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Tampa Plastic Surgeon Dr. Rich Castellano

Facial Fillers

Results are typical and do vary.

Facial Rejuvenation Through Fillers

Experiencing volume loss is one of the most common signs of aging. As a result we often see the formation of fine lines, wrinkles, and hollows across the face. This normal aging process is due to the thinning of facial tissues. Facial Filler, also known as Derma Fillers, replace lost volume to treat these aging changes to provide a smooth and youthful appearance. Facial Fillers can also be used to sculpt facial features such as the jawline, lips, under eyes and more.

Temporary Fillers: last 6-18 months

Hyaluronic Acid Fillers

Restylane®, Versa®, Belotero®, Juvederm®, Voluma®, and RHA® fillers

Hyaluronic Acid (HA) is a naturally occurring substance in the body, helping the skin stay plump and hydrated. On average Hyaluronic Acid fillers last between 6-18 months before they are naturally absorbed within the body.

Calcium based filler


Calcium based fillers or Calcium Hydroxylapatite (CaHA) is another naturally occurring substance in the body. Most people are familiar with the use of calcium in helping build strong bones. However, in filler products calcium hydroxylapatite acts as a powerful stimulator for your body’s natural collagen production. This product is a great option for deeper set lines and wrinkles

Semi-Permanent Fillers: last about 2-4 years

Poly-L-Lactic Acid Filler


Poly-L-lactic Acid is another powerful collagen stimulator that has shown significant improvements in the body’s own collagen production. This biocompatible (meaning it is safe to use in the body), biodegradable synthetic substance is a great option for deeper set lines and wrinkles.

Permanent Fillers: Permanent/Non-absorbable

Collagen and PMMA Filler


Polymethylmethacrylate (PMMA) is a synthetic, biocompatible substance that has been used in medicine for much of the last century. PMMA fillers present themselves under the surface of the skin as “microspheres” or tiny balls which provide continued support.

Different injectables and where they can go.

Where should I start with fillers?

Permanent fillers are popular because they stay with you. If you are uncertain, choose temporary fillers to build your confidence. Most patients eventually choose semi-permanent or permanent fillers for the best value and results. See our Expert Facial Treatment Guide below info on what areas can be treated based on each filler type.

How do fillers help prevent future aging changes?

A photo in our 20’s or 30’s will usually show the changes in our facial volume. Fillers put back the volume that was once there, making us look naturally more youthful and NOT round or overdone. we are happy to review these aging changes with you to give you an expert opinion.

  • Easy to start, no downtime (mild, or no bruising!)
  • Safety cannulas improve safety and reduce bruising.

Remember, many know how to perform injections and facial fillers. That does not mean that they are expert injectors with the most experience. Learn more about what makes ImageLift™ different from the rest for natural and artistic results. You will love that no one will know what you have done, unless you tell them!

What can you expect during your treatment?

Our master injectors follow a patient centered approach to ensure your safety and comfortability. We utilize soft tip cannulas to reduce bruising and pain. While also ensuring patient safety when injecting the product. All injectors are certified through aesthetic boards and personally trained by our double board certified Facial Plastic Surgeon, Dr. Rich Castellano.

Fat Grafting

This traditional method of volume replacement can provide long term results, though experience will tell you that the majority of fat transferred is not permanent. Recycle the fat from somewhere you don’t want it!