What dermal fillers do
Hyaluronic acid (HA) is a sugar molecule your skin already makes. As a cross-linked gel it adds volume where bone and fat have receded, supports tissue that has drifted, and defines edges such as the jawline and chin. Because HA binds water, treated skin can also look more hydrated.
Dr. Toma plans filler the way she plans a smile: proportions first. A chin that is a few millimetres short changes how the lips and nose read; a weak jawline makes the neck look older than it is. Small, well-placed amounts across several points usually do more than a large amount in one.
All HA fillers are reversible with hyaluronidase.
Which filler is on-label for which area?
Different gels for different tissue. Firmer gels support cheek, chin and jaw; softer gels sit in lips and fine lines. Match the gel to the labeled area, not to the brand name.
| Product | Maker | FDA-approved areas | Status |
|---|---|---|---|
| Juvéderm Voluma XC | Allergan | Cheek and midface augmentation, chin augmentation (over 21); temples (2023, manufacturer training required) | On-label |
| Juvéderm Volux XC | Allergan | Jawline definition (over 21) | On-label |
| Restylane Lyft | Galderma | Cheek augmentation and midface contour, chin augmentation (Nov 2025), dorsal hands (over 21) | On-label |
| Restylane Contour | Galderma | Cheek augmentation and midface contour; temples (Mar 2026, manufacturer training required) | On-label |
| Restylane Defyne | Galderma | Nasolabial folds, chin augmentation (over 21) | On-label |
| RHA 4 | Teoxane | Cheek augmentation (22 and older); dynamic facial wrinkles and folds | On-label |
| Revanesse Versa | Prollenium | Nasolabial folds and facial wrinkles | On-label |
Label areas from the research report's FDA matrix and manufacturer labeling, verified Oct 2026. No hyaluronic acid filler is approved for the nose or forehead. Which gels are in stock is confirmed at consultation.
A plan across two to four points (often chin, jawline and cheek) in small amounts, so the face reads as proportionate rather than any one feature reading as filled. "Facial balancing" is a plan, not an FDA indication: each point still uses a product approved for that area, or is called off-label.
Every HA filler we use dissolves with hyaluronidase. This is quoted separately and is rarely needed.
Areas and planning amounts
Planning estimates, not label doses. Your written plan lists product and syringes per area.
| Area | Planning amount | Status |
|---|---|---|
| Cheeks and midface | 1 to 2 syringes | On-label |
| Chin | 1 to 2 syringes | On-label |
| Jawline | 2 to 4 syringes | On-label |
| Nasolabial folds | 1 syringe | On-label |
| Temples | 1 to 2 syringes | On-label |
| Marionette lines | 1 syringe | Off-label |
| Tear trough | 0.5 to 1 syringe | On-label |
| Nose (non-surgical) | 0.5 syringe | Off-label |
One syringe is usually 1 mL; check the syringe label for the product used. Off-label areas are consented separately, and results vary.
How much does filler cost in Naples, and what is one syringe?
One syringe of hyaluronic acid filler is usually 1 mL, so half a syringe is 0.5 mL and two syringes are 2 mL, placed in one area or split across points such as chin, jawline and cheek. We do not publish a dollar fee on this page, so questions such as whether $400 is a good lip-filler price or what two syringes cost cannot be answered with a number here.
A written quote lists the product, the milliliters for each area, the minimum fee and the dates it is in effect before anything is placed. Compare quotes by product and volume, not by the dollar total alone.
Results, same lighting and pose
Individual results vary. More cases in Results.
Who it is for
- Flattening of the cheeks or hollowing at the temples
- A chin or jawline that does not support the face in profile
- Folds and lines that stay at rest
- You want changes a friend would not be able to name
- Pregnant or breastfeeding (safety is not established)
- Active infection, cold sore or acne at the site
- History of severe allergy or anaphylaxis
- Autoimmune disease in flare, or recent dental work (two weeks)
- Lift loose skin the way surgery does
- Replace volume lost to significant weight loss in one visit
- Improve skin texture or pores; see collagen stimulators and regenerative
How much does filler cost?
Pricing is per syringe and varies by product. Your written quote lists the product, syringes per area, the total, the minimum fee and the dates it is in effect before anything is placed. Facial balancing plans commonly use several syringes, sometimes split across two visits so the result is built gradually. The two-week review is part of the plan.
Prices are confirmed at consultation and stated with their effective dates. Any offer carries its start and end dates. How pricing works.
What happens, step by step
- ConsultationPlan and photos
Profile and frontal photographs, discussion of proportion and goals, written plan with product and syringes per area.
- Day 0Treatment
45 to 60 minutes with topical numbing and lidocaine in the gel. Cannula or needle depending on the area.
- Days 1 to 3Swelling settles
Mild swelling and possible bruising. Cold compress, sleep elevated, no heavy exercise for 24 hours.
- Day 14Review
Review visit, part of your plan; any adjustment is quoted and agreed first.
- 9 to 18 monthsGradual softening
Cheek, chin and jaw products tend to last longest. Timing varies by product and person.
Risks and side effects
Common: swelling, tenderness, bruising for up to a week, small lumps that settle. Uncommon: asymmetry addressed at review, prolonged swelling, delayed nodules. Rare but serious: hyaluronic acid filler labeling warns that injection into a blood vessel can cause vascular occlusion, with vision impairment, blindness, stroke or skin necrosis. Blanching, severe pain or a change in vision needs emergency care at once.
Full informed consent is reviewed before treatment. Tell us about blood thinners, recent vaccines, dental work and previous permanent fillers.
Questions about dermal filler
Related treatments
Hyaluronic acid for lip shape, definition and hydration. Reversible with hyaluronidase.
Hyaluronidase breaks down hyaluronic acid filler: migration, lumps, over-filled lips or a fresh start.
References: Juvéderm Voluma XC and Volux XC, Restylane Lyft, Contour and Defyne, RHA 3 and 4 and Revanesse Versa instructions for use (FDA PMA database and manufacturer labeling). Individual results vary. This page is educational and not a substitute for a consultation.
