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Juvederm Voluma & Restylane Volume Replacement

Synonyms - facial filler, volume replacement, filler substances, facial filler volumization, injection replacement, and SoftLift

Indications & Update

Dermal filler volumization has evolved considerably in recent years.  Rather that filling lines, advanced cosmetic medical practitioners have adopted a global 3 dimensional approach based on complicated principles of anatomic aging and overall facial volume balance.

We are replacing youthful volume that has been lost in all soft tissues of the face including skin as well as bone and address multiple levels of volume depletion.

Global facial volumization is done by more extensive use of fillers to replace volume that we have lost in the aging process. State of the art treatment volumizes the forehead, temples, over the cheekbones, under the eyes, throughout the cheeks, along the jawline below the mouth as well as lips. This all adds up to a more youthful but entirely natural appearance.

At Aestheticare, all dermal filler injection is done by Dr. Lozinski herself.  We only use safe temporary fillers in the hyaluronic acid family including Juvederm, Voluma and Restylane.  These fillers have different characteristics and are chosen for treatment of specific anatomic sites based on these properties. For example, important factors to consider are their ability to spread smoothly and lifting capacity.  Thin, very mature skin must be approached differently than thicker skin found in younger as well as male patients.  All of these are also taken into consideration when choosing a delivery device (needle vs. blunt tipped cannula vs. Aquagold microneedling with microchannels).

Before & After Gallery


Collagen was the gold standard filler substance for many years and a name many are familiar with. It is temporary and requires skin testing to rule out allergy (1-3% incidence). It has been largely replaced by better fillers.


This is a synthetic hyaluronic acid. A version has been used safely for years to cushion arthritic knee joints (Synvisc or hylan gel).

It is injected into the deeper layer of the skin and molds particularly well to smooth out moderate creases and augment lips. No prior skin testing is required. It is temporary and lasts approximately 2-3 months in the lips and, for many, 4-5 months in 'smile lines'. Overall, duration is variable. Restylane Fine Lines is for fine, superficial lines (i.e. upper lip) and tear trough (undereye valley). Perlane, a denser version, was introduced for correction of deeper grooves, such as those between the nose and mouth corner and has excellent capacity to lift tissue i.e., upper and lateral cheek.


This is also a synthetic hyaluronic acid, similar or longer than Restylane in duration. No skin testing is required.

Dr. Lozinski particularly likes to use this product in the nasolabial (nose to mouth corner smile lines). Voluma, Volift & Vobella made by the same company as Juvederm, these are hyaluronic acid as well. More cross-linking of the molecules results in a more robust filler family.

Permanent fillers

Due to the potential for delayed reactions (even several years) after injection of permanent fillers, we no longer offer them at Aestheticare.

Is anesthetic required?

This procedure is made comfortable by the use of ice pre-injection and a concurrent massage by Aestheticare staff. Blunt-tipped instruments (cannulae) used in otherwise potentially sensitive areas make this more easily tolerated.

Is there any down time?

Bruising is possible (est. 10-20%) but the incidence is reduces when medication that can thin blood (such as aspirin, anti-inflammatory agents i.e., Advil, omega 3’s) is avoided for 2 weeks before treatment. We suggest that you plan your life in anticipation of bruising for 10 days just in case this happens.

How do I find out more?

To book a consultation phone 905.664.5850 or 800.396.7567 or use our online Consultation Request Form.