Restore volume and contour to the face.
Dermal fillers restore volume, refine contours, and soften select lines without surgery. Whether plumping the lips, defining the cheeks, or softening nasolabial folds, fillers provide immediate, natural-looking rejuvenation.
InquireDermal filler treatments are performed following thorough facial analysis and photographic documentation. A personalized injection plan is mapped based on areas of volume deficit and structural descent. Topical anesthetic cream is applied thirty minutes prior to treatment. Cannulas are preferred in high-risk vascular zones including the temples, nasolabial region, and periorbital area, while sharp needles are used for precise structural augmentation in areas such as the chin and jawline. Injections are placed at the appropriate anatomical plane - supraperiosteal for structural support, subcutaneous for soft tissue enhancement, or intradermal for fine-line correction - using product viscosity matched to each indication.
Fillers are a good fit for adults who want to restore volume or smooth contour changes without surgery. Common presenting concerns include malar volume deflation, deepened nasolabial and marionette folds, lip thinning, temporal hollowing, and pre-jowl sulcus depressions. Candidates should not be pregnant or breastfeeding, must have no active skin infection at the injection site, and should have clear expectations for the duration and extent of filler results.
Dermal filler treatments require minimal to no downtime. Mild swelling, redness, and bruising at injection sites typically resolve within forty-eight to seventy-two hours. Ice application immediately post-treatment reduces swelling. Strenuous exercise and alcohol are avoided for twenty-four hours. Results are immediately visible and improve further as swelling resolves over the first week. Lip filler swelling may take up to two weeks to fully settle.
Ice applied to reduce swelling. Avoid alcohol, exercise, and facial massage for 24 hours.
Bruising and swelling subside. Filler integrates into tissue. Final result visible by 1–2 weeks.
Effect gradually diminishes depending on product and area. Touch-up or repeat treatment recommended to maintain results.
The most serious risk of dermal filler injection is inadvertent intravascular injection, which can cause vascular occlusion leading to tissue ischemia or, in rare cases, blindness when injected near orbital vessels. This is prevented by knowledge of facial vascular anatomy, aspiration technique, low injection pressure, and cannula use in high-risk zones. Hyaluronidase is kept on hand for emergency dissolution. Common minor risks include bruising, swelling, lumpiness, and the Tyndall effect (bluish discoloration from superficially placed hyaluronic acid).
Botulinum toxin addresses dynamic muscle-driven wrinkles but does not restore volume. Surgical options including fat grafting provide long-lasting natural volume restoration but require recovery. A facelift or midface lift addresses structural tissue descent that fillers cannot correct over time. For patients seeking a permanent solution to volume loss, structural fat grafting at the time of a facelift is an excellent alternative.
Performed by Dr. Ruben Castro in Newport Beach, California