Injectable facial fillers are a safe, smooth, gel filler that instantly smooths away wrinkles. 

They can be used to fill glabellar lines (between the eyebrows),  lines around the mouth, reduce the appearance of hallow looking eyes, and to plump and define lips.

The deep wrinkles and folds on the face are caused by multiple things, one of which is a decrease in the body’s production of collagen which results in volume loss. Facial fillers replace lost hyaluronic acid to instantly improve your appearance by smoothing the wrinkles and folds.

The loss of plump cheeks shows age. Look at the kindergarteners plump "pinchable" cheeks and the flat cheeks of the nursing home patient, all people are somewhere on the continuum between these two life positions.  Fillers can help replace this plumpness returning a more youthful appearance immediately.  

Fillers are commonly used in tandem with Botox® or Dysport®. Fillers are used to correct static wrinkles, meaning wrinkles that persist when the face is at rest; while Botox and Dysport diminish dynamic wrinkles caused from the movement of facial muscles.


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1. What are the different facial fillers available?

The most commonly used facial fillers are Juvederm Ultra XC® and Juvederm Ultra Plus XC® in the Allergan family of products, Dr. Madsen's choice of aesthetic injectables for the best results for his clients.

Now also available, JUVÉDERM VOLUMA® XC developed specifically and FDA approved for mid facial volume loss AND with a longevity of 2 years instead of 1!!

JUVÉDERM VOLBELLA® XC recently  released is the first and only FDA-approved filler proven to increase lip fullness and correct premolar lines (around the mouth) for up to 1 year! 

2. What is the difference between the brands of facial fillers?

The length of effectiveness varies from product to product. Some fillers last 6-9 months and others last up to 24 months. The firmness of the fillers can also vary between products depending on the location and depth of the injection. Dr. Madsen will discuss the differences in greater detail during your consultation and help you decide which facial filler is right for you.

3. What are facial fillers made of?

Facial fillers are made of hyaluronic acid which is a natural substance that already exists in the human body. By placing facial fillers into the subcutaneous tissue (fatty layer of tissue just under the skin) we will be providing volume and fullness to the skin. Facial fillers are biodegradable and completely biocompatible with human hyaluronic acid. Fillers contain lidocaine to help minimize discomfort during injection.

4. How are facial fillers different from Botox®>

Botox® is a purified protein that blocks nerve transmission and relaxes the dynamic wrinkles caused by muscle movement when making facial expressions. Facial fillers correct static wrinkles and folds in the skin (wrinkles that persist when the face is at rest). Clinical experience indicates that combining these two therapies offers superior and longer lasting results.

5. Are facial fillers safe?

Facial fillers are safe and are used around the world to correct and fill lines and wrinkles on the face. There is virtually no risk of animal-based disease transmission or allergic reaction, so no allergy testing is required. The most commonly reported side effects are temporary redness, swelling, and bruising at the injection site. If any of these side effects are to occur they typically resolve within 1 to 7 days.

6. What should clients do before receiving treatment?

To minimize bruising or bleeding at the injection site, clients should avoid using aspirin, non-steroidal anti-inflammatory medications, St. John’s Wort, high doses of vitamin E, and Omega 3 fatty acid before treatment. If you are taking Plavix, Coumadin or Pradaxa your prescribing physician must agree to discontinuing the use of your medication for 7 days prior to injection. Also, make sure to notify Dr. Madsen if you have previously suffered from facial cold sores or fever blisters so that he may give you an antiviral medication to prevent an outbreak. Consumption of high amounts of alcohol is prohibited before injection as it thins the blood which leads to more bruising.

7. How long will facial fillers last?

Our clinical experience has shown that the aesthetic correction achieved with facial fillers lasts 6-24 months depending on the product used and in what area. Evidence shows that having a touchup treatment before the product has fully resorbed will enhance the lasting effects and less facial filler may be needed in later treatments.

8. How long does the procedure take and how quickly will I see results?

Generally, after the consultation, depending on the area being injected, the procedure can take 30 minutes or less and results are practically instantaneous.

9. Are there any side effects?

As with any injections, some common related reactions may occur. The most common side effects are temporary redness, swelling, and bruising at the injection site. Should these side effects occur they typically resolve in 1 to 7 days.


Cost - 

Juvederm Ultra XC or Ultra Plus XC:

  • 1st syringe: $550
  • 2nd syringe: $500   

Juvederm Volbella XC:

  • 1st syringe: $350
  • 2nd syringe: $300

*Any syringe purchased beyond the first syringe must be administered within 8 weeks of the first syringe to receive  reduced pricing.

 Juvederm Voluma:

  •  $700 per syringe