Dermal fillers replace volume that the face loses over time. As fat pads shift and bone remodels, hollows appear under the eyes, cheeks flatten, and the folds running from nose to mouth deepen. Filler is a gel, most often hyaluronic acid, placed beneath the skin to restore the underlying support structure.
The tear trough and midface are among the most technically demanding areas in aesthetic medicine, and they sit directly in our physicians' area of surgical expertise. Under-eye filler in particular requires an understanding of the orbital anatomy that not every injector has.


We start by identifying where volume has actually been lost rather than simply filling the lines you see in the mirror. Often the hollow that bothers you is best addressed by treating an area slightly above or beside it, because that is where the structural support gave way. This is where a surgeon's understanding of facial anatomy changes the outcome, since the visible problem and its underlying cause are frequently in two different places, and chasing the line directly tends to produce the overfilled look that no one wants.
Treatment takes about thirty minutes and most fillers contain a local anesthetic for comfort. Expect some swelling for three to five days and occasional bruising, especially under the eyes, where the skin is thinnest and most prone to it. Results are visible immediately and continue to settle over the following two weeks as any swelling resolves and the product integrates with your tissue. We will see you back to assess the final result, and because most of the fillers we use can be dissolved, nothing about your treatment is permanent or beyond adjustment.
Restoring volume where time has taken it, with a light hand and an eye for proportion.

Botox relaxes muscles that cause expression lines. Fillers add volume to areas that have lost it. Many patients benefit from both, and we will tell you honestly if only one is needed.
Depending on the product and the area treated, results typically last between six and eighteen months.
Some swelling or bruising is common for a few days, particularly under the eyes. Most patients feel comfortable returning to work the next day.
Yes. Most hyaluronic acid fillers can be dissolved with an enzyme if you are unhappy with the result, which is one reason we prefer them.