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Fillers & Neurotoxins

Enhance your natural beauty

At Highlander Dermatology and Surgery Center, every injectable treatment is thoughtfully tailored and physician-administered to ensure the highest standard of care. Our expertise in facial anatomy and refined injection techniques allows us to create naturally beautiful results that enhance your unique features—never a one-size-fits-all approach. Schedule an appointment to learn more today.

About Fillers

Good filler treatment is an art—one that restores youthful volume, smooths lines, and enhances facial contours without ever appearing overdone. We offer a diverse range of fillers suited for various depths—from superficial to deep and mid-level applications—allowing us to address concerns such as tear troughs, mid-face volume loss, lip augmentation, and fine lines with precision. With access to a wide array of filler products, we select the ideal formulation tailored to your needs. Our approach prioritizes natural beauty, empowering you to look refreshed and confident without compromising authenticity.

How Fillers Work

Restylane® Collection

Restylane® fillers are composed of hyaluronic acid (HA), a substance that attracts and binds water molecules within the skin. This adds volume, improves hydration, and enhances overall skin structure. Restylane comes in various formulations, with distinct HA particle sizes and densities to target specific areas and concerns:

  • Restylane-L®: Smooths moderate to severe facial wrinkles and folds, and enhances lips with natural softness.

  • Restylane Refyne®: Targets laugh lines and nasolabial folds while maintaining flexibility and natural facial expressions.

  • Restylane Defyne®: Provides deeper correction for more pronounced facial folds, maintaining natural movement.

  • Restylane Lyft®: Restores mid-face volume, particularly in the cheeks, and corrects moderate to severe facial folds.

  • Restylane Contour®: Specially formulated for cheek contouring, enhancing natural definition with soft flexibility.

  • Restylane Kysse®: Specifically designed for lip augmentation, adding volume and smoothing fine lines with a natural feel.

Juvederm® fillers are composed of hyaluronic acid (HA), a substance that attracts and binds water molecules within the skin. This adds volume, hydration, and improves overall skin structure. Juvederm® comes in various formulations, each with a unique HA particle size and density to target specific areas and concerns like fine lines and wrinkles, volume loss, and facial sculpting. Here’s a breakdown of some common Juvederm® fillers based on their target areas and features:

  • Juvederm Ultra®: Enhances lip fullness and treats moderate facial wrinkles.

  • Juvederm Ultra Plus®: A thicker formulation ideal for deeper lines and volume loss in areas such as the cheeks and nasolabial folds.

  • Juvederm Volbella®: Specially formulated for subtle lip enhancement and smoothing perioral lines around the mouth.

  • Juvederm Vollure®: Softens moderate to severe facial lines and folds while maintaining facial movement.

  • Juvederm Voluma®: Restores age-related volume loss in the cheeks, providing lift and contour to the mid-face.

  • Juvederm Volux®: Specifically designed for sculpting and defining the jawline with structural support.

The RHA® (Resilient Hyaluronic Acid) line adapts to dynamic facial movement while maintaining a soft, natural appearance.

  • RHA 1®: Targets fine lines and delicate areas with soft, flexible support.

  • RHA 2®: Smooths moderate wrinkles and maintains natural movement, ideal for nasolabial folds and perioral lines.

  • RHA 3®: Addresses deeper facial folds and dynamic wrinkles with a balance of structure and flexibility.

  • RHA 4®: Provides robust volume restoration for deeper facial contouring while accommodating natural expressions.

A non-filler injectable, Kybella® uses deoxycholic acid to dissolve submental fat under the chin, permanently reducing fullness and enhancing jawline definition.

Sculptra® is an FDA-approved injectable containing poly-L-lactic acid (PLLA), a biocompatible and biodegradable material. When injected into the skin, PLLA microparticles stimulate the production of collagen, a protein that provides structure and scaffolding to the skin. This gradual collagen renewal leads to natural-looking volume restoration, improved skin texture, and a more youthful appearance Sculptra® can be used effectively to address various signs of facial aging like loss of volume, shallow folds, and skin laxity. Sculptra® can also be used on the body to improve skin texture, treat cellulite, and restore volume in areas such as the buttocks, thighs, and arms.

