Facial Fillers

Dermal Fillers | St. Louis, MO

Causes of Fine Lines and Wrinkles

Fine lines and wrinkles are only partially the result of decreased collagen.  Creases around the nose and mouth, in particular, are typically related to the loss of volume in the mid-face. This is because skin loses support from fat pads, and has nowhere to go but down. Repetitive facial expressions can also result in loss of volume or deep lines. In addition to lines and wrinkles, marked decrease in volume can make superficial veins more visible not only in the face, but also in the hands. Also, sun exposure can destroy the integrity of our skin’s thickness and elasticity.

But be careful with “fillers.” Don’t just fill because this can lead to a distorted “fat” appearance and no one wants that!

Get Dr. Gurley’s expert opinion. She has years of experience with both surgical and non-surgical options for the face. We are pleased to offer a number of tailored treatment options to restore volume to the correct places.

What is a Facial Filler (Dermal Filler)?

A facial filler, or dermal filler, is a product that has been formulated with ingredients that add volume to a specific area. A good percentage of fillers used today are made with hyaluronic acid which is a natural sugar compound that reintroduces volume by binding to water molecules.

Common Dermal Fillers include:

  • Perlane
  • Juvederm
  • Restylane

Hyaluronic Acid Filler

Hyaluronic Acid (H.A.) filler may be one of the most well-known dermal fillers. This family of products has consistently achieved excellent results for patients wanting to renew their youthful appearance. H.A. fillers’ cross-linking makeup makes it relatively longer-lasting because cross-linking transforms the liquid hyaluronic acid into a highly viscous gel.

Who is a good candidate for H.A. Filler?

The viscosity of the formulation makes this a great choice for patients who want to smooth the appearance of deep creases around the nose and mouth. Another common use is to reduce the appearance of under eye puffiness by filling the tear trough (the line where the upper cheek and the lower eyelid meet.)

H.A fillers treat the following:

  • Lips
  • Eyes
  • Lines
  • Wrinkles
  • Scars
  • Flattened cheekbones
  • Shallow lines around the corners of the eyes.

Also, because hyaluronic acid fillers contain mild Lidocaine, treatment is quite comfortable for delicate areas such as the eyes and the mouth.

Dermal Fillers Before & After

Dermal Fillers Before & After | St. Louis, MO Dermal Fillers Before & After | St. Louis, MO

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This FDA-approved, long-lasting dermal filler is used to restore volume and fullness. Restylane is perfect for lip augmentation and for correcting moderate to severe facial wrinkles and folds, such as nasolabial folds and marionette lines.


This smooth and natural dermal filler adds structure and volume underneath and brings sunken skin back to the surface. It is used to smooth out nasolabial folds as well as add fullness to the lips. Juvederm Ultra is formulated to contour and volumize wrinkles and folds. Juvederm Ultra Plus is a robust formulation for volumizing and correcting deeper wrinkles and folds.


This FDA-approved dermal filler restores volume and fullness to the skin to correct moderate to more severe facial wrinkles and folds.

Fat Injections

As with other fillers, fat helps reduce or eliminate wrinkles and other skin imperfections. The fat comes from your own body and can be used in higher volumes than most injectable materials. Fat injections provide a fuller, more youthful face with high contours and smooth skin.

Schedule A Consultation

Dr. Gurley will help you decide which product or facial filler is right for you, based on an evaluation of your facial contours and desires. If you are interested in learning more about Dermal Fillers, and would like to see if you are a good candidate, call (636) 812-4300 to schedule a consultation with Chesterfield Plastic Surgeon, Dr. Judith Gurley.