Dermal Fillers in NYC: Lips, Cheeks, Jawline and Under-Eye
Dermal fillers restore volume where the face has lost it, or add gentle definition where it was never strong: lips, cheeks, jawline, temples, under the eyes and the folds around the mouth. Most are hyaluronic acid gels that last from several months to a year or more depending on the area, and they can be dissolved if needed. Sarah Walner, PA-C injects fillers at the practice with a restore-not-inflate approach.
Fillers are often combined with Botox in NYC in one visit; the practice's full range is on the non-surgical treatments in NYC page.
Table of Contents
Why Patients Trust Dr. Wiser
Associate Clinical Professor of Surgery, Mount Sinai Elmhurst
Advanced techniques for natural-looking results
Thousands of successful
procedures
Fillers by area, and how long they last
- Lips. Shape, definition and modest volume with a soft, flexible gel. The most mobile area, so the shortest-lived; many patients refresh within a year.
- Cheeks. Restores mid-face volume that flattens with age and lifts the lower face indirectly. A firmer gel; among the longest-lasting areas, often a year or more.
- Jawline and chin. Definition and balance of the lower face. A firm gel; longevity similar to cheeks.
- Under the eyes (tear trough). Softens hollows and shadows. A thin gel placed cautiously; a technical area where injector skill matters most.
- Nasolabial folds and marionette lines. Softening of the folds from nose to mouth and mouth to chin; often improved first by cheek support.
- Temples and hands. Hollowing at the temples; volume loss on the backs of the hands (see hand rejuvenation).
Results and how long they last vary by patient, area and product. Sarah tells you the expected range for your area and product at the consultation.
The natural-results approach
The practice's philosophy for surgery applies here: restore what the face has lost, in proportion, in stages. That means conservative volumes, a preference for supporting structure (cheeks) before chasing folds, and a review two weeks later before adding more. An overfilled face is the result of adding what was never there; a refreshed one is the result of putting back what was.
Safety
Bruising and swelling for a few days are common and expected. Lumps and small asymmetries are usually correctable, and hyaluronic acid filler can be dissolved with an enzyme. The serious but rare risk is filler entering a blood vessel, which is why training in facial anatomy, cautious technique and the right product for each area matter. The FDA's dermal fillers page describes approved uses and risks in full.
Treatment day and downtime
Numbing cream, then injections that take fifteen to thirty minutes depending on the areas. Expect swelling for a few days (lips swell most) and possibly a bruise; avoid strenuous exercise and pressure on the area that day. The result is visible immediately and settles as swelling resolves over about two weeks.
Cost
Fillers are priced per syringe, and the number of syringes depends on the areas and the volume lost. The full pricing guide explains how the number is built; the practice gives a written estimate at the consultation.
Questions patients ask about dermal fillers
What are dermal fillers made of?
Most fillers used at the practice are hyaluronic acid, a substance your skin already contains, formulated at different thicknesses for different areas. They are reversible with an enzyme if needed. Other filler types exist for specific uses and are discussed case by case.
How long do lip fillers last?
Lips are a mobile area and metabolize filler faster than cheeks; many patients refresh within a year. Results and how long they last vary by patient, area and product.
Can filler be dissolved?
Hyaluronic acid filler can be dissolved with an enzyme injection, which is one reason it is the standard choice. Dissolving is used for correction or if a patient changes her mind.
Does filler hurt?
Most fillers contain lidocaine, and numbing cream is applied first. Patients describe pressure more than pain. Lips are the most sensitive area.
Will I look overdone?
Not with conservative volumes placed for your proportions. Sarah's approach is to restore what the face has lost, not to add what it never had, and to add in stages, not all at once.
What are the risks?
Bruising and swelling for a few days are common. Lumps and asymmetry are usually correctable. The serious but rare risk is filler entering a blood vessel, which is why training in facial anatomy and a cautious technique matter; the FDA's filler page describes the risks in full.
Restore, in proportion
At the free virtual consultation Sarah assesses where volume has been lost, recommends areas and product, and gives a written estimate. Compare results in the before-and-after gallery.