Get Your Cosmetic Fillers in Chapel Hill, North Carolina
What is Cosmetic Filler Treatment?
Cosmetic filler treatment for men and women involves the use of substances or cosmetic injectables to restore volume, smooth wrinkles, enhance facial contours such as jawline, smile lines, and rejuvenate the skin. These dermal filler injections/procedures are minimally invasive and performed by licensed healthcare professionals, typically dermatologists or plastic surgeons. It substances such as hyaluronic acid, calcium hydroxylapatite, or poly-L-lactic acid to address common concerns like fine lines, nasolabial folds, hollow cheeks, and thinning lips. They offer immediate or near-immediate results with little to no downtime.
How Does It Work?
Cosmetic fillers for face are injected beneath the skin’s surface to address signs of aging, volume loss, or structural imbalances. Depending on the types of dermal fillers used, they can:
- Plump up thin lips
- Smooth fine lines and wrinkles (e.g., nasolabial folds, marionette lines)
- Restore lost facial volume (e.g., cheeks, temples, under eyes)
- Enhance contours (e.g., jawline, chin, nose)
What to Expect
- Consultation: The cosmetic injections provider evaluates your skin, discusses your goals, and determines the most suitable filler.
- Preparation: The dermal filler areas for treatment are cleaned, and a topical anesthetic may be applied for comfort.
- Injection: The dermal filler injections use a fine needle or cannula.
- Post-Treatment: Minor swelling or bruising may occur, but normal activities can often be resumed immediately.
Benefits of Dermal Fillers
- Immediate improvement in appearance
- Non-surgical and minimally invasive
- Customizable to individual needs
- Long-lasting but not permanent, allowing adjustments over time
At Trillium Clinic, scheduling an appointment with a board-certified dermatologist is seamless and convenient. Our user-friendly booking system, combined with flexible scheduling options, ensures you receive expert cosmetic filler care in Chapel Hill. Whether you prefer online booking or speaking directly with our friendly staff, we prioritize your time and comfort. Experience personalized care in dermal filler injections delivered by experienced specialists committed to your skin health and confidence.
Dr. Stefan Weiss's Approach at Trillium Clinic
At Trillium Clinic, Board Certified Dermatologist, Stefan C Weiss MD, Professor of Dermatology at the Brown University, Warren J Alpert School of Medicine brings his extensive dermatology expertise to deliver safe, effective, and personalized dermal filler injections or treatments. He begins each procedure with a thorough consultation, listening to patient’s concerns and goals while assessing facial anatomy and skin condition. His patient-centric approach ensures a tailored facial balancing filler treatment that enhances natural beauty without looking overdone.
Dr. Weiss combines technical precision with an artistic eye while approaching dermal filler areas, aiming for balance, symmetry, and harmony in facial aesthetics. Using only FDA-approved, high-quality dermal filler injections, he carefully administers injections with a focus on patient safety and comfort and always with an eye to the artistry. With his expertise, Trillium Clinic has become a trusted destination for cosmetic fillers in Triangle NC such as Raleigh, Durham, and Chapel Hill for achieving subtle, yet transformative, cosmetic results.
The quick, customizable treatments use the best facial injectors for a safe, effective, and tailored approach to an individual’s unique aesthetic goals.
Have questions before booking?
Call us at 1-919-710-8100, or Schedule Your Appointment Below
What Makes Dermal Fillers Worth Considering?
The Goal of Dermal Fillers
Made of hyaluronic acid or other biocompatible materials, filler facelift treatments provide natural-looking results by plumping the skin and improving elasticity.
Areas Treated with Dermal Fillers
- Cheeks: Restore volume and lift sagging skin.
- Lips: Enhance fullness, definition, and symmetry using lip fillers.
- Nasolabial Folds: Smooth deep lines around the mouth.
- Marionette Lines: Reduce lines running from the corners of the mouth to the chin.
- Tear Troughs: Uses dermal filler for under eyes to fill hollow under-eye areas for a refreshed look.
