Dermal Fillers

Dermal fillers add volume to the face improving facial contours and softening wrinkles. Over time, the natural volume of youthful skin begins to diminish. Shadows develop in areas associated with volume loss, such as the cheeks, chin, and temples. The prominence of wrinkles and folds such as parentheses lines and marionette lines begin to appear around the nose and mouth. Loss of lip volume is associated with flattening of the Cupid’s bow area, vertical wrinkles (smoker lines) and decreased volume and wrinkling of the red portion of the lip.

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Dermal Fillers FAQs

Dermal filler side effects are unusual but can include temporary redness, bruising, and swelling at the injection site. These effects typically resolve within two to three days. Rare side effects include nodule/ papule formation, skin or vision changes. If you have previously suffered from facial cold sores, there is a risk that the treatment might trigger another recurrence. Discuss with any specific side effects regarding the fillers chosen for your treatment plan. 

Any time a needle or cannula is used there is the possibility of bruising, However, there are several things that can be done to diminish the chance of bruising. Avoid using aspirin, non-steroidal anti-inflammatory medications, St. John’s Wort, or high dose Vitamin E supplements prior to treatment, because these may increase bleeding or bruising at the injection site. 

Ask the office staff when you schedule your appointment if the medications or supplements you take should be temporarily stopped prior to dermal filler injections. We also have herbal medicine available to decrease swelling and bruising that many patients find helpful.

The dermal filler cost associated with your treatment plan will be clearly outlined at your consultation. Dermal fillers range from $500.00 to $900.00 per syringe depending on the product that will best address your needs.

At Facial Cosmetic Surgery Associates, Dr. Kaniff has been personally injecting fillers for over twenty years utilizing advanced injection techniques, his extensive understanding of the facial anatomy, and an artistic eye to deliver natural, youthful results to patients.

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Dermal Filler Products

RHA Collection

RHA Redensity is the most smooth of the RHA fillers. It works well softening lipstick lines while moving naturally during facial movement such as smiling. It may also be used in the tear trough area.

RHA 2 produces a soft correction of moderate to severe wrinkles such as cheek lines or a gentle fullness of lips that have lost volume. This elegant formulation looks naturalist rest and in motion.

RHA 3 is a more robust filler that softens the nasolabial folds or marionette lines while stretching naturally with facial movement creating a natural look and feel.

RHA 4 is for corrections requiring a volume correction at a deeper plane and contour defects.


Juvederm Vollure XC is an FDA approved dermal filler that improves moderate to severe lines and wrinkles, especially in areas of facial expression such as the marionette lines. Vollure XC subtly smooths these lines and moves naturally as the face moves. Vollure XC lasts up to 18 months and price varies depending on the number of syringes recommended.

Juvederm Vobella XC is perfect for a natural softening of the vertical fine lines and wrinkles of the upper lip as well as providing subtle volume to the Cupid’s bow, philtral columns, and lower lip pillows. Other areas where Vobella is used is the tear trough deformity. Vobella XC is FDA approved and lasts up to one year. Vobella cost varies with the location and the amount of product required.

Voluma is a nonsurgical treatment providing a natural-looking appearance by subtly lifting and contouring areas such as the cheek. Voluma is formulated to be placed deeper, provide more of a lifting effect, and lasts up to two years. Voluma is often used in combination with other fillers such as Juvederm Ultra and Juvederm Ultra Plus. Voluma costs will vary depending on the number of syringes required to address your concerns.

Juvederm XC is a smooth consistency gel made of hyaluronic acid – a naturally occurring substance in your skin that helps to add volume and hydration. The smooth consistency gel helps to instantly restore your skin’s volume and smooth away facial wrinkles and folds, like your “smile lines” or “parentheses'' (nasolabial folds – the creases that run from the bottom of your nose to the corners of your mouth). Juvederm Ultra XC treats mild to moderate folds and wrinkles in areas such as the nasolabial folds, lips, and corners of the mouth. Juverderm Ultra lasts up to twelve months. The price of Juvederm depends on the amount of product used.

Juvederm Ultra Plus XC, a more robust cousin of Juvederm Ultra, is placed at a deeper level and provides more volume and support to areas such as the cheek, chin, nasolabial folds, and lips. Juvederm Ultra XC and Juvederm Ultra Plus XC are often used together to achieve the best, most natural result. Juvederm Ultra Plus XC cost will vary with the number of syringes required and lasts up to one year.


