(941) 753-0600

Dermal Fillers


What are they and how and where are they used?


All dermal fillers serve one primary function. They replace volume (fat) that everyone loses as we age. Gen­er­ally fat loss begins to occur in our early 30’s but envi­ron­ment (sun exposure) and health habits (smoking, drinking & drug use) can cause a faster onset of fat/volume loss.

The more fat we lose the more the face begins to take on a less youthful look. The face typ­i­cally loses the largest amount of fat in four primary areas. The areas at the sides of the nose called Nasolabial folds which develop lines that can be very deep, the cheek & temple areas, lips and the areas under & to the side of the lower lip which cause a person to look a bit unhappy.

Other areas can also be injected as every person ages dif­fer­ently and we can lose fat in other areas as well. The picture below depicts the most common areas treated on the face with dermal fillers

Aesthetics - Dermal Fillers



Juvéderm Voluma XC the only dermal filler on the market that’s FDA approved to correct age-related volume loss in the mid face creating a smoother contour and a more youthful appearance.

JUVÉDERM® VOLUMA™ XC injectable gel is for deep injection in the cheek area to correct age-related volume loss and for augmentation of the chin region to improve the chin profile in adults over 21.

JUVÉDERM® VOLLURE™ XC and JUVÉDERM® XC injectable gels are for injection into the facial tissue for the correction of moderate to severe facial wrinkles and folds, such as nasolabial folds. JUVÉDERM® VOLLURE™ XC injectable gel is for adults over 21.

JUVÉDERM® VOLBELLA™ XC injectable gel is for injection into the lips for lip augmentation and for correction of perioral lines in adults over 21.

JUVÉDERM® Ultra XC injectable gel is for injection into the lips and perioral area for lip augmentation in adults over 21.

Juvéderm’s approach to facial aes­thet­ics has evolved from filling lines to cor­rect­ing the age related volume loss in the mid face. We have been injecting Voluma XC now for about a year now and love the subtle, natural-appearing results. Voluma contains lido­caine so it is vir­tu­ally a painless procedure. Most people need 2 or more syringes to get sig­nif­i­cant improvement but there’s vir­tu­ally no swelling & the results are immediate.

Call to schedule your com­pli­men­tary consultation (941) 753-0600

A common question is how many syringes of dermal fillers will I need? The answer as you would suspect varies greatly patient to patient. One patient may just need a few syringes to correct the Nasolabial fold areas while another patient may need that plus their cheeks, jaw­line & temples.

We have many tools at our disposal but like all tools they need to be used by someone who knows best how to use them. Cheryl Gian­grante, ARNP, is an out­stand­ing injector that has received numerous com­ple­ments from her patients she has injected over the years. Yes you can prob­a­bly find someone less qual­i­fied to inject Botox and fillers but what will you get back when looking in the mirror.

We don’t just dabble in medical aes­thet­ics. It’s all we do each and every day of the year. Many physician & dental practices have added Botox & dermal fillers to augment their practice incomes. Injecting Botox and Fillers is a medical art form that should be done by properly licensed, ded­i­cated, trained and skilled practitioners.

When you do something full time, all the time you tend to get very good at it. Settling for anything less could result in poor results or even facial deformity and injury.

Call to schedule your com­pli­men­tary consultation (941) 753-0600

The diagram below shows a deep fold that extends deepest into the face followed by a wrinkle which is not as deep followed by a line which is closest to the surface of the skin.

Skin Cross-view

Pro­vid­ing for fat loss is not a one size fits all equation which is why we need dif­fer­ent dermal fillers.

We use an advanced injection technique called lay­er­ing in which we use Radiesse in the deeper folds & Resty­lane or Juve­d­erm on top of that cor­rec­tion.

This technique allows for a fuller more natural cor­rec­tion and longer lasting results. If any very fine lines remain we can then add Belotero.

The terms non-surgical face lift, liquid face lift have received a lot of media cov­er­age. These terms all mean the same thing. Its’ the use of a com­bi­na­tion of Botox and dif­fer­ent dermal fillers to pro­vide a cor­rec­tion that was not pos­si­ble without a facelift until very recently.

This does not mean however that a patient who truly needs a face-lift can get a facelift type of result using Botox and dermal fillers. This type of procedure can however delay the need for a face-lift for years especially when combined with the Exilis for skin laxity.