- Jawline & Chin: Chin and cheek fillers Improve contour and define facial structure.
- Hands: Rejuvenate by restoring volume and reducing the appearance of veins.
Dermal filler injections are a versatile solution for subtle enhancements and more dramatic transformations, tailored to meet individual aesthetic goals.
Pre-Treatment Instructions for Cosmetic Fillers
- Avoid Blood Thinners: For at least 7–10 days before cosmetic filler treatments, if you can, avoid aspirin, ibuprofen, vitamin E, fish oil, or other supplements that may increase the risk of bruising (unless prescribed).
- Limit Alcohol: Refrain from consuming alcohol 24–48 hours before your appointment to minimize bruising and swelling.
- Stay Hydrated: Drink plenty of water to help your skin look and feel its best.
- Plan Ahead: Schedule your appointment for dermal filler injections at least two weeks before major events to allow time for any swelling or bruising to resolve.
After Getting Dermal Fillers
- Avoid Touching or Massaging the Area: Do not touch or rub the treated area for at least 24 hours to prevent migration of facial balancing fillers.
- Limit Exercise: Avoid strenuous activities for 24–48 hours to reduce swelling and bruising.
- Use Cold Compresses: Apply an ice pack gently to minimize swelling and discomfort.
- Stay Upright: Refrain from lying down for 4–6 hours after cosmetic filler treatments to allow the filler to settle properly.
- Avoid Heat and Saunas: Steer clear of hot showers, saunas, or sun exposure for a few days to prevent irritation and swelling.
- Hydrate and Moisturize: Drink water and use gentle skincare products to support skin healing.
- Follow Up as Needed: Contact your cosmetic injections provider if you experience persistent redness, swelling, or discomfort, or if you have questions about your results.
Are There Any Side Effects to Cosmetic Fillers?
Yes, while cosmetic fillers are generally safe when performed by an experienced and licensed practitioner, there can be potential side effects. These side effects are typically temporary and vary depending on the type of filler, the dermal filler area treated, and individual factors. Below are some common and less common side effects of cosmetic fillers:
Less Common Side Effects
- Infection: Though rare, there is a small risk of infection at the injection site. Signs of infection include redness, warmth, or pus at the injection site, along with fever. If you notice any of these symptoms, it is important to seek medical attention immediately.
- Allergic Reactions: Some people may experience an allergic reaction to the ingredients in the filler. This could cause itching, swelling, rash, or more severe symptoms like difficulty breathing. It is important to discuss any allergies with your provider before undergoing treatment.
- Vascular Complications: In rare cases, if the filler is injected into or near a blood vessel, it could cause vascular complications, such as tissue necrosis (tissue death) or permanent scarring. This risk is why it’s important to choose an experienced, skilled injector who understands facial anatomy.
- Granulomas: Granulomas are small lumps that can form under the skin as a result of a foreign-body reaction to the filler. These are more common with certain types of fillers, like collagen-based ones, and may require treatment to dissolve.
- Migration or Uneven Results: Fillers can occasionally migrate away from the original injection site, leading to uneven results. This is especially true with fillers injected into areas with significant movement, like the lips or around the mouth.
- Nerve Compression or Damage: In very rare instances, filler injections can cause nerve compression or damage, resulting in numbness, tingling, or other sensations in the treated area. This is usually temporary but can occasionally cause lasting effects.
- Blindness: Although extremely rare, there have been isolated reports of blindness due to filler injections that have inadvertently been injected into a blood vessel that supplies the eye. This is a medical emergency and requires immediate intervention.
Long-Term Side Effects
- Filler Dissolution: Over time, the body naturally breaks down and absorbs the filler, which can lead to the return of volume loss in the treated areas. If the filler is placed too superficially or not in the right area, it may lead to a less natural result once the filler dissipates.
- Changes in Skin Texture: In rare cases, overfilling or incorrect placement of fillers can lead to changes in the skin’s texture or cause “pitting” (small indentations) in the skin as the filler breaks down.
