Dermal Fillers

A natural byproduct of age is not just loss of collagen and elastin from the skin but also diminution of muscle and fat mass, along with bone resorption of the facial bones and jaw. The net effect of this volume loss is sagging skin and fixed, deep creases (wrinkles) in the face and hands.

Fortunately, there are many injection techniques and dermal filler products now available to assist dermatologists in correcting this focal and regional devolumization.

What can dermal fillers do?

Depending on the product used, fillers can literally fill fine lines, like those around the eyes or mouth, or deeper lines, like the nasolabial folds or marionette lines, or they can elevate the midface, especially the cheeks, to achieve softening of wrinkles and lines as a secondary result.

Wrinkles and aging aside, a skilled injector of dermal fillers can also help people achieve more proportional balance in their face, improve facial symmetry, elevate eyebrows and enhance lips, and obtain more youthful patterns of light reflection, making them more attractive and youthful. The ideal result is natural appearing, so that no one but you may know that anything has been done.

Case 03007 Dermal Fillers Before Case 03007 Dermal Fillers After
Case 03007
Procedure: Juvaderm® Ultra Plus XC, Belatero®
Description: Injection of Juvaderm Ultra Plus XC to augment nasolabial folds and marionette lines, and Belataro for perioral wrinkles (lip lines).
See more results.

Individual results may vary.

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A consultation with Dr. Saucier is necessary to assess your own goals and unique needs. A consultation fee of $100 is applied to your visit and can be immediately transferred to your customized treatment plan. During your consultation visit, Dr. Saucier will determine what dermal filler or combination of fillers will work best for you.


"My third time to visit Dr. S. She and her office team are the! Every time I visit, I receive top-notch service and care. Dr. S did a lip enhancement and some wrinkle filling for me last time. Two words . . . NAILED IT! I will definitely be returning!"

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Look fresh, not done.

Dr. Saucier is skilled in not only administering the wide variety of dermal fillers available today but also in working with patients to create a customized treatment plan to help meet their individual needs. For the majority, the general overarching goals are to look refreshed, well-rested, and a little more youthful. It takes Dr. Saucier's artistic vision as well as her intimate understanding of anatomy, in-depth knowledge of the many filler products and types of fillers, and her command of the latest filler delivery techniques to help patients reach those goals.

  • For nasolabial folds

    Nasolabial folds, also known as laugh lines and smile lines, are the folds of skin that occur at the junction between the upper lip and the cheek. As we age, volume loss in the cheek and skin laxity in the area can contribute to a more prominent nasolabial crease.

  • For marionette lines

    Marionette lines are the wrinkles or skin creases that can form near the corners of the mouth and extend straight downwards toward the chin. These skin creases are caused by age-related collagen loss, genetics, and they are exacerbated with sun exposure, among other things.

  • For lips

    Lip injections with a dermal filler is the most common method to add volume and fullness to lips. Full and plump lips are a sign of youth, but limits apply to achieve a natural appearance. As important as the right amount of volume is the balance and symmetry achieved by the well-trained and experienced doctor performing the lip injections.

    Lip wrinkles around the mouth, sometimes called smoker's lines, are also commonly treated with dermal fillers. These wrinkles are caused by muscle movement over time, sun exposure, other lifestyle choices, and age, among other factors.

  • For cheeks

    Volume loss in the cheeks is a natural occurrence as we age because we all lose bone, muscle, and fat mass over time. The lost volume no longer supports the overlying skin, the cheeks are flattened, and the skin falls in and down creating folds, looseness, and jowling.

  • For under eyes

    Under eye depression in the tear trough area is often caused by genetics, predictable loss of the bony support of the orbit, and fat loss in the cheeks and behind the eyes. An under eye depression can cause shadows, and darker circles, with common complaints including an older and more tired appearance.

  • For hands

    With age, to varying degrees, hands lose skin elasticity, soft tissue volume and fat thereby revealing the bones, tendons and veins under the skin. Radiesse® is the first and only FDA approved filler indicated to correct volume loss in the back of the hands to help counteract these signs of aging in hands.

What types of dermal fillers are available?

The numerous filler products available today have different physical properties and characteristics, and they are intended to be used for different areas in order to get different results. Access to many filler options is critically important to allowing Dr. Saucier, or any other cosmetic dermatologist, the flexibility to customize filler treatments by selecting the best product for the patient and concern.

Available dermal fillers are broadly categorized into those made of hyaluronic acid (HA) and those that are biostimulatory in mechanism.

Hyaluronic Acid Fillers

Belotero Balance®
Juvederm® Ultra XC
Juvederm® Ultra Plus XC
Juvederm Volbella® XC
Juvederm Voluma® XC
Restylane® Silk
Restylane® Lyft
Restylane® Refyne
Restylane® Defyne

Biostimulatory Fillers

Sculptra® Aesthetic

How long do dermal fillers last?

The onset and duration of filler effect will depend on the product used, how deep it is placed in the skin, and the person treated. HA fillers placed very superficially in the skin and in areas of high movement (for example, the lips), tend to dissipate the fastest, with a duration of on average 3-12 months. Deeper placement of HA fillers can last much longer, sometimes over 2 years, while the typical duration of HA fillers for the nasolabial folds is 6-12 months.

Results from Radiesse® are immediate and typically last over 1 year. Results from Sculptra® Aesthetic are gradual over months (this filler requires a series of 2-4 injections at 6 week intervals), but effects usually last longer than 2 years.

For all fillers, since correction is temporary, touch-up injections are usually needed to maintain optimal correction.

What can I expect?

Non-essential blood thinners are usually recommended to be held for 1 week prior to your injection appointment to lessen the likelihood and duration of side effects. A typical dermal filler appointment is 30 minutes, during which a topical anesthetic will be applied to your face to numb the skin before injections. Mild swelling, redness, and bruising are common after these procedures and can last several weeks after treatment; however, most people return to normal activities the same day.

Read more questions to ask before your cosmetic procedure and more about Dr. Saucier.

Cosmetic Dermatology

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