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Injectable Facial Fillers (Hyaluronic Acid) 

As we age, we lose volume, particularly in the “transition areas” of our faces. Imagine a baby, brimming with youth, and the full features and soft transitions of the face. As time and gravity exert their effects, these transitions become more pronounced as soft tissue volume slowly dissipates. The transition from face to lip (the nasolabial fold or melolabial fold), the junction of the lower eyelid and cheek (the nasojugal fold, or “tear trough”), and the progression of the jowl to the chin (the marionette line), all tend to become accentuated by shadow as we age. Elsewhere on the face, full cheeks may lose their prominence, and lips may seem to thin and wrinkle. Restoring volume to smooth these transition zones and to refill areas where fullness has been lost can be achieved without surgery with injectable fillers such as Restylane©, Juvederm©, and Belotero©, minimizing the effects of age, and restoring youth and beauty.

Need more information? 

If you would like to learn more about having Injectable Facial Fillers that will suit you best, we invite you to meet with Dr. Nabil Fakih for a private consultation at our office.


Please contact us to schedule an initial consultation with Dr. Nabil Fakih to make an appointment. You may also fill out our contact form to make an appointment.

What is Injectable Facial Fillers (Hyaluronic Acid)? 

Facial fillers replace skin substances that, when lost, cause wrinkles. The skin thins by loss of collagen and fluid. In youth, the skin remains plump from a natural sugar called hyaluronic acid that attracts and binds to the body’s water. Fillers are substances that are injected to fill in wrinkles and facial depressions that may come with age. Remember, if you don’t like its effect, we can dissolve them by using injectable hyaluronidase. So it is reversible!


• Lines, wrinkles and folds of face

• Lips that are thin or have lost volume

• No cut-off starting age ( in their 20s)


• Refills volume

• Softens and smooths wrinkles

• Highlights and contours


• Nasolabial folds

• Smile lines

• Nasojugal folds (between lower eyelid and cheek)

• Lips


• Length of Treatment: 15 minutes

• Filler Duration:

6 to 12+ months

• Back to Work: Same or following day

• Return to Exercise:

24 hours

What should I expect from my consultation? 

During your consultation, you will learn about fillers and discuss your needs and concerns. Dr. Nabil Fakih will carefully examine your entire face and he will determine how much hyaluronic acid (injectable facial filler) you need.

After your consultation we will take photographs for your medical record and we will discuss the surgery fees and scheduling dates. You should come to the consultation prepared to discuss your medical history. Also provide information about any medical conditions, drug allergies, medical treatments you have received, previous surgeries and medications that you currently take. It is important for you to provide complete information.


What is Hyaluronic Acid? 

Facial fillers are one of the most popular facial cosmetic procedures in the world today. There are a myriad of products on the market, and many more are emerging every year. The fillers we choose are used for the specific area being treated: lines, folds, crevasses or frank volume loss. The most common are hyaluronic acid fillers (HA): Juvederm, Restyane, and Belotero. Dr. Nabil Fakih only uses Belotero, since it is the best Hyaluronic Acid in the Market, with more durability and it is cohesive polydensified matrix technology allows Belotero to smoothly and homogeneously integrate into the dermis a day or two after injection. Also Belotero provides a smooth transition between treated and untreated areas not leaving lumps as traditional fillers.

Hyaluronic acid is a clear gel that already exists in the human body. It attracts water, hydrating your skin. Hyaluronic acid fillers have been safely used in USA and Europe since 1996. Unlike many other fillers, Hyaluronic Acid is non-animal-based and poses no risk of animal disease transmission or allergic reaction.


We all want fillers to last as long as possible, but don’t want bumps from over-injecting. Gradual, precise and pointed is our method and in other areas we uses special cannulas. The most superficial lines, those that appear “etched” into the skin require the thinnest fillers. As the need for more volume replacement increases, fillers are placed deeper and can be thicker. Medium thickness fillers are used for actual folds in the skin and deeper crevasses, such as the naso-labial folds. Naso-labial folds run from the corner of nose to the corner of the mouth. Medium depth fillers also may be very effective for melo-labial folds that run downward from the corners of the mouth to the jaw; otherwise referred to as “marionette” lines. These thicker fillers are also longer lasting than the thin, superficial fillers. Since there are a number of available fillers for fine and deep wrinkles, both may be used in the same patient, and in conjunction with one another. We often layer fillers in the same areas in order to plump folds and fill the lines that may lie in the depths of those folds. The thickest fillers are more for volume enhancement for the face that needs to be “plumped up.” As the face ages, the cheeks get hollow in addition to droopy. Patients may need lifting as well as volume. In younger patients, however, facelifts can often be delayed by filling the cheeks. This can actually give a small lift as well and is called the “Liquid Facelift.” Of course, nothing substitutes for a beautiful and professional facelift if it’s a means to elevating jowls or excess skin under the neck. But we can go a long way in making you look more refreshed by starting with fillers.

Where we can inject Hyaluronic Acid? 

Fillers are different than Botox and other neurotoxins. Where neurotoxins are injected into muscles to prevent the patient from creating a “wrinkle in motion,” fillers are injected under the skin or lips to plump out these areas. Fillers are injected under the nasolabial folds (laugh lines), other deep lines, tear trough deformities in the lower eye lid, and to plump out other areas such as the cheeks and lips. Lip augmentation with fillers can plump up the lips and also create definition. As the lips age, vertical lies cross the vermillion border that can make lipstick “bleed” into the skin. Fillers can define the vermillion border and eliminate these lines.


How long the result last? 

How long the results will last depends on several factors. Each patient metabolizes fillers at a different rate. Juvederm, Radiesse and Restylane will last about 9 monthes to a year where Belotero last about 1.2 years to 2 years depending on the type of the filler.  Hyaluronic acid helps promote collagen regeneration.


What happens if you do not like it? 

Hyaluronic acid fillers can be dissolved by using an enzyme called hyaluronidase.

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