Dermal Fillers


If you are looking for a non-surgical facelift or you just want to smooth out a few fine lines or fill in deep-set wrinkles, injectables are the solution for you. Dermal fillers can be very helpful in reversing the early signs of aging and rejuvenate your appearance.

Millions of men and women use dermal fillers to achieve a more relaxed and smooth facial appearance while still having the freedom of expression. As our skin ages, it begins to lose elasticity, collagen, and hyaluronic acid. Collagen and hyaluronic acid add structure and volume to the face, giving it a smoother and youthful appearance. When your skin lacks elasticity the skin begins to sag and wrinkle around the eyes, nose, and cheeks – that’s where dermal fillers come into play.

Nonsurgical rejuvenation treatments, such as dermal fillers, will not achieve the same results as a traditional facelift, but they will help delay the appearance of aging. Dermal fillers are a temporary solution for facial aging and require ongoing treatments to be effective.

What Can Dermal Fillers Do?

  • Fill in smile lines (Nasolabial Folds)
    Lift downturned corners of the mouth (Oral Commissures)
    Fill the “Marionette Lines” or creases between the corners of the mouth and chin
    Enhance lip fullness, shape, size, and texture


Where Can Dermal Fillers Be Injected?

Dermal fillers can add fullness in the following areas with a loss of volume:

  • Lips & Cupids Bow
  • Smile lines & creases (Nasolabial
  • Chin wrinkles & creases
  • Jawline & lower cheeks
  • Gaps between gums and teeth (“Black triangles”)
  • Under-eye & Tear Troughs
  • Earlobe creases

What’s The Difference Between Botox & Dermal Fillers?

Botox/Xeomin and dermal fillers are both cosmetic procedures offered by Dr. Bonnie Friehling. They are both minimally invasive, require little recovery time, and do not have the potential risks involved in plastic surgery. These injectables are used and administered in similar ways but this is where their similarities end.

Botox/Xeomin is a purified form of Botulinum Toxin that causes temporary muscle relaxation (approximately 3 months). Botox/Xeomin is heavily a regulated product and administered by medical professionals to correct wrinkles and the signs of aging. Botox/Xeomn works by temporarily blocking the nerve endings at the injection site and restricting the muscle’s movement or expression.

Dermal fillers are different from Botox because they do not contain Botulinum Toxin and do not freeze the muscle into place. Dermal fillers are soft tissue injectables gels that contain more of what your skin already produces naturally, giving your muscles more freedom to express emotion.

Botox and dermal fillers are not permanent solutions and both require frequent appointments to maintain your desired look.


What Are Dermal Fillers?

Dermal fillers are smooth injectable gels made from naturally occurring hyaluronic acid. Dermal fillers add volume to weakened facial features and can stimulate collagen growth in various parts of the face. Each dermal filler is unique in its own way but similar in their purpose.

Dermal fillers plump skin and gently lift it to restore collagen loss due to the normal aging process. Dermal fillers also motivate the body to create its own natural collagen and restore your face to a more natural, youthful appearance.

Dermal fillers approved by the FDA are minimally invasive and safe when administered by a licensed medical professional. As with any procedure, there are possible risks, the most common being post-procedure bruising and swelling which are usually very minimal and resolve quickly.

Dermal filler treatments typically take 20-40 minutes and the amount of dermal filler needed will depend on volume loss and the areas you would like to restore to its natural beauty. You will see results immediately after treatment.


How Much Filler Do I Need?

Depending on your age, skin type, and skincare routine Dr. Bonnie will recommend the amount (units) of filler required to achieve your desired look. Dr. Bonnie will also determine the best type of filler for the areas of concern.


During your appointment Dr. Bonnie will carefully explain:

  • Your course of treatment
  • The type of filler recommended in your case and why
  • Expected results
  • The longevity of the result

What Types of Fillers are Available?
“Permanent” fillers (lasts 2-5+ years)
Hyaluronic Acid (HA) Fillers:

  • Semi-permanent fillers (lasts 12-24 months)
  • Temporary fillers (lasts 3-12 months)
  • Hydroxyapatite Filler (lasts up to 2 years)
  • PDO (Polydioxanone) Thread (Suture) Fillers (lasts 1.5-2 years)

What Are The Side Effects Of Dermal Fillers?

The most common side effects of dermal fillers are typically mild in severity and typically resolve in less than 7-14 days.

  • Swelling
  • Redness
  • Pain
  • Bruising
  • Headache
  • Tenderness
  • Lump formation
  • Itching at the injection site
  • Impaired hand function

The risk of all dermal fillers is the unintentional injection into a blood vessel. The chances of this happening are very small, but if it does happen, the complications can be serious or permanent. These complications, which have been reported for facial injections, can include vision abnormalities, blindness, stroke, temporary scabs, or permanent scarring of the skin.
As with all skin and medical procedures, there is a risk of infection.

Bonnie S. Friehling, M.D.
1511 Chapel Hill Road, Suite 101
Columbia, MO 65203
Phone: 573-446-1200
Fax: (866) 384-6483
Office Hours

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