Facial Rejuvenation: spider veins, skin cancer treatments and more

Facial Fillers

Facial Fillers in New Jersey

Facial fillers can be used to restore a fuller more youthful appearance to the face and can also be used to create natural-looking, fuller lips. Facial filler injections should be more than just filling lines or folds. Understanding of the underlying anatomy, the properties of the fillers, and natural beauty are quintessential for a natural result.

Why are fillers necessary?

Starting in our 30s, our faces lose volume. This involves the skin, muscle, deep layers, and the bones. We start to notice this as our lips become thinner. Our cheek bones become less prominent. Our face sags and develops folds. Facial fillers are used to restore the youthful volume and restore your natural beauty.

What is the difference between facial fillers?

Most of the facial fillers that are commonly used can be divided into two groups:

Hyaluronic acid and calcium hydroxyapatite.

Hyaluronic acid is a natural occurring substance in your skin that is around collagen and creates the volume in our tissues. Over time, we lose this volume, leaving a deflated appearance. There are now hundreds of fillers that contain hyaluronic acid on the market. Some of the common brand names include Restylane, Juvederm, Versa, and Teoxane RHA. Each of these brands have sub-brands as well. The fillers each have slightly different properties such as its soft or hardness, how much water it will attract, and how long it will last. This is why certain fillers will be chosen for a given area of improvement. Fillers to help with cheek bones should be firm. Fillers for the lips should be soft while also retaining the beautiful natural curves of the lips. Fine wrinkles can be treated with the softest fillers.

Calcium hydroxyapatite is a different filler entirely. This material is similar to bone. Overall, it is firmer than most of the hyaluronic acid fillers, and also tends to last longer. When made to be very dilute, it can be used to restore thinner tissues as well such as the hands. The brand name for this material is Radiesse.

 Make An Appointment For Dermal Fillers in Summit

Everyone has specific issues that are unique to them. We want to address your specific concerns. Call us at 908-598-1400 or click here to arrange a consultation. We are happy to discuss all of the options for treatment. Some of the treatments can start the same day as your consultation!


How long do fillers last?

Depending on the filler and the location, fillers can last around 6 months to 3 years. We use our lips everyday, so that movement will break down the filler faster than the cheeks for example.

Can lips swell after fillers?

Yes. Many patients will not have any swelling while others may be swollen for the first 2 days after lip fillers. The swelling improves with cool compress and time. Unfortunately, some patients can get a bruise in the lips, which can also take several days to improve.

Do lip fillers always look fake?

No! Lip fillers can look perfectly natural, subtle, and augment your natural beauty. Special attention is paid to the natural curves of the lips to make them look great. Unfortunately, many celebrities and even people on the street may have “noticeable” filler that looks fake and gives the wrong impression about fillers.

Can fillers swell months after injection?

Yes. Unfortunately, certain fillers have a tendency to swell even months later. For this reason, Dr. Paul Carniol and Dr. Eric Carniol are emphatic about not using these fillers.

Can filler be dissolved?

Hyaluronic acid fillers can be dissolved for many reasons. Occasionally, someone will not like the restored volume and we can then dissolve it. We use a material called hyaluronidase (like hyanuronic + “ase”- meaning enzyme that breaks it down). Dr. Paul Carniol and Dr. Eric Carniol see many referrals for patients with filler done elsewhere, and need it dissolved in order to “start again.” Hyaluronidase can also be used in case of an emergency with filler when it needs to be dissolved right away. Hyaluronidase can finally be used in patients with bad bruises after facial trauma.

Is Dr. Carniol certified to do fillers?

Both Dr. Paul Carniol and Dr. Eric Carniol are board-certified to perform facial injections including fillers and Botox, as well as all surgery of the face. To see the doctors backgrounds, click here to see Dr. Paul Carniol and here for Dr. Eric Carniol.


Can different dermal fillers be used in the same place?

Sometimes, fillers need to be layered in an area. This can be true in the cheeks, where we lose both volume in our cheek bones as well as in the skin overlying it. However, different fillers are rarely used in an exactly the same place. Some fillers can cross-react, making results less predictable and sometimes lumpy.

Does Dr. Carniol have experience with fillers done elsewhere?

Dr. Paul Carniol is an international expert on filler issues and treatment, and regularly is a panelist at international meetings giving his expertise on management. Unfortunately, there are many illegal practitioners performing filler injections and then patients seek out Carniol Plastic Surgery to perform correction of these tough issues.

Can I make a consultation to have fillers dissolved?

Yes. To make a consultation to have fillers dissolved, you can call our office 908-598-1400, email our staff to have them call you, or request a consultation online.


Are there any precautions after fillers?

Filler injections should only be performed when you are feeling well. Fillers should also not be performed within 2 weeks of any other surgery or procedure including dental work and dental cleanings. Patients with certain medical conditions also should not have certain fillers. This will be important to discuss with Dr. Carniol.


Facial Fillers

Facial Filler before and after


loose skin before treatment
This patient presented with significant facial volume loss. She has associated laxity of her neck, cheeks and jowls. The top photo is the way she appeared at the start of her consultation. The photo below was taken on the same day after she had facial volume restoration with fillers: Perlane® and Radiesse®.


Facial Fillers treatment

Facial Fillers before and after treatment

Before / After

Before & After Galleries

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