Dermal Fillers
- ELLEMES Medical Spa · Sandy Springs, Atlanta
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45–90 minute appointment
Top Benefits
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Volume restoration — replenishes lost volume in cheeks, temples, and tear troughs that hollow with age.
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Deep wrinkle correction — softens nasolabial folds and marionette lines by adding structural support beneath the crease.
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Immediate, lasting results — visible same day; typically lasts 6–18 months depending on product and area.
Skin Concerns
Treats age-related volume loss, hollow cheeks, under-eye hollows (tear troughs), nasolabial folds, marionette lines, thin or asymmetric lips, weak chin or jawline, temple hollowing, and overall facial asymmetry. Filler is best for static concerns caused by volume loss and bone resorption. For dynamic wrinkles caused by muscle movement (forehead, crow’s feet), Botox or Dysport is the right tool — your injector will recommend the combination that fits your anatomy.
Ideal Candidate
Most healthy adults are good candidates. Common patients include those experiencing age-related volume loss, anyone wanting subtle enhancement or facial balancing, patients with thin or asymmetric lips, and those seeking jawline or chin definition. Not recommended during pregnancy or breastfeeding, with an active skin infection at the injection site, a history of severe allergic reactions or anaphylaxis, autoimmune disorders affecting healing, or known allergy to lidocaine. If you take blood thinners or have a bleeding disorder, mention it at booking. Patients with previous migrated or unsatisfactory filler can be evaluated for dissolving and reapplication.
Treatable Areas
Lips (1–2 syringes), cheeks (1–3 per side), nasolabial folds (1–2), marionette lines (1–2), chin (1–2), jawline (2–4 total), tear trough / under-eye (1 total), temples (1–2 per side). Syringe estimates are averages — your injector sets exact dosing during the consultation based on your anatomy and goals.
How Dermal Fillers Work
Dermal fillers are FDA-approved injectable gels primarily made of Hyaluronic Acid (HA) — a substance naturally present in your skin that binds water and provides structural volume. The gel is placed beneath the skin’s surface in precise layers to restore structure, smooth folds, and define contours.
As we age, the face loses bone density, fat pad volume, and collagen — resulting in hollow under-eyes, flattened cheeks, deepening skin folds, and loss of jawline definition. We use the Restylane suite of fillers (Kysse, Lyft, Refyne, Defyne, and Contour), each formulated with a different gel density to match specific tissue layers and treatment areas. Heavier products like Lyft or Contour go on bone for structural lift; softer products like Kysse stay flexible for lips.
Our nurse injector specializes in Full Facial Balancing — strategically placing filler across the lips, cheeks, chin, and jawline to restore proportion and structure without an overfilled appearance. The goal is your face, refreshed — not a different face.
The Benefits
Volume Restoration
Replenishes lost volume in the cheeks, temples, and tear troughs — areas that hollow with age due to fat pad descent and bone resorption.
Deep Wrinkle Correction
Fills nasolabial folds and marionette lines by adding structural support beneath the skin’s surface, softening creases at the point of origin.
Immediate, Lasting Results
Results are visible the same day and typically last 6 to 18 months depending on the product used and the treatment area.
Concerns Dermal Fillers Treat
If your concern is on this list, filler is likely a strong fit. If it’s not, your injector will tell you and recommend the right treatment.
Volume Loss & Hollow Cheeks
Age-related fat pad descent and bone resorption cause the midface to flatten and the cheeks to appear sunken. Dermal fillers placed along the zygomatic arch and upper cheek restore projection and lift the lower face. For patients also experiencing skin laxity, combining filler with RF microneedling can address both volume and firmness.
Under-Eye Hollows & Dark Circles
Tear trough hollowing creates shadows that make the under-eye area look dark and tired. A small amount of soft HA filler placed beneath the orbicularis muscle smooths the transition between the lower lid and cheek. For pigment-related dark circles (rather than shadow-related), PRF under-eye injections may be a better fit. Your injector will tell you which is right at consultation.
Nasolabial Folds & Marionette Lines
Deep creases from nose to mouth (nasolabial folds) and mouth to chin (marionette lines) form as the midface loses structural support. Filler placed at the fold origin and along the cheek lifts tissue from above, reducing crease depth without overfilling the fold itself. This approach — supporting the structure that caused the fold — produces a more natural result than filling the line directly.
Thin or Asymmetric Lips
Lip filler adds volume, defines the vermilion border, and corrects asymmetry. We use Restylane Kysse — a flexible HA gel designed specifically for the lip — to maintain natural movement and expression. For subtle enhancement without added volume, a lip flip with Botox is also available. Learn more on our dedicated lip filler page.
Weak Chin or Jawline
A recessed chin or undefined jaw can affect facial proportion from both the front and profile views. Filler placed along the mandible and at the chin point creates definition and improves the chin-to-nose ratio. For patients also concerned about submental fullness, combining jawline filler with neuromodulator treatment for the masseter can slim and define the lower face simultaneously.
