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Dermal Fillers

Conveniently located to serve the areas of Maryland, Virginia and Washington, D.C.

In today’s frenetically paced society, individuals are seeking out less invasive treatments that offer many of the benefits of a surgical facelift at a lower cost, without the need for a lengthy post-procedural recovery period. Often referred to as ‘liquid facelifts,’ injectable dermal fillers have become increasingly popular over the past ten years, because they fill the need for maximum results with minimal disruption to patients’ daily lives.

Understanding Dermal Fillers

Dermal fillers fit conveniently into even the busiest patients’ schedules and offer immediate results at a lower cost and with minimal discomfort. The active ingredient in many of the newest dermal fillers is hyaluronic acid. Hyaluronic acid (HA) draws and holds water into the skin, helping to “plump,” smooth, and moisturize the skin. As we age, our hyaluronic acid levels decrease, resulting in a number of problematic aesthetic facial issues.

Benefits Of Dermal Fillers

  • Replenish lost volume in the cheeks and lips
  • Smooth, correct, and soften deep folds, wrinkles, and facial lines
  • Shape and contour the face and cheeks
  • Diminish the appearance of recessed scars
  • Enhance and augment the lips

Dermal fillers offer the benefit of immediately visible results; however, these results are not permanent, and periodic follow-up treatments must be conducted in order to maintain the results. Botox and other skin rejuvenation treatments are often used in conjunction with dermal fillers. At Cosmetic Surgery Associates, Dr. A. Dean Jabs, Dr. Franklin D. Richards, and Dr. Keshav Magge are pleased to offer a variety of safe, effective, and highly respected hyaluronic acid-based dermal fillers.

Types of Dermal Fillers

The market of injectables carries an array of dermal fillers of both the synthetic and natural varieties to keep patients looking young and attractive. The effects, longevity, and costs of these products vary somewhat, so schedule a consultation appointment with Dr. Richards, Dr. Jabs, or Dr. Magge at Cosmetic Surgery Associates to go over your options and decide which one will fulfill all your dermal filler needs and desires.


Juvéderm® is one of the best known injectable gels for facial volumization and contouring. It has an exceptionally high percentage of hyaluronic acid, a natural element of the skin that keeps skin looking fresh and young, and which we lose gradually with age. There are three products in the Juvéderm family, each customized to a specific part of the face.

Juvéderm Voluma XC

This particular gel is made to fill out the cheeks, which can become gaunt and hollow with time. Juvéderm Voluma XC® fights this drooping and sinking of the cheek area by plumping it right back up, making the entire face look bright and ageless.

Juvéderm XC

Juvéderm XC® is tailor-made for lines around the mouth, nose, and nasolabial region, which tend to be overrun with creases as the patient gets older. The injection reintroduces depleted hyaluronic acid into the area, lifting away those lines and brightening up your whole smile.

Juvéderm Ultra XC

The third injectable from Juvéderm is Juvéderm® Ultra XC®. This product is geared toward the lips, which can often be thinner than patients would prefer. When injected, the Juvéderm gel fills out the lips and gives them the ample, juicy appearance that everybody craves.


Restylane is another hyaluronic acid-based product designed to decrease moderate to severe creases. In fact, this was the very first dermal filler on the market to use H.A. in fixing cosmetic issues on the face via a needle. Since then it has been used to treat millions of people all over the globe. The results of Restylane can be seen for 6 to 12 months depending on the area of treatment.

There are several different Restylane products, each with its own strengths; during your consultation, Dr. Richards, Dr. Jabs, and Dr. Magge can help steer you in the right direction depending on your problem areas. The basic Restylane formula is best suited to fill in wrinkles around the eyes and corners of the mouth.


Restylane-L consists of the same basic formula, but with the addition of lidocaine to make injections more comfortable for patients. However, individuals who are allergic to lidocaine should steer clear of this product.

Restylane Lyft

This compound is geared especially toward creating volume and suppleness in the cheeks for a more filled-out, youthful facial appearance.

Restylane Silk

Restylane Silk is created to be a thinner substance, making it the perfect choice for areas where the skin tends to be much thinner. For under eyes, lips, and delicate skin around the lips, many patients choose Restylane Silk for the smoothest possible effect.


During your visit, Dr. Richards, Dr. Jabs, or Dr. Magge will be happy to guide you through this cornucopia of cosmetic options. Your face deserves customized treatment so you can look as young and radiant as you’ve ever wanted, and thanks to the array of available dermal fillers our expert doctors can make it happen. Use this face-to-face time to bring up any questions or concerns, previous health and medical issues, and current medications and dietary supplements so that we can help you achieve your dream face while staying completely safe.

Preparing for Treatment

Before any cosmetic injection, specialists advise that you avoid things like ibuprofen, aspirin, and certain herbs and vitamins which can cause blood to thin.

Dermal fillers are very minimally invasive as a category, but it is best to stay as secure as possible. You may also be asked to alter your current medication regimen to avoid other complications, information that can be obtained during your consultation. In general, though, your prep measures will depend on the dermal filler treatment you end up choosing and other more personal factors.


Recovering from most dermal filler injections is not very arduous and requires little to no downtime. Most procedures allow you to return immediately to work or other daily errands, although it is advisable that patients try to avoid strenuous activity during the first few days. Follow-up visits with Dr. Richards, Dr. Jabs, or Dr. Magge can help you steer clear of any side effects or complications, although in many cases some mild bruising and swelling is perfectly normal and will vanish within a day.


The outcome of your dermal filler adventure relies heavily upon the treatment route you have chosen. Dr. Richards, Dr. Jabs, or Dr. Magge can give you more detailed information about what to expect from each respective product, as some deliver immediate results while some strip away age from the face more gradually.

Your treatment choice will also dictate how long the results last since this can range from a few months up to several years in some instances.


In this category, there is a broad variance between the different choices you will make pertaining to your dermal filler treatment. The cost can be impacted by the brand, product, problem areas you wish to improve, number of injections, and desired results. Dr. Richards, Dr. Jabs, or Dr. Magge will go over these figures as well during your consultation and give you some estimates based on all of the above factors.

Our Plastic Surgery Associates team includes Dr. Franklin Richards, Dr. A. Dean Jabs, and Dr. Keshav Magge. Each of our plastic surgeons is board-certified, and together they have over 60 years of combined experience. Drs. Richards, Jabs, and Magge are all highly qualified in procedures for the face, breast, and body, and pride themselves in providing excellent results through our state-of-the-art, Quad A certified operating centers