Cosmetic Injectables:
Botox, Dysport, Xeomin,
& Dermal Fillers

The guide below gives you an idea of how dermal fillers are used. The main clinical differences in fillers is the viscosity (how thick or thin the gel is), the length of time the filler lasts, and the hydrophilic nature of the filler (how much water it attracts – in other words, its ability to create targeted “puffiness”).

The number of vials injected can vary from ½ to 6 or so at one visit for a liquid lift. Vials are chosen based on client needs and budget. Experienced injectors use multiple fillers in numerous places.

Restylane Lyft and Juvederm Voluma are commonly used to restore volume to your cheeks and hands.

Restylane Silk, Juvederm Ultra, and Restylane Kysse are designed to add fullness to the lips and smooth wrinkles around the mouth. Kysse, FDA-approved and released in 2020, is the latest lip injection we all love (link to blog) for its natural, juicy-looking results.

Restylane Refyne and Juvederm Volbella target fine lines around your face, lips, and mouth without adding “puffiness.”

Restylane, Restylane Defyne, and Juvederm Vollure smooth away deeper smile lines & marionette lines.

Restylane is our filler of choice for correcting under eye hollows.

Neuromodular injections like Botox help soften and reduce lines of expression (the ones that appear from frowning, smiling, or squinting). Fillers are rarely used on the forehead. PDO looped threads work nicely to smooth the 11s between the brows.

At CSLC, we use modern injectable techniques treat your face as a whole, both at a surface level and structurally. Fillers are a key component of our “global face approach,” where we analyze your unique features, structure, and problem areas and create a personalized injection plan.

We might use Restylane Lyft to replace volume or lift areas of your face, including your cheeks and sunken areas around your mouth and nose. Then, we might add in some Restylane Defyne to soften fine lines and wrinkles around your eyes and mouth.

In your 20s and 30s, you might find just a bit of lip filler is enough to give you the perfect pout, and as you age, we help you do so with grace, adding in fillers to replace lost volume or eliminate wrinkles. Everyone is different, and that’s why our consultations are always complimentary: we work with you to find injection solutions that help meet your needs and budget.

Sculptra is one of the go-to injectables used in our “liquid lift,” which restores age-related facial fat loss. Unlike hyaluronic acid fillers, Sculptra is not a gel. Rather it comes as a powder and is hydrated with sterile water prior to injection. Sculptra is poly-L-lactic acid (PLLA), which is a collagen stimulator that helps gradually restore fullness to the face.

Sculptra gives a long-lasting (2+ years) lift by restoring volume in the sunken temples, deflated cheeks, and pre-auricular area (area in front of the ears), resulting in a softer and more youthful appearance. An alternative to fat transfer, results gradually appear over 6-12 weeks, then last two or more years.

For full correction, you may require one vial of Sculptra for every decade of your life to start (47 years old = 4-5 vials) and then a couple of vials every couple of years to maintain the results.

Sculptra is generally injected with fillers. Fillers are more flexible and are for the detail work.

Fillers last anywhere from six months to two years, depending on the type of product and brand used. Many clients do filler injections annually for overall lift and maintenance and add in small amounts as needed (lips, ear lobes, stubborn lines, and hands).

Fillers that address softer fine lines (and if requested, plump lips) last up to a year.

Fillers to replace facial volume last up to two years, and fillers for a fuller lip last from six months to a year (with the latest addition to our filler family, Restylane Kysse, lasting up to a year, making it a great long-term investment that saves you time in the treatment room).

One of the best parts of the advanced science of modern fillers is many of them work to continuously stimulate collagen over time, so that even as their immediate effect wears off, there’s ongoing transformation happening beneath the surface, resulting in better-looking skin overall.

As fillers fade, there’s no sudden, dramatic “droop.” Instead, their effects wear off subtly, much like the best hair highlights grow out gracefully.

With the Russian Lip technique, tiny droplets of filler are placed vertically into the lip, compared to lines of filler along the border. This technique volumizes the lip body without any increase in lip projection. Restylane Kysse uses a special formulation called XPresHan Technology, a gel that is ideal for this type of lip injections.