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Smooth out wrinkles & fine lines

dermal fillers

Smooth out wrinkles & fine lines


Dermal fillers are facial injection treatments used to help diminish wrinkles while restoring volume and fullness in the face and hands. There are several types of dermal fillers, one being hyaluronic acid.

Hyaluronic acid, or HA, is a naturally occurring substance that delivers volume to the skin.



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Filler Types

Hyaluronic acid

HA is polysaccharide naturally found in the body.
Results last 6-12 months
Derived from purified bacteria and rooster combs
Hydrophylic, keeping skin plump and hydrated
Most commonly used for mild wrinkles, thinning lips, and hollow undereyes
Brands & Elasticity (G'):
  • Juvederm G': 28-274
  • Restylane G': 67-565
  • Belotero G': ~30
  • Saypha G': ~500-700
  • Teosyal G': ~150-300

calcium hydroxylapatite

Comprised of CaHA microspheres suspended in a aqueous carboxymethylcellulose carrier gel
Hyperdilute to use as biostimulator instead of volumizing agent
Used to add volume to contour, especially in cheeks and jaw
Shows results even after product is filtered out of the body
Treats skin laxity and severe skin folds
Radiopaque and visible on CT scans and radiographs
Highest G-prime filler on the market
Results last 12-18 months
Viscous nature provides instant results, but not dissolvable
Brand Brands & Elasticity (G'):
  • Radiesse G': 1407

poly-l-Lactic acid

PLLA is biodegradable, synthetic material more commonly seen in absorbable sutures and bone screws
Stimulates natural collagen production and dermal fibrosis by triggering a mild inflammatory reaction, so desired results may require time
Filler is reconstituted with sterile water into a hydrogel with a methylcellulose carrier
2-3 session typically required, results last up to 2 years
Used to restore volume loss due to aging, especially in temples, cheeks, jowls, and nasolabilal folds
  • Sculptra

How do dermal fillers work?

Dermal fillers (or soft tissue fillers) can be used to plump lips, smooth wrinkles, and folds, and fill in the under-eye hollows known as tear troughs. They can also add volume to cheeks, reduce the appearance of pitted acne scars, and sculpt the jawline.

The face loses subcutaneous fat and muscle volume with age. For patients who are seeing the early stages of age-related volume loss, a “liquid facelift” that combines injectable fillers with a neuromodulator like Botox can restore a more youthful appearance, delaying the need for a plastic surgery procedure like facial fat transfer.

That said, dermal fillers will not provide the same level of facial rejuvenation as a cosmetic surgery like a facelift; the results are more subtle and more temporary.

Hyaluronic acid is the most popular FDA-approved filler ingredient because it’s so easy to dissolve in the event of a complication. Fillers can also be made of collagen, calcium hydroxylapatite or (Radiesse), and poly-L-lactic acid (Sculptra).

dermal filler Treatment Areas

dermal fillers Before and After*



Under Eyes


What happens during a dermal filler treatment?

First, you and your injector will discuss your desired result and the best type of filler to create it, as well as potential risks. This is a great time to ask how much filler you’ll need and get a more specific cost estimate, to avoid sticker shock when you go pay your bill. 

Once you’ve worked out these details, here’s what you can expect:

  • Your injector will clean the treatment area and apply a topical anesthetic if needed (though most fillers contain lidocaine already).
  • Then they’ll slowly inject the filler with a needle or blunt-tipped cannula, gently massaging the area with their fingers to distribute it before continuing with more injections, for even distribution.
  • If it’s your first time getting fillers (particularly lip fillers), your injector may be conservative about how much filler to use and suggest that you return once the swelling has gone down, to assess your result and see if you want more volume. In fact, if you’re getting Sculptra, you can expect to need a series of multiple treatments over a few months, as new collagen develops.
  • Each injection only takes a few moments, and the entire cosmetic procedure takes under 20 minutes unless you’re having an extensive treatment like a liquid facelift.
  • You’ll see more volume or smoother skin immediately.
  • When they’re done, they may give you a small, light ice pack to hold against your skin to alleviate discomfort, tenderness, or immediate swelling or bruising. Just don’t apply too much pressure.  
How is treatment with Radiesse performed?

Radiesse is injected under the skin in a quick procedure that can be done over the lunch hour.

How soon will I see results with Radiesse, and how long will they last?

Immediately upon injection, Radiesse helps smooth out lines and wrinkles.1,2,4,5
The natural-looking results last a year or more in many patients.6,7

What happens during a Revanesse treatment?

First, you’ll first discuss your goals with your injector. They will evaluate your facial anatomy and determine how to best use filler (and, possibly, complementary treatments like Botox) to achieve your desired results.

They will then clean the treatment area and apply a numbing cream unless the selected formula already includes lidocaine (as with Revanesse Versa+).

They’ll inject the filler in the “mid-to-deep dermis” of your skin, using an ultrafine needle or a microcannula, while gently massaging the area with their fingers, to smooth it out.

You’ll notice a difference immediately, though it may take a couple of weeks for the filler to settle completely so you can see your final results.

Is Revanesse safe?

