top of page

Dermal Fillers

Get plumped up!  With dermal fillers.

Skin Fillers

Dermal fillers have been approved by the U.S. Food and Drug Administration (FDA) for use to help correct moderate to severe facial wrinkles and folds, including the lines between the nose and mouth, the nasolabial folds, and to increase the size of lips.  We administer our dermal fillers using a blunt micro cannula which minimizes the chances for bruising and for inadvertent intravascular injections.


Skin Fillers are made of a biodegradable hyaluronic acid, which is a naturally occuring substance found in all living organisms. Upon being injected, filler will add natural volume and lift to smooth the wrinkles and folds.  Dermal fillers can last up to 18 months or even past 2 years. The duration of dermal fillers depends on your skin condition, age, lifestyle factors, skincare routine, and stress levels.

The hyaluronic acid fillers are not derived from animal sources. They are produced biotechnologically by natural fermentation in a sterile laboratory environment. This significantly diminishes the risk of eliciting allergic reactions in patients who are sensitive to common foods, such as beef, chicken and eggs.  

There can be some initial inflammation with dermal fillers that can cause temporary swelling. The full results of a dermal filler will appear 4 weeks after the treatment.

If you are unsatisfied with the results of the treatment used with a hyaluronic acid filler, you may request a hyaluronidase injection to quickly break down the injected filler. Through this method, the effects of the dermal filler treatment will only last for 2 to 4 weeks.

Dermal Fillers before and after

Dermal Fillers before and after
Dermal Fillers before and after
Play Video
Dermal Fillers before and after
Play Video
Dermal Fillers before and after
Play Video

We offer Juvederm: Volbella, Vollure, Ultra Plus, Voluma, and Versa to sculpt face and hands reducing wrinkles and adding volume.

Here are nine popular uses for dermal fillers:

Skin Filler Use Locations - Botox Oahu

1. Adding Shape and Volume to the Lips

While some people naturally have full and plump lips, there are more people who don’t. The fact that the lips commonly thin with age doesn’t help either!

This is why more and more people have been turning to dermal fillers to add volume and shape to their lips. This simple treatment can really make a huge difference to your overall look.

Lip fillers are usually carried out over the course of a few treatments.



Because this enables you to slowly get used to the plumpness, preventing over-plumping from occurring. As you may have recently seen on a number of celebrities, over-plumped lips are a common problem, and are the main concern when undergoing lip fillers.

Doing this gradually helps to avoid this problem. An experienced surgeon will also know exactly how much of the filler to inject into each lip. Usually, the bottom lip requires more, and the top lip only requires a very small amount. This ensures that you end up with a natural look. After all, you don’t want it to be obvious that you have had fillers put in!

When it comes to lip fillers, hyaluronic acid or collagen are the most popular options.

While both of these plump the lips up, hyaluronic acid has the added advantage of being a powerful humectant. This means that it can hold on to a large amount of water, giving you an even more natural look.

Lip Dermal Filler

2. Fading Away Laugh Lines or Marionette Lines

While laughter is great for your physical and mental health, laughing does also lead to those pesky laugh lines forming around the mouth.

These lines are also referred to as:

  • Marionette lines

  • Nasolabial folds

  • Smile lines


Laugh lines are pretty much an unavoidable part of aging, especially for people who are quite expressive.

However, if you have taken a dislike to your laugh lines, dermal fillers can help you to clear them.



The fillers are injected into the actual creases around your mouth. This then adds volume and plumpness, making the creases so much less visible.

Dermal filler for laugh lines

3. Sculpting the Jaw and Chin

So many people are unhappy with the appearance of their chin and jawline.



For a number of reasons…

It could be down to age, which usually makes the chin and jawline sag. Others may be genetically predisposed to having a weaker jawline, or even a small chin that looks disproportionate to the rest of the face.

A strong chin and jawline tends to be more attractive, which is why more and more people are opting for dermal fillers to help re-sculpt this part of their face.


When used on the chin, dermal fillers can:

  • Stiffen the skin

  • Define the chin and jowls

  • Minimize the appearance of a weak chin

  • Lengthen the chin to balance out facial proportions


These fillers are usually injected into the chin itself.

When used on the jawline, dermal fillers add so much definition, leaving your face looking much sharper and more contoured.


Where about on the face are jawline fillers injected?

Usually in the chin too, as well as the corners of the jaw. Your dermatologist may also need to inject fillers into your cheekbones too to give your jawline an added lift.


Dermal Filler Jawline

4. Treating Acne Scarring

Acne scarring is more common than you would think…

Research shows that at least 40% of those who suffer from active acne also end up with scars.

