
Fillers
Dermal fillers are injectable gels — most often hyaluronic acid — that restore volume lost to ageing, support sagging tissue and smooth static folds.
In short
Dermal fillers are injectable gels — most often hyaluronic acid — that restore volume lost to ageing, support sagging tissue and smooth static folds. Results are visible immediately, settle over about two weeks, and last from 6 months in the lips to around two years in the cheeks depending on the product and area.
Faces do not simply wrinkle; they deflate. Fat pads shrink, bone remodels, and skin that once had support begins to fold. Filler addresses that loss of structure, which is why replacing volume high in the cheek often improves a fold much lower down.
Medically reviewed by
Founder & Board-Certified Family Nurse Practitioner
Founder of BUTEX Medical Spa in Frisco, Texas, and a board-certified Family Nurse Practitioner who has been treating patients across North Texas since 2012. She performs every assessment and treatment personally.
Last reviewed

The process
01
We look at where volume has been lost, not only where you notice a line. Treating the cause usually takes less product than chasing the symptom.
02
Soft, flexible gels for lips; firmer, high-lift gels for cheeks and jawline. Numbing cream and lidocaine within the filler keep the appointment comfortable.
03
A blunt-tipped cannula is used in higher-risk areas such as the temples and under-eyes to reduce the chance of bruising and vascular complications.
04
Swelling has settled by then and the true result is visible. Top-ups, if any are needed, are done at this point.
Filler is not one product. The gel is matched to the job: soft and flexible for lips, firm and supportive for cheeks and jawline.
| Area | Usual filler type | Typical longevity |
|---|---|---|
| Lips | Soft hyaluronic acid | 6–12 months |
| Cheeks / midface | Firm, high-lift hyaluronic acid | 12–24 months |
| Temples | Hyaluronic acid or a collagen stimulator | 12–24 months |
| Jawline / chin | Firm hyaluronic acid or calcium hydroxylapatite | 12–18 months |
| Under-eye (tear trough) | Low-water-binding hyaluronic acid | 9–18 months |
Common questions
Most fillers contain lidocaine and we apply numbing cream first, so discomfort is mild. Lips are the most sensitive area and are numbed most thoroughly.
It depends on area and product: roughly 6–12 months in the lips, 12–24 months in the cheeks. Areas that move constantly break the product down faster.
Hyaluronic acid fillers can be dissolved with hyaluronidase, usually within a day or two. Collagen-stimulating fillers cannot be dissolved, which is why product choice is discussed carefully first.
Overfilling does — placing too much, too superficially, or in the wrong plane. Conservative volumes placed on structure look like a rested version of your own face, not a different one.
Bruising and swelling are common and temporary. The rare but serious risk is injection into a blood vessel, which is why anatomy knowledge, cannula use in high-risk zones and an injector who keeps hyaluronidase on hand all matter.

Lip filler is a soft hyaluronic acid gel injected to add volume, define the border or correct asymmetry in the lips.

Cheek filler restores volume to the midface using a firm, high-lift hyaluronic acid placed deep on the cheekbone.

Jawline contouring uses a firm dermal filler placed along the jaw angle, body and chin to create a sharper, more defined jawline without surgery.
This page is general information, not medical advice, and it does not replace an in-person assessment. Results vary between patients, and no outcome is guaranteed. Suitability, risks and alternatives for dermal fillers are discussed at consultation. Call (469) 432-0868 to book.
Book a consultation
A consultation covers whether dermal fillers suits you, what it will cost, and what it realistically will and will not do. No obligation to book treatment on the day.
Visit our Frisco boutique
Dermal Fillers is performed at our Frisco clinic on Dallas Parkway, serving Plano, McKinney, Allen, Prosper, Little Elm, The Colony, Celina and North Dallas.