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Injectables

Dermal Fillers in Annapolis, MD

A fast and effective way to reduce the effects of facial aging without surgery — softening lines and wrinkles and restoring volume to the cheeks, chin, and lips, with no downtime for recovery.

At a glance

Treatment time20 minutes to 1 hour
DowntimeLittle to none
Results lastA few months to 2 years
TreatsLips, cheeks, jawline, tear troughs, lines
InjectorsPhysicians and aesthetic nurse injectors

Treatment time

20 minutes to 1 hour

Downtime

Little to none

Results last

A few months to 2 years

Treats

Lips, cheeks, jawline, tear troughs, lines

Injectors

Physicians and aesthetic nurse injectors

What dermal fillers are

Over time, the skin on our faces loses resilience and starts to develop wrinkles and creases, and the underlying fat tissue can start to thin. Dermal fillers are gel-like substances that restore a younger look when injected below facial skin. Different types create different effects: some soften and smooth lines, others add volume to hollow areas or plump the lips.

Most filler formulas include substances that occur naturally in the body, including hyaluronic acid and poly-L-lactic acid, and all are FDA-approved for cosmetic use. We can also use your own fat tissue to create a long-lasting filler, harvesting fat cells with liposuction, processing them, and injecting them where you want more volume.

What fillers can do

Fill in and soften lines around the nose and mouth, including marionette lines and smile lines

Minimize forehead lines

Erase vertical lines above the lips

Plump the lips

Add volume to sunken cheeks, temples, and the area under the eyes

Improve facial symmetry

Improve the appearance of sunken scars, such as those caused by acne

Restore volume to aging hands, softening visible veins and tendons

Dermal filler before and after, actual patient

Dermal filler before and after — an actual patient.

Dermal filler treatment before and after, actual patient

Filler treatment before and after.

Lip filler

Lip filler in Annapolis.

The most asked-for injectable we do, and the one where restraint matters most.

Lip filler adds volume, and it can define the vermilion border and the cupid’s bow. What it cannot do is change the distance between your nose and your lip. If that distance is what bothers you, a lip lift is the operation that addresses it, and filler will not substitute for it.

How much you need is a question of proportion to the rest of your face, not a fixed amount. A conservative first treatment is almost always the right starting point: it is straightforward to add at a second visit, and much harder to undo an overfilled lip that has stretched the tissue.

Most lip filler lasts somewhere between six months and a year, depending on the product and on you. Hyaluronic acid fillers are reversible, which is part of why they are the right choice here.

We use Restylane Kysse where softness and movement matter, Juvéderm Volbella for subtle volume and fine lip lines, and Restylane Silk for definition of the border. Which one suits you is decided at your appointment, not before it.

Lip filler before and after, case 4395

Lip filler — an actual patient of West Annapolis Medical Spa.

Lip filler before and after, case 4391

Lip filler — an actual patient of West Annapolis Medical Spa.

See lip before and after photos

Where fillers are used

Treated area by area.

Each area has its own anatomy, its own product and its own limits. Naming what is bothering you is more useful than naming a filler, and the plan usually treats more than one area at a time.

Lip filler

Lip filler adds volume and can define the vermilion border. How much is a question of proportion to the rest of the face rather than a fixed amount, and a conservative first treatment is usually the right starting point. Where the complaint is the distance between nose and lip, a surgical lip lift addresses it instead.

Juvéderm Volbella, Restylane Kysse, Restylane Silk

See lip results

Cheek fillers

Flattening across the cheekbone is one of the earliest changes and among the most rewarding to treat, because restoring it lifts the midface rather than adding to it. A collagen stimulator builds the same volume gradually where sudden change is unwelcome.

Juvéderm Voluma, Restylane Lyft, RHA 4, Restylane Defyne

See cheek results

Jawline and chin

A soft or receding lower face reads as heavier than it is. Jawline filler can sharpen the border in the right candidate; where the underlying projection is the problem, a chin implant addresses it properly and permanently.

Juvéderm Volux, Restylane Contour, RHA

Tear troughs

Hollowing beneath the eye casts a shadow that reads as tiredness regardless of how rested you are. This is the most technically demanding area on the face, product choice matters, and not everyone is a candidate.