Composed of calcium hydroxylapatite microspheres, Radiesse® provides immediate volume and stimulates collagen production, effectively treating deeper facial folds  and volume loss.

Candidates for Fillers

Dermal fillers may be an ideal option for individuals who:

  • Those interested in non-surgical rhinoplasty, brow lifts, lip enhancement, or tear trough correction
  • Desire to restore lost facial volume due to aging or weight loss
  • Wish to soften fine lines, wrinkles, or deep facial folds
  • Want to address cellulite
  • Are seeking enhancement or refinement of specific features such as the cheeks, lips, jawline, or under-eye area
  • Prefer a non-surgical approach to facial rejuvenation
  • Want natural-looking results that refresh and enhance their appearance without appearing overdone
  • Are looking for preventative options to address early signs of facial volume loss

Because every face is unique, your consultation will focus on identifying the precise areas of concern and selecting the ideal product and technique to achieve a balanced, youthful result.

About Neurotoxins

Botulinum toxin treatments such as Botox®, Dysport®, and Daxxify® are expertly administered by our physicians to target dynamic wrinkles caused by facial expressions. From forehead lines and crow’s feet to frown lines, jawline tightness, and neck concerns, we emphasize technique and individualized care above all else. It is not only the choice of product or dosage but precisely how and where it is injected that achieves a subtle, natural look. Our goal is to enhance your beauty while preserving your expressive vitality.

How Neurotoxins Work

Botox®

Botox® works by temporarily blocking the release of acetylcholine, a neurotransmitter responsible for muscle contraction. When injected into targeted facial muscles, Botox weakens their activity, leading to a reduction in wrinkles and fine lines caused by repetitive muscle movements. Botox® can be used effectively to address wrinkles and lines in various areas of the face, including: forehead lines, frown lines (glabellar lines), crow’s feet, jawline tightness, and neck.

Dysport® functions similarly to Botox® by blocking the release of acetylcholine, a neurotransmitter that triggers muscle contractions. When injected into targeted facial muscles, Dysport® weakens their activity, leading to a reduction in wrinkles and fine lines caused by repetitive muscle movements.

An innovative, long-lasting neurotoxin, Daxxify® offers extended wrinkle-smoothing effects while maintaining natural, soft facial dynamics, requiring fewer treatment sessions for sustained results.

Candidates for Neurotoxins

Neurotoxin treatments may be well-suited for individuals who:

  • Wish to soften dynamic wrinkles caused by repeated facial expressions (e.g., frown lines, forehead lines, crow’s feet)
  • Are seeking to prevent the formation or deepening of expression lines
  • Desire facial rejuvenation while maintaining their ability to express emotions
  • Are looking to treat hyperhidrosis (excessive sweating)
  • Are in good general health without contraindications to treatment
  • Are looking for a physician-directed, highly customized approach to wrinkle prevention and correction
  • Are looking to contour their jaw with masseter injections

During your consultation, we will carefully assess your facial anatomy and muscle movement to develop a precise treatment plan that enhances your natural beauty while preserving expression and character.

Fillers & Neurotoxins

Before & After

Fillers & Neurotoxins

Frequently Asked Questions

Will my results look natural?

Yes. At Highlander Dermatology, our approach is grounded in precision, expertise, and artistry. Every treatment is thoughtfully customized to enhance your natural features while preserving your individual expression. Our goal is to restore and refresh — not to create an artificial or overdone appearance.

The longevity of your results is influenced by multiple factors, including the specific product selected, the area being treated, and your individual metabolism. During your personalized consultation, we will guide you in selecting the most appropriate product to meet both your aesthetic goals and your desired duration of results.

