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Loss of collagen and facial fat are part of the natural aging process, which usually begins in someone’s 30s. At this point, the skin’s natural supports begin to diminish, producing a gradual loss of definition in the cheeks, eyes, temples, lips, jawline, and forehead. As the skin ages, it begins to lose its youthful elasticity, and this results in the emergence of wrinkles and sagging of the skin. There is a hallowing around the eye sockets along with sunken temples, flattened cheeks, and loose skin around the jawline, better known as jowls. Fine lines appear on the lips and around the nose. Nasolabial folds form around the corners of the nose and mouth and oral commissures develop just beneath the corner of the mouth. The skin appears drier, thinner, and less pliable and vibrant. At Kessel Dermatology, servicing the Hamilton Square, Trenton, and Mercer County areas in New Jersey, we offer a variety of treatments aimed at restoring facial volume and a youthful appearance
Dermal fillers are injectable gels used to restore age-related volume loss, enhance facial features, and improve facial contours and balance.
Rather than taking a one-size-fits-all approach, filler selection and placement should be based on your individual anatomy, facial proportions, areas of volume loss, and aesthetic goals.
Dermal fillers can be used to:
Common treatment areas include:
The appropriate filler and injection technique will depend on the area being treated and the result you're trying to achieve.
There are several types of dermal fillers. The most commonly used are made with hyaluronic acid (HA), a substance naturally found in the body.
Not all hyaluronic acid fillers behave the same way. Differences in formulation affect characteristics such as firmness, flexibility, viscosity, and water absorption.
These differences allow us to select products according to the treatment area and desired result. A filler appropriate for subtle lip enhancement, for example, may not be the same product selected to provide structural support to the chin or jawline.
Other fillers, such as Radiesse®, use different ingredients and work differently within the tissue.
The duration of dermal filler varies depending on the product, treatment area, amount used, and individual patient.
Some fillers can remain present for up to two years. However, this doesn't mean the treated area will look exactly the same for two years. These products gradually begin to break down over time, with some filler potentially remaining at the two-year mark.
Areas with significant movement, such as the lips and around the mouth, tend to metabolize filler more quickly and may require treatment sooner.
Most healthy adults can be considered for dermal filler treatment, but your medical history is important.
Many dermal fillers contain lidocaine. Be sure to tell us if you have a known allergy to lidocaine or other local anesthetics.
Patients with autoimmune conditions should discuss treatment with their treating physician or rheumatologist. While an autoimmune condition does not necessarily prevent filler treatment, poorly controlled inflammatory disease may increase the risk of certain post-treatment reactions.
Your medical history, medications, previous filler treatments, and aesthetic goals will be reviewed before treatment.

Common temporary side effects can include:
More serious complications are uncommon but can occur.
One of the most important risks associated with dermal filler is vascular occlusion, which occurs when blood flow through a blood vessel is compromised.
In extremely rare cases, filler entering a blood vessel can result in serious complications involving the skin, eyes, or other structures.
Understanding facial anatomy, recognizing complications quickly, and knowing how to manage them are essential components of safe filler treatment.
Hyaluronic acid fillers can be dissolved with an injectable enzyme called hyaluronidase when medically necessary or aesthetically appropriate.
With proper product selection and injection technique, significant lumps and irregularities are uncommon. However, filler can sometimes need to be adjusted or dissolved.
Our aesthetic medicine expert, Savy Guthrie, MPAS, PA-C, also performs corrective treatments for patients who are unhappy with dermal filler previously placed at other practices.
Dermal filler treatment requires an understanding of much more than where to place the product.
Facial anatomy, vascular anatomy, facial proportions, age-related changes, product characteristics, injection depth, and technique all influence both the safety and aesthetic outcome of treatment.
Our aesthetic medicine expert, Savy Guthrie, MPAS, PA-C, has over 20 years of dermatology experience and extensive experience performing cosmetic injectable treatments.
Treatment is customized to the individual, with an emphasis on facial balance and natural-looking results rather than simply adding volume.
We offer a variety of dermal fillers and biostimulatory injectables so that treatment can be selected according to your anatomy, treatment area, and goals.
The best filler treatment isn't determined by a particular product or number of syringes. It begins with evaluating your anatomy, areas of volume loss, facial proportions, and what you would like to improve.
Schedule an aesthetic consultation at Kessel Dermatology to discuss whether dermal fillers are appropriate for you and which treatment approach best fits your goals.
Schedule an appointment with our expert today to discuss which products might be right for you.