FILLER.

Fill in and smooth fine lines and wrinkles, restore volume, or give a natural-looking fullness to cheeks or lips.

Skin Pharm Nurse Practitioner performing lip filler procedure

What are Cosmetic Filler Injections?

Dermal fillers are gel-like substances that are injected beneath the skin to plump lips, enhance cheekbones, chins, jawlines, and temples, improve under eye hollowing or darkness, lift eyebrows, erase smile lines, and generally improve appearance. 

Fillers are different from botulinum toxins such as Botox or Dysport in that instead of “freezing” the muscle, they actually smooth the skin by filling in wrinkles. Most fillers, such as Restylane and Juvederm, use a substance called hyaluronic acid to achieve these results. Hyaluronic acid is a naturally occurring substance in your skin that has a unique ability to store moisture. You may see hyaluronic acid listed as an ingredient on your favorite skin care because it is used frequently in topical skincare to moisturize the skin. When injected under the skin, it provides a natural plump, hydrated look.

Typical Filler Treatment

At Skin Pharm, we specialize in providing natural results through filler injections. We have over ten filler options at our practice, and would love to pick the best one for you and your skin goals. Our Nurse Practitioners will discuss your skin goals and determine which filler or combination of fillers is best suited to meet your individual goals. Generally, the procedure will take about 30 minutes depending on the type of filler chosen.

Skin Pharm Nurse Practitioner performing lip injection

Preparation

As your appointment approaches, we recommend the following to reduce bruising and/or swelling at the injection site.

  • Avoid drinking alcoholic beverages 24 hours prior.
  • Avoid taking aspirin, ibuprofen or similar blood thinning over-the-counter medications (Advil, Motrin, Aleve, etc.) for one week prior to filler.
  • Avoid supplements such as fish oil, gingko biloba, primrose oil, garlic, ginseng, and Vitamin E for one week prior to filler.
  • Avoid waxing, bleaching, tweezing, or hair removal cream on the area to be treated for 2 days prior.
  • If you have previously suffered from facial cold sores, there is a risk that the needle punctures could contribute to another eruption of cold sores. Please let your Nurse Practitioner know if you are prone.
  • Hydrate
  • Clear your schedule after filler so you can take time to ice your face and relax.

In order to maximize your comfort during the procedure, a topical anesthetic may be applied.

Recovery and Results

Recovery time varies for each patient and for each type of filler injected. You can resume most normal activities immediately following the procedure. Immediately after the treatment, you may experience redness, bruising, swelling, tenderness, and/or itching near the injection site. This is normal and generally subsides within a few hours to a few days. It is recommended that you avoid intense physical activity for the first 24 hours after the procedure to minimize swelling and bruising. 

Most patients will see immediate results following their filler treatment. You should expect it to take between 7-10 days to see your final result. This is when the filler fully settles and any swelling or bruising fully subsides.

How long the effects of dermal fillers will last depends on the product, the area of treatment, and the patient. Typically, facial fillers will last between 6-18 months.

Lip Filler Before and After

Enhanced border and fullness of lips with HA filler.
Enhanced border and fullness of lips with HA filler.
Lip hydration with Juvederm HA filler.

Lip hydration with Juvederm HA filler.

Improved upper to lower lip ratio by adding micro droplets of HA filler.

Improved upper to lower lip ratio by adding micro droplets of HA filler.

Lip augmentation with filler injections.

Lip augmentation with filler injections.

Individual Results May Vary.

Cheek Filler Before and After

Added volume with Restylane to her lips and Voluma to her cheeks.

Added volume with Restylane to her lips and Voluma to her cheeks.

One syringe of Voluma to improve the lid to cheek transition (midface).

One syringe of Voluma to improve the lid to cheek transition (midface).

Individual Results May Vary.

Under Eye Filler Before and After

Immediately before and after Voluma to cheeks and Restylane to improve undereye appearance. Swelling will subside.

Immediately before and after Voluma to cheeks and Restylane to improve under eye appearance. Swelling will subside.

Blended Restylane with cannula technique to undereyes and Restylane Lyft to temples for overall rejuvenation.

Blended Restylane with cannula technique to under eyes and Restylane Lyft to temples for overall rejuvenation.

Blended Restylane with cannula technique to brighten and smooth under eyes.

Blended Restylane with cannula technique to brighten and smooth under eyes.

Restylane Lyft to improve and gain symmetry to under eye area.

Restylane Lyft to improve and gain symmetry to under eye area.

Individual Results May Vary.

Common Filler Questions

How much does filler cost?

Skin Pharm filler treatments start at $750. The cost of your treatment is based on the filler type required as well as the amount of filler needed.

How long do lip fillers last?

How long the effects of dermal fillers will last depends on the product, the area of treatment, and the patient. Typically, facial fillers will last between 6-18 months.

Which is the best lip filler?

All fillers are not created equal. The right one for you will depend on a number of factors, such as your natural lip structure and shape and what you would like your lips to look like after fillers. Choose an experienced and reputable provider for your lip fillers, then use this guide to help you explain your goals and decide on a filler with the help of your provider.

Can filler be reversed?

Yes! Hyaluronidase can be injected to dissolve filler.

Does filler hurt?

You may experience minor discomfort during the injection of fillers. The good news is we  use a topical numbing cream and the filler itself has a numbing agent in the product to help minimize discomfort.

How long after lip filler can you kiss?

Avoid going out in the sun, drinking alcohol, eating salty foods, heavy exercise, and other activities (including kissing) that will get your blood pressure up for 48 hours after your appointment. This will help to reduce bruising and swelling.

What are the side effects of facial fillers?

All dermal fillers currently used have some side effects. Some of the side effects and complications that may occur include:

  • Tenderness, bleeding and bruising
  • Lumps, nodules, overcorrection, blue appearance from too superficial injection
  • Allergic reactions
  • Non-allergic inflammatory reactions eg granulomatous reactions weeks to years after injection: nonpainful lumps
  • Numbness due to nerve palsy
  • Vascular injury
  • Infections: reactivation of herpes virus, staphylococcal infection, infectious granulomas and biofilms
  • Movement of filler

Can I get filler injections while pregnant?

Filler injections should not be used in pregnancy or when breastfeeding. We recommend getting microneedling treatments during pregnancy.