Injectables
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 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
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.
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 — an actual patient.

Filler treatment before and after.
Lip filler
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.
Where fillers are used
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 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 resultsFlattening 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 resultsA 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.
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.
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.
Restylane, Juvéderm
Non-surgical rhinoplasty in fullFolds 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.
Who injects
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.



Aesthetic Nurse Injector
Injectables, skin health, and treatment planning at the medspa.
@aesthetics_by_arabethOur filler line
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
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.
Ask Sandel Duggal
Answers from our website
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