Facial Fillers & Aesthetic Augmentation

Facial Augmentation with fillers and fat transfer has become a mainstay in cosmetic surgery. Dr. Green performs these procedures on a routine basis. As time progresses in life the majority of individuals loose facial volume. The volume is either resorbed or becomes droopy due to the effects of gravity over time. Something that should look like a grape has unfortunately turned into a raisin. The two methods to treat “raisin disease” are to 1) Tighten the raisin up or 2) To fill it back up. In many cases a tightening procedure is indicated but in just as many especially those in the first half of life returning the volume back to the face successfully treats “raisin disease” and gives the patient that full youthful look they have been missing. How is that done? There are two great options: 1) Facial Fillers 2) Fat Transfer.

What are Facial Fillers??

Facial Fillers are a group of products that come manufactured in sterile syringes and are injected directly into the area of concern. The areas of treatment are limited to any are where more volume is desired: Cheeks, Tear Troughs, Folds, Nasal Deformities, Lips, Fine lines, etc. As the patient there is no better time to receive facial fillers as science has really provided us with a huge offering of products to match your desired result with filler that has ideal characteristics to meet that desire. Several of the newest fillers now last up to 2 years if desired. The majority of the fillers Dr. Green uses are hyaluronic acid based and can be fully reversed if needed. See our Blog posts on Aesthetic Facial Augmentation with Facial Fillers. 

Types of Dermal Fillers

There are multiple types of dermal fillers. The most common options for facial filler material other than your own fat are Hyaluronic Acid, Calcium Hydroxyapatite, and Poly-L-Lactic Acid. Each of these product work through slightly different mechanism and each have there own unique properties. The only one of these three fillers that can be reversed is Hyaluronic Acid which is a huge plus for anyone trying fillers for the first time. Hyaluronic acid and Calcium Hydroxyapatite both work in a volume addition method while Poly-L-lactic acid depends on collagen deposition while your body breaks down the microspheres placed during the the injections over the first weeks to months.

What is Fat Transfer?

Fat transfer, also known as autogenous fat transfer or structural fat grafting is a procedure in which Dr. Green sculpts or augments the face using the patient’s own fat. This can be an excellent procedure for patient that are wary of using facial fillers, require a large volume of augmentation or are tired of repeated injections. For this procedure fat is harvested conservatively via liposuction, processed and injected into the areas predetermined prior to the procedure to achieve the desired outcome. As opposed to fillers where injection is taken to endpoint, fat does undergo a resorption process and in some cases additional treatment sessions may be required to achieve the patient’s desired outcome. 

Fillers for Face Before and After 

Click below to watch Dr. Green injecting lips and cheeks live as well as see lip filler before and afters as well as cheek and tear trough filler before and afters. Additionally we maintain a large in office gallery of injection before and afters for all our prospective patients to look over!

Frequently Asked questions

Where are fillers usually placed?

The most frequent location for facial fillers to be placed are the the nasolabial folds “the parentheses”, the tear troughs under the eyes, the cheeks and the lips. There are different techniques and preferred filler material for each location that is going to be filled. There is no one size fits all when it comes to facial fillers. It is an art and requires years of learning to master!

How Long Do Dermal Fillers last?

This is a tricky question to answer. It truly all depends on the type of material being used. Traditional hyaluronic acid fillers lasted 9-12 months while the new hyaluronic acid fillers such as Volbella and Vollure now last up to 18 months. This is all due to changing technology and improved cross linking of the molecules in the filler. Other fillers such as Silikon are permanent and are only recommended for experienced injectors and patients sure of the change they are making. 

What can be done when face fillers are done wrong?

This is a questions Dr. Green hears often especially with the popularity of shows like botched. In fact MANY of our patients come in specifically saying they don’t want to wind up looking like so in so. Dr. Green fully understands this concern and always aims for natural youthful appearing results. When patient come in from other providers after receiving a filler they hate, this can be reversed with an injection of hyaluronidase as long as a hyaluronic acid filler such as the Juvaderm family was used. If another type of filler was used often only time will get rid of the results. Excision or liposuction of other materials may only worsen the appearance. 

How much do Face Fillers cost? 

Facial fillers are sold by the syringe and range anywhere from $390 a syringe for one type of filler to $700 a syringe for others. The exception to this is Sculptra (Poly-l-Lactic acid) where patients usually purchase treatments of so many vials of product. 

Read Dr. Green‘s Filler Reviews

I saw Dr. Green back in the spring for botox and fillers. He did a great job and I loved my results. He is extremely competent in his work and has great bedside manner! I will definitely come back to see him again.Doctor Green's professionalism and care made me feel that I was in safe hands. He has an extreme knowledge of his procedures and especially on the structure of the face. That coupled with a natural talent gave me great results. He took great care to make sure I was comfortable during the treatments. He will be my go to doctor from here on.

Dr. Green is fantastic! I had a rhinoplasty done elsewhere that needed a bit of fixing and lucky for me I found Dr. Green. He beautifully perfected my rhinoplasty revision and I am ever so grateful of the results. Aside from talent he is also incredibly kind. Not one question went unanswered and I always feel well taken care of when I go to see him. I have continued to go to Dr. Green for fillers and I always get great results. I would recommend Dr. Green to anyone seeking facial surgery, his talent is not easily found. My before and after photos speak for themselves.

One of my friends had great results after fat transfer and she recommended Dr. Green. When I met him I realized that she did not recommend him based on results only (althought she said he was very sweet). I have never met such a caring Dr. I had 002 laser, fat transfer for dark circles and laugh lines, Botox, and a chin implant all at once. Needless to say my recovery was not easy and it lasted longer than I want it to. However, having Dr. Green by my side, always ready to answer any questions or concerns I might had made the recovery easier and less stressful. Moreover, when you hear your physician says “Hang in there! You will love the results once WE get through the recovery process