How to Minimize Side Effects
- Choose an experienced injector: To minimize risks, it is crucial to choose a qualified provider with extensive experience in injecting fillers, especially when working in high-risk areas like the under-eyes, lips, and nasolabial folds.
- Follow aftercare instructions: Post-procedure care (e.g., avoiding strenuous activity, massaging the treated area if instructed, and avoiding sun exposure) can help reduce the risk of complications.
- Discuss your medical history: Be sure to discuss any medical conditions, allergies, or medications you’re taking with your injector, as these can affect your response to the filler.
When to Seek Medical Attention
- If you notice any signs of infection (redness, warmth, fever, pus), allergic reactions (swelling, difficulty breathing, itching), or unusual side effects (severe pain, vision changes, tissue necrosis), seek immediate medical attention.
Types of Cosmetic Fillers
Hyaluronic Acid (HA) Fillers
- Popular Brands: Juvederm lip filler, Restylane, and Belotero dermal fillers
- Purpose: HA is a naturally occurring substance in the skin that helps retain moisture and volume. These fillers are used for facial wrinkles, fine lines, lip enhancement, and restoring lost volume in dermal filler areas like the cheeks.
- Duration: 6 months to 1 year, depending on the treatment area and product used.
Calcium Hydroxylapatite (CaHA) Fillers
- Popular Brand: Radiesse
- Purpose: Composed of calcium-based microspheres, these cosmetic fillers for face add volume, stimulate collagen production, and smooth out deep wrinkles, particularly in the cheeks, jawline, and nasolabial folds.
- Duration: 12–18 months.
Poly-L-Lactic Acid Fillers
- Popular Brand: Sculptra
- Purpose: This cosmetic filler helps stimulate collagen production over time to restore facial volume and reduce wrinkles, particularly for those with hollow cheeks or deep folds.
- Duration: Results are gradual, with full effects visible after multiple treatments; lasts up to 2 years.
Restylane | Juvederm | Belotero
Restylane, Juvederm, and Belotero are all hyaluronic acid (HA) fillers. HA fillers are the most commonly used cosmetic filler for facial rejuvenation and volume restoration. HA is a substance naturally found in the body, particularly in the skin, joints, and connective tissues. Here’s a description of HA fillers:
1. Composition
HA fillers are made of a gel-like substance composed of hyaluronic acid, a molecule that attracts and retains water. The HA used in fillers is derived from non-animal sources through a process of biofermentation, making it safe and compatible with the human body.
2. Injectable Gel
HA fillers come in the form of an injectable gel. The gel consistency allows for easy injection into the skin to restore volume, smoothen wrinkles, and enhance facial contours.
3. Volume Restoration
HA fillers are effective in restoring volume to areas of the face that have experienced volume loss over time. They can help plump up sunken cheeks, add fullness to the lips, and fill in deep lines and folds.
4. Wrinkle Reduction
HA fillers are commonly used to diminish the appearance of wrinkles and fine lines on the face. By injecting the gel into targeted areas, such as the nasolabial folds (lines from the nose to the corners of the mouth) or marionette lines (lines from the corners of the mouth to the chin), the filler adds volume and smoothes out the skin, reducing the appearance of wrinkles.
5. Longevity
The duration of HA fillers varies depending on factors such as the specific product used, the injection technique, and individual factors. Generally, the effects of HA fillers can last anywhere from 6 to 18 months. Over time, the HA is naturally broken down and absorbed by the body.
6. Customizable Treatment
HA fillers provide a customizable treatment approach. The healthcare professional can tailor the amount of filler injected, the specific areas addressed, and the desired outcome based on the individual’s goals and facial anatomy. This customization allows for natural-looking results that enhance the person’s unique features.
