Pressure and a dull ache more than sharpness. Topical numbing goes on first and the products contain lidocaine. Lips are the most sensitive area and are treated as such. Say so if you need a pause.

What if I hate how it looks?

Hyaluronic acid filler can be dissolved with hyaluronidase and the area returns close to where it started. That should lower the stakes of trying it. It is also why we start under rather than over. Adding at two weeks is easy.

Will I look overfilled?

Not if the plan follows your proportions rather than a volume target. You may leave the first appointment thinking it was subtle. That is intended. Overfilled faces are the result of many appointments where nobody said no.

How long does it last?

It depends on the product and the area. Thin products in mobile places like lips break down faster than firm product placed deep on bone. You get the expected range for your specific product before it is placed.

How much will I swell and bruise?

Swelling is universal, lips most of all, and bruising is common and unpredictable. Book at least two weeks before an event, not the week of. If it is medically safe for you, skipping alcohol and fish oil for a couple of days helps. Never stop a prescribed blood thinner without asking the prescriber first.

What is the difference between dermal fillers and RHA?

All three are hyaluronic acid. They differ in how the gel is cross linked, which changes firmness and how it moves with expression. RHA flexes in animated areas. Others hold structure. The area decides the family.

What can actually go wrong?

Most of it is temporary: swelling, bruising, a lump that settles. The serious one is vascular occlusion, where product blocks a vessel. Uncommon, but untreated it can damage skin or rarely affect vision. Severe pain, blanching, dusky skin or any vision change means call immediately.

Can I get filler and a neuromodulator at the same visit?

Often, and the combination usually reads more natural than either alone, since one addresses movement and the other volume. Sequencing matters and gets ordered by the clinician. Some plans separate them so each result can be judged alone.

Priced by syringe, and the number of syringes depends on what is being corrected. You are quoted at the consult before anything is opened, and you can do part of the plan now and part later. Financing is available through Cherry.

Dermal fillers in Chatsworth.

Volume that has gone from the cheeks, folds that have deepened, a jawline that has softened. Filler puts structure back in small amounts, placed by a clinician who would rather you come back for more than sit with too much.

Book Dermal Fillers Or call 323-673-2611

Appointment: 45 to 60 minutes
Downtime: Swelling, and bruising is possible
First results: Immediate, settled by week 2
How long it lasts: Product dependent, months to over a year

Volume, not muscle.

Dermal fillers are gels made mostly of hyaluronic acid, a sugar your skin already produces. Placed under the skin, they take up space. That space lifts a flattened cheek, supports a fold so it stops folding as deeply, or gives a jawline an edge again. Dermal fillers and the RHA Collection are all hyaluronic acid families, each containing several products of different thickness made for different depths.

This is the opposite half of the problem neuromodulator solves, and the difference decides whether you are in the right chair. A neuromodulator quiets a muscle, so it helps lines your expression creates. Filler occupies volume, so it helps hollows and folds that are there when your face is still. A line you can deepen by frowning is not a filler problem, and you will be told so. A shadow under the cheekbone that never moves is not a neuromodulator problem. Many faces have both.

Product choice is not marketing. A thin gel placed deep on bone will not hold structure. A firm gel placed too superficially in a lip reads as a lump and can cast blue through the skin. The clinician picks the family and the product by the depth being filled and the tissue moving over it. RHA stretches with animated areas. Firmer products hold shape where support is the goal.

Whether this is the right treatment for you.

Worth booking if

Volume loss in the cheeks, temples or under the eyes
Nasolabial folds or marionette lines present at rest
A jawline or chin you want defined
Lip enhancement where the goal is proportion rather than size
You accept this needs repeating

Probably not if

Lines that only appear when you make an expression
Significant sagging, where filler adds weight without lifting
Active infection, acne or a cold sore near the site
You are pregnant or breastfeeding
You want a dramatic change in one visit

What happens in the room.

Assessment and numbing
You sit upright while the face is assessed at rest and moving, because a hollow looks different once you smile. The plan is marked on your skin so you can see it before anything is opened. Topical anesthetic sits for about twenty minutes, and most fillers carry lidocaine, so the first placement numbs the area for the ones after it.
Placement
Product goes in through a fine needle or a blunt cannula, a flexible tube with a rounded tip that travels through tissue rather than piercing through it. You feel pressure and a dull ache. The clinician stops repeatedly and sits you up to look. A face judged only lying flat gets overfilled.
Right after
The area swells immediately. That is expected and it is not the result. You may bruise. Keep heat and pressure off the area, sleep with your head raised a night or two, skip the gym for a day, and avoid dental work for about two weeks. A review at two weeks is when there is finally something to judge.

