Facial & Dermal Filler Treatments

It depends on the product and where it is placed. Most hyaluronic acid fillers typically last 6 to 18 months. Products that work by stimulating your body's own collagen production build results more gradually and can last 2 years or longer.

Hyaluronic acid fillers can be dissolved using a dissolving enzyme that breaks down the product and allows the area to return to its natural state. Not every filler type works this way, which is one reason product selection matters. The pēkomd® team takes reversibility into account when building a treatment plan.

Most filler treatments are well tolerated. Many products already contain a numbing agent, and a topical cream is applied before injections. Most patients feel a brief pinch or pressure. Sensitive areas like the lips can be slightly more uncomfortable, but discomfort is minimal and passes quickly.

Wrinkle relaxers like BOTOX® and XEOMIN® temporarily relax the muscles that cause expression lines from squinting or frowning. Dermal fillers restore volume, smooth folds, and reshape features. The two address different concerns and are often used together in the same visit for a more complete result.

For a few days before treatment, skip over-the-counter blood thinners, supplements like fish oil and vitamin E, and alcohol to keep bruising to a minimum. If you take prescription blood thinners, check with your prescribing physician before making any changes. After treatment, avoid intense exercise, heat, and pressure on the treated area for at least 24 hours.

Fillers are safe when performed by trained providers. Temporary redness, swelling, tenderness, and mild bruising at the injection site are common and resolve on their own. More serious complications are rare but possible, which is exactly why choosing an experienced team matters. At pēkomd®, all injections are performed by providers with advanced training in technique and safety.

Yes. Many patients start here. Filler requires no surgery, no downtime, and hyaluronic acid options can be reversed if needed. A consultation at pēkomd® will give you an honest picture of what is realistic and whether a different option might actually serve you better.

Sometimes. Strategic placement can now produce real structural improvements to the jawline, nose profile, and cheeks that once called for a surgical approach. But fillers have limits. When the degree of change is significant, or when tissue actually needs to be repositioned, surgery is the more effective long-term path.