What are HA Fillers?

Dermal fillers — and there are many — are variations of a naturally occurring substance called Hyaluronic Acid (HA).  HA is found in your skin, joints, and connective tissues.  With increasing age, we lose our natural HA.  The injectable HA’s, just as naturally occurring HA’s, demonstrate differences in firmness, elasticity, and viscosity. This provides the ability to provide firm cheek, jawline, or chin augmentation or soft lip and under-eye fillers…and everything in between.

Our facial structures demonstrate aging in several ways.  Most prominently, temporal hollows develop, and gravity pulls our facial skin downward.  There are several factors for this aging process, some avoidable, some manageable, and some beyond our control.  Aging is itself associated with atrophy of the facial bones, adipose, and muscle.  Repeated muscle movements — expressions — will cause lines & depressions to form (this can be managed with neurotoxins).  Environmental insults, like UV light and tobacco smoke, damage & deplete elastin which also contributes to facial atrophy and wrinkles (this can be avoided).

With dermal fillers we can restore volume to the face in areas that may have atrophied and even lift facial structures upward, fighting the effects of gravity.  

Woman receiving facial injection

Cheek & Under Eye Filler

For this treatment, we use a combination of cheek and under eye filler to address areas on the face that have experienced volume loss, this will restore a youthful appearance. Filler is also used to address the appearance of sunken, tired eyes.

Cheek Filler / Mid-face

This treatment uses filler to contour and lift the cheeks, as well as treat the nasolabial folds, otherwise known as laugh lines.

Under Eye Filler

This treatment uses fillers to treat under eye hollowing or a sunken appearance to the eyes. Hollowing under the eye can be attributed to genetics or aging. When addressed you will look more awake, alert, and refreshed. Many patients also decide to have midface filler used as well to create a natural, youthful look.

Lip Plump

We work with you to figure out what are the best fillers and best approach to lip plumping for you. There are many options and different ways to approach this treatment. So no matter how subtle or substantial you may want the changes to your lips to be, we can customize a plan that will work the best for you. Numbing cream is provided before treatment. A dental block, and or laughing gas can be added to improve your comfort if needed.

Lip Hydrate / Anti-Aging Filler

Volume loss to the lips is a common effect of aging. This treatment is used to soften the vertical lines around your mouth and hydrate your lips. This treatment will immediately bring back a more structured and youthful appearance to your lips.

Chin Augmentation

This treatment is used to address any volume loss in the lower face. As you age it is common to lose soft tissue and mass in your lower face. Using filler we can address any volume loss and give more definition and shape to your face. This treatment is used to balance profiles, or even fill out a cleft palette to create a smoother appearance. Usually 1-4 syringes get the job done.

Jawline Filler

Filler is used to sculpt the jawline and add definition to the face. This treatment is great for men and women that want a more structured jawline. 2-4 syringes are the average amount needed for this treatment.

Lower face (Under/Around Mouth) Filler

This treatment is completely customized to your specific needs. Filler can be used to fill in lines around the mouth, and up-turn the corners of the mouth to rejuvenate the lower face to fit your desired look.

Nasolabial Fold (Smile/Laugh line) Filler

Filler can be used to soften the appearance of laugh lines also called the nasolabial folds. This is usually paired with cheek filler to help achieve the best results.

Hand Filler

Fillers are a great way of achieving hand rejuvenation. When we age our hands are often one of the first places to show the signs of aging. We can use fillers to restore a youthful look to your hands and replace any lost volume. The average amount used is 1-3 syringes

Neckline (Tech-Neck) Filler

Fillers can be used to smooth out any horizontal lines that appear across the neck. Many times these lines form from frequently looking down throughout the day. You may need 2 sessions to achieve the most optimal results with this treatment.

Neck and/or Chest Rejuvenation / Anti-Aging

As you age you may find that your neck and chest skin become thin and crepey. Radiesse can be used on the neck and decollete to thicken and smooth your skin. We use a diluted portion of Radiesse to stimulate the production of your own collagen and elastin.

Earlobe Filler

Filler can be used to add volume to the earlobes. Aging can deflate the earlobe and even wearing heavy earrings can affect the volume of your earlobes as well. The average amount used is 1-2 syringes

Dissolve Filler (Injected by another providor)

Have you received filler previously from another provider and feel like it is too much, or just not the result you desired? River Med Spa is here to help you! We offer a way for you to get your filler dissolved. Price is based on one area. $300 + $3/unit of Hylenex used



Do you have any questions or any ideas for treatments we haven’t listed here? We would love to talk about it. At River Med Spa we always prioritize customizing our treatments to be tailor-made for the individual. We customize anti-aging programs for each of our patients according to their situation and their desired results.


What are Juvederm, Restylane, Radiesse, and Belotero? Or more broadly, what are dermal fillers?

Dermal fillers — and there are many — are variations of a naturally occurring substance called Hyaluronic Acid (HA). HA is found in your skin, joints, and connective tissues. With increasing age, we lose our natural HA. The injectable HA's, just as naturally occurring HA's, demonstrate differences in firmness, elasticity, and viscosity. This provides the ability to provide firm cheek, jawline, or chin augmentation or soft lip and under-eye fillers...and everything in between.

What are RHA fillers?

Resilient Hyaluronic Acid is a new variant of HA, designed to have a longer polymeric structure and is more similar to the HA's found in our skin. The RHA's might function better in mobile tissues, like the cheeks. The RHA's are also the first HA's FDA cleared for dynamic rhytids (wrinkles) which are traditionally managed with neurotoxins.

What are collagen stimulators?

While HA fillers degrade with time, usually over a year or two, Sculptra and Radiesse stimulate natural collagen production producing a more permanent fullness in the area injected.

What can be treated with HA fillers?

The cheeks are often an excellent place to start with fillers. In fact, cheek fillers can often improve other folds such as the nasolabial folds. The jowls, chin, laugh lines, lips & philtrum, earlobes, and hands can demonstrate much improvement with fillers.

I am gonna do it! - What should I do to prepare?

You should meet with our aesthetic consultant. Administration of fillers is highly individualized and requires a thorough evaluation to determine the approach, the optimal product, and often consideration of pretreatments with other modalities.