Dermal Fillers

  • Restylane® Collection (L, Refyne, Defyne, Lyft, Contour, Kysse): These versatile hyaluronic acid fillers typically maintain their results for 6 to 18 months, with the exact duration varying based on the specific formulation used, the treatment area (e.g., lips, cheeks, lines), and how your body naturally metabolizes the product.

  • Juvederm® Collection (Ultra, Ultra Plus, Volbella, Vollure, Voluma, Volux): This comprehensive range of hyaluronic acid fillers generally provides results lasting from 6 months to 2 years. Formulations like Voluma and Volux, designed for deeper injection and structural support, are known for their extended duration, particularly in areas such as the cheeks and jawline.

  • Revance RHA® Collection (RHA 1-4): Engineered for dynamic areas of the face, these resilient hyaluronic acid fillers are designed to adapt to natural facial movement. They typically last up to 15 months while maintaining a natural look and feel.

  • Sculptra®: As a biostimulatory injectable, Sculptra® gradually stimulates your body’s own collagen production. The results develop subtly over several months and can last up to 2 years or longer with an optimal treatment regimen.

  • Radiesse®: This unique filler offers immediate volume upon injection while simultaneously stimulating natural collagen production. Results are often maintained for 12 to 18 months.

  • Kybella®: This innovative treatment provides a permanent reduction of submental fullness (under-chin fat). Once the targeted fat cells are eliminated, they cannot store fat again.

Neurotoxins

  • Botox® and Dysport®: These widely trusted neurotoxins typically produce results that last 3 to 4 months, depending on the specific area treated and your individual muscle activity.

  • Daxxify®: A longer-acting option, Daxxify® offers extended wrinkle reduction. Many patients experience results for 6 months or more, potentially leading to fewer treatment sessions throughout the year.

Neurotoxins (Botox®, Dysport®, Daxxify®): You will generally begin to see noticeable results within 3 to 7 days, with the full, desired effect typically becoming visible around 2 weeks after your treatment.

Dermal Fillers (Restylane®, Juvederm®, Revance RHA® lines): For most dermal fillers, the results are immediate, providing an instant enhancement to volume and contours. However, it’s common to experience some initial swelling, so the optimal, refined outcome will become more apparent as any swelling subsides, usually within a few days to a week.

Kybella®: Results from Kybella® are not immediate. This treatment works by gradually dissolving fat cells over several weeks, and multiple sessions are typically required to achieve the desired outcome. Swelling is also a common and expected part of the recovery process.

Biostimulatory Fillers (Sculptra®, Radiesse®): While there might be some immediate volume from the carrier gel, the true, lasting results from Sculptra® and Radiesse® develop gradually over several weeks to months. These products work by stimulating your body’s natural collagen production, leading to a more subtle and progressive improvement in volume and skin quality. Multiple treatment sessions are usually recommended for optimal results.

Most patients tolerate treatments very well. We utilize advanced techniques and gentle placement to ensure your comfort throughout the procedure. Any mild discomfort is brief and manageable.

Both fillers and neurotoxins involve minimal downtime. Some patients may experience mild swelling, redness, or bruising at the injection sites, which typically resolve quickly. Most individuals are able to resume normal activities shortly after treatment.

All cosmetic injections at Highlander Dermatology are performed exclusively by our experienced physicians. This ensures the highest level of safety, precision, and aesthetic expertise.

During your personalized consultation, we will carefully assess your concerns, facial anatomy, and aesthetic goals. Together, we will design a tailored treatment plan using the most appropriate products and techniques to achieve your desired outcome.

Your Skin Deserves Expert Care & Innovative Solutions

Schedule Your Personalized Consultation Today

Discover the difference board-certified specialists and advanced technology can make. Whether you’re treating skin cancer, rejuvenating your skin, or sculpting your body, Highlander Dermatology and Surgery Center offers personalized care to help you feel confident for the long term.