Faces don’t age by wrinkling. They age by deflating. Fat pads shrink and shift, bone remodels, and the scaffolding that held everything up gives way — which is why the folds around your mouth deepen and your jawline softens even if your skin is in good condition.
Filler restores that structure. Placed well, nobody can tell you’ve had anything done; they just think you look well. Placed badly, it’s obvious, and Miami has a lot of obvious. We’re deliberately conservative, and we build over multiple sessions rather than trying to do everything at once.
What we treat
- Cheeks — restores mid-face volume, which lifts everything below it
- Nasolabial folds — the lines from nose to mouth corners
- Marionette lines — from mouth corners downward
- Jawline — definition and contour
- Chin — projection and profile balance
- Under eyes (tear trough) — hollowing and shadowing
- Temples — a commonly missed area that causes the eyes to look sunken
- Lips — see our dedicated lip filler page
- Hands — volume loss and visible tendons
What we use
We work primarily with hyaluronic acid fillers — Juvéderm®, Restylane®, and RHA — because hyaluronic acid occurs naturally in your body, integrates predictably, and can be dissolved with hyaluronidase if you don’t like the result or if there’s a complication. That reversibility is the single most important safety feature in filler, and it’s why we default to HA.
Different products have different thicknesses. A firm, high-G-prime filler builds structure along a jawline. A soft, flexible one is right for a tear trough. Using the wrong one in the wrong place is the most common cause of lumpy, puffy results.
For collagen stimulation rather than direct volume, see Sculptra.
What to expect
Consultation. We assess your face at rest and in motion, discuss what’s actually causing what bothers you, and build a plan. Frequently the area you want treated isn’t the area that needs treating — under-eye hollowing is often a mid-face volume problem, and filling the tear trough directly makes it worse.
Numbing. Topical anesthetic, and most HA fillers contain lidocaine.
Treatment. 30–60 minutes depending on areas. We use a blunt-tipped cannula where appropriate, which reduces bruising and lowers vascular risk compared with a needle.
Immediately after. Swelling and possible bruising. You’ll see results right away, but you are not seeing the final result — swelling takes up to two weeks to settle.
For 24–48 hours: no strenuous exercise, no alcohol, no heat, sleep elevated. Ice in short intervals.
Results and longevity
- Immediate: visible volume, plus swelling
- Days 3–7: most swelling resolves
- Week 2: settled result — this is when we assess
- 6–18 months: duration, depending on product, area, and metabolism
High-movement areas (lips, around the mouth) metabolize faster. Structural areas (cheeks, jawline) last longer.
Every new filler patient gets a complimentary two-week follow-up.
Investment
Filler is priced per syringe and varies by product. Most people need one to two syringes per area for a first treatment. You’ll receive a full, personalized quote at your complimentary consultation — before treatment, never after — and we’d rather stage treatment across sessions than have you overspend or overfill in one visit.
Safety and who shouldn’t get it
Common and temporary: swelling, bruising, tenderness, small lumps that resolve or can be massaged out.
Serious but rare: vascular occlusion. If filler enters or compresses a blood vessel, it can block blood supply — causing tissue damage or, very rarely, vision loss. This is the reason injector training matters more than price. Our providers are trained in facial vascular anatomy and we keep hyaluronidase on site at all times to dissolve filler in an emergency. Ask any provider anywhere whether they stock it. If the answer isn’t an immediate yes, leave.
Not appropriate if you: are pregnant or breastfeeding, have an active infection or cold sore in the treatment area, have a history of anaphylaxis or severe allergies, have a known lidocaine allergy, or have an active autoimmune condition affecting the skin.
Tell us about any prior filler, including where and when. Some fillers last far longer than patients expect, and permanent fillers change the plan entirely.
Questions people ask
Will I look overdone?+
Not if we're doing our job. We treat conservatively and stage over sessions. If you want a dramatic change in one visit, we're probably not the right practice for you.
Does it hurt?+
Mild to moderate. Topical numbing plus lidocaine in the product handles most of it. Lips are the most sensitive area.
How long until I look normal?+
Most people are presentable the next day. Bruising, if it happens, lasts five to ten days. For an event, book three weeks ahead.
Can it be reversed?+
Hyaluronic acid fillers can be dissolved with hyaluronidase, usually within 24–48 hours. This is a significant reason we use HA.
What's the difference between filler and BOTOX®?+
BOTOX® relaxes muscles to soften lines caused by movement. Filler adds volume to restore structure. They solve different problems and are frequently used together.
Is under-eye filler safe?+
It's one of the more technically demanding areas, with thin skin and significant vasculature. We only treat tear troughs when it's genuinely indicated, often after addressing mid-face volume first. Some people are not good candidates, and we'll tell you.
Will filler stretch my skin?+
Reasonable amounts placed appropriately don't. Chronic overfilling over many years can.