Facial Fillers Dallas, TX

Do you have sad looking eyes, deep shadows under your eyes, thin lips, or hollow areas in your cheeks or around your mouth?

Injectable fillers can solve your problems. They are the “Magic Rejuvenators” that can transform a tired look into a youthful, rested face during a simple office visit, without the need for surgery.

Fillers are so exciting because they offer a simple, predictable, cost effective way to fill depressed facial areas for years to come, without surgery. The best fillers are the Juvederm and Restylane collections. Of these, Dr. Sanovich chooses a specific filler from the collection that allows you to achieve your desired results.


Please visit our gallery for injectables before & after photos. For more information, or to schedule a consult, please call us: Dallas Surgical Arts Phone Number 972-776-4888.


These fillers are made from materials that are identical to what is already naturally present in your body, and can be injected to fill depressions without surgery. Fat is also an excellent filler but is discussed separately because it requires a procedure using sedation.

Dr. Sanovich‘s Special Injection Technique

Worried About Discomfort During The Injections? Try Dr. Sanovich‘s Special Injection Technique.

Dr. Sanovich has developed an approach to injecting fillers that eliminates multiple needle marks in the face and reduces discomfort dramatically. Almost all injections are made using blunt micro-cannulas. A cannula is highly advantageous for the patient because they are safer, more accurate, and cause virtually no bruising. The pain, bruising, swelling, and length of the procedure have been significantly reduced with these cannulas. Using Dr. Sanovich‘s technique, almost the entire desired area can be treated with only one or two skin entries.

This approach lets him easily inject at multiple levels for ideal contour restoration, and it allows blood vessels to be ‘pushed aside’ as the microcannula moves around the tissue under the skin instead of piercing the blood vessels as with traditional needles.  By injecting in several layers of tissue, he can produce more augmentation while maintaining an extremely smooth contour. He applies vibration anesthesia to the face during all injections to almost completely eliminate any discomfort during the injections.

The advantages of Dr. Sanovich’s filler technique include:

  • Limited needle marks on the skin by using a micro-cannula
  • Reduced bruising
  • Reduced swelling
  • Almost no discomfort
  • Precise contouring and ideal smoothness

What causes lines and wrinkles?

As we age we loose elastic tissue in our skin and fat from under our skin. Collagen and hyaluronic acid in our skin decreases and the elastic fibers become looser, creating wrinkles and folds. However, age is not the only cause of wrinkles. Heredity, smiling, frowning, squinting, smoking, sun bathing and pollution damage the structure of your skin, irrespective of age. The formation of lines and creases on the face and the thinning of lips are a natural part of living, not just aging. In other words, these marks of maturity are inevitable. But, now you can dramatically minimize lines and creases and restore vitality to your face with injectable fillers. Many people are looking for a slightly fuller shape for their chin, or perhaps a rounder more sensuous contour for their cheeks or lips. Just a touch of additional volume can make an enormous difference to your appearance. The ideal approach to reversing these aging effects would fill in the lines and creases that normally develop, and restore fullness to the lips and cheeks. It would be safe and totally compatible with the body. And it would last for many years. Restylane and Juvederm are the fillers for which we have been waiting.

What is Restylane®?

Restylane® is made from hyaluronic acid, which occurs naturally in your skin and other tissues. The resilience and youthful contours of our skin, and its ability to counter the effects of time, wind and weather, depend upon hyaluronic acid. Hyaluronic acid also plays an important role in giving volume to the skin, shape to the eyes and elasticity to the joints. Hyaluronic acid has a chemical structure similar in some ways to sugar, and is identical in all species and in all tissue types. With Restylane, you can have a natural beauty lift with the body’s own material. The crystal–clear gel is injected under the skin in tiny amounts with a very fine needle. The result is instantaneous and produces a long-lasting, natural enhancement, which is gentle and safe. With Restylane there is no risk of transmitting disease or eliciting allergic reactions. No previous skin test is needed, which means that you can have the treatment immediately. The session usually takes less than thirty minutes, and the results are instantaneous. With Restylane, lip augmentation can be carried out without the use of foreign elements.

What is JUVÉDERM™?