Revanesse treatments are considered to be safe. The most common side effects are bruising, swelling, and redness at the injection side, but these issues tend to be minor and fade relatively quickly.

Infection and allergic reactions are possible but very rare.

How Many Treatments Are Required with Sculptra?

On average, a series of three treatment sessions over the course of a few months may be needed. The number of injections at each session will vary, depending on the degree of correction needed and the treatment plan determined by you and your specialist.

How Soon Will I See Results with Sculptra?

Sculptra is designed to give you noticeable results that emerge gradually and can last up to two years.* Don’t be disappointed if you don’t see immediate results. A few days after treatment, you may look as you did before treatment. This is normal and temporary. The Sculptra regimen delivers its full effects with an average of three treatment sessions over the course of a few months. Because results happen gradually, you’ll see subtle, yet noticeable, results in the reduction of facial wrinkles and folds by comparing images before treatment and a couple of months following treatment.†

Is Sculptra Safe? What Are the Side Effects?

Sculptra is FDA approved in the United States and has been used worldwide since 1999. Sculptra is made of a synthetic material called poly-L-lactic acid that is absorbed naturally by the body and has been used for years in dissolvable stitches.

Since Sculptra does not contain any human or animal components, no allergy testing is needed prior to treatments.

Side effects reported include injection site pain, redness, bruising, tenderness, itching, and lumps, bleeding, or swelling. Small bumps under the skin can sometimes be noticeable when pressing on the treated area. Larger lumps, with or without inflammation, have also been reported.

The types and duration of side effects may vary. If you are experiencing side effects, talk to your doctor.


Radiesse is a one-of-a-kind injectable treatment—the only CaHA that’s FDA approved for use in the lower face and hands.1,2,10

Calcium hydroxylapatite, or CaHA, is what makes Radiesse unique as an injectable aesthetic treatment. It’s the first and only CaHA portfolio available that provides both immediate, natural-looking results and long-term improvement—a year or more in many patients.1-8

It’s the first and only FDA-approved CaHA portfolio that provides immediate contouring plus the stimulation of collagen and elastin production.*1-8

Upon injection, the Radiesse CaHA gel matrix provides immediate improvement1-4

CaHA particles then integrate into your skin and create a “scaffold” that stimulates the production of collagen and elastin.3,4,7,8

As the gel carrier breaks down, a firm network of collagen fibers forms*4,7,8

Formed collagen and elastin replaces the correction provided by the gel carrier, smoothing lines and promoting renewed skin structure.3,4,7,8

Revanesse® Versa™

Revanesse® Versa™ is indicated for injection into the mid to deep dermis for correction of moderate to severe facial wrinkles and folds, such as nasolabial folds, in adults 22 years of age or more.

Revanesse® Versa™ is the only hyaluronic acid (HA) dermal filler in the US available in a 1.2mL syringe size.

Whether you require more product to be brought to full correction or are seeking a more cost-effective treatment option; 20% more product in our syringe is another example of the Revanesse® difference and our commitment to providing pathways for patients to achieve the best possible results.

You may find that Revanesse® Versa™ will help in the improvement of your nasolabial folds (laugh lines) for up to 12 months with optimal correction. 2

A Revanesse® Versa™ treatment is minimally invasive and provides immediate results. Take control of the signs of aging and ask your healthcare provider if Revanesse® Versa™ is right for you.

The Revanesse® Versa™ formula is well-studied, with over 300 patients of multiple skin types, treated in three clinical trials, with no serious adverse events reported.


Sculptra is an FDA-approved injectable that helps gradually replace lost collagen—the most common protein in the body that is used to form a framework to support cells and tissue—for results that can last up to two years.1,4,5,6*

As a poly-L-lactic acid (PLLA) collagen stimulator, Sculptra helps restore the deep, underlying structure of the skin to diminish facial wrinkles.

Sculptra works with your body within the deep dermis to help revitalize collagen production and help restore your skin’s inner structure and volume.1,2,4

As the Sculptra PLLA microparticles are absorbed, they help stimulate collagen production.1,2,4

Rebuilt collagen strands begin gradually helping to restore facial volume and the look of fullness to wrinkles and folds.3

Sculptra may stimulate collagen growth which helps to restore facial volume and the look of fullness to wrinkles and folds over time.

Hyper diluted Radiesse for collagen induction around nosalabial folders and upper lip area

Are dermal fillers better than Botox?

A lot of people think injectable botulinum toxins like Botox and Dysport are fillers, but they work in an entirely different way: while fillers add volume, neurotoxins like Botox relax muscles to smooth lines, wrinkles, and creases (and prevent more from forming).


Very helpful and knowledgeable, she answered any question I had and made me feel very comfortable in her presence. Office is beautiful and clean, friendly staff.



Dr. Petre is very pleasant, knowledgeable and there for her patients’ needs.



Dr Petre was a consumate professional who immediately inspired confidence and trust on my part.




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**Results may vary. We are reputable for complete customer satisfaction for completed treatments. Before and after images reflect real results from real patients, although individual results may vary. No treatment is promised to provide permanent results. A guarantee is neither provided nor implied. Statements estimating treatment duration and the number of treatments required are based on the typical experience of our patients, however, individual experiences may vary.

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