If this is your first time getting filler treatment in our office, you will need a consultation visit first. During the consultation, you will meet with board certified plastic surgeon Dr. Alghoul, who will perform a thorough facial analysis and address the areas of concern. A firm believer in patient education, Dr. Alghoul will explain to you what is causing the undesired look and suggest areas to treat that will give you the most improvement.

Depending on the area and goal of treatment, a decision is made on the type and amount of filler used. The areas of treatment are marked first on the face with an erasable marker to show you where the filler is being injected and to make sure you are comfortable with the treatment. Photographs are taken before and after treatment.

Who is a good candidate for injectable fillers?

Any individual who is not on blood thinning agents or has active infection can be a candidate for a filler treatment.

What are the types of fillers used?

Fillers are generally divided into hyaluronic acid and non-hyaluronic acid fillers. Hyaluronic acid or hyaluronate is a naturally occurring substance in the body made of complex sugars in a hydrogel form. It comes in different preparations and concentrations and is injected into or below the skin in various depths. Examples include Juvéderm®, Restylane®, Pervelle Silk®, and Belotero®. Hyaluronic acid hydrogels have the advantage of being well tolerated, with a low rate of hypersensitivity reaction; require little to no downtime; and are reversible. Depending on the type, they can last from four to 12 months.

Radiesse® is a non-hyaluronic acid filler made of calcium hydroxylapatite microspheres. It is usually injected below the skin and is most commonly used for cheek and chin augmentation as well as filling of the nasolabial fold. Radiesse® can also be used in hand rejuvenation.

What are the most commonly treated areas?

There are two possible goals for treatment with fillers: camouflaging wrinkles and grooves that appear with aging or augmenting an area in the face. The end result of the treatment is to restore a smooth surface around the eyes and mouth, soften certain features like a deep nasolabial fold and enhance the volume of other areas like the lips, cheeks and nose. It is critical that any product should be used in small volumes and specialized injection techniques to achieve very natural results.

What to Expect

Dr. Alghoul personally performs all filler treatments, in a very relaxing environment. The majority of fillers used have a local anesthetic mixed to make the injection less painful. In very sensitive areas like the upper and lower lips, a nerve block using a local anesthetic is often performed. Bruising may occur, especially around the eyes. The application of cold compresses before and immediately after treatment helps minimize bruising.

Contact Dr. Alghoul

If you’d like to schedule a consultation with Dr. Alghoul to discuss one of the procedures he offers, please call (312) 695-3654. During the consultation you can also explore surgical options such as facelift, or upper eyelid lift.