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Facial Fillers

Facial Fillers

There are well over a dozen fillers that are now on the market for Non-Surgical Facial Rejuvenation.  They include but are not limited to the following fillers:  Restylane, Restylane Silk, Restylane Lyft, Refyne and Defyne & Perlane.  Juverderm XC, Juvederm Ultra, Juvederm Ultra Plus, Juvederm Voluma, Volbella & Vollure, among others.  And the list will continue, some of these fillers claim longer durations which can justify their cost.

In addition, it is important to know that your injector understand which fillers are best in certain areas of your face instead of others. 

There are additional fillers that are not Hyalronic acid,  called Radiesse and Sculptra which are both also approved in the United States for facial filling. 

It is important to note that these products can be purchased by any Doctor and/or a Medical Director and cosmetic medicine is a "buyer beware" industry. While it may be quite appealing to find these higher priced items with incredible discounts, make sure you find out if the person injecting them has the appropriate training and experience to help avoid and treat complications if they occur.

It is important that you find someone to inject you who is a Plastic Surgeon, who is board certified by the American Board of Plastic Surgery and/or a Dermatologist who is board certified by the American Board of Dermatology and is well experienced with facial fillers.  

One of several very important questions to ask your injector is how he or she deals with their complications.  If their answer is to send you to the Emergency Room then it is best you save your money and move on to someone who can handle the potential complication, because even in the most experienced hands, complications can occur, and time is of the essence.    

As a Board Certified Plastic Surgery practice, our surgeon is an attending at several area hospitals, as a result he gets called into the Emergency Room too often to handle complications by doctors who are not capable of dealing with them.  It is a sad reality that most don't understand when faced with a wonderful deal.  It is something one should consider along with the potential Emergency Room costs and clearly defined risks like loss of vision and necrotic skin among other things.  Be safe and know your injector.  

Next Step: Click here for Facial Fillers FAQs

Are Facial Fillers Right For Me?

If you are over the age of 21 and are concerned about volume loss or volume insufficiency in your face you may be a good candidate for facial fillers.  A brief consultation with Dr. Capuano will help reveal whether or not facial fillers are appropriate for you.  Call our office for a consultation at 201-820-5280.

Ask the Doctor

Frequently Asked Questions

Are dermal fillers safe with hypothyroidism?

Thyroid disease is a common metabolical disorder, especially in females, and we often see patients who request dermal fillers for facial rejuvenation who have this disorder.  According to our current understanding, dermal fillers can be safely used in patients with a history of hypothyroidism. It is important however, if a patient presents with this history, to both look for clinical signs of sever hypothyrodism as well hyperthyroidism (which can result from taking too much thyroid replacement medicine). If thyroid function is poorly controlled, it can be dangerous to a patient's health and should be corrected before undergoing any elective procedure including placement of dermal fillers.  An in person consultation with Dr. Capuano is an essential first step in safely obtaining the treatment you desire.  


Will I bruise from Fillers?

Every single person is different with resepct to whether or not they will bruise post injection.  Typically we see that the deep fillers cause little to no bruising, whereas the more superficial fillers cause bruising more regularly.  There are ways to lower your inherant risk by refraining from alcohol, aspirin, garlic, ginseng and other blood thinning agents prior to being injected.  You can also try homeopathic remedies like Arnica prior to and after your injections. 

I had fillers in my lips and nasolabial folds and I am so bruised, the doctors office told me this is normal, is there anything I can do other then taking arnica and waiting it out? Also they look artificial, help!

Hello and thank you for your question.  Bruising and swelling commonly occur following injection into the lips and nasolabial folds.  This is because both regions are relatively well vascularized.  In most patients we see these bruises resolve within about 2 weeks, but they can last longer.  If you would like to expedite the resolution of bruising, photolasers like IPL or BBL can help if your surgeon thinks they are ok to use in your skin type.  Regarding swelling, we typically see the majority of swelling resolve by 2-3 days, but this can be longer if the initial swelling was severe.  Although the majority of swelling resolves in a few days, there may also be residual swelling that lasts for up to and beyond two weeks.  I find it is best to wait at least two weeks to allow the swelling to resolve prior to making a decision as to whether you think you have too much volume or fullness.  If at that point, you still feel that it looks artificial, you can have hyaluronidase injected to reduce the volume of filler as long as a hyaluronic acid product was injected.  An in-person evaluation by your plastic surgeon is the best first step to addressing your concerns.  Hope this helps.

What is the best treatment to address my lower nasolabial fold region?

Nasolabial folds respond well to hyaluronic acid fillers, and the longevity of your results will depend on the type of filler you and Dr. Capuano choose.  The best first step is to book an in person examination with  double board Certified Plastic Surgeon Aaron Capuano M.D, F.A.C.S.  I hope this helps. 

After many rounds of fillers I had nodules and then hylaronadaise. When can I start adding fillers following multiple injections with hyaluronidase?

Hello and thank you for the question.  Having 10 injections of hyaluronidase is more than I have typically seen done in practice.  Maybe your injector was using tiny aliquots of HA to avoid overcorrecting.  On the other hand, it may have been used to correct severe overfilling or persistent nodules, in which case, you may still have inflammation or fibrosis present from the soft tissue trauma or displacement which can affect your subsequent fill results.  I usually recommend patients wait at least 6 weeks after treatment of nodules to re-inject with more filler.  This allows the tissue to soften and heal.  If hyaluronadaise is used to simply treat an area where filler migrated or was poorly placed, patients can have filler reinjected after two weeks.  Hyaluronidase has a half-life of about 2 days following intra-dermal or sub-dermal injection.  Hope this helps.

Is there anything you can recommend to prevent bruising from occurring post filler injection?

This is a great question and one that people are very interested in knowing the answer to.  Unfortunately, it is not as straight forward as one would hope though there are a few tricks that we do to help prevent it from occurring. First and foremost, do not drink or eat anything containing alcohol for a few days prior to being injected.  We also recommend that you refrain from eating anything that begins with the letter "G"-garlic, ginseng, ginko bilob or naything containing aspirin or other types of blood thinners, unless prescribed by another Doctor for health purposes.  The ohter option is to eat lots of pineapple before and after your injections.  We also recommend having the injection applied via cannula when possible. Finally, we offer Arnica both before and after injections that is part of our post injection regimen.

What fillers does Dr. Capuano use at the Northern Center for Plastic Surgery?

There are so many fillers that are being brought to the cosmetic market every year. Dr. Capuano is very careful about his selection of fillers and does not easily adopt all fillers that come to our market immediately despite the brand for various reasons. Our current family of fillers include the following: 

Restylane products:

Restylane Kysse

Restylane Silk

Restylane Lyft





Juvederm products:




Juvederm Ultra

Juvederm Ultra Plus




Revance products:

RHA Redensity