Dermal Fillers

Dermal fillers restore your skin’s volume and erase the fine lines and wrinkles you may start seeing with age. They are also used to modify features to give you a more balanced look overall. Dermal fillers are injectable gels, made of hyaluronic acid; a natural substance found in the body that is essential to the fitness and smoothness of skin. At Skin Appeal we carry the world’s top dermal fillers Teosyal® + Juvéderm®.

What dermal fillers can do

• Plump thin lips
• Smooth out lines around nose and mouth ( a.k.a. marionette lines, smile lines, and parantheses)
• Enhance & restore volume to sunken cheeks
• Soften facial creases and wrinkles
• Improve the appearance of recessed scars
• Smooth out chin crease
• Diminish vertical lip lines
• Improve symmetry among facial features
• Decrease or remove the shadow of the lower lids


Teosyal and Juvederm contain hyaluronic acid (HA) of non-animal origin. Hyaluronic Acid occurs naturally in the human body. When the HA gel is injected under your skin, it not only provides an immediate lift it also stimulates collagen production for longer lasting results.

Our HA fillers (Teosyal & Juvederm) are infused with lidocaine to help minimize discomfort during and after treatment.

HA Fillers like Teosyal and Juvederm offer natural soft looking results.
These HA Fillers are dissolvable using a special enzyme. A consultation is important time to review goals and expectations so you are happy with your results. Dissolving the filler is not something we want to do but it is comforting to know that we can.


Yes. They are very different from each other.

Neuromodulators like BOTOX and NEWTOX are injected into a muscle, temporarily blocking the communication between brain and the muscle. The muscle will not move without these messages, which allows the skin over it to smooth out. This is how neuromodulators can reduce the appearance of wrinkles. Typically the treatment areas are in the upper face, such as the forehead and around the eyes. Neuromodulators will not work on lines and wrinkles caused by sagging or loss of volume/plumpness in the face. These are known as static wrinkles. Static wrinkles include lines in the cheeks, neck, and jowl areas.

Dermal fillers are used to replace lost volume in the face typically in the lower part of such as cheeks, lips and jawline. Fillers plump and smooth areas that have flattened out over time. Botox & Newtox results last 3 to 4 months. Dermal filler results vary, depending on which filler is used.

Because neuromodulators (Botox, Newtox) and fillers (Juvederm & Teosyal) are different substances designed for different uses, they can sometimes be combined in one treatment. For instance, someone may use Botox to correct lines between the eyes and a filler to correct smile lines around the mouth. This is sometimes called a Softlift™

Great skin doesn’t happen by chance. It happens by appointment.


What To Expect From Treatment

Treatment always starts with a consultation. Because Juvederm and Teosyal are minimally invasive, you may be able to have your consultation and treatment in the same appointment.

Once you’ve discussed your goals and expectations with your treatment provider, they will use a pen to mark the injection sites. Next, they will inject the filler as planned. Finally, your provider may gently massage the treatment zone to help distribute the filler evenly under your skin and prevent some swelling.

Depending on the size of the targeted area, your treatment will most likely last between 15 and 60 minutes. Afterwards, you should be able to go about your day without any downtime.

Who is a good candidate for Dermal Fillers?

• You cannot be pregnant or breastfeeding.
• No infection, active acne or inflammation in treatment area.
• No allergy to lidocaine (numbing agent that is in the product).
• No significant autoimmune illness ( filler is considered an implant which may stimulate an autoimmune response in some clients).
• No significant allergies or history of anaphylaxis.
• No history of reactions to previous injections.
·• You are not currently on or plan to be on Accutane.

Are dermal fillers right for me?

Dermal fillers are a good option for you if you want to soften the appearance of facial wrinkles, restore your facial contours and/or plump your lips.

What are possible side effects when using dermal fillers?

Most dermal filler side effects are mild and short, which include but not limited to redness, tenderness, swelling, firmness, bumps/lumps, itching, bruising and discoloration. Like all skin injections, there’s a risk of infection.

Is there downtime post-dermal filler treatment?

There is minimal to no downtime after using dermal fillers. Most patients can return to work or any other normal activities immediately, with only slight redness or soreness in the treated area. You should expect bruising but it does not mean it will happen. We recommend that you get a treatment 3-4 weeks prior to a special occasion.

How long do the dermal filler procedures take?

The facial filler procedures generally take only 15-60 minutes, depending on the area being treated.

How much do dermal fillers cost?

Dermal fillers cost varies depending on several factors such as the area being treated, the specific formulation and amount being used, and the individual’s desires and body.

How long do dermal fillers last?

Cosmetic dermal filler results will be noticeable immediately after treatment and can last 6 to 12 months. Some types of facial fillers can even last for up to 2 years.

Does getting injections hurt?

Typically described as a “small pinch”, most patients are surprised when their injection treatment is over.

Is there any after care for Dermal Fillers?

• Avoid exercise and strenuous activities for 24 hours
• Avoid extended exposure to the sun, extreme hot or cold for 24 hours
• Some bruising is normal and may last for about a week
• Temporary tenderness, redness, swelling firmness + bumps at the injection site; Tylenol can help
• Do NOT rub or massage the injection site
• Results can last from 9 to 12 months; depending on how quickly your body metabolizes the filler