Facial Injections (Dermal Fillers)

New Injection Techniques to Improve Facial Volume and Sagging Skin

Cannula Technique for Dermal Fillers

Both Dee Russo, RN, CPSN and Jennifer Chesley, RN, have completed Advanced Injection Training to provide our patients with the latest, most effective dermal filler techniques available. This advanced one-on-one training was with the renowned “Cannula King™”, Dr. Don Rainone. Dr. Rainone is best known for his highly sought-after cannula technique to replace mid-face volume loss.

Jennifer is so excited to now offer this innovative technique to our patients.

“I love using a cannula to inject because it is flexible with a blunt tip unlike a standard needle. The blunt tip ensures less trauma is caused to the underlying tissue because it can move around more freely within the skin and can virtually eliminate the risk of injuring vessels and arteries. I can now distribute thin ribbons of product to create a beautiful, smooth and contoured result.

Return Youthful Volume to Your Face and Lips


JUVÉDERM VOLBELLA® XC is the latest advancement in the JUVÉDERM® range of facial fillers, developed specifically for your lips and mouth area. It is a crystal-clear gel that is injected using an ultra-fine needle and includes Lidocaine gel to improve the comfort of the injection (XC means extra comfort).


It has been specifically developed as a smooth gel to give a soft, natural feel. The gel fills in lip lines and wrinkles while the hyaluronic acid within attracts and retains moisture, so results can last up to a year. A study showed that 98% of people who had JUVÉDERM VOLBELLA® XC with Lidocaine reported that their lip appearance goals had been achieved, with results lasting up to 12 months.

JUVÉDERM® is one of the newest, non-surgical, injectable fillers used to restore the skin’s volume. JUVÉDERM® does an excellent job of softening deep folds and reducing and correcting wrinkles and nasolabial folds. You’ll see the difference immediately with no downtime.

JUVÉDERM® is offered in two formulations: JUVÉDERM® Ultra XC (for areas where subtle volume enhancement is required) and JUVÉDERM® Ultra Plus (for correction of deep folds and wrinkles). JUVÉDERM® Ultra Plus costs the same and lasts about three months longer.

JUVÉDERM® is injected at the mid to deep dermis (beneath the surface of the skin). Some people like the comfort of a dental block in the area, while others find the brief procedure very tolerable. Other approved hyaluronic acid treatments are granular in consistency, but the smooth consistency of JUVÉDERM® allows the injection to be given with relative ease. Side effects may be redness, mild pain/ tenderness, firmness, swelling, lumps/ bumps, or mild bruising. Most reactions subside in just a few days.

Before and After Filler


For a gentle lift that’s instant and long lasting.

JUVÉDERM VOLUMA® XC helps create a more youthful appearance by restoring lost volume to the cheeks and cheekbones, providing natural-looking, long-lasting results for up to two years with optimal treatment. JUVÉDERM VOLUMA® XC is the smooth gel filler that instantly adds volume to the cheek area, provides a gentle lift, and smooths away wrinkles around your mouth and nose. It helps contour and create a more youthful profile for up to two years.


JUVÉDERM VOLLURE™ XC is the first and only hyaluronic acid dermal filler approved for the correction of moderate to severe wrinkles and folds, such as nasolabial folds and laugh lines and marionette lines that lasts up to 18 months in people over the age of 21. Many of us want to “fill and forget it”. JUVÉDERM VOLLURE™ XC is very appealing for that reason. Clinical study results of 18 months are based on optimal correction. Results may vary.

Before and After Filler
Real patient given increased upper and lower lip volume and a defined vermillion border.

Juvederm Ultra and Juvederm Ultra Plus

Juvederm now comes in two forms: Juvederm Ultra and Juvederm Ultra Plus. The XC means that lidocaine has been added to the product for an anesthetic effect during the injection.

The difference between Juvederm Ultra and Juvederm Ultra Plus is the size of the particles, with Juvederm Ultra Plus having a larger particle size, and so, a longer duration of action. Juvederm Ultra typically lasts six to nine months while Juvederm Ultra Plus usually lasts nine to twelve months.

The softness of the Juvederm family of products generally makes them excellent choices for treating nasolabial folds and the corners of the mouth. These products are also usually a good choice for plumping the lips. Juvederm Ultra is a little softer than Juvederm Ultra Plus, but they are both very useful products for similar areas of the face.

Juvederm Ultra XC and Juvederm Ultra XC Plus are similar in how they spread out into the tissue slightly more than other facial filler products. They absorb more water when injected so Juvederm injections swells more than some of the other products, giving a nice filling and plumping effect.


Restylane® is a cosmetic dermal filler that replaces lost volume and restores youthful contours to the skin, greatly reducing moderate to severe facial wrinkles and folds and nasolabial folds (the lines from your nose to the corners of your mouth). Restylane® is approved by the FDA for the treatment of moderate to severe facial wrinkles and folds. Restylane® is also highly popular for lip augmentation.

Restylane® lasts an average of four to six months. Restylane® is injected directly into the skin in tiny amounts with an ultra fine needle. The procedure is simple and results are immediate. For your greatest comfort, you may request that we anesthetize the area.

Restylane® is a great choice for redefining a lip border, facial scarring, chin augmentation, and softening acne scarring. It is also excellent for diminishing worry lines between eyebrows, smile lines, crows feet around eyes, marionette lines at corners of the mouth (nasolabial folds), and smokers lines. Restylane® can be used for creating a temporary eyebrow lift and softening the appearance of jowls.

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