Dermal Fillers in Southlake, TX
Juvederm, Restylane, RHA and Revanesse are all FDA-approved hyaluronic acid gels that put back volume the face has lost. Dr. Mikki places them conservatively, and she will tell you when you do not need any.
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Hyaluronic acid fillers restore lost volume
A hyaluronic acid filler replaces volume that age or weight change has taken from the cheeks, lips and jawline. It also supports the tissue around a fold so the line softens. It is the right tool when the loss is volume. It is the wrong tool when the concern is loose skin.
How Medrein approaches filler
Cheek filler does not lift the skin
A common med-spa habit is to add cheek filler to try to lift a face. Volume does not lift lax skin; it makes the feature heavier. When the concern is laxity, Dr. Mikki uses Biostimulators or energy-based tightening, and keeps filler for genuine volume loss. She pairs it with a Neurotoxin when lines come from movement.
| Feature | HA Dermal Filler | Biostimulator | Neurotoxin |
|---|---|---|---|
| Restores lost facial volume | Included | Varies | Not included |
| Lifts loose or lax skin | Not included | Not included | Not included |
| Can be dissolved if adjusted | Included | Not included | Not included |
| Result visible the same day | Included | Not included | Not included |
What each filler family is for
All four are hyaluronic acid and all four are reversible. What differs is how the gel is cross-linked and how thick each formula runs, which decides the depth and the feature it belongs in. Dr. Mikki picks the specific formula for each area.
Juvéderm
Hyaluronic acid
A collection of FDA-approved hyaluronic acid fillers with smooth, long-lasting results. Several formulas contain lidocaine, so the gel numbs the area as it is placed.
- Juvéderm XC: moderate to severe parentheses lines around the nose and mouth
- Vollure XC: softens parentheses lines and wrinkles
- Volbella XC: subtle lip volume and vertical lip lines
- Voluma XC: cheek volume and a more youthful contour
- Placed in
- Lips, cheeks, chin and deep wrinkle correction
- Typically lasts
- 1 to 2 years, depending on the formula and the patient
Restylane
Hyaluronic acid
The broadest family carried here, with a formula for almost every depth. The portfolio has been used in over 65 million treatments worldwide.
- Restylane and Restylane-L: moderate to severe folds, placed mid to deep, and lips
- Lyft: cheek augmentation, midface contour and the backs of the hands
- Silk and Kysse: lip augmentation and the fine lines above the upper lip
- Refyne and Defyne: smile lines and nasolabial folds; Defyne also improves a receding chin
- Contour: defines and contours the face
- Eyelight: diminishes dark under-eye hollows
- Placed in
- Under-eye hollows, lips, cheeks, chin, folds and hands
- Typically lasts
- 6 to 12 months; Kysse up to a year; Contour and Lyft in the cheeks up to 18 months
RHA
Resilient hyaluronic acid (RHA)
Longer cross-linked chains mimic the hyaluronic acid your own skin cells make. The gel moves with facial expression instead of setting against it.
- RHA 2: surface wrinkles and lines, and plumping the lips and cheeks
- RHA 3: deep folds and wrinkles such as the nasolabial folds
- RHA 4: the deepest creases, and the contours of the cheeks and jawline
- Placed in
- Cheeks, jawline, lips and the sides of the nose and mouth
- Typically lasts
- Up to 18 months
Revanesse Versa
Hyaluronic acid · smaller particles
A smoother gel with a smaller, more uniform particle size, which is why it tends to produce less post-injection swelling than some other hyaluronic acid fillers.
- Versa+: moderate to severe facial wrinkles and folds, indicated from age 22
- Lips+: lip enhancement placed inside the lip, indicated from age 22
- Placed in
- Lips, nasolabial folds, marionette lines, the mental crease, cheeks and jawline
- Typically lasts
- 10 to 12 months
| Axis of comparison | Juvéderm | Restylane | RHA | Revanesse Versa |
|---|---|---|---|---|
| What sets it apart | Juvéderm:The best-known HA family, with a formula per depth | Restylane:The widest range carried, including a dedicated under-eye gel | RHA:Longer cross-linked chains that move with expression | Revanesse Versa:Smaller, more uniform particles and less swelling |
| Best suited to | Juvéderm:Lip plumping, cheek volume and deep wrinkle correction | Restylane:Under-eye hollows, lips, cheeks, chin and hands | RHA:Dynamic wrinkles, deep folds and natural lip enhancement | Revanesse Versa:Nasolabial folds, marionette lines, the mental crease and lips |
| How long it lasts | Juvéderm:1 to 2 years | Restylane:6 to 18 months by formula | RHA:Up to 18 months | Revanesse Versa:10 to 12 months |
| Comfort during treatment | Juvéderm:Several formulas contain lidocaine | Restylane:Topical numbing, and lidocaine in the -L formulas | RHA:Lidocaine is included in the filler itself | Revanesse Versa:Lidocaine is included in the filler itself |
| Reversible | Juvéderm:Yes, dissolvable with hyaluronidase | Restylane:Yes, dissolvable with hyaluronidase | RHA:Yes, dissolvable with hyaluronidase | Revanesse Versa:Yes, dissolvable with hyaluronidase |
Hyaluronic acid fillers compared with Bellafill
Bellafill is often shelved beside these four, and it does not belong there. It is a collagen biostimulator, which Dr. Mikki offers under Biostimulators. The difference matters most in what you can undo.
