Injectable Fillers Dallas

There is a variety of injectable fillers to choose from, including fat injections, Bellafill, and Sculptra® Aesthetic. Dallas plastic surgeon Dr. Steve Byrd is a renowned facial plastic surgeon with the expertise to help you get the most from your facial rejuvenation. Dermal fillers give patients a way of fine-tuning their plastic surgery results or a non-surgical alternative for improving their appearance and confidence if they’re not quite ready for plastic surgery.

If you’re interested in dermal fillers in Dallas/Fort Worth but you’re not sure which option is best for you, give us a call at (214) 821-9662. We’ll be happy to give you a full evaluation and recommendation in our office on North Central Expressway. You’ll be looking and feeling better before you know it.

Dr. Byrd’s Approach

An office consultation where you’ll discuss your desired changes and the appropriate products is the first step. Lisa, our nurse in Dallas for the past 20 years, assists in the evaluation and treatment of patients interested in injectables. She is compassionate and gentle in the injection technique, and she is fluent in all the latest products, their indications, and their limitations. Topical anesthetics and blocks can be used to make the procedures as comfortable as possible. It takes a clinically trained, artistic eye to decide what filler or combination of fillers would best help a patient realize his or her goals.

The wide array of wrinkle treatments and facial rejuvenation options in Dallas and Fort Worth today can seem overwhelming. Schedule a consultation today, and Dr. Byrd and Lisa will help you sort through your choices and select the products best suited to your needs.


Products Chemical Name Expected Results Additional Information
Fat Autologous adipose tissue Lifetime 50% of injections “take”
Bellafill Polymethylmethacrylate 5 years Skin test required prior to initial injection
Sculptra Poly-lactic Acid 18 – 24 months Requires 2 – 3 injections 6 – 8 weeks apart
BOTOX® Cosmetic Botulinum toxin 3 – 4 months Consistent users may be able to wait 6 months between treatments

*FDA studies went beyond 7 years and presence of fill is still apparent.

Are You a Candidate?

If sun damage, injury, or natural aging have created frown lines, crow’s-feet, marionette lines, or vertical lip lines on your face, you may derive great benefit from one of the injectable product therapies available. The fillers supplement your body’s natural collagen, while BOTOX Cosmetic keeps your own deep muscle tone from creating facial creases. You can also discuss your candidacy for facelift, endoscopic brow/midface lift, and other facial surgery and which would be best for you.

How the Procedure Is Performed

A topical anesthetic is applied about 30 minutes prior to the injection of fillers used in the nasolabial folds, cheeks, eyelids, and chin area. If lips are to be injected, a dental block is utilized to minimize any discomfort. After the products are injected, pressure, massage, and ice therapy are begun immediately to achieve the desired effect while minimizing swelling and any possible bruising. (Please advise the scheduler and arrive 45 minutes prior to your appointment to allow the anesthetic time to work properly.) BOTOX Cosmetic does not require any topical numbing, but it can be administered upon request. We advise stopping all medications that contain aspirin 10 to 14 days prior to receiving any of these injections to limit bruising.

Recovery: What to Expect

Day 1 – 2
  • Use cold compresses intermittently to reduce swelling.
  • Massage as directed depending on the filler used.
Day 3 – 14
  • Bruising and swelling should subside by now (on lips).

Fat Injections

Fat injections are my overall favorite filler. Lab results indicate a 40% to 50% cell survival rate, which translates into stable, and long-term outcomes. Fat has the advantage of staying exactly where it is injected, rather than migrating to other parts of the body.

Fat cells are harvested from the patient’s abdomen or thighs using a small cannula and syringe, not a liposuction machine. A numbing solution mixed with fluids is injected at the harvest site to reduce pain and bleeding. We remove several times as much fat as will be injected in the selected site. After the cells have been purified, the fat is placed in syringes and made ready to inject.

The procedure requires IV sedation and a short office recovery prior to returning home. The injection area may be swollen for about 3 weeks, but as you heal, the injected area becomes soft and smooth, taking on the body’s normal feeling and texture. Microfat injections are my favorite overall lip filler, and they also can be used successfully for the nasolabial folds, hollows or depressions near the eyelid/cheek area, cheeks, and even in body-contour deformities.

Because about 50% of the fat is expected to “take,” we slightly overfill during injection to compensate somewhat for that expected and normal loss. We are reluctant to double the desired fill volume, though, for fear of getting an undesired lump or overcorrection. You can always add more fat, but you can’t remove it.


