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Before and After Injectables: What Realistic Results Look Like

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Injectables like dermal fillers have quickly become one of the most common treatments for restoring facial volume, with an estimated 3.4 million soft tissue filler procedures performed in the U.S. between 2020 and 2022. These minimally invasive treatments deliver immediate results without surgery or downtime. These procedures are known for softening lines and enhancing facial contours for a fresher, fuller look.


For anyone new to cosmetic injectables, the process can feel a little overwhelming. With so much information on different types of fillers, mixed reviews, and unrealistic before-and-afters, it can be difficult to take the next step. 


Whether you're exploring treatment options or searching for the best dermal fillers near me, this guide explains what real results look like, what can go wrong, and how fillers can be part of a long term skin maintenance plan.


How do Fillers Work?


Dermal fillers are gel-like substances made from hyaluronic acid (HA), a molecule that naturally occurs in the body. These are injected beneath the skin to restore lost volume, contour the face, and smooth out static wrinkles. HA attracts and retains moisture,  helping keep skin looking plump and hydrated. Popular treatment areas include the cheeks, lips, nasolabial folds, and under-eye hollows.


Hyaluronic acid fillers are the most commonly used because they’re safe, reversible, and deliver instant results. Other options include Sculptra®, made with poly-L-lactic acid (PLLA), which gradually stimulates collagen to improve facial volume and skin texture. The type of filler you choose depends on your aesthetic goals and the look you want to achieve. 


The most effective treatment is one that’s designed around your features, skin health, and comfort level. Consulting an experienced provider at a reputable med spa near you is the best way to understand your options and get a personalized treatment plan to achieve your desired outcome.  


What Filler Results Should NOT Look Like


We’ve all seen images of puffy lips and lumpy skin that might have you think twice about getting injectables. No one wants to look overdone or lose their natural expression. Fillers should never make your face look overdone or unrecognizable.


In most cases, a stiff or frozen appearance comes from poor technique, incorrect placement, or using too much product, not from the injectables. When treatments aren’t customized to your facial structure, the results can look unnatural.


Here are some signs of what filler results should not look like:


  • “Duck lips” or overfilled lips that look unnaturally puffy or swollen. 

  • Overly sharp or contoured features that don't match the natural facial structure.

  • Filler migration, where the product shifts into unintended areas over time

  • Lumps or bumps under the skin, which typically happen if the filler placement was uneven. 

  • Pillow face, or excessive fullness in the cheeks or lower face that makes your face look bloated.


At Visage MedSpa, all injectable treatments are performed by our nurse practitioner-led team with extensive experience in advanced aesthetic care. We tailor every treatment to your facial requirements, choosing the right product, placement, and dosage to complement your features and maintain natural facial movement.


What to Expect Before and During Your Appointment


The first step before getting any cosmetic injectable is a consultation with your provider. This gives you a chance to discuss your aesthetic goals and address any questions or concerns you may have. It also allows your provider to review your medical history, assess your skin health, and create a personalized treatment plan that aligns with your desired outcome.


Here’s what you can expect during the dermal filler procedure:


  • Your skin is cleansed, and the treatment areas mapped out.

  • Injections are administered using a small needle or cannula.

  • You may feel minimal discomfort or a slight pinch where the needle is used.


The dermal filler procedure usually takes less than an hour. Slight swelling is common, and you may feel a firm area under the skin, which will soften over time. Arnica and/or ice can be used for temporary bruising. It's recommended to be gentle when washing your face or applying skincare and cosmetics for two to three days. 


Results & Timelines


  • You will notice a visible difference in the treated area after HA dermal fillers; fuller lips or cheeks, and softer features.

  • The full results usually take about one to two weeks to show, as the product takes some time to settle into your skin.

  • Results for HA dermal fillers may last anywhere from six to eighteen months, depending on the treatment area.

  • Sculptra dermal fillers require a series of treatments, typically three injection sessions over three to four months.

  • Sculptra dermal fillers stimulate your skin’s collagen production for improved volume, structure, and firmness that can last up to two years.


At our medical spa near Cleveland, we offer a range of treatments tailored to your aesthetic requirements.  We take a balanced approach, combining different options when needed to keep results looking natural. Whether you’re considering anti-wrinkle injections, dermal fillers near you, or Sculptra for full facial rejuvenation, we’re here to help you feel and look your best. 


Preventive Use and Long-Term Maintenance


Many people assume that injectables are only for older adults and that you should wait until skin loses volume or structure and lines appear before doing anything about them. Skin starts to lose elasticity in your mid twenties. Dynamic wrinkles begin to form around the eyes, mouth, and forehead.


There’s no right or wrong age to start fillers. These treatments can also be used preventively or for subtle enhancements that align with your aesthetic goals. When combined with healthy lifestyle habits, good skincare, and UV protection, filler treatments can help maintain your skin health and slow down aging. 


Regular filler treatments and touch ups combined with other cosmetic treatments like laser and microneedling can also help address skin concerns like acne, scarring, hyperpigmentation and skin texture. Treatment outcomes, long term results and maintenance depend mainly on the experience and expertise of your provider. 


Book Your Consultation for Dermal Fillers Near You: Visage MedSpa


We understand that deciding to get any cosmetic injectable treatment isn't easy. You want to look your best without compromising on your natural look. The key is choosing what works best for your skin, your goals, and your comfort level. From subtle contouring to softening deeper lines, dermal fillers offer an effective solution to achieve your desired look. 


If you’re searching for a med spa near me that prioritizes personalized care in a warm, welcoming environment, we’re here for you. With over 20 years of experience and a range of aesthetic services, our team is committed to helping you look and feel your best. 


Serving patients near Mayfield, Beachwood, Orange Village, Willoughby, Kirtland, and Cleveland’s East Side, we specialize in advanced treatments designed to deliver natural results. Call today or book online to schedule your consultation.






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