- Composition: the four families above are hyaluronic acid. Bellafill is tiny collagen-suspended microspheres.
- Mechanism: hyaluronic acid gives volume directly and your body eventually breaks it down. Bellafill stimulates your own collagen for a long-lasting result.
- Longevity: hyaluronic acid holds 6 to 18 months. Bellafill can last 5 years or more.
- Reversibility: hyaluronic acid can be dissolved with hyaluronidase. Bellafill cannot be dissolved, which is why the decision is a bigger one.
The areas dermal filler treats
Dr. Mikki matches the gel to the area and its depth. She treats where volume is genuinely missing and leaves proportionate features alone.
Lips
A thin hyaluronic acid gel restores shape and hydration to the lips. The plan keeps the border and proportion you started with.
Cheeks and midface
Where the cheek has genuinely deflated, a firmer gel restores support. Dr. Mikki maps how much each side needs before anything is placed.
Folds and marionette lines
The nasolabial folds and the lines from the mouth corners soften when the volume behind them is restored. The crease itself is not filled directly.
Chin and jawline
A firm gel can define a receding chin or a soft jaw border. Dr. Mikki confirms candidacy and maps the amount at consultation.
Every area a dermal filler can treat
Medrein treats twelve areas with dermal filler in Southlake, TX. Not every area suits every patient, and Dr. Mikki declines the ones where volume is not the problem.
Face
- Temples
- Forehead lines
- Under-eyes (tear troughs)
- Cheeks
- Non-surgical rhinoplasty (nose contour)
- Nasolabial folds (smile lines)
- Marionette lines
- Lips
- Chin
- Jawline
Beyond the face
- Neck and décolletage
- Hand rejuvenation
What a dermal filler appointment looks like
Consultation
Dr. Mikki examines your skin and facial proportions. She explains what filler can and cannot do for the concern you came in with, then chooses the family and the formula. Expect two appointments to finalize a plan.
Preparation
The area is cleansed and a numbing cream is applied. Several of the gels carry lidocaine of their own, so the area continues to numb as the filler goes in.
Injection
The chosen filler is placed into the selected areas. The injection itself takes around 30 minutes, and an appointment runs anywhere from 15 minutes to an hour depending on how many areas are treated.
Shaping
The treated area may be gently massaged so the gel spreads uniformly and sits evenly under the skin. This is a normal part of the treatment.
Results
You see volume immediately. Mild swelling and occasional bruising take a few days to a week to settle, and the final shape reads once they do. Results may vary.
Dermal filler safety and the risks worth naming
Why hyaluronic acid has a wide safety margin
- Every filler carried here is FDA-approved hyaluronic acid, a substance your skin already makes.
- The treatment is minimally invasive, and most side effects resolve within hours to a few days.
- Hyaluronic acid can be dissolved with hyaluronidase if a result needs softening.
- Dr. Mikki, a board-certified physician, injects herself. An experienced injector is the main defense against migration and blocked blood vessels.
- Most patients return to normal activities immediately after treatment.
Side effects and rarer complications
- The injection site swells, bruises, reddens or feels tender. All of that is temporary.
- Lumps or unevenness can form, and they can be corrected.
- Infection is rare, but possible.
- Filler can migrate if too much product is placed, if technique is poor, or if the area is pressed too hard afterward.
- A blocked blood vessel is rare but serious, and it is treated as an emergency. Filler injected into a vessel by accident can cause vision problems, blindness, stroke or scarring of the skin.
Who dermal fillers are for
Dr. Mikki confirms candidacy at consultation against your skin and your medical history. She names the better tool when filler is not it: a Neurotoxin where the line comes from movement, or Biostimulators where the whole structure has thinned.
A good fit
- You want to soften fine lines and wrinkles such as nasolabial folds and marionette lines.
- Your lips have lost volume or definition.
- The cheek or midface has genuinely deflated.
- Under-eye hollows are what read as tiredness.
- Your hands have thinned with age.
- Your general health is good and you are over 21. Revanesse Versa is indicated from age 22.
Not the right treatment
- You are pregnant or breastfeeding.
- You have a history of hypertrophic scarring or keloids, or there are scars at the treatment site.
- An active skin condition sits in the area: acne, rosacea, seborrheic dermatitis or psoriasis.
