What are Dermal Fillers?


I have a goal that I would like to share with you, and it’s this: I want to be the BEST injector in Portland. Once a healthy foundation has been established, that is: hormones are balanced, diet is sound, exercise, stress, and sleep are in place, I observed a desire in some to achieve outward appearances that matched how they felt. Enter cosmetic procedures. I’ve been doing more dermal filler injections than ever lately, and I LOVE IT. The results are unparalleled to other non-surgical procedures, and can literally takes years off of one’s appearance.

Dermal fillers are used to diminish facial lines and restore volume and fullness to the face. The hallmark of an aging face is loss of associated subcutaneous volume over time (we basically lose fat in the face). This loss leaves lines and wrinkles of the skin. Sun exposure, heredity, and lifestyle also impact our skin’s appearance. Dermal fillers can be really helpful with these early signs of aging. 

There are a slew of different fillers on the market. I currently offer hyaluronic acid (HA) dermal fillers, the most commonly used filler in the US. HA fillers play an integral role in the temporary correction of changes associated with the aging; especially those associated with the lower one-half of the face:

  • Nasolabial folds

  • Vertical lip lines of the lips

  • Marionette lines around the mouth

  • Thinning of the lip itself

  • Volume enhancement of the cheeks

HA is a natural sugar that is found in the body. It’s found in soft connective tissues like the joints, cartilage, and fluid around our eyes, in our skin, etc. HA has the ability to hold water and is responsible for retaining moisture in the skin. HA binds to water just like a sponge, and therefore hydrates and fills the space between collagen and elastin fibers, enhancing the skin’s plumpness. I currently offer Juvederm fillers, a bacteria- derived nonanimal stabilized HA.

Most fillers are mixed with lidocaine for increased comfort. I also apply a topical numbing cream to minimize the pain. Injection time is about 30 minutes to an hour, depending on how many areas we are treating. You can expect some swelling and bruising that can last a few days. I recommend scheduling at least two weeks out from any event to ensure you are healed and the product has integrated. Fillers typically last about one year in the lower face and about two years for the cheeks. This is individualized however, and some metabolize the product faster than others. 

Check out my instagram page (@drheatherfriedman) for before and after pics, and stay tuned because I’ll be doing a filler GIVEAWAY some time this year.