Dermal Fillers in Buckhead and Cumming

That depends on what you want and how you feel about repeating treatment. Fillers are temporary, ASPS says ongoing treatments are needed for long-term results, and insurance does not cover them. They can restore volume and soften specific areas, but they cannot match what surgery does. A consultation is the place to find out whether filler, another treatment or no treatment fits your goal.

No area is without risk. In an American Academy of Ophthalmology review of 198 reported cases of vision loss after filler, the nose was the injection site in 90 of 226 reported sites (40%), the forehead in 56 (25%) and the area between the brows in 26 (12%), with one each in the lip and cheek. These are case reports, not rates, and treatment usually did not reverse the vision loss.

The FDA says hyaluronic acid in fillers can come from bacteria or rooster combs. The Juvederm Voluma XC label says its HA is produced by Streptococcus bacteria, crosslinked with BDDE and mixed with 0.3% lidocaine. Sculptra is poly-L-lactic acid, a biodegradable polymer, and Radiesse is calcium hydroxylapatite, a mineral found in teeth and bones, suspended in gel.

Hyaluronic acid fillers can be reversed with hyaluronidase, which a 2024 review describes for lumps, a bluish tint called the Tyndall effect, allergic reactions and, urgently, blocked vessels. The office offers dissolving filler as its own treatment. The FDA cautions that other fillers may be difficult or impossible to remove.

The FDA says the safety of fillers used together with neuromodulators such as Botox has not been evaluated in a controlled clinical study. That is a limit on the evidence, not a ban. Whether to combine them, and in what order and timing, is a decision for your consultation. See our Botox page for the neuromodulator side.

There is no single product for older skin. FDA approvals are written by product and area, and the choice depends on where you have lost volume and how much. Labels set limits too: for Juvederm Voluma XC, cheek safety is established for ages 35 to 65, and the chin study excluded people with significant skin laxity, which the label says can obscure the result.

This page cannot give one price for three syringes, and a quote can mean different things. The American Society of Plastic Surgeons lists a 2023 national average physician fee of $715 for hyaluronic acid fillers, varying by region and provider, but it is one average that does not say how many syringes it covers, so it cannot be turned into a price per syringe. Ask whether a quote is per syringe or per treatment. The office quotes your total after Dr. Payman makes your plan.