Two kinds of line, two different fixes
Not every crease is a filler problem. A line that deepens when you frown, squint or lift your brows is dynamic: a muscle is folding the skin, and Botox or Dysport is the tool that relaxes it. A crease or hollow that stays visible while your face is at rest is usually static, left behind by the collagen and fat that age takes away, and that is the job hyaluronic acid filler is made for. Most faces show a little of each, so the two treatments are often planned side by side.
Where filler earns its place
Each filler is formulated with its own firmness and lift, so the area decides the product:
- Cheekbones and midface — Juvéderm Voluma XC restores projection high on the face, and lifting there can soften the smile lines below.
- Chin and jawline — Juvéderm Volux XC is a structural gel for a sharper jaw and a better-balanced profile, without surgery.
- Smile lines and marionette lines — often treated with Juvéderm Ultra Plus XC or Vollure XC.
- Areas that never stop moving — RHA flexes with expression, and Revanesse Versa was the first hyaluronic acid filler FDA-approved for dynamic wrinkles and folds.
What the consultation looks at
Your first appointment is a private, one-to-one discussion. Your provider asks what bothers you, goes through your medical history and studies the proportions of your face: where volume has gone, how the features balance, and how everything moves when you speak and smile. Photographs may be taken to record where you started. Only then is a plan agreed, naming the areas and products, and you are given a full cost estimate, which depends on the number of syringes, the areas and the product chosen.
Filler here is led by Dr. Donna D’Alessio, MD, who is trained in facial anatomy and vascular safety. Nurse practitioner Amy Natalicchio, whose training came from Allergan, Merz and Galderma, places filler here too, and you see the same provider from consultation to follow-up.
When filler is not the whole answer
Where skin has loosened rather than hollowed, volume alone has limits. PDO thread lifts add a lifting and tightening effect alongside filler, and resurfacing treatments such as HydraFacial improve the surface the new volume sits beneath.
Finding us from Kinnelon
From the Meadtown Shopping Center on Route 23 it is about ten miles to our door: Route 23 toward Riverdale, the Boulevard through Pompton Plains, then Jacksonville Road until it ends at Main Road in Towaco. Expect around 15 minutes without traffic.
Kinnelon patients ask
Who decides how much filler I need? Your provider, after the assessment, with your goals in the room. The approach is balance and proportion; trends are not followed and faces are not overfilled.
What if I do not like the result? Hyaluronic acid filler can be dissolved with an enzyme, hyaluronidase, so a correction is always possible.
Is there a check afterwards? A follow-up one to two weeks later is often booked, once swelling has gone, to look at the result and make any touch-up.
Can I come on a Saturday? Yes, from 9 am to 1 pm.
Read the full dermal fillers page, see before & after results, or visit our Kinnelon page.
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