Dermal Filler

How does Dermal Filler work?

Most dermal fillers are composed of a clear gel-like substance called hyaluronic acid. Hyaluronic acid is a natural substance found in plants, animals and humans. When injected, it supports facial structures and tissues that have lost volume or elasticity due to normal aging. It also brings water to the surface of skin to keep it looking fresh and supple. Other types of fillers include poly-L-lactic acid and calcium hydroxylapatite, both of which are designed to stimulate the body’s own production of collagen. Each filler is best suited for a specific area, which is where experience and expertise become important.

We currently offer RHA Redensity, RHA2, RHA3, RHA4, Restylane, Restylane Lyft, Restylane Silk, Restylane Refyne, Restylane Defyne, Restylane Kysse, Juvéderm, Juvéderm Ultra Plus, Juvéderm Volbella, Juvéderm Vollure, Juvéderm Voluma, Belotero, Sculptra and Radiesse. An expert injector, Dr. Cox understands the science and art required to achieve aesthetically beautiful results.

Fillers treat a variety of concerns, including etched-in forehead lines, loss of volume in the temples, under-eyes and cheeks, deep lines and creases around the mouth, and loss of volume in the hands. Fillers can also enhance the lips and create a more defined chin or jawline.  An expert in cutting edge techniques, Dr. Cox uses poly-L-lactic acid and calcium hydroxylapatite fillers on the body for skin tightening. Treatment areas include the neck, chest, arms, abdomen, buttocks and thighs. Dr. Cox has lectured extensively across the United States and Europe on this new, groundbreaking technique.

Before | After: Dr. Cox specializes in holistic treatment of the entire face, placing filler to restore volume and soften creases. Neuromodulators were also an important piece of this patient’s treatment plan.

Before | After: Perioral reconstruction with the use of Dermal Fillers. Here, fillers were able to add back structural support and decrease “smokers lines”.

Before | After: Vectra 3D imaging shows filler placement along the cheekbones to restore volume and gently lift the lower face.

Before | After: Dr. Cox used filler along the jawline to regain structural support lost by the aging process.

Before | After: Progression of filler treatment. We treat new patients over 1-3 initial sessions, building beautiful results carefully.

Before | After: Dr. Cox used filler to reduce undereye bags and dark circles.

Before | After: Dr. Cox used filler in the chin to create a more symmetrical profile.

Before | After: Dr. Cox used filler as a biostimulate to reduce crepey skin and restore smooth skin texture and quality.

Before | After: Dr. Cox often uses filler to restore volume to the back of the hands. The Alex Laser was used to remove brown spots.

Expertise: Dr. Cox directs injection courses worldwide and has been featured in training videos for every major filler manufacturer.

Is Dermal Filler safe?

Dermal fillers have an excellent safety profile and all fillers used in our office are FDA approved. Dr. Cox’s expertise includes use of filler in off-label locations, meaning she can safely and effectively inject filler products into areas other than their FDA-approved locations.  Like any surgical or non-surgical procedure, there are risks associated with treatment. As an international teacher and trainer of other physicians in facial anatomy and injection techniques, Dr. Cox stresses the importance of finding an experienced physician who understands the finer points of injectable treatment.

A medical expert and thought leader in injectable filler, Dr. Cox performed FDA trials for most of these injectable fillers. She helped bring Restylane, the first hyaluronic acid filler, to the US, and performed the largest single site trial for registration of Voluma, the first filler created for the mid-face. Dr. Cox remains on the forefront of filler development and innovation, with numerous clinical trials of future fillers in process.

Dermal Filler downtime

Filler treatment is very well tolerated. Dr. Cox will work with you to develop a treatment plan, which is typically executed in 2-3 sessions. Once initial results are achieved, most patients come in once or twice a year to maintain their results. The procedure itself typically takes no more than 15 minutes. Filler is injected precisely where it is needed using a very small needle. Numb gel may be used in advance of treatment for more sensitive areas.

There is no downtime associated with filler. Injection-related side effects may include swelling or bruising, which typically resolve quickly. Aspirin, vitamin E, ibuprofen, and many other herbal supplements may contribute to bruising. We recommend you discontinue these medications 10 days prior to the procedure with consent of the prescribing physician. Some patients experience more swelling and bruising than others. Because of this, we recommend allowing a few days before a significant social or professional obligation.

Dermal Filler results

Fillers produce an increase in volume and softens lines and creases. Results and duration vary based on the quantity, placement and treatment area. Clinical results have demonstrated duration of four months to over two years, depending on the product.