Who performs this at Chatsworth.

Narine Chilyan

DNP, AGNP-C

Over a decade in healthcare, from ICU critical care to functional medicine. MSN from Chamberlain University, DNP from Charles R. Drew University. Created the Ten Top Tips for Transforming Health - a habit-based program for lasting weight loss and vitality. Her mission at KAYU: redefine beauty and wellness as one.

Read the full bio

Patients on dermal fillers.

5.0 average from 29 Google reviews

No one has reviewed dermal fillers by name yet. The rating above is the clinic's, across every service it performs.

Risks and what we tell every patient.

Dermal fillers are regulated medical devices, appropriate only after a licensed clinician reviews your history, medications and previous injectable treatment. They are not requested and dispensed.

Expected effects are swelling, tenderness, redness and bruising, settling over several days to two weeks. Lip swelling is usually the most dramatic and the shortest lived.

Lumps and irregularities can occur, usually from uneven placement or unresolved swelling. Most settle on their own or with massage. Persistent ones can be treated, which is what the two week review is for.

Nodules can form later, sometimes months after treatment, and are sometimes inflammatory or related to biofilm, a layer of bacteria that establishes itself around implanted material. Late swelling, redness or a firm lump at an old site is not something to wait out. Call us.

The serious risk is vascular occlusion: filler entering or compressing a blood vessel and cutting off blood supply to the tissue it feeds. This can cause skin death, and in rare cases involving vessels connecting toward the eye, vision loss that may be permanent. It is uncommon, and it is why anatomy and technique matter more here than anything else.

Warning signs are severe or escalating pain, pain out of proportion to the procedure, blanching or white patches, dusky or mottled discoloration, or any change in vision. These can start during the injection or in the hours after. Seek care immediately. Do not wait for a routine appointment.

Hyaluronic acid filler can be dissolved. Hyaluronidase breaks the product down and is kept on site. It is used urgently if occlusion is suspected, and electively if you dislike a result. That reversibility is why only hyaluronic acid products are used here.

Delayed reactions can be triggered by illness, vaccination or dental procedures. Tell any clinician treating you that you have had filler, and tell us about planned dental work.

If you get cold sores, say so before lip treatment. Injection can trigger a flare and preventive medication may be arranged.

Autoimmune conditions, a history of anaphylaxis, blood thinners and previous permanent filler all change the plan. Permanent filler placed elsewhere cannot be dissolved and limits what can safely be done now.

Dermal Fillers questions.

Does it hurt?: Pressure and a dull ache more than sharpness. Topical numbing goes on first and the products contain lidocaine. Lips are the most sensitive area and are treated as such. Say so if you need a pause.
What if I hate how it looks?: Hyaluronic acid filler can be dissolved with hyaluronidase and the area returns close to where it started. That should lower the stakes of trying it. It is also why we start under rather than over. Adding at two weeks is easy.
Will I look overfilled?: Not if the plan follows your proportions rather than a volume target. You may leave the first appointment thinking it was subtle. That is intended. Overfilled faces are the result of many appointments where nobody said no.
How long does it last?: It depends on the product and the area. Thin products in mobile places like lips break down faster than firm product placed deep on bone. You get the expected range for your specific product before it is placed.
How much will I swell and bruise?: Swelling is universal, lips most of all, and bruising is common and unpredictable. Book at least two weeks before an event, not the week of. If it is medically safe for you, skipping alcohol and fish oil for a couple of days helps. Never stop a prescribed blood thinner without asking the prescriber first.
What is the difference between dermal fillers and RHA?: All three are hyaluronic acid. They differ in how the gel is cross linked, which changes firmness and how it moves with expression. RHA flexes in animated areas. Others hold structure. The area decides the family.
What can actually go wrong?: Most of it is temporary: swelling, bruising, a lump that settles. The serious one is vascular occlusion, where product blocks a vessel. Uncommon, but untreated it can damage skin or rarely affect vision. Severe pain, blanching, dusky skin or any vision change means call immediately.
Can I get filler and a neuromodulator at the same visit?: Often, and the combination usually reads more natural than either alone, since one addresses movement and the other volume. Sequencing matters and gets ordered by the clinician. Some plans separate them so each result can be judged alone.
What does it cost?: Priced by syringe, and the number of syringes depends on what is being corrected. You are quoted at the consult before anything is opened, and you can do part of the plan now and part later. Financing is available through Cherry.

Often booked alongside.

Get assessed before you commit to a syringe.

A consult sorts out whether your concern is volume, movement, surface or laxity. Those four have different answers and only one of them is filler. If filler is right, you see the plan marked on your face before anything is opened.

Book Dermal Fillers

Or call 323-673-2611