Cosmetic Dermatology
Dermal Fillers
Volume loss is one of the most natural parts of aging. Fillers, when done well, restore what was there, so you look like yourself again rather than someone who had a procedure.
3.4M
Dermal filler treatments are performed in the US each year, making it the second most popular cosmetic procedure in the country.
As we age, we gradually lose volume in the cheeks, around the mouth, and along the jawline. The result is a face that can look tired or hollowed even when you feel fine. Dermal fillers restore structure and fullness beneath the skin, lifting and smoothing in a way that looks natural because they work with your anatomy, not against it. Before your treatment, your injector will work with you to understand your goals, assess your facial anatomy, and recommend the products and approach that fit your face. For patients wanting a deeper look at their skin health, we recommend pairing this with a full VISIA consultation.
What to Expect During Your Treatment
At Element Dermatology, all filler treatments are performed under the direct oversight of Dr. Barry LaBine, a board-certified dermatologist. Here's what you can expect from your appointment:
- Your Consultation: Every treatment starts with a thorough conversation about your goals and facial anatomy. Where helpful, we use VISIA skin imaging to see beneath the surface and build a more complete picture. Either way, your plan is built around your face, not a formula.
- The Treatment: The target areas are cleaned before injections are made with a fine needle or cannula, depending on the area. Your appointment typically takes about an hour. We use the RHA Collection of resilient hyaluronic acid fillers, which are designed to move with your face rather than sit rigidly beneath the skin, giving results that look and feel more natural, particularly in areas that move frequently, like around the mouth.
- Results and Aftercare: Results are visible immediately and continue to settle over the following two weeks. There may be mild swelling or bruising, which usually resolves within a few days. Results last six to eighteen months, depending on the area and product used.
A note on safety: one of the most serious potential complications of fillers performed by less experienced injectors is vascular occlusion, where filler is accidentally injected into or near a blood vessel. At Element, every dermal filler provider is thoroughly trained in facial vascular anatomy, and strict emergency protocols are in place should a complication arise. We keep all necessary supplies on hand to respond immediately. And because a board-certified dermatologist is part of this practice, there's an extra layer of clinical support available that most cosmetic clinics don't have.
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Frequently Asked Questions About Dermal Fillers
Will fillers make me look puffy or overdone?
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The overfilled look comes from placing too much product or using it in the wrong areas. At Element, our approach is conservative and anatomy-driven. We’re restoring what was naturally there rather than adding something new. Before any treatment, we spend time understanding your facial structure, your goals, and what you want to avoid. Our goal is for you to look like yourself, refreshed and rested, not like you had something done.
How long do dermal fillers last?
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Results generally last between 6 and 12 months, depending on the product used, the area treated, and individual factors like metabolism and muscle activity. Areas with more movement, like around the mouth, tend to break down filler more quickly than areas with less movement, like the cheeks. We’ll give you a realistic estimate for your specific treatment areas during your consultation.
Is there any downtime after fillers?
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Most patients experience mild swelling and possibly some bruising at the injection sites, which typically resolves within a few days. You can return to most normal activities immediately, though we recommend avoiding strenuous exercise, alcohol, and significant sun or heat exposure for the first 24 hours. Results are visible right away and continue to settle and look more natural over the following one to two weeks.
What happens if I stop getting fillers?
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If you stop getting filler treatments, the hyaluronic acid gradually breaks down, and your face returns to its pre-treatment appearance. You will not be left looking worse than when you started. There is a common concern that stopping fillers will cause the skin to sag or deflate, but this is not accurate when treatments are done conservatively and correctly. Your face simply returns to its natural baseline over time.
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