Fillers

Juvederm, Restylane, Radiesse, RHA, & Others

Located near Los Angeles and Beverly Hills

Cosmetic dermal fillers are mainly used at the face to add volume, but can also be used to reduce lines and improve the appearance of the skin. Fillers can be used for numerous indications, such as to enhance the cheeks, fill in tear trough depressions near the eye, smooth nasolabial folds, add definition to the jawline, and add fullness to the lips.

Juvederm, Restylane, Radiesse, RHA, & Others

Conveniently located to serve Los Angeles and Beverly Hills
Cosmetic dermal fillers are mainly used at the face to add volume, but can also be used to reduce lines and improve the appearance of the skin. Fillers can be used for numerous indications, such as to enhance the cheeks, fill in tear trough depressions near the eye, smooth nasolabial folds, add definition to the jawline, and add fullness to the lips.

Types of Fillers

Fillers like Juvèderm® and Restylane® are made up of biocompatible hyaluronic acid. An advantage of these fillers is that they can be dissolved if the results are not ideal or if there is a complication. Other hyaluronic acid fillers include RHA, Versa, and Belotero.

Radiesse® is a filler made from calcium hydroxyapatite, which is generally a thicker substance and cannot be dissolved.

Sculptra® is more of a biostimulator than a filler. It is made of PLLA (Poly-L-Lactic Acid) and stimulates collagen production in order to volumize hollowed areas on the face. Typically several treatments of Sculptra, spaced out about 1 month a apart, are recommended. It can take months to see the fill results of Sculpta treatment because you are relying on your body to create the volume.

Regardless of which filler discussed above is used, the effects will subside over time. Therefore, repeat injections are typically required in order to maintain the results.

Candidates for Fillers

Ideal candidates for filler treatment are those who desire adding small amounts of volume to specific regions of the face. In certain cases, lines and skin quality can also be improved with fillers.

How Filler Treatment is Performed

We use both microcannulas and needles to perform filler injections, depending on the region being treated and the goals. Unlike a needle, a microcannula has a blunt tip and is less likely to cut through blood vessels and nerves during the injections. This makes the procedure less painful and typically reduces bruising and swelling. In addition, microcannulas may decrease the chance of injecting filler into blood vessels, and thus reduce the risk of more significant complications. Using a microcannula is an advanced technique, and requires extensive experience to achieve optimal results in many areas of the face. Although we most commonly use a microcannula, we use a needle technique when greater precision is required or when augmenting the surface of bone.

We use gentle technique and several types of numbing options to ensure utmost patient comfort during the filler treatment. Topical numbing creams and cold air from our cryo-chiller can be applied before the procedure. In addition, a numbing injection can be performed to make the treatment completely painless. The numbing injection itself is associated with very minimal pain. Most patients are surprised with how little discomfort is associated with our filler treatments.

 

How to Prepare for Filler Treatment

It is recommended to avoid medications and supplements that thin your blood in order to reduce the risk of bruising. Ensure to consult with your prescribing physician before stopping any medications. Schedule your filler treatment during a time that it is OK if you happen to develop bruising.

Schedule Your Consultation

Are you ready for a more refreshed and youthful version of yourself? Schedule your consultation with Dr. Foulad today. During this personalized session, you'll have the opportunity to discuss your appearance goals, ask any additional questions, and receive a comprehensive overview of the lateral brow lift process. 

Dr. Foulad and his team are committed to providing you with the information and guidance you need to make an informed decision about your lateral brow lift journey.

We are conveniently located to serve Beverly Hills, West Hollywood, & Los Angeles. However, we are available to help with coordinating your stay if you are an Out-of-Town Patient.

What to Expect After Fillers

Common side effects include bruising and swelling. Some areas, such as the lips, are more commonly associated with swelling. You may be recommended to sleep elevated the night after your procedure and reduce salt intake for several days in order to reduce the amount of swelling. In addition, you may be recommended to avoid strenuous activity for 1 to 3 days after your filler treatment to also reduce swelling.

Gallery

Lip filler

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Fillers faq

How often do I need to undergo filler treatment for maintenance?

This is very case dependent. It depends on the type of filler being used, the location being treated, and each individual’s response to the filler. Depending on all the various factors, you may be recommended to have repeat treatment within a few months or to wait at least a year or longer. Undergoing filler treatments too frequently can lead to facial distortion and increased complication. Therefore, being treated by an expert injector who cares about your long-term appearance is critical. It is common for me to tell a patient to slow down or hold off on filler treatment.

