Dermal Fillers

juvederm 4What are Dermal Fillers?

Want a makeover – without surgery? Today’s dermal fillers have very little downtime, and can give your facial appearance the boost you’ve been hoping for. Injectable fillers are designed to replace lost volume, plumping up lips or filling deep wrinkles. Patients enjoy the nearly instantaneous results. Fiala Aesthetics uses only FDA-approved fillers, including: the Restylane® family of products, the Juvéderm® family of products, and Sculptra™.

Patient Testimonial

“My experience at Dr.Fiala’s office has been Exceptional!!!!! Front desk staff Melinda and Sandra are friendly and knowledgable. Finance with Denise was a breeze.I would like to thank Sandy Brittany Robbye and Kim W. My nurses during my pre op during surgery and post op visits. You all made me feel So comfortable and at ease during this whole experience! Thank. You Phi for the natural look with all the fillers and Botox.”  Read more of Dr. Fiala’s Testimonials here »

What are the different kinds of dermal fillers?

Recently, we have seen the introduction of several new FDA-approved dermal fillers.  And, of course, we have them all available for you!  Each one has specific uses where they really do well.

  • Juvéderm® and Restylane®: These are the original hyaluronic (HA) gel products that last for up to 6–12 months.  They are often used for correcting the nasolabial folds, and for lip plumping.
  • Refyne® & Defyne®:  Latest generation HA gels, which are more flexible, resulting in a more natural appearance with movement.  Defyne is specifically designed for deep wrinkles.
  • Restylane Lyft®: Formally known as Perlane, this gel is designed for deeper injection than Restylane.  It works well for severe facial wrinkles and folds.
  • Voluma®: An HA gel specifically formulated for filling and lifting of the cheek areas.
  • Vollure®:  A new generation HA gel specifically formulated for deep wrinkles.
  • Restylane Silk: An HA gel specifically formulated for the lips and for fine lines.  It can also be used, off-label, in the tear trough area.  It’s a favorite of ours for natural-appearing lip enhancement.
  • Sculptra®: More a volume-stimulating agent than a filler, Sculptra is made of poly-L-lactic acid, a liquid form of surgical suture material. It gradually stimulates your body to make new collagen in the treated areas. It is excellent for re-volumizing sunken areas of the face – especially the cheeks, the eyebrow and temple areas.
  • Kybella:  This is a fat-melting agent, not a dermal filler.  It is used to treat chin (submental area) fullness, as an alternative to liposuction or CoolSculpting.
  • Rejuva:  This is a new filler, known technically as adipose-derived extracellular matrix.  It acts like an “off-the shelf” fat graft.

Fiala Aesthetics participates in Allergan’s “Brilliant Distinctions” Program, a customer loyalty program in which you earn points for discounts on future purchases of Botox, Latisse, Juvederm and other Allergan products.

We also participate in Galderma’s “ASPIRE” Program, for purchases of the Restylane family of products.  Think of them like  “frequent flyer” programs!

Are dermal fillers safe?

Yes. Allergic reactions to dermal fillers are rare. The track record of safety with the injectable HA gel products is excellent, with a very low rate of complications.

How do I decide which filler to get?

Each filler has specific features that are suited to certain facial applications. Some need to be placed deeply in the tissues, others can work right underneath the skin surface. Some can be placed in the lips or near the eyes – and some can’t. Come and see us for an in-person consultation, and we’ll help you sort this out.

Will I bruise?

You might. You can help to minimize this by avoiding things that increase bruising – like aspirin, motrin, advil, Vitamin E, fish oil supplements and alcohol.  Also – don’t have fillers within 3 weeks prior to any important social events.  Injections near the eyelids and lips do tend to bruise more often, even with a careful injection technique.

Are dermal fillers painful?

Usually, people tolerate them very well. Most of the modern fillers have lidocaine mixed in the gel, which numbs the area upon injection. Also, numbing cream and ice can be used, to help make the injection be more comfortable. Let us know if you are needle-phobic or highly anxious – there are some additional things we can do, with advance notification.

Will dermal fillers replace a facelift?

No. Dermal fillers do not lift or tighten tissues, like a facelift would. But fillers work very well indeed for the patient who either notices a few lines & wrinkles and is not ready for a facelift, or for the patient that has already had a facelift and wants to maintain the improved appearance for as long as possible. Botox, dermal fillers, skincare and surgery each play a role in helping treat appearance issues.

Will I have a lot of swelling?

It depends on the product used, the amount of product used, and your body. There is often some swelling for the first 2 or 3 days, after which things usually settle down, giving the desired appearance.

What if I change my mind after having the dermal fillers?

One of the nice things about the HA group of fillers, like Juvederm, and Restylane, is that we can “undo” them, if necessary. There is an injectable agent that can “erase” the fillers if you don’t like them, or there are any issues with them.  Permanent fillers, like Artefill, are not reversible.

Can one syringe of product treat my whole face?

Honestly, no.  This would be like asking one quart of paint to cover your entire house.  It would be better to select one area and correct that zone properly, rather than spreading the filler out “a little bit here, and a little bit there”.

What is Kybella?

Kybella is an FDA-approved injection for melting fat.  Currently, it is offered only for the “double-chin” area, but other uses are being investigated.  A series of injections are performed, depending on the configuration of the individual’s fatty deposits in the neck.  Significant improvements in neck fullness, but not skin laxity, can be seen with this treatment.


For more information on the treatments and procedures offered at Fiala Aesthetics, please contact us at (407) 339-3222

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