Dermal Fillers

Facial fillers at Pariser Dermatology — Dr. Ashley Reed prepares her patient for facial filler.

When fine lines deepen, cheeks begin to hollow, or the face simply starts to look a little less like itself, dermal fillers offer a well-established, non-surgical path back to a refreshed and natural appearance. At Pariser Dermatology Specialists, our cosmetic team has helped patients across Norfolk, Virginia Beach, Chesapeake, Newport News, Suffolk, and Williamsburg restore their confidence with personalized injectable treatments, no downtime required.

Whether you are addressing signs of aging for the first time or looking to maintain results you already love, our cosmetic dermatology providers will work with you to create a plan that fits your face, your goals, and your lifestyle.

What Are Dermal Fillers?

Dermal fillers are injectable treatments designed to add volume, smooth lines, and restore contour to areas of the face that have thinned or lost definition over time. The most widely used fillers today are made from hyaluronic acid (HA), a naturally occurring sugar found in the body’s soft tissues. In the skin, hyaluronic acid plays a key role in retaining moisture and maintaining cushion and suppleness. As we age, natural HA production slows, contributing to the lines, folds, and hollowing that make us look tired or older than we feel.

At Pariser Dermatology, we offer a range of FDA-approved hyaluronic acid fillers including:

Juvederm XC
Juvederm Voluma
Restylane
Revance RHA
Belotero

While these products share the same core ingredient, each is formulated differently in terms of thickness, density, and how it integrates with tissue. This makes them better suited for specific areas and concerns. Your provider will recommend the right product or combination of products based on where you want to see improvement and how significant the volume loss is.

What Can Dermal Fillers Treat?

HA filler injections at Pariser Dermatology are fully customized to your individual needs. They are commonly used to address wrinkles and volume loss caused by aging and changes in collagen, fat, and elastic tissue over time. The most frequently treated areas include:

Nasolabial folds (the parentheses-shaped lines that run from the nose to the corners of the mouth)
Marionette lines (the vertical creases from the corners of the mouth downward)
Tear troughs (hollowing beneath the eyes)
Cheeks and midface
Lips (for added fullness and definition; see our lip fillers page for more information)
Earlobes (to address sagging)
Backs of the hands

Results are typically visible immediately after treatment, with additional improvement over the following seven to ten days as hyaluronic acid draws in hydration. Most patients enjoy results that last one to two years, though longevity varies by individual and by product.

Tear Troughs (hollowing under eyes)

Lip Enhancement

Marionette Lines

Cheeks

Dermal Fillers and “Ozempic Face”

One of the most common conversations our cosmetic team is having right now involves patients who are doing incredibly well on GLP-1 medications like Ozempic, Wegovy, Mounjaro or Zepbound. These treatments have been transformative for many people managing weight and metabolic health. However, significant or rapid weight loss, regardless of how it is achieved, can lead to an unintended side effect in the face: hollowing.

Often called “Ozempic face,” this phenomenon occurs because fat loss from GLP-1 medications is not limited to the body. The deep fat pads that give the face its natural fullness also shrink, leaving behind a more gaunt, angular, or prematurely aged appearance. Patients frequently describe feeling great about their bodies but not recognizing themselves in the mirror.

Hyaluronic acid fillers are one of the most effective tools for addressing this kind of volume loss. Because they can be placed with precision in specific areas of concern, such as the cheeks, temples, or along the jawline, they restore structure and fullness where it has been lost. Results are immediate, the treatment takes less than an hour, and there is no significant downtime. For patients experiencing broader or more diffuse volume loss, our providers may also discuss Sculptra, a collagen biostimulator that works gradually over several months to rebuild the face’s underlying structure from within. Often, a combined approach using both HA fillers and Sculptra delivers the most natural and comprehensive result.

If you are on a GLP-1 medication and noticing changes to your face, you do not have to simply accept those changes. Our team is experienced in helping patients navigate exactly this kind of concern.

A Note on Filler Reversal

One of the most reassuring qualities of hyaluronic acid fillers is that they are reversible. If at any point you are not happy with your results the outcome does not feel right, our providers can dissolve existing HA filler using a naturally occurring enzyme called hyaluronidase. The enzyme breaks down hyaluronic acid safely, and the body processes and absorbs the dissolved material naturally.

This means that getting filler at Pariser Dermatology is not a permanent commitment. It is a flexible, adjustable treatment, and knowing that a course correction is always available gives many patients the confidence to try it in the first place. If you have questions about dissolving prior filler work, our cosmetic team is happy to discuss your specific situation.

What to Expect at Your Appointment

Your filler appointment begins with a thorough consultation in which your provider will assess your facial anatomy, discuss your goals, and recommend the appropriate products and placement. Your skin will be cleaned and prepped with an alcohol solution. A topical numbing agent may be applied to keep you comfortable throughout.

The injections themselves are made with a fine needle and take anywhere from 15 to 45 minutes depending on the areas being treated. You will be able to return to your normal activities immediately afterward. The most common temporary side effects are mild swelling, redness, and occasional bruising at the injection sites, all of which typically resolve within a few days.

Keep in mind as you prepare for your appointment: avoid strenuous exercise and alcohol for at least 24 hours after treatment. Applying ice to treated areas can help reduce swelling or bruising. Arnica supplements, available in oral or cream form, can also help with bruising. Our team can advise you further on preparation when you schedule.

For more detailed guidance, you can access our filler procedure information guide on our website.

Can I Combine Fillers with Other Treatments?

Absolutely. Dermal fillers pair well with many of the other cosmetic services we offer. Botox, Dysport, and Xeomin can easily be performed during the same visit, since neurotoxins and fillers address different aspects of facial aging (muscle movement versus volume). For patients interested in skin tightening in addition to volume restoration, fillers can also complement treatments like Ultherapy.

One important note: if you are considering laser treatments, chemical peels, or any other procedure that disrupts the skin barrier, there is a potential for a mild inflammatory reaction at filler sites. Your provider will help you sequence treatments appropriately to minimize any risk.

If you have had filler treatment before and are not interested in a full consultation, ask about same-day treatment. Just let our scheduling team know when you call.

Schedule Your Filler Consultation at Pariser Dermatology

Pariser Dermatology Specialists has been caring for patients in Hampton Roads since 1946. Our cosmetic team brings that same commitment to excellence to every injectable appointment. With seven locations across the region, accessible, expert care is never far away.