Dermal Fillers

Dermal fillers, such as Juvederm, Restylane, and Perlane, are cosmetic fillers that are injected into areas of decreased volume that show up in your face over  time due to aging, smoking and the effects of gravity and sun.  The purpose of the fillers is to add volume, thus diminishing and in some cases eliminating fine lines and wrinkles.  These fillers are composed of hyaluronic acid and is found naturally in the body and provides volume and fullness in the skin. These fillers are modified to provide a volume-enhancing effect that will last longer than what would be expected from “naturally” occuring hyaluronic acid found in the body.

Both of the fillers we use can last up to one year, thus keeping you satisfied longer, cutting down on re-treatments. Dr. Keen will recommend what is best for your concerns.  Dr. Keen will also prepare you for the injection with local anesthesia.  There are numerous areas that are possible for treatment, including lips, nasal folds, marionette lines around the mouth and in the tear troughs under the eyes.  It can also be used to augment the mentalis crease, which is the horizontal line between the lower lip and chin in order to mask “witches chin.”  In some cases, it can be used to add bulk to the cheeks and can be used to correct nasal irregularities of the nose.  For more information, contact our office or visit and


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