Understanding Fillers Before Your Appointment
Dermal fillers are injectable gel treatments that restore lost volume, smooth lines, and refine facial contours, so knowing what to expect beforehand helps you feel confident and prepared on the day of your appointment.
What is actually bothering you. "I look tired" and "I want bigger lips" lead to very different treatments. The clearer you are about the specific thing you see in the mirror, the better your injector can match a product and a plan to it.
Whether the problem is volume or movement. Lines that appear only when you smile, frown, or squint are caused by muscle movement, and a wrinkle relaxer usually addresses those better than filler. Lines and hollows that are there even when your face is at rest are usually a volume issue, which is where filler belongs. Many people benefit from a combination, and that is a normal recommendation, not an upsell.
What looks natural on your face. Not a celebrity's lips, not a filtered photo. Bring images of results you like if you have them, ideally on faces with a similar structure to yours. It makes the conversation faster and the result more aligned with what you actually want.
That filler is temporary, and that is a feature. Your face changes over years, and so do trends and your own taste. The fact that most fillers fade on their own means you are never locked into a single decision forever.
These are the questions Jackie will ask. Having early answers makes the consultation more productive and the result more aligned with what you want.
The Decisions That Shape Your Result
A filler treatment actually involves several decisions made together: which product to use, which area to treat, and how much to inject. The right combination depends on your anatomy and your goals, not on whatever default the injector happens to prefer.
1. Filler Type: Not All Fillers Are the Same
Different products are built from different materials, and they behave differently in the skin. The most common categories used in aesthetic practice:
| FACTOR | HYALURONIC ACID (HA) | POLY-L-LACTIC ACID |
|---|
| Our options | Juvéderm Ultra XC, Restylane | Sculptra Aesthetic |
| How it works | Adds volume directly; binds water | Stimulates your own collagen over time |
| Best for | Lips, fine lines, under-eyes, cheeks | Gradual, overall facial volume |
| Onset | Immediate | Gradual, over weeks |
| Typical longevity | 6–18 months | Up to 2 years |
| Reversible | Yes — dissolvable with an enzyme | No |
Hyaluronic acid fillers are the most common starting point for most people, in large part because they are reversible. If you do not love the result, or in the rare case of a complication, an HA filler can be dissolved. That safety margin is a meaningful advantage, especially for first-time patients.
At Palm Beach Cosmetic Surgery, we offer many of today's top filler options, and Dr. Sistare will recommend the right one based on the area being treated, how long you want results to last, and your comfort with a reversible versus longer-lasting product:
- Juvéderm Ultra XC — a versatile hyaluronic acid filler for facial sculpting, lip enhancement, and wrinkle reduction; results can last up to a year.
- Restylane — a cohesive hyaluronic acid gel that targets deep lines and localized volume loss.
- Sculptra Aesthetic — a collagen-stimulating filler that builds volume gradually, typically over a series of about three sessions, with results lasting up to two years.
2. The Area: Where Volume Belongs
The same syringe of filler does something completely different depending on where it is placed. Common areas include:
- Lips. Added volume, definition, or correction of asymmetry. A little goes a long way here, and restraint usually reads as more natural.
- Cheeks and midface. Restoring volume here can lift the lower face subtly, because much of what we read as "tired" or "sagging" starts with deflated cheeks.
- Nasolabial folds and marionette lines. The creases running from nose to mouth and from mouth to chin. Filler softens them rather than erasing them.
- Under-eyes (tear troughs). One of the most technique-sensitive areas. Done well, it brightens a tired face; done poorly, it puffs or discolors. This is not an area for an inexperienced injector.
- Jawline and chin. Definition and balance, particularly for a weak or recessed chin.
The right amount of filler is almost always less than people expect. A natural result is built gradually, not poured in all at once.
3. The Amount: Less, Reviewed, Then More If Needed
Filler is measured in syringes, and the temptation is to do everything in one visit. Dr. Sistare generally favors a conservative first treatment, a review once any swelling settles, and a top-up only if the area genuinely needs it. You cannot easily take filler back out of a face. Even reversible HA requires a separate procedure to dissolve, so building up slowly protects your result and your money.
