Dermal fillers are injectable treatments used to restore volume beneath the skin. Most fillers are composed of hyaluronic acid, a naturally occurring substance found in the skin that helps maintain hydration, elasticity, and structure.

As the face ages, it gradually loses collagen, fat, bone support, and hyaluronic acid. This can lead to:

• Hollowing of the cheeks and temples
• Deepening of the nasolabial folds and marionette lines
• Thinning of the lips
• Under-eye hollows
• A less defined jawline
• Early jowling and lower face heaviness

Dermal fillers can be used to replace this lost support in a refined, anatomically precise way.

At Treiber Dermatology, Drs. Ansell and Chima most commonly use fillers to treat:

• Cheeks
• Under-eye hollows
• Lips
• Chin
• Jawline
• Temples
• Nasolabial folds
• Marionette lines
• Fine lines around the mouth
• Volume loss in hands
• Loss of volume in earlobes

The Doctors at Treiber Dermatology frequently explain that the best filler treatment should never look obvious. The goal is not to make patients look different, but rather to make them look subtly refreshed.

Many patients considering filler are concerned about looking “overfilled,” puffy, or unnatural. In recent years, the public has become increasingly aware of faces that appear exaggerated, heavy, or obviously treated.

Drs. Ansell and Chima are known for a very different approach.

The Doctors at Treiber Dermatology emphasize conservative, carefully placed filler designed to restore youthful proportions while maintaining natural facial movement and expression. They often prefer to use smaller amounts of filler placed strategically over time, rather than large volumes all at once.
This philosophy is especially important in the lips, cheeks, and under-eye area, where too much filler can create an unnatural appearance.

Patients frequently seek out Treiber Dermatology specifically because they want to avoid:

• Overfilled cheeks
• Heavy or “duck-like” lips
• An unnaturally wide or puffy face
• Filler migration
• A distorted or artificial appearance

Drs. Ansell and Chima believe that the best cosmetic dermatology should leave patients looking rested, healthy, and more confident; never obviously “done.”

Cheek Filler

One of the earliest signs of facial aging is volume loss in the midface. As the cheeks lose support, the face can begin to appear flatter, more tired, and heavier in the lower face.

Cheek filler can restore subtle lift and contour to the midface while also improving the appearance of the nasolabial folds and lower face. At Treiber Dermatology, Drs. Ansell and Chima take care to avoid the overly full, exaggerated cheek appearance that can occur when filler is placed too superficially or in excessive amounts.

Lip Filler

Lip filler can enhance definition, restore hydration and fullness, and improve balance between the upper and lower lip.

The Doctors at Treiber Dermatology are known for natural-looking lip filler that enhances the lips without making them appear overdone. In many patients, the goal is not dramatically larger lips, but rather improved shape, subtle fullness, correction of asymmetry, and restoration of volume lost with age.

Under-Eye Filler

Hollows beneath the eyes can create a tired, shadowed appearance even in well-rested patients. Carefully placed filler can improve this hollowing and create a smoother transition between the lower eyelid and cheek.

The under-eye area is one of the most technically challenging regions to treat. For this reason, Drs. Ansell and Chima take an especially conservative approach and carefully determine whether filler is truly the best option. In some patients, other treatments such as laser resurfacing, skin tightening, or cheek filler may provide a more natural result.

Jawline and Chin Filler

Filler in the jawline and chin can improve facial definition, strengthen profile balance, and soften early jowling.

For some patients, subtle chin filler can create better harmony between the nose, lips, and lower face. Jawline filler may help improve contour and provide a more sculpted appearance while still looking natural.

Temple Filler

Volume loss in the temples is a commonly overlooked sign of aging that can make the face appear more skeletal or tired. Restoring volume to this area can create a softer, healthier, more youthful appearance.

Drs. Ansell and Chima frequently evaluate the temples as part of a comprehensive facial assessment, since improvement in this area often enhances the overall balance of the face.

