An injectable dermal filler, performed by our board-certified plastic surgeons, Dr. Holden and Dr. Tsujimura, is a nonsurgical procedure that adds volume beneath the skin to generate a smoother, younger appearance. When combined with other anti-aging treatments, such as BOTOX, we provide patients some of the benefits of a surgical face lift without the invasive nature and recovery time. Visit our Scottsdale, AZ office for a complete consultation in ridding yourself of sagging skin, wrinkles and fine lines.
"Rhinoplasty - Scottsdale, AZ - I couldn't be happier with my new nose.I hated my nose for as long as I can remember, when I looked in the mirror or at pictures of myself that's all I saw. The first time I met with Dr.Holden he pin pointed my exact issues with my nose with out my having to tell him. He was very kind and patient and answered all of my questions. While talking to him it was obvious he knew what he was talking about and was an expert in his field. I felt so comfortable and confident with him that I canceled my other consultes (with another surgon I used in the past) and scheduled by surgery for the next week. Dr.Holden also saw me at every one of my follow up appointments, not some nurse, which was very important to me and helped with my post surgery anxiety. With being 34 years old and a mother of 3 it was very important to me for my new nose to look natural. It does. I am thrilled when I look in the mirror and the people close to me have all remarked how wonderful it looks. While people that I haven't shared my surgery haven't noticed or at least not enough to say "oh my gosh you got a nose job!" I still look like me. :)"- S. / RealSelf / Jul 30, 2015
"Dr. Paul Holden is a Very Gifted Plastic Surgeon. - Dr. Paul Holden is a fantastic plastic surgeon. I would highly recommend that anyone needing facial plastic surgery use him. My results were outstanding. Arizona is very fortunate to have him as a resource in our area."- D. / RealSelf / Sep 19, 2018
"Walking through the fear! - I initially went to talk to Dr. Holden in May of 2016 about straightening my septum and removing a bump on my nose from when it was broken when I was young. I got nervous and opted not to do it. A friend of mine went to see him for a similar surgery and went through with it. After seeing the results and the success that my friend had I opted to go through with it in March of 2017. Tonight I..."- B. / RealSelf / Sep 16, 2018
"Forehead Advancment....yay - I'm only one week post op from a forehead advancement. I mean I have dealt with a very high forehead all my life. Hated it, and tired of hiding it with bangs. Yes I'm a very young 67 yr old who dates younger men so I want to look good. However, the benefit of the surgery was a one inch lowering of my hairline AND a brow lift. Besides alittle bruising under the eyes and normal numbness on my..."- M. / RealSelf / Sep 04, 2018
"Five Stars - I am so grateful that Dr. Holden was my surgeon.I love, love my results and couldn't be happier with my new nose. They way exceeded my expectation.! Doctor Paul Holden is a truly gifted surgeon. He has the ability to listen, recommend, and follow through. He delivers more than expected. I would recommend him highly to anyone and everyone. He is kind and gentle in his manner. Thanks to Dr. Holden.!May 25 2018.T.h."- Anonymous / Vitals / Aug 04, 2018
Types of Dermal Fillers
The market for injectable fillers has exploded over the last decade; offering numerous options and brands for patients to consider.
A fat transfer is a process that takes fat from one body part and directly transfers it to an area of the face with lost volume. This type of filler offers excellent results, and is a longer lasting option as the body incorporates the fat cells into the new area.
Collagen is a protein that is made up of amino-acids. It can be derived from the human body or animals (known as bovine collagen). Collagen feels very natural when injected. It is commonly used in the lips for lip augmentation.
Calcium hydroxyapatite is a substance found naturally in human bones. It is a mineral-like compound and one of the heavier derma fillers. This particular filler treatment is generally used for deep crevices and creases.
Hyaluronic acid is a natural substance that exists in the human body. It can be found in connective and skin tissue and cartilage. It is extracted, reformulated and then offered as a derma filler. It is a popular choice because of its compatibility.
Polylactic acid is a synthetic substance created and used as a filler. This particular substance works differently than the other fillers because, once injected, it stimulates collagen production. Therefore, results will not be immediate but will appear gradually over time.
The primary semi-permanent filler on the market today is polymethylmethacrylate fillers (PMMA). This filler contains a low concentration of microspheres suspended in a larger amount of purified collagen gel. PMMA is more solid and heavier than most other fillers. It is used for deep wrinkles, deep contours and crevices, and is sometimes used as a permanent implant during reconstructive surgery.
During/After the Procedure
Prior to treatment, the practitioner will assess various aspects of the face and make marks directly on the skin to note where the injection sites will be. The face will be cleansed and a local anesthetic will be applied to help numb the top layer of skin. Using a syringe with a fine needle, the filler will be injected into the marked areas until the desired fullness has been achieved. Most patients are pleased with their results. While this will vary by filler product, most will produce results lasting from 3 months to a full year.
The price for an injectable filler treatment will vary depending on how many syringes will be needed and product used. On average, most patients can expect to pay between $500-$3000 for a treatment.
Plan Your Procedure
- Procedure Recovery Location
Injectable Filler FAQs
Are Fillers Safe?
All injectable fillers on the market today are FDA-approved and are safe to use. It is important to discuss the differences between each filler treatment to decide which is the best choice for your specific situation.
The results of each injectable filler treatment will vary. On average, most will last between 3 months and a full year. Restylane, Juvederm and Perlane are among some of the most common fillers and usually last 6 months or longer. Fat injections will last the shortest amount of time because a portion will reabsorb into the body within several months.
Fillers vs. BOTOX?
Injectable fillers help to decrease wrinkles by adding volume to smooth the skin’s surface. BOTOX, Dysport and Xeomin offer a result that looks and acts similar, but with a different approach. These treatments use a neurotoxic agent injected into the skin to temporarily freeze overactive muscles causing wrinkles. When the muscles relax, the visible wrinkles on the outer layer of the skin relax and soften, resulting in a smoother, younger appearance.