Lines, wrinkles, areas of volume loss — we all have them. Blame declining collagen production as we age. Blame thinning skin. Blame hundreds of thousands of muscle contractions. Blame the sun.

 But you don’t have to put up with those signs of facial aging. At Stiller Aesthetics we offer a wide range of injectables — neuromodulators like Botox® and dermal fillers like Juvéderm® and Restylane®. They’ll erase your wrinkles and return volume to areas such as the cheeks.

Facial Filler Basics

Injectables are a growing area of the aesthetic world, as they enable people to address aging without surgery. Injectables are broken into two categories based on how they function and the type of wrinkles and lines they erase. Injectables provide different lengths of results; the body eventually absorbs them all at some point. When that happens, the wrinkles and lines will return, but another session with Dr. Stiller will keep those wrinkles at bay.

pexels cottonbro 7581577 3 They can be used on the following areas:

  • Worry lines in forehead
  • Glabellar lines between the eyebrows
  • Smile lines (adjacent to the mouth)
  • Nasolabial folds (laugh lines, from nose to mouth)
  • Periorbital lines (crow’s feet)

Facial fillers can also be used to plump the lips. At Stiller Aesthetics, we use several different kinds of dermal fillers, depending on the severity of the problem, your skin tone and elasticity, your medical history and other factors.

Come in for a FREE consultation; we’ll be happy to discuss your options and recommend which dermal filler procedure is right for you.

Facial Filler Benefits

  • Enhance lip size
  • Fill shallow contours
  • Decrease wrinkles and “worry lines” appearance
  • Improve the appearance of scars
  • Enhance self-confidence

How long will the various injectables last?

Each of the injectables we offer at Stiller Aesthetics has a lifespan. Eventually, whether a neuromodulator such as Botox® or a filler such as Juvéderm® Voluma, the body will absorb the material and the wrinkle will return or the area of volume loss will sag again. Botox® lasts between 4 and 6 months, depending on the patient. Dermal fillers last from 9 to 12 months in most cases, although Juvéderm® Voluma returns volume to the cheeks for up to 2 years.

When your lines or wrinkles begin to return and the injectable has reached the end of its effectiveness, another visit to our offices in Spokane or Moscow for an injectable session will maintain your results.

Best Candidates For Facial Fillers

The best candidates for Facial Fillers are healthy individuals who want to enhance areas of the face with a minimally invasive procedure.


facial fillers before and after

* Please note that by clicking on this link you will be taken to a gallery page with sensitive material.

Will my face look natural after having injectable treatment?

These treatments are not something to have done at a nail salon or a dentist’s office.
It’s important to have any dermal filler or neuromodulator injected by a highly trained doctor with extensive experience with each of the injectables he or she uses. As a board-certified surgeon, both in general and cosmetic surgery, Dr. Stiller has the credentials you can trust to deliver the results you’re seeking. After your injections, your face will look younger, but completely natural. You’ll love your results.

Are there any risks associated with Injectables?

All procedures carry some uncertainty and risks.


You may have some bruising, bleeding, or swelling around the injection site.

Skin Rash
Other Surgical Issues

1. Getting Ready For The Procedure

Your skin will be evaluated to determine the areas in need of augmentation.

2. Procedure Day

Areas of the face may be marked prior to the injections. However, the marks will be removed at the end of the procedure.

3. The Procedure

Injections only take a few minutes per site. However, a procedure may take anywhere between 15 minutes to an hour depending on how many injections you get.

4. After The Procedure

Following the injections, you may be provided with an ice pack to reduce swelling. However, facial fillers usually are not painful enough to require medication.

Can injectables ruin my face?

None of the various injectables we offer at Stiller Aesthetics is permanent; each filler or neuromodulator has a duration it will provide results. With hyaluronic acid fillers such as Juvéderm®, the body eventually absorbs the hyaluronic acid, and the filler effects wear off. With Botox®, the botulinum toxin eventually becomes inert and the muscle it has been relaxing will begin to contract once again.

