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Medications are administered for your comfort during the procedure. Some fillers can be done with no anesthesia. Some patients choose to use ice or a topical anesthesia. Others prefer to have the area blocked with a local injection. Fat transfers can be done with local anesthesia or IV sedation.

We will recommend the best choice for you based on your personality, your desires, and the complexity of your procedure.

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.


When using injectable fillers:

The procedure typically takes a few minutes depending on the individual and other variables.

Step 1

Dr. Alexander or Joanna, his Physician Assistant, will carefully evaluate your facial appearance and skin tone, and examine the areas of your face to be augmented with injectable fillers.

Step 2

Strategic points on your face may be marked as guides to the appropriate injection sites for the filler.

Step 3

The injection sites will be cleansed with an antibacterial agent and icing or a topical numbing agent may be offered to make more sensitive patients comfortable.

In some cases, the filler itself will contain an anesthetic agent. In other cases local anesthetic may be administered to the treatment site.

Step 4

Injection takes only a few moments per site and a few minutes for a course of treatment.

Step 5

Following injection, any markings will be cleansed and icing may be offered to alleviate any temporary, minor discomfort. Makeup may be carefully re-applied so long as care is taken not to apply pressure to the treatment area.

Filling wrinkles or recessed scars involves multiple injections. In some cases where deeper injection of fillers is required, a local anesthetic may be used prior to treatment.

Common sites for deeper tissue fillers are the nasolabial folds and marionette lines, or to enhance fullness in the cheeks. Soft tissue augmentation of the lips requires multiple injections to distribute the filler for enhanced lip fullness and to raise or define a Cupid’s bow or vermillion border.

When using a fat transfer as filler

The procedure typically takes about 30-45 minutes depending on the individual face and other surgical variables.

There are four basic steps to cheek fat transfer surgery.

Step 1 - Marking

Dr. Alexander will make careful marks on your face prior to beginning the procedure.

Step 2 - Collecting the fat

Tumescent fluid is placed in the hip or abdomen. Fat is suctioned with a syringe, and the tiny incision is closed with a suture.

Step 3 - Preparing the fat

The fat is washed in saline and separated, then placed into an injection syringe.

Step 4 - Placing the fat

Using a special injection syringe, the fat is injected into the soft tissue of the cheeks in several lines and layers, plumping up the cheek tissue. No dressing is required.

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