Facial Fillers

General Considerations

Realistic expectations are the key to success

Facial fillers and injections can be a complementary procedure to enhance results of other cosmetic procedures.

What will usually be helped?

Relative improvement in the appearance of horizontal forehead wrinkles

Improvement in vertical frown lines

Improvement in crows feet

Improvement in nasolabial fold area

Improvement near or below the corners of the mouth or marionette lines

Reduction in appearance of shallow to moderate acne scars

What will not be helped?

Major asymmetries in the face

Extremely deep wrinkles or acne scars

Jowls and skin laxity of the neck and under the chin

Limitations of procedure

Cannot achieve perfection

Cannot prevent continued aging

Cannot solve personal problems

Goals may be only partially met

Natural asymmetries are difficult to completely correct

Other options and alternatives

No treatment, chemical peel, laser resurfacing, facelift or fat injections

Facilities, anesthesia and surgery

Outpatient procedure

No anesthesia or topical anesthesia

Local (dental) blocks are also available


Average time off of work – none

Resume normal activities 1 day

Resume exercise 1 day

Redness: majority gone in 1-2 days

Bruising may occur, resolves in 3 days

May consume alcohol same day

Massage lumpy areas for 3 days

Temporary trade-offs

Discomfort, pain, sensitivity during injections

Swelling, prolonged redness

Psychological depression



Permanent trade-offs

The products usually either wear off or reabsorb, restoring native structures

Minor changes in appearance may remain due to permanent alterations in facial skin muscle structure

Minor potential problems

Prolonged swelling and bruising



Prolonged redness

Allergic reaction to medications

Droopy eyelids

Major potential problems

Scarring of the skin

Necrosis or sloughing of the skin


Vessel occlusion in very rare circumstances

Any and all of the risks and complications can result in:

Additional surgery, hospitalization, time off

Important considerations prior to your procedure

It is important to stop using any blood thinners to include aspirin, ibuprofen, NSAID containing medications, Vitamin E, herbal supplements such as ginko biloba 1 week prior to your procedure.

Please start removing all makeup and cleanse your face 1-2 days prior to your procedure. All makeup has to be removed in the areas treated.

Notify your doctor if you are prone to getting cold sores or fever blisters. Prophylactic antiviral medication will be prescribed.

Smoking can have serious side effects on the healing process.

Additional procedures may need to be performed in 4-12 months.

Multiple procedures are usually needed if you have extensive damage from aging or injury.

Skin consistency, type, ethnic background, and age are important factors that should be discussed before the procedure.

The practice of medicine and surgery is not an exact science. Although good results are expected there cannot be any guarantee, nor warranty, expressed or implied, as to the results that may be obtained.

List of common medications to avoid prior to your procedure:

  • Aspirin
  • Ibuprofen
  • NSAIDs
  • Vioxx
  • Celebrex
  • Vitamin E
  • Fish oil
  • Garlic
  • Ginco Biloba
  • Heparin
  • Coumadin
  • Lovenox

Eyebrow & Forehead Treatment options

No treatment

Eyelid surgery

Eyebrow Lift with botulinum toxin

Eyebrow lift with Fillers

Aesthetic nonsurgical options include eyebrow lift with botulinum toxin injection around the brow area. This is also known as a chemical eyebrow lift. The concept is based on selective chemodenervation of select muscle groups around the eye to help elevate the lateral brow in a more favorable position while slightly depressing the medial portion or club head of the brow, thus restoring a youthful ark of the brow.

Another option for restoration of a youthful eyebrow is injection of a filler around the brow or fat grafting. This technique restores lost volume and fullness in the lateral aspect of the brow which also gives a brow a lift.