Does filler treatment hurt?

We pride ourselves in making the filler treatment experience as comfortable as possible. We takes our time and utilize various numbing techniques to ensure you have little to no pain.

Case samples

Nasolabial Fold Filler

Softening the laugh lines

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Filler treatment can be performed at the nasolabial folds in order to smooth the appearance of laugh lines. I typically use an advanced technique with a microcannula to break down the bands at the folds while injecting the filler, which further softens the laugh lines. Occasionally, a needle technique is used conservatively to help treat finer lines.

Since there is significant movement at the laugh lines during facial expression, it is ideal to use a filler that has elastic characteristics. In certain cases, multiple depths are treated in order to achieve the most natural and rejuvenating result. Depending on the thickness of your skin and the depth of your nasolabial folds, the most ideal product is selected specifically selected for your case.

By using the proper filler and expert technique, the filler integrates well into your tissue and provides a very natural result.

Under Eye Filler

Improving the contour under the eyes

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Filler treatment of the under-eye region creates a more refreshed and overall rejuvenated look. This treatment directly improves the contour under the eyes, but can also slightly lift the cheeks and soften the laugh lines. Although this is an excellent treatment, it is not appropriate for everyone. The most ideal candidate has hollowing at the under eye region. If there is significant lower eyelid fat bulging (which may give the appearance of hollowing under it), treatments other than filler are usually recommended.

Considering the thin skin and complex anatomy at the under region, it is imperative to have this procedure performed by an expert. Improper filler treatment in this region can lead to lumps and puffiness that persists for months or years. Using the correct type of filler and injecting the filler at the right depth is imperative to reduce the risk of chronic swelling, lumps, and the Tyndall effect (bluish/dark hue to the skin) while achieving adequate volumization.

We most commonly use a microcannula for treating the delicate under-eye region with filler. This significantly decreases swelling and nearly eliminates bruising in most patients.

Lip Filler

Improving the volume and contour of the lips

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Filler treatment of the lips can help add volume, enhance contour, and improve symmetry. I perform a comprehensive analysis for each individual patient to select the most ideal filler and to determine the ideal amounts of filler at the various regions of the lips. By creating individualized treatment plans, optimal results and a very natural appearance can be attained.

The lip is one of the areas of the face that has the greatest swelling after filler treatment. It can take several days (sometimes up to 1 to 2 weeks) for enough swelling to resolve to achieve a natural result.

 

Nose Filler

Contour change of the nose

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Filler treatment of the nose, also known as a non-surgical nose job or liquid rhinoplasty, is a lower-cost and lower-downtime alternative for those who may have otherwise considered surgical rhinoplasty. In the right candidates, this treatment can improve asymmetry and irregularities along the bridge of the nose making it appear smoother and straighter, raise the bridge of the nose correcting an overly scooped appearance, help camouflage a dorsal hump on the profile view, and/or lift up a drooping nasal tip. The filler is injected at the tip and along the bridge of the nose in tiny amounts. The most ideal candidates are those who benefit from adding volume to the nose and those who require small changes. 

Filler treatment of the nose is off-label because the filler is being used at a location of the face that is not specified in the FDA’s approved packaging label. Treatment of the nose requires an advanced technique and should only be considered if performed by an extensively trained licensed medical professional.

Jawline Filler

Sculpting a more defined jawline

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Filler treatment of the jawline can help those looking for a more sculpted, defined chin and jawline. This treatment can sharpen the jawline and build upon a small chin helping to restore lost definition in these areas. Proper placement of the filler in these areas can help camouflage the jowls in those experiencing the first signs of facial sagging.

The patient in this case sample had 1 syringe of filler. Although an additional syringe of filler would have further improved jawline contour, it was felt that a single syringe was an appropriate balance in her case. Greater volumes of filler can create an undesired look from the frontal view (widening of the lower face) and increase the risk of both short-term and long term complications. Many factors are considered when determining the ideal type and amount of filler for each case.

