Cumulative exposure to the sun, genetics, and the natural aging process can all cause the skin to wrinkle and sag and the healthy fat in the face to thin. Children and young adults have smooth, round faces due to fatty tissue that is evenly distributed throughout the contours of the face. As you age the skin sags and fits more loosely, and these folds become prominent and contribute to the hallmark signs associated with an aging face.


Early on in this process, Dr. DeFatta can recommend less invasive procedures and techniques to enhance your appearance and correct these conditions. Dermal fillers provide one group of options that can be performed any time in order to slow down the signs of aging, and in many cases, restore a more youthful appearance. 







There are a variety of dermal fillers available that target various facial flaws and can help with cosmetic concerns. Fillers can show immediate and long-lasting results. While dermal fillers are not permanent, they have the advantage of avoiding surgery and providing a tool to slow the aging process in a subtle and natural-appearing way. 

We offer a range of injectable treatments that can help you look younger and feel more confident. In just minutes, you can take years off your appearance—and enjoy results that last. 


Dynamic wrinkles and folds appear in areas of the face which move repetitively. RHA® fillers are uniquely more malleable than other fillers and are able to mold and bend with our expressions. That means that RHA® fillers will give you the most natural results. RHA® uses a gentle manufacturing process with few chemical modifications. This is the secret to helping preserve the natural structure of the HA, allowing it to mimic the natural HA found in your skin while adding fullness and structure to the lips.

If you are looking for a natural lip plump, RHA®2 is a perfect choice. This filler is used to fill mild wrinkles, such as the lips. It can also be used to fill and smooth fine lines and wrinkles around the face.

If you feel that your skin needs a bit more of a lift, Dr. DeFatta may recommend RHA®3. This filler can target deeper wrinkles around the nasolabial area, lip corners, and jowls. 

For deep wrinkles on the face, specifically in the cheeks or jowls, Dr. DeFatta may recommend RHA®4. Deep facial creases are often due to repeated scrunching movements and expressions, also known as static wrinkles. RHA®4 is meant to target the deepest wrinkles on the face and bring volume to those areas. It can also be used to contour the cheeks and jawline and correct facial folds.

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JUVÉDERM® VOLUMA XC: Uses hyaluronic acid and is FDA-approved to correct age-related volume loss in the midface (cheeks) for up to two years.

JUVÉDERM VOLLURE® XC: A hyaluronic acid-based gel formula with FDA approval for correction of moderate to severe facial wrinkles and nasolabial folds for up to 18 months.

JUVÉDERM® Ultra XC and Ultra Plus XC: These two formulas use a similar hyaluronic acid base but have varying thicknesses to provide versatility in their use in different locations and for different lengths of efficacy. Both are FDA approved for moderate to severe facial wrinkles, and Ultra XC is also approved for lip augmentation.

JUVÉDERM VOLBELLA® XC: This thinner gel formulation of hyaluronic acid can be used to correct fine lines around the mouth as well as add natural and subtle fullness to the lips.


Restylane® Silk: The first FDA-approved product designed specifically for lip augmentation. It uses hyaluronic acid particles to create more plump and contoured lips. It can also be used to smooth the appearance of vertical wrinkles around the mouth. 

Restylane® Lyft: The first FDA-approved for deep tissues using hyaluronic acid to achieve smoother and fuller cheeks, producing a more lifted appearance. It is also FDA-approved to plump the lost volume in hollowed hands, which can be an instant age giveaway. The results can last up to 12 months.

Restylane® Refyne: Contains the next-generation hyaluronic acid technology to help soften laugh lines. This can be used to achieve the look you desire around the mouth area while being flexible enough to move with you, allowing you to express yourself naturally.

Restylane® Defyne: Designed to smooth out deeper laugh lines (nasolabial folds and marionette lines). It also uses hyaluronic acid which is cross-linked in a patented way to allow for a more natural-appearing movement and facial expression.

Restylane® Kysse: Restylane® Kysse is a new hyaluronic acid (HA) lip filler designed to enhance lip volume and minimize the appearance of fine lines above the mouth. It has also been shown to improve texture and lip color.



Bellafill® Cosmetic is an FDA-approved smooth dermal filler that is collagen-based that is filled with polymethyl methacrylate (PMMA) microspheres that is used to treat nasolabial folds.  PMMA is a biocompatible material that has been safely used in implants and other devices for 65 years.

