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Who Is a Candidate?

While not as involved as surgical cosmetic procedures, soft tissue augmentation is a medical procedure. You should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image.

Tissue fillers may be a good option for you if:

  • Are noticing vertical lines around your lips
  • Feel that your lips are getting thinner
  • Have deeper lines between your nose and mouth (smile lines)
  • Have deeper lines at the corners of the mouth that make the mouth turn down (marionette lines)
  • Are looking sad, tired, or angry even when you are not
  • Have a contour irregularity or dent on the nose
  • Have acne scarring on the cheeks
  • Have noticed that your cheeks are not as full as before
  • Have grooves or shadows under the eyes
  • You have a positive outlook and specific, but realistic goals in mind for the improvement of your appearance

Because every case is unique, the only way to accurately determine which procedure is best for you is to consult with Dr. Alexander.

For more information about our soft tissue augmentation, please contact us online or call us at We look forward to helping you look your best.


Except for fat transfer, which is a surgical procedure, little is required prior to your procedure. Artefill® patients must have a simple allergy injection test four weeks prior to being treated.


Pain after receiving fillers is usually minimal. Pain pills can be provided, but are usually not required. Significant pain is extremely rare and may be the sign of a serious complication, so your physician should be notified.

We will explain in detail the risks associated with this procedure. You will be asked to sign consent forms to ensure that you fully understand the procedure you will undergo and any risks and potential complications.

Complications from fillers are uncommon.

The risks vary depending on the specific filler used and the relative permanence of the filler substance.

Possible complications include:

  • Fillers derived from non-human sources may require a pre-treatment allergy test
  • Bruising
  • Infection (extremely rare)
  • Lumpiness
  • Asymmetry
  • Skin sensitivity


Cost is always an important consideration in elective procedures. However, when choosing a plastic surgeon, remember that the surgeon’s experience and your comfort are just as important as the final cost.

A quote will be provided to you after your consult with Dr. Alexander.

For most fillers cost may include:

  • Filler costs
  • Prescriptions for medication
  • Anesthesia fees

For fat transfers costs may include:

  • Surgeon’s fee
  • Operating Room and Supplies
  • Anesthesia fees
  • Prescriptions for medication
  • Medical tests


  • Anesthesia—General: The patient is asleep, requiring that the airway be protected, either by a standard breathing tube, or by a laryngeal mask (LMA), an inflatable mask that goes in the back of the throat but doesn’t go down the trachea. Through the airway, an anesthesiologist gives gases to put the patient asleep. Drugs may also be given through the IV.
  • Anesthesia—Local: The surgical area is numbed up with an injection, but the patient is awake. Sometimes a patient will be given an oral medication, like Valium, to help with relaxation.
  • Anesthesia— Sedation (Twilight): The patient is made sleepy with medications given through an IV. The level of sedation can be adjusted, from barely sleepy to very sleepy. Sometimes sedation is given by the surgeon, but most of the time it is administered by an M.D. anesthesiologist.
  • Botox: An injectable solution that temporarily weakens facial muscles that cause unwanted wrinkles, such as frown lines. BOTOX® is not a filler, but a muscle relaxer.
  • Collagen: A natural protein used as an injectable filler for soft tissue augmentation.
  • Cupid's Bow: The middle portion of the lip, which has the upturn.
  • Hyaluronic Acid: A natural substance found in the body used as a filler.
  • Hydroxylapatite: A mineral-like compound found naturally in human bone used as a filler.
  • Injectable Fillers: Substances used to restore volume and a more youthful appearance.
  • Liposuction: Also called lipoplasty or suction lipectomy, a procedure that vacuums out fat from beneath the skin’s surface to reduce fullness.
  • PMMA: A widely used implant material formed into tiny microspheres and suspended in a collagen gel for use as a wrinkle filler.
  • Soft Tissue Augmentation: The use of injectable fillers to restore volume and your youthful appearance.
  • Vermillion: The red pigment of your lips.

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