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Dermal Fillers

Dermal fillers restore or refine selected areas of facial volume. The treatment is different from Botox: filler changes contour beneath the skin, while a neuromodulator changes muscle movement.

Medically reviewed by Shoshana Ambani, MDLast reviewed August 26, 2026

Introduction

What are dermal fillers?

Fillers vary in material, firmness, placement, and duration. The right choice depends on the area, tissue quality, desired change, and how temporary you want the result to be.

Dr. Ambani evaluates whether volume loss is actually driving the concern. Fillers cannot remove loose skin or reposition tissue, and sometimes surgery or waiting is the better recommendation.

Technology in consultation

See the plan more clearly.

These tools support discussion and evaluation. They do not replace the examination or guarantee an outcome.

3D consultation

Crisalix 3D

Dr. Ambani is a verified Crisalix practitioner. The simulation can help you compare options and discuss possible changes during consultation.

View Dr. Ambani's Crisalix profile

Honest guidance

Are you a good candidate?

YOUR CONSULTATION CONSIDERS

  • Volume loss or a specific contour concern is appropriate for an injectable plan. Dermal fillers can be applied for various indications such as temporal hollowing (the temples start “caving in”), malar effacement (the cheekbones start flattening), or tear trough deformities (lower lid creases). Dermal fillers can also be applied to the nose for a “liquid rhinoplasty” to mask dorsal hump deformities and enhance tip projection. Fillers can also be applied to the lips for more definition and volume.
  • You understand that most fillers are temporary and require maintenance.
  • Your health history, prior injections, medications, and timing have been reviewed.

A SHARED DECISION

Candidacy is personal. Dr. Ambani reviews your goals, anatomy, health, medications, prior procedures, healing history, and timing before recommending treatment.

She will also tell you when another procedure, further evaluation, waiting, or no treatment is the better plan.

A useful consultation is a discussion of what treatments, if any, are right for you.

Dr. Shoshana Ambani

Why choose Dr. Ambani

ABPS board-certified plastic surgeon with more than twenty years of experience

MEDICAL SCHOOL

Duke University School of Medicine

RESIDENCY

Plastic Surgery, University of Michigan Affiliated Hospitals

FELLOWSHIP

Microsurgical Reconstruction, University of Pittsburgh Affiliated Hospitals

BOARD CERTIFICATION

American Board of Plastic Surgery

EXPERIENCE

Attending surgeon since 2017

Supported at every stage

What recovery involves

01

Early healing

Most patients return to routine quickly, but swelling, redness, tenderness, and bruising are possible. To minimize swelling, Dr. Ambani may offer a short burst of oral steroid medication.

02

Returning to routine

With dermal fillers consisting of hyaluronic acid, results are visible immediately, while swelling can temporarily obscure the final contour.

03

Short and long-term care

Dr. Ambani gives product-specific aftercare and explains warning signs that require prompt attention. If asymmetries occur, they can be corrected with a small amount of filler injection on the other side, or with application of an injectable enzyme to melt away the filler, as needed. This is rarely needed.

Risks to discuss: Risks include swelling, bruising, infection, lumps, asymmetry, undercorrection or overcorrection, delayed inflammation, tissue injury, and rare injection into a blood vessel that can damage skin or vision.

Clear, personalized planning

Cost and self-pay care

Shoshana Ambani Plastic Surgery is a cosmetic, self-pay practice. Cost depends on the procedure, complexity, setting, anesthesia, supplies, and time required.

A price is useful only when it matches your actual plan. You receive an itemized estimate after consultation.

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Thoughtful answers

Common questions

These answers are general. Your consultation is where Dr. Ambani applies them to your anatomy, health, and goals.

Which filler is best?

There is no single best filler. The area, tissue, goal, and product characteristics determine the recommendation. Dr. Ambani prefers specific fillers for specific areas and will let you know at your consultation.

How long do fillers last?

Duration varies by product, placement, and metabolism, from months to longer intervals such as 12 to 18 months.

Can filler replace a facelift or eyelid surgery?

No. Filler cannot remove loose skin or reposition tissue.

Are filler treatments performed by Dr. Ambani?

Yes. Dr. Ambani personally evaluates and performs the treatments offered by the practice.