Facial Asymmetry
Most faces have natural asymmetry — differences in cheek projection, brow height, or jawline contour that become more noticeable with age-related volume loss. Strategic filler placement across multiple zones (a full facial balancing approach) can improve symmetry and overall proportion. View our before and after gallery for examples of facial balancing work.
Dermal Fillers vs. Botox / Dysport
Fillers and Botox are both injectables, but they treat fundamentally different causes of aging. Fillers add volume to address static concerns — visible at rest. Botox relaxes muscles to address dynamic concerns — lines that appear with movement. Many patients benefit from both.
Many patients receive both in the same visit: filler for structural volume in the midface, Botox for the lines around the eyes and forehead. Your injector will recommend the right combination during your consultation. Learn more about our Botox and Dysport treatments.
What to Expect: Before, During & After
A filler appointment typically takes 45–90 minutes depending on the number of areas treated. Results are visible the same day.
Consultation & Mapping
Your injector assesses your facial anatomy, discusses your goals, and marks strategic injection points. For full facial balancing, this includes evaluating proportions from the temples down to the chin. A treatment plan and syringe estimate are outlined before any injections begin — you’ll know the expected cost going in.
Numbing & Preparation
A topical numbing cream is applied to the treatment areas and left on for approximately 15 minutes. All Restylane fillers also contain lidocaine within the gel, providing additional comfort during injection. Most patients describe the experience as well-tolerated.
Injection
Filler is placed using either a needle or cannula depending on the area being treated. Cannulas are typically used for under-eyes and cheeks to reduce bruising risk. Your injector works in small increments, assessing symmetry and proportion between each pass — building the result rather than placing it all at once.
Immediate Results & Review
Results are visible right away, though mild swelling is normal and will subside over 1–2 weeks. Your injector reviews the result with you and takes post-treatment photos. You leave with detailed aftercare instructions and a direct line if you have questions in the days that follow.
Settling & Follow-Up
Filler fully integrates with your tissue over 2–4 weeks. Swelling resolves, and the product softens into its final, natural-looking result. A follow-up appointment at 2 weeks allows your injector to make any minor adjustments if needed — included with your initial treatment.
Post-Treatment Tips
Avoid touching, pressing, or massaging the treated areas for 24 hours. Skip intense exercise, saunas, and hot yoga for 48 hours. Sleep face-up (on your back) for the first two nights to prevent product displacement. Apply cold compresses gently if swelling occurs — do not apply ice directly to the skin. Avoid alcohol for 24 hours and blood-thinning supplements for 48 hours post-treatment. Contact the clinic immediately if you experience unusual pain, blanching, or vision changes. Full aftercare on our post-care instructions page.
Filler Cost in Atlanta
Pricing is determined by the number of syringes used — not by treatment area or product. Below are average syringe estimates for common areas. Your injector confirms the exact plan during your consultation.
Per-Syringe Pricing
Pricing varies slightly by product (Kysse, Lyft, Refyne, Defyne, Contour). A typical first-time lip enhancement runs $700–$1,500 total (1–2 syringes); full facial balancing runs $3,500–$7,000 across multiple syringes and areas.
Book ConsultationA common aesthetic guideline is roughly one syringe per decade of life for full facial correction. Syringe counts are averages — actual amounts vary based on your anatomy and goals. We never recommend more syringes than your face needs.
Who Performs This Treatment
How Many Sessions & How Often
HA fillers are gradually metabolized by the body over time. Your injector outlines a personalized maintenance plan based on the products used and the areas treated.
Most patients achieve their desired result in a single session. For areas like lips or nasolabial folds, one appointment with 1–2 syringes is typically sufficient. Your injector may recommend a conservative first session with a follow-up touch-up at 2 weeks.
Comprehensive facial balancing — addressing cheeks, jawline, chin, and lips together — may be completed in one longer session or staged across two appointments spaced 2–4 weeks apart, depending on total volume and patient preference.
Lips typically need retreatment at 6–9 months; cheeks and jawline last 12–18 months. Maintenance sessions usually require fewer syringes than the initial treatment since residual product remains in place — you’re topping up, not starting over.
Treatment timelines vary based on the product used, the area treated, and individual metabolism. For patients also addressing dynamic wrinkles or skin texture, combining filler with Botox or MOXI laser targets complementary concerns in the same care plan.
Pairs Well With
Fillers restore structure and volume below the surface. These treatments address skin quality on top for more comprehensive results.

Botox & Dysport
Neuromodulators relax muscles that cause dynamic wrinkles (forehead, crow’s feet); fillers address static volume loss. Together they treat both causes of facial aging.

BBL Photofacial
Fillers restore volume from the inside; BBL targets pigmentation, redness, and sun damage at the skin’s surface — addressing structure and tone simultaneously.

Sciton MOXI
MOXI laser resurfacing improves texture, tone, and mild scarring on the skin’s surface while fillers add structural support underneath — complementary layers of correction.

RF Microneedling
RF Microneedling stimulates collagen remodeling and tightens skin at the dermal level, which helps maintain and extend filler results over time.
Filler Questions
What to know before booking dermal fillers at ELLEMES Medical Spa in Atlanta.
