Dermal Filler FAQs

Providing minimally invasive out patient procedures that can produce results similar to surgery makes dermal fillers a go-to. Rejuvenating, refreshing and volumizing, dermal fillers can take years off ones face and give them an added glow. At AIYANA, we love dermal fillers and have had such great success at helping our clients reach their anti-aging goals.

When talking about dosing fillers, 1 syringe, 2 syringes, etc, it really is in mLs. And, 5 mls equals 1 tsp. See the diagram below. It is such a small amount of filler, but because of its chemical makeup, the hyaluronic fillers are hydrophilic, meaning they attract water. Some do a better job than others, and because of this they plump up more when inserted in the skin.

Types of Dermal Fillers

There are a number of them out on the market today, but we will go through the ones we use at AIYANA. Juvéderm is a very popular filler. It is manufactured by Allergan, the same company that manufactures Botox. There are different types of Juvéderm, such as Ultra, Ultra Plus, Voluma, Volbella and Vollure XC. These types of fillers are composed of Hyaluronic gel, a naturally occurring substance in the skin that contributes to volume hydration. It also stimulated the production of connective tissue or collagen that plumps the skin.

Restylane is another type of hyaluronic acid filler, similar to Juvéderm, manufactured by Gallderma. Restylane Kysse, Restylane-L, Restylane Lyft and Defyne are all used at AIYANA.

Injecting dermal fillers into cheeks for mid-face volume and lift.

Where to Use Filler?

There are so many uses for filler and it seems like we are advancing in this treatment so rapidly that filler is being placed all over the face. At AIYANA, the areas around the mouth, the lips, jawline, chin, under eye (tear-trough) and the midface/cheeks and under eyes are the most requested areas. A lot of aging is present in the midface because it is the structure that holds a youthful appearance. When we lose volume in the midface, our lines get deep around our mouth, jowling starts to occur and our eyes look more sunken and dark. Creepiness occurs along the jawline and more fine lines/wrinkles are present in the midface area. By adding filler, this will inhance all of these areas and give an all over refreshed look.

Lip Filler

When our clients think about lip filler, they are concerned that they will have an outcome that looks overfilled and too plump. At AIYANA, we always try to reassure our clients that it takes a lot of filler, and multiple appointments to become overdone. We are always careful to enhance natural contours, not change appearance. This goes for all filler placement. A refreshed, youthful, glowing end result is always our goal.

Before & After

Here are some before and afters of our filler clients. What you will notice is that filler placed correctly can make subtle, yet, youthful changes to someones face. It’s refreshing and natural.

Lip Filler

1 syringe of Juvéderm Ultra

Lower Face/Marionette & Lip Filler

1 syringe of Volbella around mouth, 1 syringe of Juvéderm Ultra in lips

AIYANA Rejuvenate

3 syringes of Voluma in cheeks, mid-face, 2 syringes in chin and pre-jowl jawline. {Client had 1 syringe of Juvéderm Ultra in lips 3 weeks prior}

Filler FAQs

Most filler treatments take 30-45 minutes and require one office visit.
Before getting the injections, you may need ice, an anesthetic applied to the skin, or a nerve block (an injection). This varies with the filler and area to be treated.
Your provider will inject the filler into the area, often giving you several injections to produce the best results.
You may feel a stinging or burning sensation as the filler is injected. (from AAD)

Post-Care Instructions:

Swelling, redness, firmness, itching and tenderness may be present for up to two weeks. Use of cool packs may be used as needed.
Sleep with your head elevated to reduce the amount of swelling. Sleep on your back for the first 48 hours after the procedure.
Do not massage or put pressure on the treated area, unless instructed by injector.
Wait 4 hours to apply cosmetics, moisturizer or any lotions on the area.
Avoid direct sunlight or extreme cold weather until initial swelling and/or redness has subsided.
Do not do heavy aerobic exercise or do anything to raise your core body temperature or blood pressure for 24 hours.
The results will be immediate, but its best effects are noted after swelling has resolved.
Motrin or Advil, or Tylenol may be used as directed for any discomfort after injection.
Cetirizine HCL 10 mg (Zyrtec) and Ranitidine 150 mg (Zantac) may be taken as directed to reduce swelling.
Lumps, bumps or irregular, asymmetrical areas may be noted, especially once swelling has subsided. It is normal to feel these lumps and bumps; however, they should not be visible.
Any severe swelling, itching, redness, increasing discomfort or discharge from treated area should be reported to your injector ASAP.
Periodic treatments will help maintain the desired level of correction.
It can take up to TWO weeks for swelling and any bruising to subside. If additional filler is desired in an area of previous treatment, we require you to wait until the 2 weeks has passed.

When Will I See Results?

This also varies with the filler. Most fillers fill the skin, so they produce immediate — or close to immediate — results. A filler also can stimulate your body to produce collagen, but this takes time.