Restylane is a safe, FDA approved natural cosmetic dermal filler that has been used for more than twenty years to correct moderate to severe facial wrinkles and folds, such as nasolabial folds, marionette lines, lips, and tear troughs. Restylane lasts up to twelve months depending on where on the face it is placed. The cost of Restylane is based on the amount of product injected and the treatment area.

Restylane Refyne candidates have moderate lines and wrinkles in areas where maintaining a natural look during facial animation is necessary.  Refyne is often used for softening upper lip wrinkles, nasolabial folds, and marionette lines. Restylane Refyne is FDA approved and lasts for up to 12 months. Refyne pricing depends on the amount required and the injection location.

Rstylane Defyne candidates have deeper lines and wrinkles requiring more structure and lift while maintaining a natural-looking appearance with facial movement. Defyne is often recommended around the mouth and cheek areas. Restylane Defyne lasts for up to twelve months and is FDA approved. Defyne cost varies with the number of syringes necessary to accomplish the goal.

Restylane Lyft, which is more robust than Restylane, is placed at a deeper level in the cheeks and nasolabial folds providing natural appearing volume and lift.  Lasting up to twelve months, Restylane Lyft is often used in combination with other fillers such as Restylane and Restylane Defyne. Restylane Lyft cost will vary on the number of syringes required.

Restylane Kysse is specially formulated to use in and around the lips to provide natural-looking, fuller, softer, and smoother appearance. Dr. Kaniff uses a special numbing technique to make the procedure comfortable. Dr. Kaniff uses an advanced cannula injection technique to minimize discomfort and potential bruising. Restylane Kysse lasts several months and the price varies with the number if syringes used.


Belotero Balance (+) is an HA injectable filler that completely integrates into the skin tissue.

While some fillers are designed to rebuild facial volume and structure, Belotero Balance (+) is designed to be a smooth, flexible gel that fills moderate-to-severe etched-in lines and wrinkles such as vertical lip lines above and around the lips.

Belotero Balance (+) allows for normal movement and facial expressions. Injected areas also feel natural to the touch!


Radiesse improves folds and wrinkles, as well as providing a lift to areas of volume loss.  Radiesse is an FDA approved injected filler that gives immediate results in addition to stimulating collagen production which provides results that last 12 -15 months. Radiesse can safely correct wrinkles and folds around the nose and mouth, including nasolabial folds. Radiesse is often used successfully in combination with other fillers.  Radiesse cost will vary on the number of syringes required.

sculptra aesthetic

Sculptra Aesthetic is a series of injections that increase overall facial volume by stimulating your body to produce its own natural collagen. Most dermal fillers can fill these wrinkles, lines, and folds. Sculptra Aesthetic works differently. It gradually replaces lost collagen and provides a structure that lets your new look emerge more discreetly. Sculptra Aesthetic is a subtle, gradual treatment that doesn’t make you immediately look like you’ve had work done. 


Sculptra Aesthetic targets the underlying causes of the signs of aging. It can give you noticeable results that gradually emerge over several weeks and can last for up to 25 months.


Injectable poly-L-lactic acid (PLLA) – the main component of Sculptra Aesthetic works within the deep dermis to replace lost collagen. As collagen is replaced, it provides a foundation that gradually restores the look of fullness by correcting your shallow to deep facial wrinkles and folds. Sculptra Aesthetic can also help soften acne scarring.  This results in the correction of these facial wrinkles and folds that can help provide a more refined appearance that can last up to 25 months.


An average number of treatment sessions of Sculptra Aesthetic is 4-6 sessions about 4-6 weeks apart. The sessions are spread out this way because the time between injection sessions gives Sculptra Aesthetic enough time to work so that your doctor can fine-tune your follow-up treatments. Sculptra cost will vary on the number of vials recommended, which is generally one vial per decade of life.


Sculptra Aesthetic is intended for use in people with a healthy immune system. You should not use Sculptra Aesthetic if you are allergic to any ingredient of the product or have a history of keloid formation or hypertrophic scarring. It should not be injected while you have an active skin infection or inflammation in the treatment area and should not be injected into the red area of the lip.


Side effects may include injection site discomfort, redness, bruising, bleeding, itching, and swelling. Other side effects may include small lumps under the skin that are sometimes noticeable when pressing on the treated area. Larger lumps, some with delayed onset with or without inflammation or skin discoloration, have also been reported. In the clinical studies, the numbers of small and larger lumps were low and most resolved without treatment.