As we age, we lose volume in the face. Our lips also thin out over time. Fillers can be used to restore some of this lost volume and fill in static, resting lines commonly seen around the mouth. Fillers can also be used to sculpt the jawline or add volume to the chin, midface or temples. Our goal is not to overfill, a small amount of filler can go a long way.

We can also inject filler with PRP. The filler will give you immediate lift and volume, while the PRP will signal cells to regenerate collagen and elastin. There are many different fillers, each has its own purpose and function. Check out some of our fillers below!

What to expect during treatment?

Our approach is to make you as comfortable as possible during this procedure as injection in some areas is deep. We inject a lidocaine solution in the gumline, similar to where your dentist injects. This blocks the nerve that locally feeds that area of the midface and lips. This makes the procedure much more tolerable than just a topical anesthetic. Other areas we inject a local anesthetic.

What to expect after treatment?

After treatment you will have some swelling, maybe some bruising as well. This usually resolves after a few days. Alastin Skincare has a post-procedure injection serum we carry in our office that can be applied to the lips several times throughout the day. Helps significantly speed up healing, reduce swelling and bruising.

How many treatments are needed?

Longevity will depend on the filler used and how quickly you metabolized it. With the fillers we use, generally 6-9 months. 

When will I see results?

Results are immediate. 

Risks associated with treatment

There are risks associated with this treatment and this is why it is important for the injector to know their anatomy. if a filler were to get into a blood vessel, it could block this vessel leading to decreased blood flow to that area of the face. We only use fillers that can be broken down with a counter enzyme. 

Some of our available fillers:

Restylane Lyft

Restylane Lyft features a thicker formulation that adds volume to the midface and back of the hands. The midface loses volume over time, creating a hollowed appearance. Restoring volume adds definition to the cheekbones and creates a more youthful facial profile. In addition, it can be used to fill out deep nasolabial creases and other severe lines on the face.

Restylane Refyne

Restylane Refyne is a specially formulated hyaluronic acid dermal filler made with unique cross-linking for treating nasolabial folds and marionette lines with natural looking results. Refyne is designed to preserve your natural movement. Can be used anywhere on the face. 

Restylane Defyne

Restylane Defyne is very similar to Refyne, but used to treat more severe lines and folds, such as nasolabial folds and marionette lines. Like Refyne, it is designed to support your natural expressions and movement in the lower face. 

Restylane Kysse

This filler integrates into the skin for fuller, softer lips with natural expression and motion. Designed for the lips, can also be used to address lines around the upper lips as well. 


Great choice to address wrinkles around the lower portion of the face including the nasolabial folds and marionette lines. It can also add fullness and definition to the lips and midface. Can be used anywhere on the face.



    • Avoid alcohol 24 hour before treatment to reduce risks of bleeding and bruising.

    • Come to the office makeup free.


    • Avoid non-steroidal anti-inflammatory agents (ie: ibuprofen, aspirin), vitamin A, vitamin E, gingko biloba, garlic, flax oil, cod liver oil, omega 3 fatty acids 1 week prior to your treatment as this can increase bruising and bleeding. 


    • Avoid strenuous exercise, hot tubs, saunas, alcohol for 48 hours after treatment.

    • Downtime can take a few days until swelling and bruising has resolved.  


    • Avoid blood thinning products like aspirin and ibuprofen for 48 hours after treatment.


    • Sleep propped up in bed, this can help reduce swelling.
    • Apply a cold compress or ice to help with swelling and discomfort. Ask about Alastin Skincare’s post procedure injection serum which works well in speeding recovery and reduces post injection swelling and bruising. 

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    Alle and Aspire Partner

    3195 Danville Blvd Suite 4
    Alamo, CA 94507


    The World of Fillers

    The World of Fillers

    Fillers are comprised of hyaluronic acid, which restores volume and improves the overall texture of the skin. As we age, we lose fat in the face, the muscle wears down and even the bone structure changes. This all contributes to an ageing face. In our youth, the face is shaped like an upside-down egg, wider at the top and narrower at the bottom. As we age, this flip around. We become narrower up top having lost volume around the temples and wider at the bottom. This is because of the changes we mentioned above – loss of subcutaneous fat, muscle atrophy, and changes in bone structure.

    When tackling volume loss, we start with the midface. It fills the cheeks, elevates the midface, and in doing so can improve the hollowing of the eyes and smooth the lines around the mouth. Filler can restore definition to the jawline. Not only can it plump the lips, but also restore its color and hydration too. Don’t forget the hands, always a dead giveaway of our age. The hands can also be filled, we use Restylane Lyft for this area. With the correct type of filler and amount used most won’t know what you’ve had done, just that you look rested, refreshed, youthful.

    Prior to coming to the clinic there are a few things you should do to prepare. Avoid alcohol and Ibuprofen 48 hours prior to injection as this will minimize bruising. Of course, there still is a risk of bruising as we have hundreds of thousands of blood vessels in our face but taking this precaution will help. We locally anesthetize the area and in some, perform a nerve block. Other practices just use a topical anesthetic. We do not find this to be as effective. After your procedure you should avoid strenuous activity for a few days. Sleeping upright can help with swelling. Keeping hydrated and using a topical hyaluronic serum is great to support your treatment at home. By staying hydrated and using a good skin care regimen, we support and maintain our results following treatment.

    We love Galderma’s Restylane line of fillers. Their line of fillers with XpresHAn technology integrates into the tissues and moves with the face keeping a natural look. We’ve included a list of Restylane’s line of filles and areas we like to use them:

    Restylane Refyne – can be used anywhere on the face
    Restylane Defyne – lower face such as nasal labial folds (laugh lines), chin
    Restylane Contour – midface
    Restylane Lyft – midface, temples, jawline, hands
    Restylane – L – can be used anywhere on the face, lips
    Restylane Kysse – lips, wrinkles around the mouth

    We are happy to answer any questions you may have! Consultations are complimentary. Call or schedule online at

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