Testimonials

Terry Moler
Terry Moler
2022-03-07
Dr.Foulad and his staff are amazing. The results speak for themselves. Dr. Foulad is meticulous. The experience was beyond great. I had a neck lift, a mid face lift and an upper eye lift. Dr. Foulad was very attentive. Chelsea, the practice manager, took care of every detail. I felt at ease and very taken care of. I had prepared myself for a painful surgery and recovery period but it was not like that at all. There was no pain and very little discomfort. It felt more like a well needed vacation. I had all my surgery on a Friday and I saw Dr. Foulad and Chelsea through the weekend. By the following Saturday I was at an important social function and with a little make up, no one could tell I was a week out from surgery. Some people would call this vanity. I disagree. I don’t feel 63. Why should I have to look 63.(or older!) It’s the best thing I ever did for myself. I can't thank Dr. Foulad enough. If you are considering doing this, I beg you to pull the rip cord, take the plunge, whatever you want to call it, but do it! It’s worth it. You’re worth it!
carol cusson
carol cusson
2021-12-11
There aren't enough stars for this review to tell you how pleased I am with Dr Foulad, Chelsea and the staff. It was so worth the miles traveled to have my facelift, neck and brow lift. Their attentiveness from the consult all the way through to the aftercare has been amazing. He continues to check in with me 2 months later. His attention to detail and his warm and caring personality made this such an enjoyable experience. I could not believe there was minimal pain and you cannot even see where the stitches were. I feel AND look like a new woman. Judge for yourself with my pictures! Highly recommend Dr Foulad and his staff
Kristy Franklin
Kristy Franklin
2021-10-06
Dr. Foulad performed my facelift and neck lift a few months ago and my results are phenomenal! He is kind, talented, and did beautiful work on my face and neck. He is very honest and takes a lot into consideration when giving his recommendations. He takes so much time to answer your questions and explain everything to you. Everything about my experience was top notch. I have seen other doctors in my past and none of them followed up with me or spent the amount of time with me the way Dr. Foulad has. His staff was also incredibly pleasant and accommodating with me. I can’t recommend Dr. Foulad enough. He genuinely cares deeply about his patients and does excellent work!
Miriam Vernia
Miriam Vernia
2021-09-13
Dr. Foulad loves what he does and it shows. He is professional, knowledgeable, skilled, and dedicated to his patients. His "bed manners" are without equal. He follows up on his patients for weeks after surgery, providing timely advice and encouragement. He is honest and upfront about what benefits surgery can provide and he refers to other surgeons procedures that he does not feel comfortable performing.
Victoria Lampley
Victoria Lampley
2021-03-26
Dr Foulad is absolutely amazing! He is super patient, takes the time to thoroughly explain all your issues, thoughts, and goals and maps out all of your options without pushing anything whatsoever (if anything he does the opposite and explains everything in depth). He was completely attentive and super eloquent and smart when describing all of the ways he can help heal and preserve my skin and shared a wealth of knowledge. The practice manager Chelsea is patient, kind and super sweet and helpful. I'll definitely be telling my family and friends to become patients of Dr Foulad's practice. He is a perfectionist in the best way possible.
Kyrra White
Kyrra White
2021-03-14
I went to Dr Foulad for Jowl liposuction. Dr Foulad is a very informed facial artist and a master of his craft. I appreciate how delicate he was with my face during the procedure. He paid close attention to every detail of my face, and his effort shows in my results! I highly recommend Dr Foulad for any facial procedure. It’s important to have someone who is invested in your vision as you are, and that is Dr Foulad.
Aiko Fujimoto
Aiko Fujimoto
2021-03-01
Dr Foulad and his team are the definition of white glove service. They will take the time to explain everything in thorough detail and take all extra precautions to ensure your procedure is done as effectively and safely as possible. I'm incredibly happy with my results and will only be trusting my facial needs with Dr Foulad for all procedures going forward!
Sydney Skinner
Sydney Skinner
2020-12-16
Wow, I am so impressed! From the minute I walked into his office I was warmly greeted by his staff and ushered off for my consult with Dr. Foulad. He was extremely through (I ask a lot of questions) and he was very patient and did not rush me. I followed up the next week for my procedure which I’m thrilled with the outcome and feel so much confident! I’m looking forward to a long relationship with his office and it’s nice because he offers the entire package of treatments, products and procedures to cover all the bases! So no more running around to different offices!
Katia Rodriguez
Katia Rodriguez
2020-11-10
My experience at Dr. Foulad’s office has been nothing but great! From my very first consult, he made me feel comfortable and explained everything with detail. Him and his staff are so kind and were there to help guide me along the process. The results of my surgery were everything and more! I am so happy with the results and would recommend him to all my friends and family.
calvarezds
calvarezds
2020-09-17
I am so happy with my results after going to Dr. Foulad. He is a complete perfectionist and explains everything to you before go through with any injections or procedures. He makes everything look natural and seamless. I am definitely recommending him to all of my friends and family.