Fillers Specialist

Center for Family Practice & Aesthetics

Family Medicine & Internists located in Latham, NY


Lip Fillers

What are lip fillers?

FDA-approved lip fillers are all made of hyaluronic acid (HA), a natural sugar substance present in your body, especially in your skin.  Lip fillers are soft, natural, reversible gels that can restore volume to your lips. They can enhance or plump the lips in a way that looks natural, balanced and proportional to your face

There are currently 4 FDA-approved lip fillers:  Restylane, Restylane Silk, Juvederm Ultra and Juvederm Volbella.  All of these hyaluronic acid fillers come with a small amount of lidocaine (0.3%) to provide you more comfort.  These fillers are among more than 12 different types of hyaluronic acid fillers approved in the United States for aesthetic use. Lip fillers include:

Restylane-L – This was the first HA filler approved in the United States in 2003 for use in the nasolabial folds (laugh lines).  It is now approved for lip injections. Restylane uses what is known as NASHA™ technology, a proprietary manufacturing process. It has uniform HA particles that are medium-sized.  Although soft, malleable and volumizing, it tends to be stiffer than the other FDA-approved lip fillers.

Restylane Silk – This HA filler also uses NASHA™ technology, but uses smaller uniform-sized particles.  In the lips, it is less volumizing than Restylane-L, but better for subtle enhancement or for treating fine lines. It may cause more temporary lip swelling than the other lip fillers.        

Juvederm Ultra XC – this HA filler is a smooth consistency gel that uses Hylacross™ technology. It is approved to last up to one year in the lips while providing natural-looking results.

Juvederm Volbella XC – An HA filler that uses Vycross ™ technology.  It is formulated for the delicate skin covering the lips. It can smooth fine lines around the mouth as well.

Will I end up looking like a duck?

The practitioners at the Center for Family Practice and Aesthetics® are conservative injectors and prefer not to give patients duck, fish or monkey lips. Remember, these HA lip fillers are easily reversible should you wish to reduce lip enhancement. There often may be some lip swelling after the procedure, and it's best to wait for this to subside, before deciding on whether you like your lips or not.

What should I expect, and does it hurt?

We value your aesthetic goals and will talk to you in depth about expectations and your treatment options. We take confidential standardized photos at different angles so that you can see how your before and after appearances will compare.

Lip fillers already come with lidocaine built into the gel. The lips have a very rich blood supply. The practitioners at the Center for Family Practice and Aesthetics use slow, gentle injections to reduce discomfort, swelling, and bruising.

After your treatment, the most common side effects may include:

  • Swelling and redness
  • Bruising
  • Asymmetry – sometimes one side heals slower than the other
  • Mild discomfort
  • Lumpiness – the filler is 100% biodegradable.  It will disappear without a trace

The staff at the Center for Family Practice and Aesthetics® will thoroughly review all you should know about the procedure, precautions and side effects before your treatment.  You are discouraged from massaging the lips for at least 6 hours after the procedure, but you may apply ice or cool compresses.

Although many patients say they have never bruised with treatment, they are fine to return to work immediately, we always recommend that you plan two weeks ahead of any special event for any injectable procedure.

When you’re ready to add fullness to your lips or treat lines around your mouth, call Center for Family Practice and Aesthetics® today or schedule an appointment online.

Cheek Filler

What are cheek fillers?

The Practitioners at the Center for Family Practice and Aesthetics® specialize in cheek fillers. They use robust fillers or biostimulators to restore or enhance volume in your cheeks. Less robust fillers can also create support to cheeks with a variety of sculpting methods perfected to give you a natural, youthful appearance. Examples of fillers that we commonly use to restore facial volume include:

  • Juvederm® VOLUMA XC - can last up to two years
  • Juvederm® Ultra Plus injected using a mesh pattern technique
  • Restylane®, Restylane® Lyft, Restylane® Defyne with scaffolding cannula technique
  • Sculptra®, a potent biostimulator to help you build up your own collagen. Can last 25 months or longer
  • Restylane® Refyne for finer cheek creases

After a thorough evaluation by our medical practioner, we will recommend what treatment options will best meet your aesthetic needs and expectations. Some fillers last longer than others, but the effects of treatment can last up to 6-24 months or longer depending on the type and amount of filler used, your age, your condition, and areas treated.

What should I expect during cheek filler injections?

Before your procedure, we thoroughly clean your skin with alcohol or Prevantics®, a surgical skin prep product. After that, we apply a topical anesthetic to make your procedure more comfortable.

Any injector can stick a needle in and inject a product, but will it be safe and will it look good? There is an art to (1) evaluate the face and strategize a treatment plan, (2) to skillfully perform the procedure so that you look naturally better.

An art and science philosophy recognizes that every face is slightly different. Our approach to your face will be personalized to you for a practical way to enhance your natural appearance.

Knowledge of anatomy, fat pads, blood vessels, nerves, filler properties and how they interact with soft tissue is where scientific knowledge and medical expertise are paramount.

Your treatment may take about 5-30 minutes, depending on the areas treated, type and amount of filler used.

Most of your appointment time will be spent to discuss goals, expectations, learn about possible risks and complications, to take confidential baseline and after treatment photographs for comparison and to allow your skin to become numb before your actual procedure.

After filler injections, you might experience:

  • Redness at the injection site
  • Mild tenderness
  • Swelling
  • Bruising


Cheek fillers are routine procedures, and you can resume normal daily activities right away after the procedure. You might notice restored facial volume immediately, with the final result appearing after several days or weeks. Biostimulation such as Sculptra® Aesthetic takes up to five weeks per treatment to build up collagen. Subsequent treatments continue the collagen growth, which will add more and more volume to the desired degree of correction.

When you’re ready to add fullness to your lips or treat lines around your mouth, call Center for Family Practice and Aesthetics® today or schedule an appointment online.