Dermal Fillers

Dermal fillers are injectable gels—mostly hyaluronic acid (the same substance your skin naturally produces) plus a few biostimulators like Sculptra—used to restore lost volume, add contour, and smooth lines. We use them in lips, cheeks, jawline, under eyes, temples, nasolabial folds, and hands. Results are immediate and last 6–18 months depending on the product and area.

We typically use Restylane Kysse, Juvederm Volbella, or RHA Redensity for lips—soft, flexible gels that move naturally with expression. For more structure (a defined lip line), we'd choose Restylane Refyne or Juvederm Ultra. The right product depends on the look you want—natural plumping vs. defined shape—and your lip anatomy. We'll choose together at consultation.

Most patients see 9–12 months from a full syringe of lip filler. Some patients metabolize faster (especially if active in cardio) and see 6–8 months; others see 14+ months. Touch-ups every 9–12 months maintain consistent shape. Don't expect a single treatment to last 2 years—that's not how lip filler works.

Lips: usually 1 syringe per treatment, sometimes 1.5 for full restoration. Cheeks: 2–4 syringes per side over 1–2 sessions for full restoration. Jawline: 2–4 syringes. Under eyes: 1–2 syringes total. Nasolabial folds: 1 syringe. Your provider calculates based on your face and goals. We don't push more product than you need.

Hyaluronic acid fillers run $550 to $1,100 per syringe depending on the product. Common products: Volbella .5ml $550, Eyelight $550, SkinVive $550, Kysse $800, RHA-1/2/3/4 $800 each, Lyft $750, Defyne $850, Refyne $850, Juvederm Ultra $850, Vollure $925, Contour $925, Voluma $1,000, Volux $1,025. Radiesse (calcium hydroxylapatite) $1,100. Members receive discounted per-syringe pricing.

Less than you'd think. We apply topical numbing for 15–20 minutes before treatment, and all hyaluronic acid fillers contain lidocaine that further numbs as the product is injected. Areas like lips are more sensitive than cheeks. Most patients are comfortable throughout. We can use a cannula instead of a needle for certain areas (less bruising, less pain).

Swelling is normal for 24–48 hours (lips can swell visibly for 3 days). Bruising is possible at any injection site. Most patients return to normal activity immediately—just skip strenuous exercise, heat, and alcohol for 24 hours. Final shape settles at 2 weeks once swelling resolves.

Yes—hyaluronic acid fillers can be dissolved within 24 hours using hyaluronidase (Hylenex), which we offer in-house. We use this if you're not happy with the result, if there's been migration, or if a complication arises. Sculptra and Radiesse are NOT reversible—we're more conservative with those products as a result.

Fillers replace lost volume—they add to your face. Botox relaxes muscles to soften wrinkles caused by movement. Fillers treat lines that show up at rest (deep nasolabial folds, sunken cheeks); Botox treats lines that show up when you move (forehead, crow's feet). They work in different ways and most patients use both for complete results.

Improperly placed filler can migrate, especially in lips. Migration is a sign of overfill or wrong product placement. Our team is trained to place product in the correct anatomical plane and to use proper dosing. If you've had filler elsewhere and have concerns about migration, we offer dissolving and re-treatment plans.

Not when used correctly. The myth comes from patients who've been chronically over-filled. Properly dosed filler integrates with surrounding tissue and supports the area without stretching. Skin stretches from massive volume changes (major weight loss/gain, pregnancy), not from appropriately dosed filler.

Yes—and they often work better in combination. We frequently pair fillers with Botox (volume + muscle relaxation), with Sculptra (immediate fill + long-term collagen building), with PRP microneedling (skin quality + structural support), and with skincare protocols. We'll build a combined plan if that's what your goals require.

A follow-up appointment is recommended 2 weeks after treatment so swelling resolves and you see the true result. For staged restoration we typically space additional sessions 2 to 4 weeks apart so you can evaluate and we can refine. Maintenance treatments are typically needed every 6 to 18 months depending on the area treated and filler used.

Pregnant or breastfeeding patients, patients with active infections in the treatment area, patients with certain autoimmune or bleeding disorders, and patients on certain medications. We screen for all of this at consultation. If filler isn't appropriate for you, we'll tell you and suggest alternatives.

Book a complimentary consultation online or call (806) 701-5840. We'll examine your face, talk through what you'd like to change, recommend products and amounts, and give you honest pricing. No obligation—we want you to make the right decision for you.