JUVÉDERM™ Ultra Plus injectable gel is another hyaluronic acid gel that is injected into facial tissue to smooth wrinkles and folds, especially around the nose and mouth. Juvederm Ultra Plus is more viscous than Restylane, and therefore maintains a desired contour better than Restylane because it does not flow through the tissue as readily.  The role of hyaluronic acid in the skin is to deliver nutrients, hydrate the skin by holding in water, and to act as a cushioning agent. Hyaluronic acid occurs naturally in the body, which makes fillers feel completely normal in our tissue.

What is Sculptra®?

Sculptra® Aesthetic is an FDA-approved injectable that helps gradually replace lost collagen — an underlying cause of facial aging — for results that can last more than two years. It is primarily injected in the nasolabial folds, commonly referred to as “smile lines,” in the lines framing your mouth, known as “marionette lines,” and in the chin area to treat wrinkles.

Facial fillers are liquid or gel substances, like hyaluronic acid or collagen, that diminish lines by pushing up the dermis space beneath wrinkles and creases. Results appear immediately and can last up to several months. Collagen stimulators are used to diminish facial wrinkles by helping to restore the deep, underlying structure of the skin. Results appear gradually over the treatment regime (typically three injections over the course of three to four months) and can last up to two years.

As a poly-L-lactic acid (PLLA) collagen stimulator, Sculptra Aesthetic is different. It works with your body within the deep dermis, rather than topically, to help revitalize collagen production and help restore your skin’s inner structure and volume. As the Sculptra Aesthetic PLLA microparticles are absorbed, they help stimulate collagen production. Rebuilt collagen strands begin gradually helping to restore facial volume and the look of fullness to wrinkles and folds. With Sculptra Aesthetic, patients may find that they need less hyaluronic acid facial fillers over time as their skin is absorbing the hydration properties of the filler, thus retaining volume. 

* Above photos courtesy of Sculptra Aesthetic.

Typical Restylane® or JUVÉDERM™ treatment includes

  • Lip augmentation
  • Smoothing crows feet
  • Filling and smoothing fine lines and wrinkles of the face

Before Facial FillerAfter Facial Filler

BEFORE: Lip augmentation: Both lips are small, but the upper lip is particularly small and not balanced well with the lower lip size or contour.
AFTER: Lip augmentation with Juvederm: the lips have been filled out to produce an excellent contour and normal definition of the edges.

Disclaimer: The photos above are of a real patient and show their personal experiences with our practice. Individual results will vary from patient to patient.


In these photos, the lips have been filled out to produce an excellent contour and normal definition of the edges. You can see in this “after” photo that the attractive, youthful elevated roll along the edge of the upper lip has been restored. But it is not overdone. The lips move normally, and they look, and feel perfectly natural.


Is filler treatment uncomfortable?

The needles used for fillers are very fine and many patients are pleasantly surprised by the minimal discomfort of the treatment. Following Dr. Sanovich‘s technique, Dr. Sanovich mixes a small amount of local anesthetic solution with the filler and injects from inside the mouth to prevent discomfort. By injecting from inside the mouth, there is almost no bruising.

How do you pick the best product to use in a specific area?

Juvederm has a medium consistency and lasts longer than Restylane, while Restylane has the thinnest consistency. Therefore, we tend to use Restylane to fill all areas of the face except the lips. Juvederm is used for thin skin areas like the lips, and for filling very fine lines.

Can a face-lift or other surgery be performed after filler treatment?

Yes. A face-lift can be performed after Restylane or Juvederm treatment. These fillers can sometimes reduce or eliminate the need for a facelift or other surgery, or can delay the need for repeated surgery. These fillers may also be injected at the time of facelift, or other surgery, to assist in achieving the desired result.

When is Fat Transfer Augmentation preferred over Restylane or Juvederm?

Fat Transfer Augmentation is preferred over other fillers when the volume of material needed is more than 6 or 7 syringes. If more than this amount of filler is needed, it will be less expensive to do fat transfer, and the effect may last considerably longer with fat. In many full face fat transfer cases, more than 40cc of fat are injected. Each 1cc of Restylane or Juvederm will produce augmentation equivalent to 2cc of fat, but it will need to be repeated in 6 to 9 months. This volume of augmentation with filler would cost twice as much as a fat transfer.

How much do fillers cost?

Restylane and Juvederm are very affordable even for those with modest incomes. We offer tiered pricing to give our patients a discount on multiple syringes. Please call our office regarding our fees for these treatments.