- You have a known allergy to hyaluronic acid, lidocaine or streptococcal proteins.
- You have a bleeding or clotting disorder, take a blood thinner, or live with a connective tissue disorder such as lupus.
- You are within four weeks of a laser treatment, IPL, a Chemical Peel or dermabrasion.
Two things worth knowing before you book
Sequence matters. Filler is not placed within four weeks of a laser treatment, IPL, a Chemical Peel or dermabrasion, so tell Dr. Mikki what else is on your calendar. And cost depends on the formula and how many syringes an area needs, so ask for the plan and the total at consultation. Results may vary from patient to patient.
Dr. Mikki reads your facial proportions and works out where volume has actually gone. You leave knowing which formula suits which area, how many syringes it takes, and which features she would leave alone.
What to avoid after dermal filler
- Do not touch the treated areas for at least six hours. After that you can wash your face with a mild cleanser.
- Skip the shower or bath that first day, along with the pool and the beach.
- Avoid intense heat and direct sun.
- No strenuous exercise, and no smoking or alcohol.
- No other cosmetic treatments for two weeks.
- Avoid aspirin, garlic, vitamin A, vitamin E and other fatty acids for three to seven days.
- Drink water. Staying hydrated helps you heal, and it helps the result hold.
Why patients trust Dr. Mikki with filler
These illustrate common patient sentiment. They are not word-for-word quotes, and individual results vary.
I came in convinced I needed cheek filler to lift my face. Dr. Mikki explained that filler would not lift the skin, and that more volume would just make me look heavier. We did a small amount of Restylane along my jaw instead, and it looked balanced. Results may vary, but I left with less filler than I walked in asking for.
She used Juvederm in my lips and kept it subtle. Everyone said I looked rested, not "done."
Frequently asked questions
How do dermal fillers work?
Dermal fillers are gels of hyaluronic acid, a sugar your skin already makes. Injected beneath the skin, they restore volume that age or weight change has taken away and support the structures around the lips, cheeks and jaw. All of the fillers used at Medrein are FDA-approved hyaluronic acid products.
Which dermal fillers does Medrein carry?
Four hyaluronic acid lines: Juvederm, Restylane, RHA, and Revanesse (Versa). Each family includes gels of different thickness, from thin gels for fine lip lines to firmer gels for cheek and jaw support. Dr. Mikki selects the specific product for each area at your consultation.
Can filler lift sagging skin?
No, and this is a common misunderstanding Dr. Mikki corrects at consultation. Filler restores lost volume; it does not lift lax skin. Adding cheek filler to try to "lift" the skin tends to make the face look bulky. When the concern is genuine laxity, collagen-building and energy-based treatments are the right tools.
What if I ask for more filler than I need?
Dr. Mikki will tell you plainly if a feature is already proportionate and does not need filler. She has declined to overfill lips and cheeks even when a patient requested it, because the goal is a natural result you still recognize as yourself. Results may vary from patient to patient.
Is hyaluronic acid filler reversible?
Yes. Because these are hyaluronic acid gels, they can be dissolved with an enzyme called hyaluronidase if a result needs to be softened or removed. That reversibility is one reason HA fillers are the mainstay for facial work.
Is there any downtime after dermal filler?
You see volume the same day. Swelling and occasional bruising are common for a few days, and the final shape reads once they settle. Most patients return to normal activities straight away, with the aftercare rules above for the first 24 hours. Results may vary.
How long does each dermal filler last?
Among the hyaluronic acid fillers, Juvederm holds one to two years, RHA up to 18 months, Revanesse Versa 10 to 12 months, and Restylane 6 to 12 months, with the cheek and contour formulas reaching 18. Biostimulators run longer: Radiesse 12 to 18 months, Sculptra two to three years, and Bellafill up to five. Longevity depends on the filler, your metabolism and the area treated, so Dr. Mikki gives you a realistic range at consultation.
What should I avoid after getting dermal fillers?
For the first six hours, do not touch the treated areas; after that you can wash your face with a mild cleanser. Skip the shower or bath that day, along with the pool, the beach, intense heat and direct sun. Avoid strenuous exercise, smoking and alcohol, and leave other cosmetic treatments for two weeks. Aspirin, garlic, vitamin A, vitamin E and other fatty acids are best avoided for three to seven days. Drink water, because hydration helps you heal.
Can dermal filler migrate?
It is rare, but yes: filler can migrate if too much product is injected in one area, if the technique is poor, or if the area is put under excessive pressure or movement after treatment. Choosing an experienced injector is what minimizes that risk. If migration does happen, hyaluronic acid filler can be dissolved with hyaluronidase.
Is a dermal filler right for you?
Dr. Mikki reads where volume is genuinely missing, matches the hyaluronic acid line to the area, and leaves proportionate features alone.
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