Dermal Filler

Charlotte Dermal Filler Services


Dermal fillers use hyaluronic acid, a substance that occurs naturally in the body, to help diminish facial lines and restore volume loss and fullness in the face. As we age our face naturally loses volume which can be exacerbated by sun exposure, genetics, weight loss and lifestyle habits. Dermal fillers can be used to plump thin lips, enhance contours, soften facial creases and wrinkles, improve the appearance of recessed scars, and reconstruct contour deformities in the face.

There are several different dermal fillers on the market that are tailored to certain areas of the face. Some fillers, such as Restylane Silk, are smooth and best suited for superficial fine lines and adding hydration to the lips. Other fillers, such as Restylane Lyft, are more robust and strong in order to help provide lifting of the jowls or structure to the cheek bones.The longevity of facial filler depends on several factors including the type of filler, the area injected, current medications, and patient metabolism. Filler can last anywhere from 6 months to 2 years. We start losing facial collagen/volume in our mid-twenties, so we often see patients beginning to slowly replaced their lost volume with filler around this time. There is no “correct” time to start getting filler, however the younger you start, the more natural and subtle the results can be.


The cost of filler is determined by how many syringes are needed to achieve desired results. One syringe can range from $650-$900 depending on the type of filler used. If overall facial rejuvenation is needed, a good rule of thumb is “one syringe per decade of life” – for example, a 42 year old would likely need 4 syringes in order to achieve overall rejuvenation. However, while this is a good indicator, it is not always accurate.

The side effects of filler treatment are minimal, but because it is injected into the skin, there is always a possibility of bruising, swelling and tenderness at the injection site. This is a temporary and completely normal side effect, and it will resolve after treatment. The application of ice packs will help to ease the discomfort and swelling immediately following your treatment.


To prepare for your dermal filler appointment, and to decrease the severity of bruising: avoid blood thinning medications (with a doctor’s permission) and herbal supplements 1-2 weeks prior to injections (Advil, Motrin, Ibuprofen, Aspirin, Vitamin E, Fish Oil, CoQ10, Ginkgo, St. John’s Wort, Omega, Garlic); avoid blood thinning beverages (such as alcohol) 1-2 weeks prior to injections and 24 hours after injections; increase vitamin K intake (green leafy vegetables) 1-2 weeks prior to injections; increase antioxidant intake to help strengthen capillary walls 1-2 weeks prior to injections (Arnica cream or tablets); come to appointment with a clean face (NO MAKEUP!) to minimize risk of infection; avoid dental work for two weeks prior to your treatment; avoid vaccines (including the flu vaccine) for two weeks prior to treatment.

After your treatment, the recommended post care includes: no exercise or vigorous activity for 2-3 days after treatment, or whenever the swelling fully subsides;no massaging the treatment area for 3 days after treatment; avoid airplane travel for 2 weeks after your treatment; if filler was injected into the face, it is recommended to sleep propped up on several pillows for the following 2-3 nights in order to minimize swelling and prevent filler from migrating due to sleep positioning.

Dermal filler has not been tested in pregnancy or breastfeeding patients so the effects it has on the baby are unknown. For this reason, I do not treat patients who are pregnant or nursing.

Areas Treated:

  • nasolabial folds
  • cheeks
  • under eyes
  • jawline
  • lips
  • marionette lines
  • temples