Dermal Fillers.Refined volume.

What it is.

Dermal fillers are gels of cross-linked hyaluronic acid (HA) — a sugar molecule the body already produces — placed beneath the skin to add structure, restore lost volume, or refine contour. Because the gel attracts water and integrates with surrounding tissue, the result reads as your own skin, not a foreign body. And because it's HA, it's reversible: a small dose of hyaluronidase dissolves it cleanly if you ever want it gone.

We carry the two FDA-approved HA platforms — Juvéderm (Allergan) and Restylane (Galderma) — because they aren't interchangeable. Each line is engineered for a specific tissue type: a soft, hydrating gel for the lip body; a firm, structural gel for the cheekbone; a flexible gel for the marionette and nasolabial fold that has to move with expression. The product choice is half the work. The placement is the other half.

What we treat.

• Lips — Juvéderm Ultra, Restylane Kysse, Restylane-L. Hydration first, then definition. We work in small aliquots over multiple sessions if the goal is meaningful change.
• Cheeks & mid-face — Juvéderm Voluma, Restylane Lyft, Restylane Contour. Restores the structural support that fades with bone resorption and fat-pad descent.
• Jawline & chin — Juvéderm Volux, Restylane Defyne, Restylane Contour. Defines the lower-third silhouette without surgery.
• Nasolabial folds & marionette lines — Juvéderm Vollure, Restylane Refyne, Restylane Defyne. Flexible gels that move with expression.
• Tear trough & under-eye — Restylane-L, Restylane Eyelight (when available). One of the most technically demanding placements; we approach this conservatively, only when anatomy supports it.
• Chin projection — Juvéderm Volux, Restylane Lyft. Often paired with masseter Botox to balance the lower face.
• Hand rejuvenation — Restylane Lyft (FDA-approved for the back of the hand). Restores the volume that exposes tendons and veins with age.

What to expect.

A first-time filler appointment is 60–75 minutes — most of it is the consult and mapping, not the injection itself. Elizabeth will photograph your face from multiple angles, mark placement points, and walk you through which product makes sense for which area before any needle comes out. Topical numbing (and lidocaine in the filler itself) makes the placement more comfortable than most patients expect.

You'll see the result immediately — though some of what you see right after is swelling, not final volume. The actual settled result reveals itself at 2 weeks. Bruising and pinpoint swelling can occur, particularly with lips and under-eye work. We use microcannula technique where it's appropriate (under-eyes, mid-face) to reduce that risk.

Appointment

60–75 min

Downtime

24–72 hr soft

Onset

Immediate

Lasts

6–18 months

Results & cadence.

Lip filler typically lasts 6–12 months. Cheek and jawline filler lasts 12–18 months because the deeper placement and firmer products break down more slowly. Most patients return on a 9–12 month cadence to maintain — small touch-ups, not full re-treatments. Filler is additive; the right plan layers small amounts over time rather than reaching for a single dramatic session.

Considerations.

Common, expected effects: bruising, pinpoint swelling, mild tenderness for 24–72 hours. Less common: asymmetry that resolves with a touch-up, lumps that smooth with massage at the two-week visit. Rare but serious: vascular occlusion, which is why filler should only be placed by clinicians with extensive injection training and access to hyaluronidase on-site. Filler is deferred during pregnancy, breastfeeding, active infection at the site, recent dental work (within 2 weeks), and during autoimmune flare.

Who places it.

Every dermal filler at Privé is placed by Elizabeth Hurley, RN, BSN, CANS — a Certified Aesthetic Nurse Specialist, a credential held by fewer than ten nurses in Texas at the time of her certification. Hyaluronidase is stocked on-site for any reversal scenario. We work conservatively: more sessions, smaller doses, and the ability to stop, look, and add — never to remove regret.