?

Pain management (in the form of a lidocaine cream) is available if Dr. Rafi recommends it. Most patients feel just a sharp prick followed by a slight stinging sensation and some dermal filler products contain a numbing agent in them, so topicals are rarely needed.

How long is the recovery time?

Aside from some minor redness and swelling, most patients have no recovery time at all. If you are getting work done around the mouth, you may want to wait a bit before trying to eat or drink as numbness can take a bit to wear off.

Is it safe?

There is a slight risk of allergic reaction. Most commonly, any side effects are mild but they can include redness and itching at the injection site, slight bruising or small lumps (which are normally easy to massage out). Notify Dr. Rafi immediately if you suspect any reaction.

Can anyone do it?

No. Dermal Fillers are not to be used by patients with a history of allergic reaction to gram-positive bacterial proteins or anyone who has an active skin infection at the proposed injection site. It should also be avoided by patients who are on blood-thinning medications as that can increase bruising and bleeding.


No. Most cosmetic procedures are not covered by insurance.

How many treatments are needed?

As the effects of most Dermal Fillers are temporary, it is recommended that our patients repeat the injections every 6-18 months, depending on their individual needs. The effects will wear off gradually and naturally, and repeated injections are completely voluntary.

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