As we age, the face gradually loses volume, especially in the cheeks, around the eyes, and along the jawline. This soft deflation can create shadows, folds, and a tired appearance. At Kelling Plastic Surgery, we take a careful, restorative approach to facial volume, focusing on balance, proportion, and outcomes that look effortless, not obvious.
Using options like hyaluronic acid dermal fillers, biostimulants like Sculptra, and fat grafting, we create custom treatment plans that support your natural features rather than change them. Every option is selected with precision and delivered by providers trained in the art and anatomy of facial aging.
Whether you are new to fillers or looking for a longer-term solution, our team will guide you with clarity, transparency, and experience you can trust.
Dermal fillers are injectable treatments designed to restore volume, soften wrinkles, and enhance facial contours. Most are made from hyaluronic acid (HA), a substance found naturally in the body that helps skin stay plump and hydrated. Other products work by stimulating collagen production over time.
At Kelling Plastic Surgery, we offer a full spectrum of injectable options—from soft, flexible fillers to deeper volumizers and collagen stimulators. Your provider will recommend the right combination based on your goals and anatomy.
Known for its smooth, flexible gel and long-lasting results, the JUVÉDERM family includes products for the lips, smile lines, cheeks, and jawline. Each formula is designed for a specific depth and area of the face.
A denser filler ideal for midface and cheek augmentation, VOLUMA restores contour and structure to areas affected by volume loss, with results that can last up to two years.
Restylane includes several HA fillers of varying consistencies, allowing for tailored use in delicate or mobile areas like the lips and tear troughs. It’s a trusted option for precise, subtle refinement.
Unlike HA fillers, Sculptra works gradually by stimulating your skin’s natural collagen production. Ideal for deeper volume loss, it’s especially well suited for areas like the temples, cheeks, and lower face.
Fat transfer uses your own purified fat to restore facial volume. It offers a more permanent solution and can create especially natural-feeling results when performed by an experienced surgeon. Dr. Kelling performs all facial fat grafting himself, often combining it with other surgical procedures for more comprehensive rejuvenation.
Dermal filler treatments are performed in-office and typically takes about 30 to 45 minutes, depending on the areas addressed. Before beginning, your provider will review your plan with you and ensure you’re comfortable with the placement and goals. A topical numbing cream may be applied to minimize discomfort, and many fillers also contain lidocaine for added comfort during the injection.
Using a careful, layered technique, your provider will place small amounts of product into targeted areas to restore volume and create smooth, natural-looking transitions. You’ll be able to sit upright throughout the treatment and can return to most normal activities immediately afterward.
Fat grafting may be recommended as an alternative or complement to dermal fillers for patients seeking a longer-lasting solution. This procedure begins with a gentle liposuction technique, which can be done in the office or operating room, to harvest a small amount of fat from areas like the abdomen, flanks, or thighs. The fat is then purified to isolate healthy, viable fat cells. Once prepared, the fat is carefully injected into areas of volume loss—such as the cheeks, temples, or under the eyes—using a layered technique that allows for smooth, natural-looking integration.
Fillers and fat grafting can restore or enhance volume in several areas of the face:
Your provider will assess your anatomy carefully and recommend placement that supports a balanced, refreshed look.
Dermal fillers offer a versatile, minimally invasive way to restore volume and soften early signs of aging without the need for surgery or downtime. At Kelling Plastic Surgery, we use these treatments thoughtfully, always prioritizing balance, proportion, and results that feel like you—just more refreshed.
You may be a candidate for dermal fillers if you’ve noticed volume loss, skin laxity, or facial hollowing that’s changed the way you look or feel about your appearance. These treatments are suitable for a wide range of ages and skin types, and can be used preventatively or as part of a larger facial rejuvenation plan.
Patients looking for longer-lasting results or those undergoing surgery may be better suited for fat grafting, which can be discussed during your consultation with Dr. Kelling.
Hyaluronic acid fillers typically involve little to no downtime. Mild swelling or bruising may occur but usually resolves within a few days. Results are visible immediately and settle completely within one to two weeks.
Sculptra works gradually, with full results developing over several months and lasting up to two years. Fat grafting may involve some recovery, particularly when combined with surgery, and outcomes develop as swelling subsides and fat stabilizes.
We provide detailed aftercare instructions for every treatment and remain available to answer questions throughout your recovery.
The results of filler treatments—whether with hyaluronic acid (HA) fillers, Sculptra, or fat grafting—offer a refreshed, softly volumized appearance without altering your natural features.
HA fillers provide immediate results, smoothing fine lines or restoring lost volume with a subtle lift. Most patients enjoy their results for 6 to 18 months, depending on the product used and the treatment area.
Sculptra stimulates your body’s own collagen production, gradually improving skin thickness and contour over several months with results that can last up to two years.
Fat grafting offers the longest-lasting outcome by using your own tissue to restore facial fullness in a way that ages naturally with you. While there is some initial swelling, the final result is soft, permanent volume that integrates seamlessly with your features. No matter the approach, these treatments are most successful when the goal is balance over volume, and refinement over drama—the hallmark of our aesthetic philosophy.
Our goal is never to change how you look. It’s to restore what’s been lost with skill, restraint, and an eye for natural beauty. Whether you choose injectables or fat grafting, your treatment at Kelling Plastic Surgery will reflect the same level of care, precision, and professionalism found in every part of our practice.
Ready to learn what’s right for you? Schedule your consultation to explore your options in a calm, pressure-free setting.
The longevity of your results depends on the type of filler used, the treatment area, and how your body responds. Here’s what you can generally expect:
When performed by experienced providers, dermal fillers are considered very safe. At Kelling Plastic Surgery, every treatment is selected and placed with precision, and we only use FDA-approved products with strong safety profiles. Your consultation will include a full medical history to ensure your treatment is appropriate and safe for you.
Discomfort is typically minimal. Many fillers contain a numbing agent (lidocaine), and we can apply a topical anesthetic before treatment to reduce sensitivity. Patients often describe the sensation as a light pinch or pressure. The procedure is usually very well tolerated.
Dermal fillers restore volume beneath the skin to smooth lines and enhance contours. Botox and other neuromodulators work by relaxing the muscles that cause dynamic wrinkles. They’re often used together for a more complete facial refresh but serve different purposes.
Not here. Our approach is conservative and carefully tailored. At Kelling Plastic Surgery, we prioritize natural-looking outcomes that enhance your features rather than change them. You’ll still look like you—just more rested and balanced.
Yes. Hyaluronic acid fillers, such as JUVÉDERM and Restylane, can be safely dissolved with an enzyme called hyaluronidase. If you ever feel that adjustments are needed, our team can guide you through that process with care.