What Are Dermal Fillers?
Dermal fillers are injectable gels — most commonly made from hyaluronic acid (HA), a naturally occurring substance found in your skin, connective tissue, and joints — that are placed beneath the skin to add volume, smooth wrinkles, and enhance facial contours. Hyaluronic acid is a glycosaminoglycan that attracts and binds water molecules, which is what gives youthful skin its plump, hydrated appearance. As we age, our natural HA levels decline along with collagen, elastin, and subcutaneous fat, leading to volume loss, sagging, and the deepening of lines and folds.
Dermal fillers restore what time takes away. By injecting precisely formulated HA gels at specific depths and locations, a skilled injector can rebuild facial structure, lift sagging tissue, smooth creases, and enhance features like the lips, cheeks, and jawline — all without surgery, general anesthesia, or significant downtime.
At Rewind Anti-Aging of Miami, we offer a comprehensive range of filler products including the complete Restylane family, Sculptra, and Kybella — each designed for specific areas and concerns, allowing us to tailor your treatment with precision.
How Fillers Work vs. Botox: Understanding the Difference
Fillers and Botox are both injectable treatments, but they address fundamentally different types of aging through completely different mechanisms. Understanding this distinction is essential for realistic expectations and optimal results:
- Dermal fillers add volume. They physically fill space beneath the skin — replacing lost fat and bone structure, smoothing static wrinkles (lines visible even when your face is completely at rest), and enhancing contours. Fillers do not affect muscle movement; they work by providing structural support and hydration to the tissue.
- Botox relaxes muscles. It blocks the nerve signal that causes specific facial muscles to contract, which softens dynamic wrinkles — lines created by repetitive expressions like frowning, squinting, and raising the eyebrows. Botox does not add volume or fill creases; it prevents the muscle contractions that cause them.
In practice, most comprehensive facial rejuvenation plans use both: Botox for the upper face (forehead lines, frown lines, crow's feet) and fillers for the mid and lower face (cheeks, nasolabial folds, lips, jawline). The two treatments complement each other and can be performed in the same appointment.
The Restylane Product Family
We use the Restylane family of hyaluronic acid fillers — one of the most extensively studied and trusted filler lines in the world. Each product in the Restylane range is engineered with a specific gel consistency, particle size, and lifting capacity designed for particular facial areas and depths of injection. This is not a one-size-fits-all approach; the right product for your lips is not the right product for your cheeks, and using the wrong formulation in the wrong area can produce suboptimal results.
All Restylane products contain lidocaine (a local anesthetic) built into the formula, which significantly reduces discomfort during injection.
| Product | Best For | Duration |
|---|---|---|
| Restylane | Nasolabial folds, marionette lines | 6-12 months |
| Restylane Lyft | Cheek augmentation, midface volume | 12-18 months |
| Restylane Kysse | Lip augmentation, lip enhancement | 6-9 months |
| Restylane Defyne | Deep laugh lines, chin, jawline definition | 12+ months |
| Restylane Contour | Cheek contour and definition | 12-18 months |
| Restylane Refyne | Mild to moderate laugh lines | 12 months |
| Restylane Silk | Fine lip lines, subtle lip enhancement | 6 months |
Restylane is the foundational product — a versatile, medium-density HA gel ideal for nasolabial folds (the lines running from the nose to the corners of the mouth) and marionette lines (the lines running from the corners of the mouth toward the chin). It integrates smoothly into tissue and provides natural-looking correction for moderate lines and folds.
Restylane Lyft is a firmer, more volumizing gel designed for the cheeks and midface where significant structural support is needed. It lifts and contours the cheek area, restoring the youthful "apple" of the cheek that flattens with age. It is also FDA-approved for hand rejuvenation.
Restylane Kysse is specifically engineered for the lips, with a flexible gel that moves naturally with lip movement. It provides volume, shape, and color enhancement while maintaining a soft, natural feel. It is our most-requested lip filler product.
Restylane Defyne uses cross-linking technology that allows the gel to flex with facial movement while maintaining its shape — making it ideal for deep nasolabial folds, chin augmentation, and jawline definition where both structure and natural movement are needed.
Restylane Contour is designed specifically for cheek contouring, with a unique gel texture that provides definition and projection while blending smoothly into surrounding tissue for a sculpted, natural appearance.
