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Non-Surgical Procedures

Restore Dermal Fillers

During the natural aging process, we tend to lose volume in our face. Volume enhancement with dermal fillers and facial fillers can help counteract this process and restore a more youthful appearance.

About the Treatment

  • What are injectable dermal fillers?

    An injectable dermal filler is made up of hyaluronic acid that is injected into the soft tissue under your skin. Hyaluronic acid is a naturally occurring substance within your body. Facial fillers are used to replace volume that has been lost in your face due to aging or weight loss, giving you a younger and more refreshed appearance. They can also be used to help fill out areas in your face that are naturally less full, such as your lips. Dermal fillers can also be used to maintain the appearance that you already have. This will reduce the signs of aging in a minimally invasive, non-surgical way. Dr. Pirani uses the best and safest hyaluronic products available to ensure that you get the best results possible.

  • What should I expect during my procedure?

    Before you come in for your dermal filler procedure, you will need to stop taking any anti-inflammatory drugs, such as ibuprofen or naproxen, as well as blood thinning medication, such as aspirin. This is to help prevent bruising from the procedure.

    Your dermal filler procedure is relatively quick, taking anywhere from 15 minutes to an hour. Most patients experience some swelling after the procedure. Though most swelling will go down in the first 24 hours, you could still experience swelling for about a week after receiving your injections.

  • Which is the best facial filler?

    There are many different types of soft tissue fillers or injectables available. Each filler has unique characteristics that make it ideal for use in certain areas of the face to achieve specific results.

    Dr. Pirani uses only the best products and safest techniques to achieve natural-looking results. As one of Toronto’s most knowledgeable and well-versed injectable specialists, he has served on advisory boards for both Allergan and Galderma. Allergan produces BOTOX® and the JUVÉDERM® family of facial fillers. Galderma produces Dysport™ and the Emervel® and Restylane® facial filler lines.

    Dr. Pirani uses a combination of products from the JUVÉDERM®, Restylane®, Perlane®, and Emervel® product lines. The combination of JUVÉDERM® dermal filler and BOTOX® treatments is known as a SOFT LIFT™. This is a unique and completely non-surgical facial rejuvenation technique offered by Dr. Pirani.

  • How long do dermal/facial fillers last?

    You will need to remember that hyaluronic acid is a naturally occurring substance within your body, so over time, your body will metabolize the hyaluronic acid. On average, injectable fillers can last anywhere from six to 18 months, depending on where you had the filler placed.

    Lips have the shortest lifespan when it comes to dermal fillers because of how much we move them. All of this movement makes you metabolize the filler faster than in other areas, which typically means it will last about six months. Filler injected under the eyes can last up to a year, filler injected into smile lines should last about nine to twelve months, and filler injected into the cheeks and mid-face area will have the longest lifespan, lasting anywhere from nine to 18 months.

  • Who is a good candidate for this procedure?

    If you are concerned about any of the following, then you may be a candidate for an injectable filler treatment:

    • Deep lines in your forehead
    • Deep lines between your eyebrows (frown lines)
    • Wrinkles and lines around your eyes
    • Hollow and depressed areas around your eyes (tear troughs)
    • Deep lines around your mouth and the corners of your lips (Marionette Lines)
    • Deep nasolabial folds and lines
    • Jowls or irregular jaw contour
    • Poor lip definition
    • Small or deflated lips (Lip Enhancement and Volume Augmentation)
    • A loss of cheek volume (Malar Enhancement)
    • A small chin (Chin Augmentation)
    • An aged appearance to your hands (prominent veins and tendons)
  • How long does it take to see results after dermal filler injections?

    Some results from the dermal filler will be immediately noticeable, but you could be swollen for a few days, making it more difficult to know exactly what your results look like. Since you are injecting the filler into your skin, it is not something that has to build up over time in order to see your results, so you should see some results pretty quickly.

    Some patients swell more than others after receiving their dermal filler injections, so you can expect to have some swelling for up to a week after your procedure. You can expect to see accurate results about two weeks after the injection, when the swelling has gone down and the hyaluronic acid is able to do its job.

  • Are dermal fillers safe?

    Because dermal fillers are made using hyaluronic acid, a naturally occurring substance in your body, they are often associated with very few risks. In fact, hyaluronic acid fillers have a long history of safety in Canada. Dr. Pirani will review filler risks, benefits, and potential complications with you during a thorough consultation. Dr. Pirani only uses fillers that have Health Canada approval.

  • Which facial fillers are part of the JUVÉDERM® product line?

    JUVÉDERM® is a hyaluronic acid based facial filler produced by Allergan Inc.  There are several different products within this line which differ based on particle size, consistency, and longevity of results. Each product has specific indications and benefits. The XC products have lidocaine pre-mixed with the filler for increased comfort. The product line includes JUVÉDERM® Refine™, JUVÉDERM® Forma™, JUVÉDERM® Ultra™ XC, JUVÉDERM® Ultra Plus™ XC, JUVÉDERM® VOLUMA™, JUVÉDERM® VOLIFT®, JUVÉDERM® VOLUX™, JUVÉDERM® VOLITE™, and JUVÉDERM® VOLBELLA®.

  • Which facial fillers are part of the Restylane®, Perlane®, And Emervel® product lines?

    Restylane®, Perlane®, and Emervel® are hyaluronic acid based dermal fillers produced by Galderma Inc. There are several different products within these lines which differ based on particle size, consistency, and longevity of results. Each product has specific indications and benefits. Their ‘L’ products have lidocaine pre-mixed with the filler for increased comfort. These product lines include Restylane-L™, Restylane Fine Lines™ and Restylane Fine Lines-L™, Perlane® and Perlane-L™, Emervel Lips®, Emervel Volume®, Emervel Deep®, Emervel Classic®, Restylane Silk, Restylane Refyne™, Restylane Volyme™, Restylane Defyne™, Restylane Lyft™ Lidocaine, Restylane Kysse™, and Restylane Skinboosters™.

    Other common soft tissue fillers available on the market include Esthélis™, Fortélis™, Selphyl®, Sculptra®, Radiesse®.

  • Recovery

    You may experience a small amount of swelling and/or bruising for a few days. Many individuals go back to work immediately after having their soft tissue filler procedure. If you do experience some bruising, it can almost always be concealed with makeup. Depending on the area injected and the facial filler used, results can last between six to 24 months.

  • Consultation

    For a facial rejuvenation consultation, Dr. Pirani will spend approximately 30 minutes discussing your options, going over risks and possible complications, and giving you an idea of what to expect in terms of results and recovery. Although this initial consultation is quite thorough, the procedure itself is relatively quick, and many patients come in for injectable dermal filler treatments during their lunch breaks to maximize efficiency. Dr. Pirani’s goal is to educate you so that you feel confident and informed, and he and the Toronto Plastic Surgery Center team will do everything possible to accommodate your schedule.

  • Procedure Cost

    $750 per syringe, $700 per additional syringe (Taxes not included)

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