7. Safety and Reversibility
HA fillers have a high safety profile. Since HA is a substance naturally present in the body, adverse reactions are rare. In case of dissatisfaction or complications, HA fillers can be partially or completely reversed using an enzyme called hyaluronidase, which breaks down the HA gel.
Juvederm, Restylane, and Belotero Injectables
Experience the transformative effects of Juvederm, Restylane, and Belotero, three of the most popular and effective dermal fillers in the cosmetic dermatology field. Juvederm, known for its smooth consistency, is ideal for adding volume to the cheeks, plumping lips, and smoothing out nasolabial folds and marionette lines. This hyaluronic acid-based filler provides instant results that can last up to a year or longer, giving you a youthful, natural-looking appearance.
Restylane, another leading hyaluronic acid filler, excels in treating moderate to severe facial wrinkles and folds. It is particularly effective for enhancing lip volume and contour, reducing under-eye hollows, and rejuvenating the hands. Restylane’s unique gel formulation integrates seamlessly into the skin, delivering long-lasting results and restoring a more youthful complexion.
Belotero, a versatile and highly adaptive dermal filler, is perfect for treating fine lines and delicate areas. Its smooth, cohesive gel integrates smoothly into the skin tissue, making it ideal for smoothing out superficial lines around the eyes, lips, and forehead. Belotero’s unique formulation allows for subtle, even results that maintain natural facial expressions and movements.
All of the injectables offered at Trillium Med Spa, including Juvederm, Restylane, and Belotero, are administered by our experienced professionals, who tailor each treatment to your individual needs and aesthetic goals. With a focus on precision and patient safety, we ensure optimal results with minimal downtime. Explore the rejuvenating benefits of Juvederm, Restylane, and Belotero at Trillium Clinic and discover how these advanced injectables can help you achieve a refreshed, more vibrant look.
FAQ - Cosmetic Filler Treatments
1. How Can I Determine Which Filler Is Right for Me?
Choosing the right cosmetic fillers in Chapel Hill depends on several factors, including your goals, the dermal filler areas you wish to treat, your skin type, and the longevity you desire. Here’s a guide to help determine which filler might be best for you:
Consider Your Dermal Filler Treatment Area
Different types of cosmetic fillers work best for specific areas of the face:- Fine lines and wrinkles (e.g., around the eyes, mouth, and forehead): Hyaluronic acid (HA) fillers like Juvederm lip filler or Restylane dermal filler are great for smoothing fine lines and wrinkles.
- Volume loss (e.g., cheeks, temples): If you need more volume or structure, Calcium Hydroxylapatite fillers like Radiesse or Sculptra are ideal because they provide both immediate results and promote collagen production over time.
- Lip enhancement: For fuller, natural-looking lips, HA fillers like Juvederm Volbella are often used.
- Deep folds (e.g., nasolabial folds, marionette lines): Radiesse and Restylane Lyft are popular for deeper wrinkles as they offer longer-lasting results and help support facial structure.
Determine Desired Longevity
Different types of dermal fillers have varying durations of effectiveness:- Temporary results: HA fillers like Juvederm lip filler and Restylane dermal filler generally last 6 months to a year.
- Long-lasting results: Fillers like Radiesse (up to 18 months) and Sculptra (up to 2 years) offer longer-lasting volume restoration.
- Permanent results: Fat injections can provide lasting results, though some of the fat may be reabsorbed by the body. PMMA fillers like Bellafill can also offer long-term effects.
Consider Your Skin Type
For individuals with skin of color, it’s essential to choose cosmetic fillers for face that minimizes risks such as hyperpigmentation or lumps. HA fillers are often a safer choice for all skin types, as they are more easily adjustable and reversible if necessary. Additionally, non-permanent facial balancing fillers generally pose less risk of permanent complications.Aesthetic Goals
Your desired outcome will influence the choice:- Subtle enhancement: If you are looking for natural, subtle improvements (e.g., plumping lips or softening fine lines), HA fillers are ideal because they offer smooth, natural results.
