Injectable Dermal Fillers

The fine lines, wrinkles, and loss of facial volume that come with age are often manageable without the need for facial plastic surgery. Dermal fillers provide an effective and often long-lasting remedy for the symptoms of facial aging as well as for lip augmentation. We offer a range of dermal fillers such as JUVÉDERM® at our Boston, Hingham, and Nantucket medspa locations to meet the unique needs of our patients.

Fillers & Threads
 Before & After Photos

Case: 1 of 7
Case: 1 of 7
Before & After Fillers & Threads Case 93 Front View in Boston, MA
Before & After
Case: 1 of 6

Case #93

Young woman in her 20s who desired fuller and symmetric lips. Her lips were numbed with topical and then injected with Juvederm Ultra Plus with Lidocaine. She is shown three weeks after her treatment.
Before & After Fillers & Threads Case 107 Front View in Boston, MA
Before & After
Case: 2 of 6

Case #107

Woman in 60s requested lower facial rejuvenation. Topical numbing cream applied prior to treatment. Nasolabial folds, marionette lines, and cheeks injected with Radiesse. Lips injected with Juvederm. Shown two weeks later.
Before & After Fillers & Threads Case 7 Front View in Boston, MA
Before & After
Case: 3 of 6

Case #7

Woman in her 50s requested lip rejuvenation and smoothing of "kissing lines". Her lips were plumped with Juvederm Ultra Plus and then further defined with Restylane. She is shown two weeks after her treatment.
Before & After Fillers & Threads Case 91 Right Side View in Boston, MA
Before & After
Case: 4 of 6

Case #91

A woman in her 50s who wished to "turn back the hands of time". Her hands were injected with the filler Radiesse, utilizing a cannula, and avoiding bruising. She is shown two weeks after her treatment.
Before & After Fillers & Threads Case 87 View #1 View in Boston, MA
Before & After
Case: 5 of 6

Case #87

Young althletic woman bothered that her "butt isn't where she wants it".  Shown 3 months after non-surgical buttock augmentation with Sculptra, with final results not expected until 8 months.
Before & After Fillers & Threads Case 74 Front View in Boston, MA
Before & After
Case: 6 of 6

Case #74

Woman in 40s bothered by "tired appearance" and dark circles under her eyes. Her tear troughs were filled with Volbella utilizing a cannula and avoiding bruising. She is shown two weeks after treatment.

Keep in mind that each patient is unique and your results may vary.

Dr. Dax Guenther’s extensive training in plastic surgery techniques extends to his practice and medical spas, where patients benefit from the latest and most advanced technology and techniques. This expertise enables our team to customize treatments based on the needs of each patient, getting natural-looking, long-lasting results in procedures that can be completed in less than 15 minutes.

Dr. Dax Guenther smiling with his arms crossed

Meet 'Dr. Dax'

Board-Certified Plastic Surgeon

With impeccable credentials and a personable bedside manner, Dr. Dax gives his patients confidence and peace of mind from their initial consultations through follow-up appointments. He established his boutique private practice in 2012 and is among the best plastic surgeons in the Boston area.

Meet Dr. Dax
Dr. Dax Guenther's credentials Dr. Dax Guenther's credentials

Dermal Filler Options

Dermal fillers come in a variety of formulations designed for conditions of varying degrees. Dr. Dax will work closely with you to determine which filler or fillers will work best for your particular needs. We offer the following injectable dermal fillers:

JUVÉDERM®: Popular in Boston, the JUVÉDERM family of injectable gels includes JUVÉDERM Ultra Plus®, VOLBELLA®, and VOLUMA®; all are made of hyaluronic acid (HA). These fillers are designed to smooth away moderate to severe lines and wrinkles, such as nasolabial folds, “kissing lines” around the mouth, and hollows under the eyes. They can also be used for lip augmentation or to add volume to cheeks.

Restylane® Products: The Restylane family of injectable gels (such as Refyne®) are also made with HA, and are well suited to dynamic wrinkles around the mouth where more elasticity is important. The noticeable appearance of the product is diminished, and the fillers work synergistically with your expressions for a very natural-looking result.

RADIESSE®: This gel is made from calcium hydroxylapatite, which, like HA, is a substance naturally found in the body. It is useful for treating very deep nasolabial folds and restoring volume that’s been lost in the hands, thereby diminishing the aged appearance of large veins and tendons. Results generally last longer than those of similar fillers, and RADIESSE also acts to stimulate the production of collagen.

Sculptra® Aesthetic: Sculptra uses poly-L-lactic acid to stimulate the production of collagen, which gives skin a smooth, youthful appearance. It is useful for restoring volume to all areas of the face, and may also be used as a nonsurgical alternative for augmenting other areas of the body. Generally, fillers are injected beneath the skin using very fine needles, and a local anesthetic can be used to alleviate any pain. The injections are performed in the office, and patients can return to their normal daily activities soon after treatment.