Restylane Refyne is a softer, more flexible gel designed for mild to moderate laugh lines. Its flexibility preserves natural expression — you can smile, talk, and laugh without the filler looking stiff or unnatural.
Restylane Silk has the smallest, smoothest particles in the Restylane family, making it ideal for fine lip lines (the vertical lines above the upper lip) and subtle lip enhancement where precision is paramount.
Sculptra: Collagen Stimulation for Long-Lasting Volume
Sculptra (poly-L-lactic acid, or PLLA) is not a traditional filler — it is a collagen stimulator that works through a fundamentally different mechanism than hyaluronic acid products. Rather than adding volume directly, Sculptra stimulates your body's own fibroblasts to produce new collagen over time, gradually rebuilding the structural framework that supports your skin.
After injection, the PLLA microparticles create a controlled inflammatory response that triggers collagen synthesis. Results develop gradually over 2-3 months as new collagen forms around the microparticles, and these results can last 2+ years — making Sculptra the longest-lasting injectable option available.
Sculptra is typically administered as a series of 2-3 treatment sessions spaced 4-6 weeks apart. This staged approach allows your provider to build volume gradually and precisely, achieving natural-looking restoration that develops over time rather than appearing all at once. Sculptra is ideal for patients who want overall facial volume restoration — particularly in the temples, cheeks, and midface — rather than targeted spot treatment.
Important to know: because Sculptra stimulates your own collagen, it cannot be dissolved like hyaluronic acid fillers. This makes conservative dosing and experienced injector selection especially important.
Kybella: Permanent Double Chin Reduction
Kybella (deoxycholic acid) is an FDA-approved injectable treatment designed specifically for reducing submental fat — the stubborn fat beneath the chin that creates a "double chin." Deoxycholic acid is a naturally occurring bile acid that your body uses to break down and absorb dietary fat. When injected into the submental area, it permanently destroys fat cells, which are then naturally metabolized and eliminated by the body over the following weeks.
Once those fat cells are destroyed, they do not regenerate. The results are permanent — provided you maintain a stable weight. Kybella treatment typically requires 2-4 sessions spaced 4-6 weeks apart, with each session involving multiple small injections across the treatment area.
Kybella is ideal for patients with moderate submental fat who want to improve their chin profile without surgery (such as liposuction or a neck lift). It is not appropriate for loose, sagging skin without underlying fat, as it only addresses fat volume — not skin laxity. Your provider will assess your anatomy during consultation to determine whether Kybella is the right approach for your goals.
Treatment Areas: A Complete Guide by Face Region
Dermal fillers can address virtually every area of the face. Understanding which products and techniques work best for each region is critical to achieving balanced, natural-looking results.
Upper Face
- Temples — temporal hollowing is one of the earliest signs of facial volume loss. Restylane Lyft or Sculptra can restore fullness to the temples, which lifts the lateral brow and creates a more youthful frame for the upper face.
- Forehead — in some patients, volume loss in the forehead creates a concave appearance. Strategic filler placement can restore a smooth, convex contour. This is often combined with Botox for forehead lines.
Midface
- Cheeks — cheek volume loss is a hallmark of facial aging, causing the midface to flatten and sag. Restylane Lyft, Contour, or Sculptra rebuild cheek structure, restore the youthful cheek contour, and provide a subtle lifting effect that improves nasolabial folds and under-eye hollows from above.
- Under-eye hollows (tear troughs) — dark circles and hollowing under the eyes are often caused by volume loss, not just fatigue. Carefully placed Restylane can smooth the transition between the lower eyelid and cheek, reducing shadowing and the tired appearance.
- Nasolabial folds — the lines running from the nose to the corners of the mouth deepen as midface volume descends. Restylane or Restylane Defyne can smooth these folds, though addressing cheek volume above often provides the most natural improvement.
Lower Face
- Marionette lines — the lines running from the corners of the mouth toward the chin can create a sad or downturned expression. Restylane or Restylane Defyne softens these lines and lifts the oral commissures.
- Jawline — filler along the jawline creates definition, sharpens the jaw angle, and reduces early jowling. Restylane Defyne provides the structural support needed for jawline augmentation that looks and feels natural.