Acne scars, just like any other type of scar, can be quite difficult to clear. While chemical peels and laser treatments can sometimes help, this does depend on the type of acne scar you have. Ice pick scars, boxcar scars and rolling scars tend to be the hardest to treat.

Fortunately, this is something that dermal fillers can help with…


The fillers are usually injected just beneath the scars. These then have the effect of lifting up depressed scars, giving the skin a smoother and brighter appearance.

The way in which the injection needle targets the fibroblast cells in the skin also stimulates your skin into producing more collagen and elastin. This gives you longer-lasting results from the treatment, as your skin will be working harder to heal itself.


Some fillers are also able to break up the bands in the skin that cause the scars, making them even less noticeable over time.


You are probably thinking…

If fillers are temporary, doesn’t this mean that my acne scars will only return after a while?

In a way, yes. However, many practitioners have found that when the scars do return, they are never usually quite as severe as they were before the fillers were injected as there is stimulation and growth of the underlying tissue.

Acne Scars Dermal Filler Before and After

5. Treating Neck Lines

Do you spend quite a bit of time looking down at a screen?

These repeated motions will soon lead to what is now being coined as tech neck.

What is tech neck?

It’s the horizontal wrinkles and lines that appear on the neck, due to you constantly bending your neck downwards.


Of course, even if you don’t do this, you may still experience lines on your neck due to age. The skin here is much thinner and more delicate than people realize, meaning that it does not take long for it to become loose and wrinkled.


This is where dermal fillers come in…

They provide pretty much instant results to tech neck, plumping this area up and restoring its youthful appearance.


Are the lines on your neck vertical rather than horizontal?

This would mean that they are bands rather than rings, and cannot really be treated with dermal fillers. Instead, you will likely need to opt for a surgical treatment if you want to clear these.

Have you noticed that the lines on your neck extend further down to the rest of your décolletage?

This is common due to how the muscles in the neck and shoulders are pretty much constantly moving. The décolletage also tends to experience more sun exposure than other parts of the body, leading to a crepey appearance over time.


Well, dermal fillers can be injected here too. This will rejuvenate your décolletage and increase the moisture content of the skin here, giving you a plumper, smoother and tighter appearance.

Neck lines dermal filler before and after

6. Rejuvenating Aging Hands

The skin on your hands is quite thin, with this thinness increasing with age. The hands also tend to be exposed to various environmental factors far more than the rest of the skin on your face and body, be it sun exposure, water or just wear and tear.

This is why the skin on the hands is so susceptible to wrinkles and blemishes. They also tend to take on a crepey appearance with age. While there are several treatments that can help with this, from laser resurfacing to chemical peels, dermal fillers are the only way to restore the smoothness and firmness to the skin here.

How do dermal fillers help with this?


The way in which they restore volume to the hands immediately helps to plump them up. This makes wrinkles, veins, tendons and bones so much less visible.

Where about in the hands are the fillers injected?

This depends entirely upon how much your hands have aged. Your dermatologist will know exactly where the fillers need to be injected. Once this has been done, your dermatologist will massage these fillers into place. This ensures that the fillers contour around the shape of your hands and do not restrict your movement in any way.

One tip to keep in mind when looking for a dermatologist to perform your hand fillers…

Ideally, you want someone with plenty of experience in using fillers in the hands. They should also have a solid understanding of hand anatomy.



Because this has a huge impact over the final results. If your fillers are injected too deeply, the results won’t last for very long. On the other hand, if they are injected too close to the surface of the skin, they are easily visible and will not give you the natural finish you are seeking. This is why it is important to find a dermatologist who knows exactly where in the hands to inject the fillers.


Hands dermal filler before and after

7. Tightening Up the Earlobes

Your earlobes may not be a part of your body that you pay too much attention to, but you will likely notice them more and more as you age.



Because, over time, your earlobes may start to sag, and can also take on fine lines and wrinkles. If you have holes in your earlobes from piercings, these holes can expand as your earlobes sag, which is something that nobody wants.


What can you do about this?

Turn to dermal fillers, of course!

These will plump and tighten your earlobes back up, smoothing out any lines or creases. By restoring volume to your lobes, any earrings that you wear will also sit much better against your face. Of course, in order to keep your results around for as long as possible, you should still try to avoid earrings that are extremely large or heavy.

Where about in the earlobe are the fillers injected?


They will usually be spaced out around the perimeter of your whole earlobe, focusing on areas where your skin is particularly thin or droopy. Only a tiny amount of the filler is needed to give you a natural-looking result. If too much is applied, your ears will only end up looking swollen.

Earlobe fillers also tend to last longer than fillers injected into other parts of the face and body.



Because the earlobes don’t actually move about very much, meaning that they do not disrupt or degrade the fillers. This is why people who have dermal fillers injected into their earlobes will notice results lasting for as long as 18 months.