Before Facial FillerAfter Facial Filler

BEFORE: Lip augmentation- The upper lip is thin and vertical lines are prominent
AFTER: Lip augmentation with fat- The lips are fuller, better balanced for size and the filling under the edge of the upper lip has reduced the lip lines dramatically.

Disclaimer: The photos above are of a real patient and show their personal experiences with our practice. Individual results will vary from patient to patient.


Before Facial FillerAfter Facial Filler

BEFORE Lip augmentation- These lips are fairly well balanced, but some augmentation will make them more interesting.
AFTER Lip augmentation with Restylane- The added fullness of the lips is very attractive.

Disclaimer: The photos above are of a real patient and show their personal experiences with our practice. Individual results will vary from patient to patient.


Before Facial FillerAfter Facial Filler

BEFORE Lip augmentation- A profile view of the lips in the above photos show the lack of fullness in the upper lip. The upper lip should project in front of the lower lip.
AFTER Lip augmentation with Restylane- The upper lip profile is much more attractive and the fullness of the upper lip is better balanced with the lower lip.

Disclaimer: The photos above are of a real patient and show their personal experiences with our practice. Individual results will vary from patient to patient.


How much experience do we have with facial fillers?

More than 27 million patients all over the world have been treated with various hyaluronic acid based products over the years. Filler is extremely safe. More than five hundred thousand men and women in all age groups around the world have been successfully treated with fillers since 1996. Studies show that the vast majority of them were so happy with their results that they wanted to have the treatment again.

What will filler look and feel like after I have been treated?

Restylane, and Juvederm are clear gels with textures just like your normal tissue. And they remain that way throughout their life. The sensitivity and feeling of enhanced areas are retained. Once injected, its softness resembles that of your normal facial tissue. In fact, your own tissues will integrate with the material as a natural process of your body. The amount injected can be accurately controlled, so you can achieve the exact amount of enhancement you desire. Individuals who have received filler treatment are very pleased with its natural look and feel.

Can different brands of fillers be used together?

Restylane and Juvederm products can be used in combination with each other. Restylane can be used for thin, superficial lines, for example around the eyes, around the mouth and on the forehead. Fat may be used in combination with Restylane and Juvederm.

In Summary – Restylane:

  • Is long-lasting, but ultimately biodegradable and non-permanent
  • Can last 6-12 months or more before being completely reabsorbed
  • Effects can be cumulative – smaller volumes are sometimes needed for maintenance treatments
  • Have no animal ingredients
  • No skin test is needed

Can fillers be used during pregnancy?

There is no technical or medical reason why Restylane and Juvederm should not be used during pregnancy.

Facial Filler Pre-treatment instructions:

Bruising is seldom a problem after Juvederm or Restylane treatment. The chance of bruising can be reduced by avoiding aspirin for 7 days prior to treatment, and minimizing your consumption of Vitamin E for 3 days before treatment, and excessive alcohol consumption 1 day prior and post treatment. You can bring makeup with you, and you may apply your makeup immediately after treatment.

Post-treatment instructions:

After Juvederm or Restylane treatment, you will have some swelling. Bruising is possible but uncommon. However, occasionally there is some mild pain, swelling, itching or redness at the site of injection – similar to what you could experience after any injection. Dr. Sanovich will give you steroid pills to take which will reduce the degree and duration of swelling. You may use cold compresses, or take acetaminophen, naproxen, Motrin, or other anti-inflammatory medication, to reduce swelling or discomfort. Redness may last for 1 – 2 days, occasionally longer in some patients. Swelling in the lips usually lasts for 2 days, but can last for up to a week, and the lips may appear somewhat uneven until the swelling subsides. In order to allow the filler to stabilize, try to avoid excessive movement of your facial muscles for the first few days, and in particular during the first 6 hours after your treatment. If swelling or redness occur, do not expose the treated area to intense heat (e.g. hot packs or sunbathing) or extreme cold, until these problems have resolved.

Call Today for a complimentary consultation

Please call our office at Dallas Surgical Arts Phone Number 972-776-4888 if you have any questions about Restylane or Juvederm, and to arrange for a confidential consultation and treatment. Treatment can be done the same day as the consultation if you wish. Our staff will take the time necessary to discuss your wishes and treatment options, and answer all of your questions.


Dallas Surgical Arts offers Injectable Facial Fillers for patients in Dallas TX. Call Dallas Surgical Arts Phone Number 972-776-4888 to schedule a consultation.