- Chin — chin augmentation with filler can improve facial balance, strengthen a weak chin profile, and enhance the overall proportions of the lower face. Restylane Defyne is our primary choice for chin projection.
Lips
- Lip augmentation — Restylane Kysse adds volume, shape, and definition to the lips while maintaining a soft, natural feel and movement.
- Lip lines — Restylane Silk addresses the fine vertical lines above the upper lip (often called "smoker's lines") with its smooth, precise formulation.
- Lip border definition — filler can define the vermilion border (the outline of the lip), correct asymmetry, and restore the cupid's bow for a polished, youthful appearance.
Chin and Jawline
- Non-surgical chin augmentation — for patients who want improved chin projection without an implant, Restylane Defyne can add structure and balance.
- Submental fat (double chin) — Kybella permanently destroys fat cells beneath the chin for a slimmer, more defined profile.
What to Expect During Your Dermal Filler Treatment
Dermal filler treatments are performed in our office with no general anesthesia and minimal downtime. Here is what the experience looks like:
- Consultation: Your provider examines your facial anatomy, discusses your concerns and goals, and develops a treatment plan — including which products, how many syringes, and which areas to treat.
- Preparation: The treatment area is cleansed and topical numbing cream is applied if needed (particularly for lip treatment). This takes 15-20 minutes.
- Procedure time: 30-45 minutes depending on the number of areas treated. Your provider injects the filler using fine needles or cannulas, sculpting and molding the product as it is placed.
- Immediate results: Unlike Botox, filler results are visible immediately after injection. However, the final result is best assessed at 2 weeks, once all swelling has resolved.
- Swelling timeline: Mild to moderate swelling is normal and peaks at 24-48 hours, resolving over 2-5 days. Lip filler causes the most swelling. Ice and elevation help.
- Follow-up: We schedule a two-week follow-up to evaluate results and perform touch-ups if needed. It is easier to add a small amount of filler than to correct overfilling, which is why our initial treatment is always conservative.
Side Effects and Safety
Dermal fillers have an excellent safety profile when administered by trained, experienced providers. The most common side effects are mild and temporary:
- Swelling — the most common side effect, particularly with lip filler. Peaks at 24-48 hours and typically resolves within 3-5 days. Ice and sleeping with your head elevated help reduce swelling.
- Bruising — occurs at injection sites in some patients. Bruises typically resolve within 5-7 days and can be minimized by avoiding blood thinners, supplements (fish oil, vitamin E), and alcohol for several days before treatment.
- Tenderness — mild soreness at injection sites for 1-3 days is normal and resolves on its own.
- Lumps or irregularities — small lumps may be palpable immediately after injection; most smooth out on their own within the first 1-2 weeks as the filler settles and integrates with the tissue. If a lump persists, your provider can massage it or, in rare cases, dissolve it with hyaluronidase.
Rare but Serious Risks
The most serious risk associated with dermal fillers is vascular occlusion — a rare complication that occurs when filler is inadvertently injected into or compresses a blood vessel, potentially restricting blood flow to the surrounding tissue. Signs include unusual pain, blanching (white skin), or discoloration during or shortly after injection.
This is why injector expertise is paramount. Our providers are extensively trained in vascular facial anatomy, use aspiration techniques and cannulas where appropriate, and are prepared with emergency reversal protocols. Hyaluronic acid fillers can be dissolved immediately with hyaluronidase if vascular compromise is suspected — providing a critical safety net that non-HA products do not offer.
Other rare risks include infection at the injection site, allergic reaction (extremely rare with HA fillers since hyaluronic acid is biocompatible), and delayed-onset nodules. All risks are discussed during your consultation so you can make a fully informed decision.
Why Choose Rewind Anti-Aging for Dermal Fillers in Miami
- Full product range — we carry the complete Restylane family (seven products), Sculptra, and Kybella. We choose the right product for the right area, not just what is available on the shelf.
- Conservative, layered approach — we start with less and add at follow-up. Natural results come from restraint, not volume. If someone can tell you have had filler, we have gone too far.
- Integrated anti-aging care — as a full-service anti-aging clinic, we understand that skin quality is influenced by hormones, nutrition, hydration, and overall health. Fillers work best when your internal health is optimized too.