Restylane

Non-surgical rhinoplasty

Filler placed along the bridge or at the tip can straighten a profile, soften a dorsal hump, or lift a tip that has dropped — without surgery and without recovery. It suits specific corrections rather than a change in size, and the result is temporary. The nose is among the least forgiving areas to inject, with a blood supply that leaves little margin for error, and Dr. Sandel takes referrals for it from other injectors. Where the concern is breathing or the underlying structure, surgical rhinoplasty is the right answer instead.

Nasolabial and marionette lines

Folds visible with the face completely still are volume problems rather than muscle problems, which is why a neuromodulator does very little for them. Filler placed above the fold often works better than filler placed in it.

Juvéderm, Restylane, RHA 2 and 3, Restylane Refyne

Temples

Hollowing at the temple narrows the upper face and is routinely missed, because it is not where people look when they examine themselves. Filling it restores the frame around the eyes.

Voluma, Radiesse, Defyne, Contour or RHA 4

Who injects

Three injectors

Filler here is injected by our two surgeons and our aesthetic nurse injector. You can request a specific injector when you book, and see the same one at every visit.

Henry D. Sandel IV, MD, FACS, double board-certified facial plastic surgeon

Dr. Henry Sandel

Facial Plastic Surgeon

Injects the face he operates on. Takes referrals for advanced technique — tear troughs, the nose, jawline contouring, and scars.

Claire S. Duggal, MD, board-certified plastic surgeon

Dr. Claire Duggal

Plastic Surgeon

Board-certified plastic surgeon, surgical and non-surgical facial aesthetics.

Arabeth Turner, RN, BSN, Aesthetic Nurse Injector

Arabeth Turner, RN, BSN

Aesthetic Nurse Injector

Injectables, skin health, and treatment planning at the medspa.

@aesthetics_by_arabeth

Our filler line

A full line of options.

Each type of filler works best for specific facial improvements, and we may recommend using different fillers in various parts of your face.

Juvéderm

Ultra XC

Ultra Plus XC

Voluma XC

Vollure XC

Volbella XC

Volux XC

Skinvive

Restylane

Restylane-L

Lyft

Kysse

Defyne

Refyne

Contour

Eyelight

Skinboosters

RHA

RHA 2

RHA 3

RHA 4

RHA Redensity

Collagen stimulators

Radiesse

Loyalty programs

We participate in all three manufacturer rewards programs, so points accrue whichever filler suits your face. Enrolment is free.

Allē®
Juvéderm®

ASPIRE®
Restylane®

REVA™
RHA® Collection

Dermal filler FAQs.

Dermal filler treatment takes between 20 minutes and an hour, depending on how many areas of the face you are having treated.

You will have little or no downtime and should be able to resume your normal activities right away. Some patients experience mild bruising, swelling, or redness for a few days afterward; if this is the case for you, minimize these effects by applying ice packs.

Results last anywhere from a few months to two years, depending on the product. Most hyaluronic acid fillers, such as Juvéderm and Restylane, last six months to two years depending on the formulation, the area treated and your metabolism; Radiesse typically lasts 12 to 18 months, and Sculptra up to two years or longer. Your provider will explain how long the specific product used in your treatment typically lasts.

Yes. We can combine dermal filler treatments with injections of Botox or Dysport, which relax the facial muscles that cause expression lines.

First-time patients often worry about commitment. Hyaluronic acid fillers such as Juvéderm and Restylane are reversible: they can be dissolved with an enzyme called hyaluronidase if you are unhappy with the result.

Adults in good health with realistic expectations and early signs of aging, such as fine lines, volume loss, or hollow cheeks. Fillers are not recommended if you are allergic to filler materials, have an active infection, or have certain health conditions, and patients who are pregnant or breastfeeding should postpone treatment.

Pricing depends on the product, the number of syringes, the area treated, and your provider. You receive a personalized quote at your consultation.

Your visit begins with a consultation in which your injector evaluates your facial anatomy and talks through your goals. Topical numbing keeps you comfortable, most injections take less than 30 minutes, and most fillers show their result immediately.

Book your appointment.

Both Dr. Sandel and Dr. Duggal are experts in the aesthetic application of dermal fillers. Come in and we will map out which product suits which area of your face.

Request an appointment(410) 266-7120

Related reading

How Long Do Fillers Take to Settle?Read in the journalDo Dermal Fillers Have a Recovery Time?Read in the journalFiguring out the Right Dermal Filler for YouRead in the journal