Are Fillers For You?
Fillers work best when expectations match what the product can actually do. Filler adds volume and softens lines. It does not tighten significantly loose skin, it does not lift a heavily sagging face, and it does not stop the aging process.
You are likely a good candidate if:
- You are in good general health and not pregnant or breastfeeding.
- You have specific, realistic goals for an area you want to soften or restore.
- You have early-to-moderate volume loss or folds, rather than significant skin laxity.
- You do not have an active skin infection or breakout at the planned injection site.
Fillers alone may not give you the result you want if:
- Your main concern is loose, hanging skin. A surgical procedure such as a facelift or a skin-tightening treatment may be the better answer, and our team can walk you through those options.
- Your lines come entirely from muscle movement. A wrinkle relaxer may serve you better, alone or alongside filler.
- You have certain bleeding disorders, autoimmune conditions, or a history of severe allergic reactions. Always disclose your full history during your consultation.
During your consultation, Jackie may recommend pairing filler with a wrinkle relaxer, a skincare plan, or — if the underlying issue is loose skin — a conversation about surgical options. The goal is the right tool for the result you actually want.
What to Expect, Start to Finish
Most filler pages give you a vague "minimal downtime" line. Here is what actually happens, with the understanding that everyone responds a little differently.
Before your appointment. In the week leading up to your appointment, it's a good idea to steer clear of substances that can thin the blood — such as alcohol, fish oil supplements, and some anti-inflammatory drugs — as long as it's medically safe to do so, since these can make bruising more likely. That said, never discontinue a prescription medication without first consulting the doctor who prescribed it.
During the appointment (30–60 minutes). Most fillers contain a numbing agent, and a topical numbing cream is often applied as well, so discomfort is usually mild. You will feel a pinch and some pressure. Your injector works in small steps, often sitting you up to check symmetry as they go.
The first 24–48 hours. Expect some swelling, and possibly minor bruising or tenderness at the injection sites. Lips, in particular, can swell noticeably for a day or two. This is normal and not your final result. Ice helps. You will be advised to avoid strenuous exercise, excessive heat (saunas, hot yoga), and pressure on the treated area for the first day or so.
The first two weeks. Swelling settles and the filler integrates with your tissue. Any small lumps or unevenness from swelling usually smooth out during this window. This is why Dr. Sistare wait before judging the result or adding more.
The full result. For hyaluronic acid and calcium-based fillers, what you see at two weeks is essentially what you keep. Collagen-stimulating fillers like Sculptra are different. Results build gradually over several weeks as your body produces new collagen, and a series of sessions is usually planned.
Maintenance. Filler fades over time. Most people return for a touch-up somewhere between six months and two years, depending on the product, the area, and their own metabolism. Faster metabolisms break filler down sooner.
Risks and Things to Know Before You Commit
Fillers are among the most common aesthetic treatments performed, and they are very safe in trained hands. That said, every injectable carries risk, and you deserve to know what they are.
- Swelling and bruising. The most common effects, usually mild and short-lived.
- Lumps or unevenness. Sometimes felt early on; most resolve as swelling settles, and HA filler can be smoothed or dissolved if needed.
- Infection. Uncommon when proper protocols are followed.
- Vascular complications. Rare but serious, filler entering a blood vessel can affect blood flow. This is precisely why who injects you matters so much. Dr. Sistare and his trained team know facial anatomy in depth and keep reversal agents on hand.
- Allergic reaction. Uncommon; disclose any history of reactions during your consultation.
The single most important risk-reduction step you can take is choosing an experienced, medically supervised injector over a discount or a non-medical setting. Your face is not the place to shop on price alone.
How Much Fillers Cost in West Palm Beach
Filler pricing depends on the product you choose, how many syringes your treatment requires, and the area being treated. Because needs vary so widely from one person to the next, the most accurate number comes from an assessment rather than a generic figure.
Fillers are an elective cosmetic treatment and are not covered by insurance. Palm Beach Cosmetic Surgery offers financing through CareCredit on 48- or 60-month terms, and your consultation will include a clear breakdown of costs based on your specific plan, with no obligation to proceed.