- Safety-first philosophy — we stock hyaluronidase for emergency dissolution, use aspiration techniques, and select cannulas over needles when appropriate to minimize vascular risk.
- Wynwood location — our clinic at 24 NW 29th Street in Miami, FL 33127 is centrally located and easily accessible from Midtown, the Design District, Edgewater, Downtown Miami, Miami Beach, and Brickell.
Frequently Asked Questions About Dermal Fillers
Will dermal fillers look natural?
When administered by an experienced provider — yes. The key to natural-looking filler results is a conservative, layered approach: starting with less product, assessing the result, and adding as needed. Overfilling is the most common cause of unnatural outcomes, which is why we prioritize subtlety and restraint. We also select products specifically formulated for each treatment area, ensuring the right gel consistency integrates seamlessly with your natural tissue. You should look refreshed and enhanced — never 'done.'
Do dermal filler injections hurt?
Discomfort is minimal. All of the Restylane products we use contain lidocaine (a local anesthetic) built directly into the gel, which numbs the area as the filler is injected. For sensitive areas like the lips, we also apply topical numbing cream 15-20 minutes before treatment. Most patients describe the sensation as mild pressure with occasional brief stinging. The lips tend to be the most sensitive area, but even lip filler is very tolerable for the majority of patients.
How long do dermal fillers last?
Duration depends on the specific product, the treatment area, and your individual metabolism. Lip fillers (Restylane Kysse) typically last 6-9 months. Cheek and midface fillers (Restylane Lyft, Contour) can last 12-18 months. Deeper structural fillers (Restylane Defyne) last 12+ months. Sculptra results can last 2+ years because it stimulates your body's own collagen production. Areas with more movement (like the lips) tend to metabolize filler faster than areas with less movement (like the cheeks).
Can dermal fillers be dissolved if I don't like the results?
Yes — this is one of the major safety advantages of hyaluronic acid (HA) fillers like the Restylane family. An enzyme called hyaluronidase can dissolve HA filler quickly, typically within 24-48 hours. This provides a safety net that non-HA products do not offer. Note that Sculptra (poly-L-lactic acid) and Kybella (deoxycholic acid) cannot be dissolved with hyaluronidase, which is why patient selection and conservative dosing are especially important with those products.
Can I get Botox and fillers at the same appointment?
Absolutely, and many patients do. Botox and fillers complement each other because they address different types of aging. Botox relaxes muscles that cause dynamic wrinkles (expression lines in the upper face), while fillers restore volume and smooth static wrinkles (lines present at rest, typically in the mid and lower face). Combining both in a single visit is safe, efficient, and allows your provider to create a cohesive treatment plan that addresses the full face.
At what age should I start getting dermal fillers?
There is no specific age requirement. Most patients begin filler treatments in their mid-30s to mid-40s when they start noticing volume loss — flattening cheeks, deepening nasolabial folds, thinning lips, or early jowling. Some younger patients in their late 20s seek lip enhancement or subtle cheek contouring. The decision should be based on your individual anatomy, concerns, and goals — not a number. A consultation will help determine whether fillers are appropriate for you now.
How much do dermal fillers cost?
Fillers are priced per syringe, and the number of syringes needed depends on the treatment area and your goals. Lip augmentation may require 1 syringe, while cheek volumization may need 1-2 syringes per side. Sculptra is priced per vial and typically requires 2-3 vials per session over a series of treatments. We provide transparent pricing during your consultation based on a personalized treatment plan. Call us at (305) 922-9622 for current pricing.
What is the downtime after dermal fillers?
Downtime is minimal but varies by treatment area. Lip fillers cause the most visible swelling, peaking at 24-48 hours and resolving over 3-5 days. Cheek and midface fillers typically cause mild swelling for 1-3 days. Bruising may occur at any injection site and usually resolves within 5-7 days. Most patients return to work and social activities the same day or the following day. We recommend avoiding intense exercise, alcohol, and excessive heat for 24-48 hours after treatment.
Restore, Enhance, Rejuvenate
Schedule a consultation to discuss your goals and discover which dermal filler treatments will make the most impact for your unique facial anatomy.
Explore All Aesthetic TreatmentsOr call (305) 922-9622 to book your appointment