Unwelcome wrinkles and lines can appear on our faces as early as our 20s. And with age, we tend to notice a significant decrease in facial contour in addition to the wrinkles. These effects occur when elastin and collagen levels deplete, as well as adipose tissue diminishing with time. These natural substances are important factors in maintaining a youthful appearance.

Injectable dermal fillers are very popular, with over a 95% patient satisfaction rate, because the treatments are fast (usually under 30 minutes), safe, FDA approved and can give immediate and lasting results. Dermal fillers are specifically and soften wrinkles and deep creases, allowing you to reclaim your youth. No one will know unless you share your secret!

If you are looking for a non-surgical in office safe anti-aging solution, contact our office today. Board certified plastic surgeon Dr. Linda J. Leffel and Richard Lindsay PA-Certified both are injection experts, who have an unmatched understanding of the facial anatomy. They both provide their Oregon patients with natural-looking results that restore confidence and positive body image.

About Dermal Fillers

Dermal fillers are sterile injectable gels that lift and add volume to the cheeks, smooths wrinkles and creases, plumps and fills the lips, and restores a youthful appearance to the back of the hands. There are several types of dermal fillers each with different base components. These include hyaluronic-based, calcium-based, and polylactic acid-based, all of which treat different areas and concerns. Dr. Leffel is proud to offer Juvéderm, Voluma, Vobella, Vollure, Radiesse, Belotero, Sculptra, and Restylane to meet the aesthetic needs of all her patients.

What are Dermal Fillers Used For?

  • Adding volume to areas on the face that begin to appear sunken or hollow over time, such as the cheeks, the temples, and under the eyes.
  • Plumping thin lips, softening lip lines, or improving symmetry to your lips.
  • Smoothing out deep smile creases from the nose to the lips (nasolabial folds) and mouth (marionette lines) and upturning the corners of your mouth.
  • Filling in scars, acne scars, or indentations.
  • Adding volume to the back of the hands to restore lost hand volume and conceal prominent veins.

Related Procedures

Dermal Fillers vs. Botox

Dermal fillers and Botox are both FDA approved injectable solutions used to combat facial wrinkles. However, the way they accomplish this is very different. Dermal fillers are made of sterile gel that adds volume to the skin and softens fine lines and wrinkles by literally filling the areas with product. Botox contains purified botulinum toxin which reduces the appearance of frown lines and crow’s feet by temporarily stopping muscle contractions, by blocking the neuromuscular receptors. Dynamic wrinkles are caused by the muscle contractions of facial expressions such as smiling, squinting, or frowning. Botox causes the muscles to relax, and in turn, the skin above to relax. This smooths fine lines and wrinkles and helps to prevent future ones from forming. Botox will last approximately four months.

botox-bend-oregonOne treatment is not better than the other because they are different. Botox relaxes the muscles and wrinkles, while fillers “fill” the wrinkle. Many men and women benefit from both to reduce their wrinkles. Botox and Juvederm or Radiesse are often performed together for optimal results. Both of these effective treatments are offered at The Leffel Center.

Dermal Fillers vs. Facial Fat Transfer

Fat transfer is more similar to dermal fillers than Botox.

Both fat and fillers add facial volume, may lift and fill in wrinkles and creases. However, their method of doing so is different. Facial fat transfer uses fat harvested from the patient’s own body to achieve enhanced facial contour and smoothness. The fat is obtained with a special liposuction technique and then placed through a purification process so only the most viable fat is transferred. The fat is then placed in a special syringe and precisely injected into specific areas on the face. Some people may prefer this anti-aging procedure over dermal fillers since it uses the body’s own natural volumizing material, but it is a surgical procedure, whereas dermal fillers are non-surgical treatments.

Good Candidates

Almost everyone can be a candidate for dermal fillers. The basic qualifications include:

  • Looking to treat mild signs of aging like volume loss and wrinkles
  • Mild wrinkles
  • Good physical health
  • Have realistic expectations of treatment outcomes

Candidacy is determined on a case by case matter. If a patient has extremely lax skin, they may be better suited for a facelift or facial fat transfer. Schedule a complimentary filler or botox consultation today to find out if dermal filler treatment is the right treatment for you.

The Consultation

The consultation is the time patients get to sit down with Dr. Leffel or Richard Lindsay and discuss their aesthetic dislikes and what they are hoping to achieve. The doctor will perform an examination of the face or hands, taking into consideration natural proportions and skin quality. If she finds the patient to be a good candidate for dermal fillers, she will then explain which brands she believes will best provide them with their desired results. From there, the patient and the doctor together will create a customized treatment plan. Treatment may be performed during the consultation if possible and appropriate.

Dr. Leffel enjoys working with her patients to improve the lives, by enhancing their appearance.

She will be honest when determining candidacy, and if she believes you are not well suited for dermal filler injection, or she thinks another treatment would better achieve your desired results, she will let you know. Her patient’s happiness and well-being are her top priorities.