Hand Filler

The hands are often one of the first areas to show age, even in patients who otherwise look youthful. Over time, volume loss on the backs of the hands can make veins, tendons, and bony structures appear more prominent.

Hand filler can restore subtle fullness and create a smoother, more youthful appearance while still looking entirely natural. At Treiber Dermatology, Drs. Ansell and Chima take a conservative approach to hand rejuvenation, using filler to soften prominent veins and tendons without making the hands appear swollen or overtreated.

Many patients choose hand filler because they feel that their hands no longer match the youthful appearance of their face.

Earlobe Filler

With age, earrings, and gradual loss of collagen, the earlobes can become thinner, creased, elongated, or appear deflated. Some patients notice that earrings no longer sit properly or that heavy earrings pull downward.

Earlobe filler can restore volume and support to the earlobes, improving their shape and allowing earrings to sit more naturally and comfortably. Drs. Ansell and Chima frequently use a small amount of filler to subtly rejuvenate the earlobes and soften the appearance of stretched or aging skin in this area.

This treatment is particularly popular in patients who wish to wear earrings more comfortably or who are bothered by the appearance of thin, creased, or elongated earlobes.

At Treiber Dermatology, Drs. Ansell and Chima most commonly use hyaluronic acid fillers because they are versatile, natural-looking, and reversible if necessary.

Depending on the area being treated and the patient’s goals, commonly used filler families may include:

• Restylane
• Juvederm
• RHA Collection

Different fillers have different characteristics. Some are softer and more flexible, making them ideal for the lips or under-eye area. Others are firmer and provide more structure, making them better suited for the cheeks, chin, or jawline.

The Doctors at Treiber Dermatology select filler based not only on the area being treated, but also on each patient’s anatomy, skin quality, and desired result.

Some patients benefit not only from traditional filler, but also from treatments that stimulate the body’s own collagen production.
Biostimulatory injectables such as Sculptra work differently from hyaluronic acid fillers. Rather than adding immediate volume, they gradually encourage the skin to rebuild collagen over time.

Drs. Ansell and Chima often incorporate Sculptra into a comprehensive treatment plan for patients with more generalized volume loss, thinning skin, or early facial laxity. In some cases, a combination of filler and collagen-stimulating treatment provides the most elegant, long-lasting result.

Successful filler treatment depends far more on the injector than on the product itself.

At Treiber Dermatology, Drs. Ansell and Chima approach filler with a detailed understanding of facial anatomy, aging patterns, balance, and proportion.

During consultation, they evaluate:

• Facial shape and bone structure
• Areas of volume loss
• Skin quality and elasticity
• Existing asymmetry
• Prior filler treatments
• The patient’s aesthetic goals

The Doctors at Treiber Dermatology frequently explain that there is no single “best” filler or one-size-fits-all approach. The right treatment depends on the patient’s age, facial anatomy, and long-term goals.

Patients who have had filler elsewhere often seek consultation at Treiber Dermatology because they feel that prior treatment looked unnatural or did not address the true source of the problem. Drs. Ansell and Chima are experienced in refining, correcting, or thoughtfully dissolving previous filler when appropriate.

The longevity of filler depends on the product used, the area treated, and the individual patient.

In general:

• Lip filler often lasts approximately 6 to 12 months
• Cheek and jawline filler may last 12 to 18 months
• Under-eye filler may last 1 year or longer in some patients
• Chin filler often lasts approximately 12 months

Patients frequently find that smaller, ongoing maintenance treatments create the most natural long-term result.

Patients throughout New York and Connecticut seek filler treatment at Treiber Dermatology because of the practice’s refined and individualized philosophy.
The Doctors at Treiber Dermatology are known for:

• Natural-looking filler that never appears overdone
• A conservative, anatomy-based approach
• Sophisticated understanding of facial aging and balance
• Expertise in lip filler, cheek filler, under-eye filler, jawline filler, and facial contouring
• Customized treatment plans rather than standardized filler packages

The Doctors at Treiber Dermatology believe that the best filler treatment should make patients look like the most refreshed, confident version of themselves.