The FDA has approved all the injectables we offer at Stiller Aesthetics and each of them has proven to be effective and very popular the world over. In fact, ever since Botox® received FDA approval for aesthetic use in 2002, injectables have been the most popular cosmetic treatments every year. These are safe, effective, and quite satisfying treatments for our patients from all over the inland Northwest.

Are injectables painful?

Injectables are delivered through injections, and this can cause some mild discomfort.

Dr. Stiller injects Botox® with a very tiny needle and it is not injected to great depth, so most of our patients don’t feel the need for any topical numbing cream beforehand.

Dermal fillers can be injected to a greater depth to return volume to an area. For that reason, we apply topical numbing anesthetic prior to your session to keep you comfortable. Many of the fillers we offer also have some Lidocaine in the formula to help keep you comfortable.

What is the difference between dermal fillers and neuromodulators?

We have patients who lump dermal fillers and neuromodulators together, but they are completely different in how they work and where they work.

Dermal Fillers

Dermal fillers are true to their name. When injected beneath a wrinkle, crease, or area that has lost volume, they simply “fill” in the space, pushing the skin back upward and erasing or thoroughly diminishing the crease or area of volume loss. Juvéderm® and Restylane® are the original dermal fillers, first approved by the FDA in 2006. Since that time, each line has been expanded to target a specific area where volume loss has occurred.

Dermal fillers treat wrinkles known as “static wrinkles.” These wrinkles are caused by sun damage, declining collagen production, personal habits, and simple aging. Static wrinkles show themselves at all times and have nothing to do with muscle contractions. These are all static wrinkles: smile and laugh lines, marionette lines, parentheses lines, and barcode lines. These are areas of volume loss that dermal fillers treat: the cheeks, the under-eye areas, the lips, and the backs of the hands.

Dermal fillers are classified as either natural or synthetic. Natural fillers are made primarily from hyaluronic acid, a naturally occurring substance in the body whose job is to hydrate, plump, and firm the skin. Hyaluronic acid does this by binding with nearby water molecules. Synthetic fillers use man-made items such as calcium microspheres to add volume and structure under the skin.


Neuromodulators are made from the botulinum toxin type A. Back in the 1950s it was discovered that when a miniscule amount of the toxin was injected into a muscle, it temporarily stopped the muscle from contracting. Botox® was developed out of this research and was first approved by the FDA for the treatment of involuntary eyelid spasms. But it became famous in 2002, when the FDA approved Botox® for use on the upper third of the face for wrinkle treatment.

When we make expressions such as frowning, squinting, showing surprise, and others, muscles around our eyes, between our eyebrows, and on our forehead engage. Over time these contractions begin to create wrinkles on the surface skin above the muscle. These wrinkles are known as “dynamic wrinkles.” These are crow’s feet next to the eyes, the 11s between the eyebrows, and forehead lines. When a neuromodulator is injected into the muscles that create these wrinkles, they block the nerve messages from the muscle to the brain. Since the brain doesn’t receive the message to contract the muscle it stays relaxed and the wrinkle on the surface skin doesn’t form. This lasts for a period of around four months. At that point, the muscle will begin to contract again, and the wrinkle will return. Another injection session will maintain your results.

Interestingly, dermal fillers don’t work on dynamic wrinkles and neuromodulators don’t work on static wrinkles.

Get To Know Your Doctor

This is your time to get to know Dr. Stiller and the staff at Stiller. Be sure to convey your goals and expectations for the surgical procedure.

Dr. Stiller will evaluate your medical health and explain the surgical techniques available to you. All of your questions related to the procedure will be answered as thoroughly as possible. Dr. Stiller will perform an examination of your trouble area at the consultation.

Dr. Stiller will go over the risks and potential complications and he will explain the preoperative and post-operative process.

Schedule an Injectables Consult with Dr. Stiller!

To learn more about the various injectable services we offer, or to determine whether you are a candidate for treatment, please be sure to set up a one-on-one consult with Dr. Geoffrey Stiller. Dial (208) 802-8001 for our Moscow, ID location, or (509) 960-4063 for our Spokane, WA location. You can also go to our contact page and fill out an appointment request form. Our practice looks forward to serving you!

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