Lip Fillers

Lip injections are popular with adults of all ages who want to enhance their appearance instantly.


  • Plumping up naturally thin lips or lips that have thinned with age
  • Adding definition to lip borders and the “cupid’s bow” of the top lip
  • Balancing the fullness of the top and bottom lips
  • Smoothing away vertical lip lines around the lips

Popular Lip Filler Options

  • JUVÉDERM Ultra, Ultra Plus, and VOLBELLA
  • Restylane Silk and Kysse

Dermal Fillers vs. BOTOX® Cosmetic

It’s common to be unclear about the difference between dermal fillers and neuromodulators like BOTOX and Dysport® because they are both injectable treatments used for facial rejuvenation. Here are some differences:


  • Treats dynamic wrinkles caused by facial muscle contractions such as crow’s feet and frown lines
  • Takes a few days to start softening wrinkles
  • Results last 3 to 4 months

Dermal Fillers

  • Add and restore volume to augment the cheeks, reduce hollows around the eyes, and smooth away facial folds
  • Provide immediate results
  • Results last 6 months to 2+ years (depending on the filler and treatment area)

Many patients benefit from a combination of these treatments, sometimes called a liquid facelift, to more completely address facial aging than either treatment on its own. Read this blog post to learn more about the differences between fillers and neuromodulators.

A Reputation Built on Results

Dr Dax is amazing. He is very kind with a sense of humor. I had looked around unable to find a plastic...
I loved everything about my experience at Coastal Plastic Surgery. I highly recommend anyone considering...
A wonderful skilled caring Doctor, who's entire Team are exceptional. My Procedure went smoothly and...
I just want to say thank you to Dr. Dax the best plastic surgery i’m so happy I recommend to all my...

What Is a Silhouette InstaLift™?

The InstaLift is a treatment option that creates an immediate lifted appearance and gradually adds volume by promoting the growth of new collagen. For women and men who want a refreshed appearance that looks natural without the downtime associated with facial plastic surgery, the InstaLift is an excellent option. During the minimally invasive procedure, Dr. Dax inserts dissolvable sutures with tiny cones under the skin in order to reposition and physically lift areas of the face. The procedure, which takes about 45 minutes to an hour and a half (depending on the areas treated), provides immediate results. And, as the material dissolves, it stimulates the body’s own collagen production for a plump and refreshed effect that some patients see last a year or more.


No significant downtime is needed after these minimally invasive treatments; however, you may experience temporary tenderness, redness, swelling, or bruising at the injection sites.

What To Avoid After Treatment

For optimal results, be sure to follow the post-procedure care instructions we give you after your filler injections, which include the following:

  • Hold off on strenuous exercise for 1 to 2 days.
  • Don’t eat salty or spicy food after lip injections.
  • Stay out of direct sun, excessive heat, and sun lamps for 24 hours.
  • Avoid taking aspirin, ibuprofen and other NSAIDs, high doses of vitamin E, and St. John’s Wort for the first week to minimize bruising.

How Long Do Dermal Fillers Last?

The length of time dermal filler results last differs with each filler and area treated. Many patients will see immediate results that may last for more than 2 years.  Daily use of prescription-strength skincare products can enhance and even prolong results.

Frequently Asked Questions

What’s the best age to start getting fillers?

The best age for adults to start filler treatments depends on their personal preferences. Many young adults get lip injections as their first filler treatments. People in their mid-to-late 30s and older choose fillers to correct signs of aging such as facial volume loss on the cheeks and around the eyes, smile lines, and other wrinkles. We encourage you to set up a consultation to find out if fillers could give you the changes you want.

Is JUVÉDERM better than BOTOX?

These treatments provide different benefits so the “best” one depends on your cosmetic goals. JUVÉDERM adds and replaces volume in the face and lips. BOTOX smooths out crow’s feet, frown lines, and other dynamic wrinkles by stopping facial muscle contractions.

How often will I need to get injections to maintain my results?

Filler results are best maintained with regular touch-up treatments when you notice your concerns returning. Most patients follow a regular schedule with us that varies with their specific fillers, areas treated, and how quickly their body breaks down their fillers.

I don’t want to look “overdone.” Can this be avoided?

By choosing the right filler for the job and using a refined technique, our providers create filler results that look beautiful yet very natural.

Can fillers be dissolved?

Yes. We can dissolve hyaluronic acid (HA) fillers such as JUVÉDERM and Restylane with a few quick injections if you don’t like your results or change your mind.

Discover how you can look your best with dermal filler injections at our medspas in Hingham, Boston, and Nantucket. Request a consultation online with board-certified plastic surgeon Dr. Dax Guenther, (781) 740-7840 , to speak with one of our team members today. Consultations with our medical spa staff are complimentary.

Back to Top