Dermal Filler

As we age, our skin gradually loses volume, hyaluronic acid, and structural support, leading to hollow cheeks, thinning lips, deepening smile lines, and shadows under the eyes. Dermal filler is a safe, effective way to replenish that lost volume, smoothing lines and restoring a softer, more refreshed contour, all without surgery or downtime.

At Refinery Aesthetics & Wellness in Cary, NC, we offer Restylane, Evolysse, and RHA, 3 trusted hyaluronic acid filler lines, so every patient leaves with results that look natural and feel like them.

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Most modern fillers, including the lines we carry at Refinery, are made from hyaluronic acid (HA), a substance your body already produces naturally to keep skin hydrated, plump, and elastic. As we age, natural HA levels decline, which is part of why skin loses firmness and volume over time.

When injected, HA filler acts like a cushion beneath the skin, adding gentle structure and volume exactly where it's needed, whether that's lifting a cheek, softening a nasolabial fold, or adding fullness to thinning lips. Because HA also attracts and holds water, results often look soft and hydrated rather than overfilled. Treatments are quick, usually thirty minutes to an hour, and most patients see results immediately, with any minor swelling settling within a few days to two weeks.

Dermal filler is versatile enough to address volume loss, contouring, and softening of lines across several the face. We use filler in the temples, under eyes, cheeks, nasolabial folds, upper lip lines, lips, chin, marionette lines, jowls, the jawline, neck lines, hands, ear lobes, etc.

Every patient's anatomy and goals are different, so during a consultation we'll assess your facial structure and recommend which areas and products, whether Restylane, Evolysse, or RHA, will give you the most natural, balanced results.

Frequently Asked Questions

  • Results are visible immediately after treatment, though any initial swelling will need a few days to two weeks to fully settle before you see your final look.

  • Mild swelling, redness, or bruising at the injection site is common and usually resolves within a few days to a week. We recommend avoiding strenuous exercise, alcohol, and excessive sun or heat for about twenty-four to forty-eight hours after treatment.

  • Filler results generally last anywhere from six months to two years, depending on a few key factors: the treatment area, the specific product used, and your individual metabolism.

    Areas that move a lot, like the lips and under-eyes, tend to break down faster and often need touch-ups closer to the six-to-nine-month mark. Areas with less movement, like the cheeks, jawline, and temples, tend to hold their volume longer, often lasting twelve to eighteen months or more.

    Product formulation matters too. Restylane, Evolysse, and RHA are all built a bit differently, so your injector may choose one over another depending on how long you'd like results to last as well as how the treatment area moves and functions.

  • Most patients describe the discomfort as mild, a quick pinch or pressure rather than pain. Many of the fillers we use, including Restylane and RHA, contain lidocaine mixed right into the formula to help numb the area as we inject. We also apply topical numbing cream and or local lidocaine beforehand for added comfort for certain areas of the face.

  • This depends entirely on your anatomy and goals. During your consultation, we'll assess your facial structure and build a plan tailored to you, rather than a one-size-fits-all amount.

  • Yes, when performed by a trained, experienced injector. Hyaluronic acid is a substance your body already produces naturally, making these fillers generally well tolerated. As with any injectable, there are risks, which we'll walk through in detail during your consultation.

  • The right filler for you depends on the area you're treating, the results you want, and how you'd like the product to feel and move once it's settled. At Refinery, we carry Restylane, Evolysse, and RHA, three hyaluronic acid lines that are each formulated a bit differently.

    Beyond the brand, your injector will also consider the thickness, or viscosity, of the product. Thicker formulas tend to work best for structure and lift in areas like the cheeks or jawline, while thinner, softer formulas are often better suited for delicate areas like the lips or under-eyes.

    Rather than choosing a product on your own, the best approach is a consultation where we can assess your facial anatomy, your goals, and how much movement the treatment area sees day to day. From there, we'll recommend the filler, or combination of fillers, that fits you best.

  • Neuromodulators (like Botox, Dysport, etc.) relax muscles to soften expression lines, while filler adds volume and structure to areas that have lost fullness. Many patients combine both for a fuller, more comprehensive rejuvenation plan.

  • No, most dermal fillers are temporary by design. Your body naturally metabolizes the filler over time, so results gradually fade rather than disappearing all at once.

    Restylane, Evolysse, and RHA are all hyaluronic acid-based, they can be dissolved with an enzyme called hyaluronidase if that is needed.

Ready to talk through your options? Reach out to us at hello@refineryaestheticswellness.com to book a consultation.

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