Types of Dermal Fillers


juvederm-bend-oregonJuvéderm® is an injectable gel that can reverse many signs of facial aging, including fine lines and wrinkles, and deep creases. It can also “plump up” the lips, sculpt the cheeks, and restore a youthful oval shape to the face. It is made with hyaluronic acid, a natural substance found in the body that works with collagen and elastin to give volume and support to the skin. Because it is not animal-based and highly biocompatible, no pre-treatment testing is needed. Juvéderm comes in different formulas optimized for the depth of the area being treated. Results last about 9 months to two years depending on which product is injected and can be made to last even longer with a simple follow-up treatment a few weeks after the initial injection or adding botox.



radiesse-bend-oregonRadiesse® is a synthetic injectable filler that reduces wrinkles, creases, and scars by augmenting the body’s natural collagen supply. Composed of microspheres in a biocompatible gel, Radiesse is made from the same minerals found in our bones, so it carries little risk of allergic reaction. Radiesse can be used in many areas of the body, including the nasolabial folds, perioral lines, cheeks and is FDA approved for injection into the back of the hand and depressed scars.

Treatments typically take 15 minutes and require only local anesthetic. Side effects such as swelling or bruising are very minimal and should fade within a few days. Results are visible immediately after the injection and can last for months or years, and the procedure can be repeated as often as you wish. Dr. Leffel recommends a recheck at 9 months, to touch up if needed.

Belotero Balance

belotero-balance-bend-oregonBelotero Balance® is an injectable filler that quickly integrates into your skin. This is a simple, quick procedure that can even be done over your lunch break! Immediately upon injection, Belotero plumps the skin and smooths away lines and wrinkles. Belotero Balance is made of Hyaluronic Acid or HA. A natural component of the skin, HA has the capacity to bind to water, making it an ideal dermal filler, as it binds with the skin’s own water to plump wrinkles and folds! Belotero is great for fine wrinkles and lines!


sculptra-bend-oregonSculptra® is an injectable product used to counteract the loss of fat beneath the skin (a condition called lipoatrophy.) Sculptra is injected into the deep dermis layer of the skin to improve the appearance of sunken cheeks, hollow eyes, indentations, and wrinkles. Its main component is an alpha hydroxy acid that has been used for 20 years in surgical products such as dissolvable sutures. There is no need for allergy testing. Clinical trials have shown that the benefits of Sculptra treatments can last up to two years.


restylane-bend-oregonRestylane® is designed to smooth wrinkles, sculpt lips, and shape facial contours. It is a clear, synthetic gel made with hyaluronic acid, a natural substance that is found throughout our bodies. It carries little risk of allergic reaction. The most common areas for treatment are the glabellar lines (between the eyebrows) and the nasolabial folds (from the side of the nose to the angle of your mouth). With its unique ability to bind with water, Restylane remains in your skin for many, many months.

Revanesse Versa

Revanesse Versa is one of the newest FDA-approved hyaluronic acid dermal fillers. This injectable treatment is ideal for correcting moderate-to-severe wrinkles and folds. Although this is a hyaluronic acid filler, Versa is a designed with an advanced formulation of spherical particles. Versa’s unique formula is more readily accepted by the body and holds more volume with more consistent, balance and evenness.

The high molecular weight of Versa’s elite class hyaluronic acid provides longer results and breaks down slowly. Versa treatments take as little as fifteen to twenty minutes and within two hours of injection, there are noticeable results for wrinkle reduction and smoothness in treated areas. Smile lines, nasolabial folds and deep creases are smoothed with natural-looking, long-lasting results visible more than six months after treatment.

Dr. Leffel recommends patients are at least 22 years of age. Great results are achievable in just a single session, but more extensive anti-aging treatment may require additional injections.

How Dermal Fillers are Injected

The injection process at The Leffel Center is straightforward. When the patient arrives their face will be cleaned and, if the patient desires, a topical numbing cream will be applied. Some dermal fillers contain lidocaine so numbing cream isn’t often necessary. The injections are then administered by Dr. Leffel or Richard Lindsay precisely to the desired locations. Once the desired results have been achieved, the treatment areas will be iced, followed by sunscreen and makeup. Then you are ready to go! After a few hours, the filler will ‘set’ but patients should avoid applying direct pressure for several days. The entire process takes about 30 minutes and the patient is allowed to return to their normal routine. Simple!

Recovery and Results

There is no downtime necessary after dermal filler injections. The injection sites may initially be slightly swollen or red but these effects will go away in a few hours. Patients should avoid exercise or other strenuous activities for the remainder of the day. The day you receive fillers avoid heavy weight lifting or long distance running!

Results can be enjoyed instantaneously; however, the final results can be seen in a couple of days. Dermal fillers are not a permanent solution to treating signs of aging, but with routine treatments, the results can be long-lasting. Fillers last from 6 to 9 months up to several years!

It is never too early or too late to reverse the signs of aging. The Leffel Center is here to help. Contact us today to step up a consultation with Dr. Linda Leffel or Richard Lindsay PA-Certified; both are injection specialists!


The cost of a dermal filler treatment is based on the filler of choice and the number of syringes. Dr. Leffel is happy to sit down with all interested patients and offer her expert advice as to which dermal filler she believes would benefit them most and where to place the fillers. All patients have a customized and individualized treatment plan, with the locations and type of filler used individualized to optimize your results! Looking forward to working with you to freshen your appearance!