- More noticeable volume restoration: If you are looking to restore significant volume, especially in the cheeks or temples, Calcium Hydroxylapatite (Radiesse) or Sculptra are better suited due to their volumizing properties and ability to stimulate collagen production.
2. How Long Do Cosmetic Fillers Last?
Juvederm, Restylane, Belotero
- Filler Type: Hyaluronic Acid (HA) Fillers
- Duration: 6 months to 1 year
- Details: HA type of dermal fillers are the most commonly used and provide temporary results. The longevity of the filler can vary based on the area treated and the specific product used. For instance, lip fillers may last 6–9 months, while cheek fillers may last closer to a year.
Radiesse
- Filler Type: Calcium Hydroxylapatite Fillers
- Duration: 12 to 18 months
- Details: These dermal filler injections stimulate collagen production, which contributes to longer-lasting results. Calcium hydroxylapatite fillers tend to have a longer duration than HA fillers and are often used in areas that need more volume, like the cheeks and jawline.
Sculptra
- Filler Type: Poly-L-Lactic Acid Fillers
- Duration: Up to 2 years
- Details: Sculptra stimulates collagen production over time, offering gradual, long-lasting results. Multiple facial injectable treatments are often needed, and the effects develop gradually, but once established, the results can last up to two years.
Factors Affecting Duration:
- Metabolism: A faster metabolism can lead to quicker absorption of cosmetic injections or fillers.
- Area Treated: Fillers placed in areas with more movement (e.g., lips, smile lines) may break down quicker than those in less active areas (e.g., cheeks).
- Lifestyle: Sun exposure, smoking, and excessive alcohol consumption can affect the longevity of fillers.
- Individual Response: Each person’s body metabolizes cosmetic filler materials differently, which may cause results to last longer or shorter than average.
In general, most fillers for men and women last between 6 months and 2 years, with some offering more long-lasting or semi-permanent effects depending on the material used. Regular touch-ups can help maintain results.
3. What is the Average Cost of Cosmetic Fillers in Chapel Hill, North Carolina?
Dermal fillers cost from $750-$1100 / syringe or vial.
4. Can Dermal Fillers Cause Headaches?
Yes, dermal fillers can sometimes cause headaches, although it is not a common side effect. There are a few potential reasons why this may occur:
Injection Site Reactions
Some people may experience localized reactions at the injection site, such as swelling, bruising, or inflammation, which can sometimes trigger discomfort or a headache. This is usually temporary and resolves within a few days.Vascular Reactions
Dermal filler injections, especially when injected in areas like the forehead or around the temples, can affect nearby blood vessels. If the filler inadvertently places pressure on blood vessels or nerves, it could lead to a headache. This is more likely to happen if there is any unintended vascular compression or if the filler migrates.Tension or Stress
The process of undergoing cosmetic injections can sometimes cause physical tension or stress, leading to a tension headache. If someone is nervous about the treatment or the post-treatment process, they may unknowingly tense their muscles, which can contribute to headaches.Nerve Involvement
In rare cases, dermal filler injections can cause irritation or compression of nearby nerves, particularly if injected too deeply or in a high-risk area. This could lead to a headache or other symptoms such as facial discomfort or numbness.Allergic Reactions
Though rare, some individuals may have an allergic reaction to the ingredients in different types of dermal fillers, which could potentially lead to headaches as part of a broader allergic response.Sinus Pressure
In some cases, facial injectables done around the nose or cheek area can cause temporary sinus congestion or pressure, which could lead to a headache, especially in people prone to sinus issues.
What to Do If You Experience a Headache After Fillers
- Monitor the symptoms: If the headache is mild and resolves within a few hours to a couple of days, it’s likely due to the injection or temporary swelling.
- Contact your provider: If the headache persists or is accompanied by other concerning symptoms like blurred vision, dizziness, or a feeling of heaviness, it’s important to consult the medical professional who performed the procedure. They can evaluate if the filler has caused any complications that need attention.