Which areas can dermal fillers treat?
How many syringes do I typically need?
Will I look unnatural or “overdone”?
Does it hurt, and will I need downtime?
How long do results last?
What if I have bad filler from somewhere else?
How should I prepare for my appointment?
Real Patients, Real Results
Verified Google reviews from ELLEMES patients who chose us for dermal or lip filler with Thao.
“I had an amazing experience at Ellemes Medical Spa and couldn't be happier with my results! I got tear trough filler (under eye filler) for the first time to address my hereditary sunken eyes/dark circles and the difference is incredible. After just two weeks, my results look so natural and refreshed — it's truly life-changing! The procedure itself was smooth and virtually painless, with only minimal bruising that disappeared in a day or two. The best part is these results should last for about a year.”
“As the years have gone by, my self confidence has started to decline as I notice things about my face that weren't there before. I have been struggling with aging and have been wanting to try out fillers to balance out my facial features. I was very nervous at my consultation but my nurse injector, Thao Nguyen, put me at ease and my anxieties melted away. She asked me what my goals were and came up with a customized plan for my face.”
“First time seeing Thao at Ellemes Spa and I'm OBSESSED. She did cheek filler + Botox (facial rebalancing) and honestly… she's a magician. It didn't hurt at all, she made me feel so comfortable, and the results are insane — I feel SO snatched but still extremely natural. Like I've contoured my face with no makeup on. My new forever person. If you're thinking about filler or Botox, RUN to her. She's the real deal.”
“Absolutely love my results. I got under eye filler, dysport and chin filler with Thao Nguyen. She's the best. The staff is wonderful as well. Highly recommended for your beauty needs.”
“Thao is amazing! She did my cheek and chin fillers & under eye PRF. My results are beautifully natural (what I was going for). She's so knowledgeable, walked me through every step, addressing my concerns and really brought my vision of facial balance to life. Can't wait to return for my lip fillers!”
“I had facial balancing with Thao, and I am very pleased with the results! The filler she used made a subtle but helpful impact underneath my eyes — It reminded me of how I looked 10 yrs ago, I had forgotten what I looked like then! My forehead also looks so much smoother and younger. She was super sweet and lovely, as was everyone else I interacted with at the spa.”
“I had such a great experience at Ellemes for my very first lip filler treatment! I am getting married this year and I wanted a little extra plump while still keeping things natural, and they totally nailed it. My injector, Thao Nguyen, was absolutely incredible! She took the time to explain everything thoroughly, answer all my questions, and make sure I felt completely comfortable.”
“I visited ELLEMES Spa last week for my very first lip filler treatment, and I was a little nervous going in. However, the entire team made me feel so comfortable and at ease, making the whole experience truly amazing. The nurse Thao was fantastic — she took the time to explain every step of the process, what to expect afterward, and the proper aftercare.”
“I recently had the pleasure of visiting Thao for a lip filler removal and reapplication. She expertly dissolved my old lip filler that had migrated. Her technique was gentle, and I experienced minimal bruising. Thao's talent truly shines through her work. If you're looking for a skilled injector who knows how to bring out the best in your features, I highly recommend Thao!”
“I saw Thao for my first ever lip filler and I couldn't be happier with the results. She made me feel so comfy with the process, and the results are so natural! If you're feeling stuck on who to see to get your lips done, go with Thao :)”
“I've had such a great experience at Ellemes Med Spa! Lip filler with Thao and two sessions of BBL and Moxi with Lauren and every visit has been amazing. I always felt comfortable and never pressured. They take the time to explain exactly what they're doing, how the treatment works, and why it's beneficial.”
“Thao is so wonderful! I'm 35 and have never gotten anything done and she made me feel so comfortable. I got lip filler for the first time and I love it! Looks so amazing & natural! She is so kind and responsive if you have any questions after your procedure. If you're looking for lip filler, Thao's your girl!!!”
“Amazing experience getting lip filler! Nurse Thao is exceptional at what she does. Very natural results and she explains thoroughly the process which I appreciate. Anna at the front desk was super kind and welcoming when I arrived! Thank you so much, can't wait for my next appointment!”
“I had lip filler done by nurse Thao Nguyen 2 weeks ago and I am in love with my results! Nurse Thao came by a few minutes later and introduced herself and we talked about what I wanted. She was so kind, gentle, and answered every question. The office is gorgeous and clean and parking is validated.”
“I would like to extend my sincere appreciation to Thao at ELLEMES Medical Spa for her exceptional professionalism, warm demeanor, and the outstanding results she achieved with my lip and chin enhancements. Her expertise in administering fillers is evident in the natural and balanced outcome of the procedure. The entire experience was remarkably comfortable, with minimal discomfort. I highly recommend Thao for anyone considering lip or chin fillers.”
When You’re Ready
Schedule a consultation at our Sandy Springs clinic. Your injector will recommend the right treatment based on your anatomy, your concerns, and your timeline — with a clear syringe estimate before any product is placed.
Book a Consultation →Or call (470) 222-6581