Once Bellafill® Cosmetic is injected where you would like volume or lift, results are instantaneous. The PMMA microspheres stay in place and create a structure that acts as a scaffold to continue having smoother-looking skin and help collagen develop. The effectiveness of Bellafill® Cosmetic is seen to last for five years for correction in the nasolabial folds and 12 months when used to correct acne scars. 

Collagen in Bellafill® Cosmetic provides immediate lift and volume wherever you may desire it. For acne scars, it improves lift and volume where it is necessary to create a smooth surface. You can return to normal activities immediately. 


With so many different types of aesthetic providers in practice today, it is important to make an informed decision when considering an elective procedure. Physicians and surgeons who are cosmetic experts specifically in the areas of the face and neck are called facial plastic surgeons. This highly sought after specialty requires 13 years of higher education to achieve the ultimate expertise in the complex anatomy, function and aesthetic of the face and neck. These physicians are trained in and routinely perform both non-invasive and surgical procedures for facial rejuvenation.  They are board certified by the American Board of Facial Plastic and Reconstructive Surgery (ABFPRS). For more than 30 years, the ABFPRS has been actively dedicated to improving the quality of facial plastic procedures available to the public by measuring the qualifications of candidate surgeons against certain rigorous standards. 

Dr. Robert J. DeFatta is dual board certified, both by the ABFPRS and the American Board of Otolaryngology-Head and Neck Surgery. His extensive training, credentials, and experience reflect his commitment to meeting the highest standards of clinical care for his patients. He has dedicated his entire career to the treatment of disorders and cosmetic concerns of the face, head and neck, and his scope of practice includes injectable treatments of a variety of cosmetic concerns from the neck up.

Frequently Asked Questions

What are dermal fillers?

Dermal fillers are substance/gels injected beneath the skin’s surface to smooth wrinkles and add volume and contour. The products are composed of stabilized hyaluronic acid (HA) which occurs naturally in the cells of the skin. It works by drawing in water and therefore augmenting the skin, thus reducing the wrinkle treated. It is by no means permanent and is totally biodegradable.

Where can I have filler injected?

The face loses volume and contour when we age, the bones and the soft tissue dissolve and contribute to appearance of sagging. Dermal fillers may be used to replace this volume loss and restore the structural support, giving the patient a more youthful appearance. The aim is to make the face more harmonious and rejuvenated.

What is hyaluronic acid?

Hyaluronic acid is a naturally occurring substance found in all mammals that helps to hydrate and add volume to your skin.

What should I expect at my filler appointment?

Generally, basic dermal filler procedures require no anesthetic as the dermal filler contains local anesthetic. It is simple and straight-forward, involving a few tiny injections directly into the skin, and takes between 15-30 minutes. Make-up can be applied immediately after the procedure, and you can go straight back to work. Result can be seen immediately. Optimal results can be maintained over a long period of time through regular repeated treatments. The procedure varies from person to person depending on your requirements and the severity of the wrinkles that are being treated, in addition to the particular dermal filler being administered.

What are the benefits of filler?

As we age, we lose volume in key areas of the face. This contributes to folds, wrinkles, hollow temples, thinning lips, sunken eyes, and an older appearance to the face. Fillers can be used to restore this volume loss, smooth out folds and wrinkles, and improve contours to achieve natural results without altering facial expression. Certain fillers can also be used to correct scars.

How long does filler last?

The effects are long lasting but not permanent. They last anywhere from 6 months to 2 years, depending on a number of factors including the patient’s age, area treated, type of filler used, quantity of filler used, and lifestyle.

Does filler make you look overdone?

When fillers are used in the appropriate amount and placed in the right location, the result is a beautiful, natural, youthful outcome. Fillers are not meant to create totally different features. In the hands of an experienced provider that has extensive knowledge of facial anatomy, the outcome simply enhances one’s own facial features.


Are you interested in addressing any of the following concerns?


KYBELLA is an FDA-approved injectable that improves and minimizes the appearance of moderate to severe fullness of the submental fat, also known as "double chin".

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SkinPen is a medical-grade, state-of-the-art microneedling device designed to improve the appearance of fine lines, wrinkles, and scars on the face and body.