In 2006, after a number of years of use in Europe (and labeled with another name), the FDA approved the use of Bellafill in the United States for the treatment of nasolabial folds. The filler that is used in this treatment is composed of synthetic microspheres called polymethylmethacrylate, or PMMA, cow collagen and lidocaine. The PMMA does not reabsorb into the body; instead, it stimulates the body to produce its own collagen supply.

Polylactic Acid – Sculptra Aesthetic

Sculptra is an injectable approved by the FDA for use in HIV patients with “facial atrophy,” or the loss of fat between the skin and muscle of the face that creates a gaunt look. Sculptra has been used safely outside the United States for years for cosmetic treatment of deep volume loss or atrophy in the face. It has now become a favorite long-term filler for Dallas and Fort Worth patients seeking correction of deep lines and hollows. Applications for use include gaunt cheeks, tear troughs, nasolabial folds, and sublabial hollows. Correction of the sublabial depression helps minimize the appearance of jowls either before or after a face lift. Two to three injections are scheduled 6 to 8 weeks apart to establish the desired fill and contour. Following the last injection, the result should last 18 to 24 months.

Important Safety Information

Bellafill® is indicated for the correction of nasolabial folds and moderate to severe, atrophic, distensible facial acne scars on the cheek in patients over the age of 21 years. Patients who have had a positive reaction to the Bellafill® Skin Test, have a history of severe allergies, have known bovine collagen allergies, are allergic to lidocaine, have bleeding disorders or are prone to thick scar formation and/or excessive scarring should not receive Bellafill®. The safety of Bellafill® for use during pregnancy, breastfeeding, or in patients under 21 has not been established. You may experience temporary swelling, redness, pain, bruising, lumps/bumps, itching, and discoloration at the treatment site. These side effects are usually transient and typically resolve within 1–7 days. You may experience lumps/bumps/papules that may occur more than one month after injection and that may persist. Less common side effects include rash and itching more than 48 hours after treatment, persistent swelling or redness, lumps/bumps, acne, and increased sensitivity at treatment sites. Infrequently, granulomas may occur and may be treated by your licensed physician provider. Be sure to call your licensed provider immediately if you notice any unusual skin reactions around the treatment area. Based on the 5-year Post-Approval Study on nasolabial folds with 1,008 patients, long-term safety of Bellafill® for up to 5 years has been established. 1. Gottfried Lemperle, et. al., ArteFill® Permanent Injectable for Soft Tissue Augmentation: I. Mechanism of Action and Injection Techniques., Aesthetic Plast Surg. 2010 Jun;34(3):264–72. 2. Bellafill® [Instructions for Use]. San Diego, CA: Suneva Medical, Inc.; 2015. 3. Jacob CI, Dover JS, Kaminer MS. Acne scarring: A classification system and review of treatment options. J Am Acad Dermatol; July 2001; 109-117. 4. Data on file. Suneva Medical, Inc. 5. Haneke et al. Polymethyl Methacrylate Microspheres in Collagen. Semin Cutan Med Surg 23:227-232,2004. 6. Cohen et al. Artecoll: A Long-Lasting Injectable Wrinkle Filler Material: Report of a Controlled, Randomized, Multicenter Clinical Trial of 251 Subjects. Plast. Reconstr. Surg. 114: 964,2004. 7. American Academy of Dermatology, 8. Journal of Plastic, Reconstructive and Aesthetic Surgery, 2008, 9. Formula PR Independent Study, 2013. 10. Suneva Medical AAD Advisory Board, August 2015, data on file. 11. Keep in mind each patient is unique and your results may vary. 12. Cohen et al. Five-Year Safety and Satisfaction Study of PMMA-Collagen in the Correction of Nasolabial Folds. Dermatol Surg. 2015 Dec;41 Suppl 1:S302-13. 13. Karnik et al. A double-blind, randomized, controlled trial of suspended polymethylmethacrylate microspheres for the correction of atrophic facial acne scars. J Am Acad Dermatol. 2014 Jul;71(1):77-83.

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    Dr. Steve Byrd

    Board-Certified Plastic Surgeon

    To visit our office use address:
    9101 N Central Expy #560
    Dallas, TX 75231

    For mailing purposes use address:
    9101 N Central Expy #600
    Dallas, TX 75231
    Tel (214) 821-9662
    Fax (214) 828-2609

    The American Society for Aesthetic Plastic SurgeryAmerican Society of Plastic Surgeons