In most cases, headaches from filler face lifts are temporary and resolve on their own. However, if you’re concerned or experience more severe symptoms, always reach out to your injector or a healthcare provider for guidance.
5. What is the Downtime Associated With Dermal Filler Injections?
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Immediate After effects (First 24-48 Hours)
- Swelling: Mild to moderate swelling at the injection sites is common, especially in areas like the lips or under the eyes. Swelling usually peaks within the first 24 hours and then gradually subsides.
- Bruising: Bruising is another common side effect, particularly in delicate areas like around the eyes, mouth, or forehead. It may take a few days to a week to fade completely.
- Redness: The injection site may be red or slightly inflamed immediately after treatment but should resolve within a few hours to a couple of days.
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Mild Side Effects (Up to One Week)
- Tenderness: The injected areas may feel tender or sore to the touch for a few days, but this typically resolves quickly.
- Lumps or Bumps: Occasionally, small lumps or bumps can form where the cosmetic filler was injected. These are usually temporary and can be massaged out or will smooth out over time.
- Asymmetry: In some cases, there may be slight asymmetry immediately after the procedure. This can be corrected or adjusted during a follow-up visit if necessary.
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Full Recovery (1-2 Weeks)
- Results Settle: The dermal filler will continue to settle and integrate into the skin over the next 1-2 weeks. Any residual swelling should disappear during this period, and the final results will become clearer.
- Follow-up Visits: A follow-up visit may be scheduled within a week or two to ensure the results are as expected and to address any minor adjustments.
Tips for Minimizing Downtime and Recovery:
Avoid strenuous exercise for 24–48 hours post-treatment to prevent increased blood flow that could cause more swelling or bruising. Apply cold compresses to the treatment areas to reduce swelling in the first 24 hours. Avoid alcohol and blood thinners for a few days before and after the procedure to minimize bruising risks. Gentle massage: If instructed by your injector, gently massaging the treated area can help prevent lumps and ensure even distribution of the filler.
6. Which Dermal Filler Lasts the Longest?
The longevity of dermal fillers depends on several factors, including the type of filler, the area treated, and individual factors such as metabolism and skin type. However, certain types of fillers are known for their longer-lasting effects. Below are some of the dermal fillers that tend to last the longest:
Sculptra® (Poly-L-lactic acid)
- Duration: 2 to 3 years
- How it works: Sculptra is a collagen stimulator, meaning it works by gradually stimulating your body to produce its own collagen over time. This results in more natural, long-lasting volume restoration, particularly in areas like the cheeks and temples.
- Best for: Restoring volume loss in the face, particularly for those with significant volume loss or hollowing.
Radiesse® (Calcium Hydroxylapatite)
- Duration: 12 to 18 months
- How it works: Radiesse provides immediate volume restoration while also stimulating collagen production. The results are often longer-lasting compared to hyaluronic acid-based fillers.
- Best for: Moderate to severe wrinkles and volume loss, such as in the nasolabial folds or chin.
Juvederm (Hyaluronic Acid)
- Duration: 6-18 months
- How it works: Voluma is specifically designed for facial volume restoration and is typically used in the cheek area. The hyaluronic acid formula is engineered to be more durable, which results in longer-lasting effects.
- Best for: Cheek volume and mid-face rejuvenation.
Restylane (Hyaluronic Acid)
- Duration: 6 to 18 months
- How it works: Restylane Lyft is a thicker hyaluronic acid-based filler designed to restore volume in the cheeks and smooth deep wrinkles. The results typically last around a year or more, depending on the area treated.
- Best for: Cheeks, nasolabial folds, and deep facial wrinkles.
Belotero (Hyaluronic Acid)
- Duration: 6 to 12 months
- How it works: Belotero dermal filler is another hyaluronic acid filler, but it’s known for integrating smoothly into the skin, making it a good option for more superficial wrinkles and fine lines.
- Best for: Fine lines and superficial wrinkles, often in delicate areas like around the eyes or lips.