Can fillers be used to treat low-hanging earlobes?

Unfortunately not. This is something that only an earlobe reduction would be able to help. However, after that, you can use dermal fillers to help maintain your new, youthful earlobes.

One thing to keep in mind with dermal fillers is that some of them are actually reversible. If you are not happy with the results, your dermatologist can inject an antidote into your skin. This then breaks down the ingredients within the filler, returning your skin to its original state.

Ear lobe dermal filler before and after

8. Nose reshaping

One of the first things people notice is your nose, especially if it is not symmetrical. 



Due to trauma, genetics, or aging you may be unhappy with the shape of your nose.  


What can you do about this?

Dermal fillers can be used for nose reshaping, areas that are targeted with the dermal filler injections will slightly increase in volume, in a natural and subtle way. This means that any bumps, or unevenness, and even the shape of your nose can be altered in line with the natural contours and scaffold of your face.


The aim of this procedure is to resolve any issues with nose shape or structure.



Dermal fillers can be used to reshape the nose by adding volume to specific areas and improving its overall contour. This can be a less invasive and more cost-effective alternative to surgery, and can provide immediate results. Additionally, dermal fillers can be used to smooth out bumps or indentations on the nose, and can be easily adjusted or reversed if the patient is not satisfied with the results. Overall, dermal fillers can provide a quick and non-surgical option for improving the shape of the nose.

Nose reshaping with dermal fillers before and after
Vollure before and after - Botox Oahu

Vollure Before and After

Voluma before and after - Botox Oahu

Voluma Before and After



Juvederm is the like the magical wand you’ve always wanted.  It softens facial lines, wrinkles and folds, along with making your lips appear fuller with less lines. What are the differences between Juvederm Ultra, Voluma,  Volbella and Vollure?

We offer all Juvederm products to help you address your specific concerns. Dr Schaefer will recommend the best product or combination of products for you during an initial  consultation.


This product is designed to address mild to moderate facial lines, wrinkles, and folds. It is most often used in the skin around the nose, mouth, and chin. However, it can also treat lines and wrinkles around the brows and forehead in some patients. In addition, it can be used to successfully boost volume in the lips and create a fuller appearance with a smooth, natural texture.



The main advantage of this product is its thicker formula, which allows our doctors to target more severe wrinkles and folds. This filler is often used to treat nasolabial folds. These folds develop in the thicker tissue between the nose and mouth and are notoriously difficult to erase. However, this filler can help lift and volumize the skin to create a smooth appearance and minimize nasolabial folds with one treatment. It has a slightly thicker formula to aid in creating long-lasting volume.



Vollure was designed to target lines around the mouth, including smile lines, nasolabial folds, and marionette lines, and under the eyes. This product is appropriate for mild to moderate wrinkles and folds. 


As we age, our cheeks and midface often begin to lose volume and appear hollow. This product helps correct loss of volume in the midface, can shape the chin, and can create plumper, younger-looking cheeks to augment your smile.


This treatment is used on the lips and can correct a variety of issues caused by the aging process. It can fill lip lines, help restore the natural borders of the lips, build natural volume, and create a plump, skin-like texture instantly. Volbella is less likely to create noticeable lumps in the lips. 

Yelp! Review ✭✭✭✭✭

Amazing doctor  this was my second time getting juvederm fillers with Dr. Schaefer and both times they came out beautiful. I got them under my eyes, which has made SUCH a difference in my face. I looked very tired before and now, very bright eyed and awake. I also got them along my smile lines, jowels and lips. All of them were very evenly distributed. The first time i got them i wanted a subtle look and thats exactly what i got. It took at least 5-7 years off my face. The second time i asked for more in my lips and im extremely pleased. I cannot say enough how amazing she is as a dr. Its very hard to find a doctor that will listen to you and she absolutely will. She's very patient and understanding, something that is lacking in a lot of drs these days. Love her. The pics i attached are from my second round of fillers.

Yelp! Review ✭✭✭✭✭

This is absolutely the best botox and filler that I have ever gotten.  Dr. Schaefer's skills, knowledge, and state of art equipment surpasses any that I have seen on the mainland or Honolulu.  I have friends that have come to Hawaii to use her.  Thank you Dr. Schaefer and staff for such great results!

Yelp! Review ✭✭✭✭✭

I have been to see Dr. Schaefer a few times now for Botox injections.   I was completely satisfied with the results.  I decided to try a filler to help hide a scar on my lip and it looks amazing.  You cant even tell I had a scar there unless I point it out.  I wish I had gone to her years ago!!!

Check out the Review tab or Yelp! to see comments from many more happy filler patients

bottom of page