Injectable Fillers

Cannula Filling

Dr. Nayak and our nurse injectors employ a special instrument called a “cannula” to perform the majority of fillers in a way that is nearly painless and usually generates no significant bruising. This technique has received considerable national and international attention, with patients coming to St. Louis for this procedure from across the US and Canada.

Patients are welcome to fly in for same day consultation and treatment, and can return home the same day!

Fillers take about ten minutes, and are done comfortably by prepping with numbing cream alone.

Swelling is common with treatment of the under eye area, which usually occurs the next day and can last for 2-4 days. It is also common for swelling to occur when treating other areas. Significant bruising is possible but rare. It is recommended that patients avoid blood thinners such as aspirin, motrin/ibuprofen, aleve/naprosyn, fish oil, vitamin E, and flax seed oil for 2 weeks prior to treatment. To further minimize bruising, Dr. Nayak recommends avoiding exercise for 24 hours after treatment. Beyond that, there is no aftercare required.

Nayak Plastic Surgery is the #1 Provider of Juvederm in the Midwest!

Injectable fillers can do so much more than fill lines! Watch Dr. Nayak use Juvederm and Restylane to perform a non-surgical undereye and midfacelift in under 10 minutes with no anesthesia, no surgery, and no recovery!

See the transformation in this 3 minute video – you will be amazed!

Pretty, not puffy. Expert results and unbeatable value!

Achieving truly beautiful, balanced facial rejuvenation with injectable fillers often requires 3-10 syringes of Juvederm or Restylane. Considering that 5 syringes is only 1 teaspoon of filler, it is easy to see how correcting the temples, undereyes, cheeks, nasolabial folds, and jawline in a balanced way can require more than 1 or 2 syringes.

In order to achieve truly beautiful results, Nayak Plastic Surgery offers the following multiple-syringe values (must all be used in one visit):

  • 3 syringes: take $300 off
  • 4 syringes: take $600 off
  • 5 syringes: take $900 off
  • 6 syringes: take $1200 off

You Don’t Have to Be a Genius to Understand Fillers…  But it Helps!

Click here for a more detailed version of “Understanding Fillers”


What are injectable fillers?

Injectable fillers work by supporting the dermal layer by actually filling in areas where volume has been lost or where there are shadows. For instance, fillers are used in the mid-face to build cheeks, in the cheek bone area, under the eyes in the tear trough, in the naso-labial folds and marionette lines (smile lines as they are often referred to), to add fullness to the lips and fill superficial lines above the lip line, to build the chin, and even to restore the jawline or hide jowls. Our providers only us hyaluronic acid gel fillers, as they are the most forgiving, least likely to form lumps or bumps, and can be dissolved with a hyaluronidase injection if necessary. These fillers include the Restylane family of products and JUVÉDERM® Injectable Gels.

Each filler has different characteristics, including thickness/body, longevity, and versatility. Thicker, heavier fillers last longer, but must be placed deeper in the skin to prevent lumpiness. Best used for: Nasolabial folds, marionette lines, cheeks/cheekbones and jawline areas. Thinner fillers don’t last as long or lift deep folds as well, but can safely be used to fill lips and more superficial lines in delicate areas. Best used for: Lip lines, lip augmentation, tear troughs. Your provider will determine the best options for you based on your goals and concerns.

Do the injections hurt?

Numbing cream can be used to anesthetize the area before the treatment begins, and is often all that is necessary for comfort. For lip injections, the option of numbing with two tiny lidocaine injections – a “dental block”, is available. These blocks make for painless lip injections, but are not necessary.

Will I bruise?

Anytime an injection is performed, bruising may occur. Our providers do their best to minimize bruising by using advanced cannula techniques to inject, holding pressure, and providing anti-bruising enzyme capsules. If you do bruise, our esthetic staff will attempt to cover your bruise with makeup immediately after the injection if you like. Most bruises resolve within a week. To decrease the chance of developing a bruise, please avoid blood thinners such as aspirin, motrin/ibuprofen, aleve/naprosyn, fish oil, vitamin E, and flax seed oil for 2 weeks prior to treatment

Are there any contraindications to injections?

Any history of allergies to the filler ingredients is the main contraindication. Patients on coumadin or other prescription blood thinners are also at much higher risk of dramatic bruising.

Are fillers the same as Botox Cosmetic?

Botox and Dysport work differently than fillers, by relaxing muscles in specific areas of the face, that because we use often, wear in lines over time. The areas treated with Botox are the crow’s feet, the space between the brows, which is called the Glabella, and the tail of the eyebrow, for a “chemical brow lift”. These are all areas that are not safe to use filler. Botox and Dysport can also effectively end sweaty palms or underarms!

Call Us
Book Your Appointment Today
Call Now: (314) 991-5438
or request a call and we'll be in touch!
Contact Details

Plastic surgery by St. Louis, Missouri cosmetic specialist Dr. Mike Nayak.

Nayak Plastic Surgery
607 S. Lindbergh Blvd.
St. Louis, Missouri

Visit Us

Monday: 8:00AM - 5:00PM
Tuesday: 8:00AM - 7:00PM
Wednesday: 8:00AM - 5:00PM
Thursday: 8:00AM - 7:00PM
Friday: 8:00AM - 5:00PM

Book your consultation today!

Get In Touch

Have a Question?

Thank you! We'll be in touch with you soon.
Plastic surgery by St. Louis, Missouri cosmetic specialist Dr. Mike Nayak.