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Over time, facial fullness changes to show regions of hollowing. Sometimes hollow areas of the face form next to areas that remain full, resulting in a less harmonious cosmetic appearance of the face. Facial fillers are an effective treatment to add volume or fullness to these areas and smooth transitions of the face.


Common areas treated by facial fillers include the tear troughs where the dark circles under eyes appear. Fillers are also commonly used to smooth wrinkles around the face and augment or adjust the shape of the lips. Facial fillers are injected under the skin after anesthetic cream or cooling have been applied to the area to provide a comfortable experience.

Filler can be performed in our office in less than an hour. Occasionally, you may develop a bruise or have some swelling related to the filler after treatment. 

As with any injectable medication, fillers can be associated with potential risks. Filler around the eyes (also called the periorbital area) does carry serious risks that are best addressed by a physician trained in the anatomy of this area. Nobody knows the anatomy of the periorbital area better than an oculoplastics surgeon. Trust your face to the experts.

What are common areas for filler?

  • Dark circles in the lower eyelids (tear trough)
  • Smile lines (nasolabial folds)
  • Lips – adding volume or correcting contour/symmetry
  • Cheeks
  • Upper eyelid hallows
  • Temples
  • Scars

The best filler treatment is one that nobody notices. Our doctors treat in a conservative manner to avoid unnatural looks or surprises.

Most fillers can last up to 18 months, depending on the location it is placed. Fillers are made of natural substances that are found in all tissues throughout your body. When the filler has reached the end of its life, it will slowly start to dissolve over several months. When you notice filler is dissolving, you can receive a touch up to maintain the results or tweak the results as you like.

Most fillers are made of hyaluronic acid. These types of fillers can be dissolved with injection of a medication called hyaluronidase. If filler is causing problems or does not satisfy your cosmetic goals, your doctors can dissolve this filler. For this reason, we only carry hyaluronic acid type fillers at The Oculoplastic Center. Check with your doctor to ensure you are receiving a dissolvable filler to ensure you are receiving the safest treatment possible.

Whether to use a needle or a cannula for filler injection in the medical community. Needles may cause more bruising and have added risk of injecting filler into a blood vessel, but can provide some doctor smore ease of use. At the oculoplastics center, we utilize cannulas to reduce these risks whenever possible including for all injections in the periorbital region and nasolabial folds.