Skin Fillers at Charlotte Skin & Laser
You have been seeing changes in photos and in the mirror. You are not looking the same as you did 5, 10, or 15 years ago. Probably these changes bother you, but you can’t quite put a finger on what has changed—and how did it get this way now?
Board-certified dermatologist Dr. Elizabeth Rostan and her expert team are committed to excellence, honesty, and treatment success. Here, you will always feel welcomed, comfortable, and cared for. For a skin filler plan that honors your skin’s natural beauty, partner with Charlotte Skin & Laser.
Charlotte Skin & Laser is your destination for premier skin rejuvenation. We are conveniently located in central Charlotte and welcome patients from all over North Carolina. Call (704) 333-9113 or visit us online to schedule your appointment. Stunning, healthy skin is possible when you partner with board-certified Dr. Elizabeth Rostan and her team.
Skin Fillers at a Glance
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The Signs of Aging
Some of the changes associated with an aging face are related to volume loss and structural changes. There is also a loss of skin elasticity—the skin’s ability to bounce back. Loss of elasticity is like a rubber band that has been used too much or left in a drawer too long—it stretches but stays stretched, unable to return to its original shape. In that state, it becomes useless as a rubber band. The same thing happens with your skin. These two factors—volume loss and structural changes, along with reduced elasticity—contribute to the changes you are seeing.
Volume loss in the upper face—such as the loss and downward movement of fat pads, as well as subtle bone loss in the upper cheek—causes the skin to drop. With decreased skin elasticity, it no longer bounces back or holds itself up. In the lower face, there is a loss of soft tissue over the chin and bone loss in the lower jaw (mandible). This leads to a shortened jawline, a weaker chin, shadowing of the chin, reduced lip volume and projection, and the formation of jowls. Volume loss in the temples results in hollowing and contributes to an older appearance. Weight loss or a naturally low body weight can accentuate these changes.
Maybe none of these changes are occurring because you are still quite young. However, you may still be troubled by facial asymmetry or inherently small features—such as a short jawline, small chin, thin cheeks or temples, or deep-set eyes. All faces are asymmetrical to some degree, but significant asymmetries can be distressing, and correction may enhance overall appearance. Scarring, including acne scarring, can also lead to structural loss in the skin and deep divots.
What Can Charlotte, NC, Dermal Fillers Treat?
Let the expert team at Charlotte Skin & Laser put their years of experience to work for you—harnessing the power of fillers to enhance your natural beauty and restore a more youthful contour and appearance. We use skin fillers in many ways, including:
- Reduce the appearance of lines, wrinkles, and folds
- Improve cheek contour and hydration, and restore a pretty light reflect off the upper cheek
- Restore lost volume to temple area and create lift in the lateral brow area
- Enhance chin volume and contour, improving the jawline and better frame the lower face and lips
- Help with lip lines and enhance lip volume and shape
- Correct facial fat loss
- Replenish the hollow areas under the eyes
- Define and lengthen the jawline
- Correct structural loss caused by acne and other injuries, fill surface acne scars
- Strengthening and improving sagging earlobes
- Restore elasticity and improve wrinkles in the neck and lower face
- Tighten and enhance skin on the chest, abdomen, arms, and thighs
- Rejuvenate the appearance of hands
The Art of Skin Fillers at Charlotte Skin & Laser: Choosing Our Experts
These days, you can find filler injectors almost anywhere: salons, spas, booth rentals, cruises, dental offices, chiropractic offices, and maybe even grocery stores soon! But injecting skin filler is not a skill easily learned or taught. There is both an art and a science to beautiful filler. There is also an art to maximizing the value of filler, ensuring you get the most effect from the least amount of product.
Dr. Rostan has spent years perfecting the art of filler injection—studying patient photos, analyzing facial contours and shapes, evaluating changes over time in patients for whom she has years of photos, and critically assessing her own outcomes—all to ensure she delivers the most natural and beautiful results. Patients come to Dr. Rostan not only for her skills and knowledge but also for her artistry. Her staff has spent considerable time learning the art of filler injection alongside her, and they continue to collaborate closely on many patients, sharing results. Shared knowledge and ongoing learning are core values at Charlotte Skin & Laser. Our providers are always working to perfect their skills.
At Charlotte Skin & Laser, our injectors are also deeply committed to the science and safety of skin fillers. We emphasize understanding anatomy and using techniques designed to maximize the safety of filler injections and minimize the risk of complications. In the event of a complication, our staff is prepared with well-rehearsed safety protocols. Your safety, comfort, trust, and results are our top priorities.
That’s the art of natural results, and it’s achievable with expertly placed fillers.
You don’t want to look different—you want to look like the best version of yourself. It’s about feeling confident and comfortable in your appearance, whether you’re at a special event, out with friends, or on a date with that special someone. A great result means looking refreshed, rested, and bright—without anyone being able to quite put their finger on why.
Don’t let fear stand in your way—whether it’s fear of change, fear of looking unnatural, or fear of discomfort. These are common and valid concerns. At Charlotte Skin & Laser, we make your comfort a priority and approach every procedure with care, precision, and deep respect for your natural appearance. Subtle enhancements can make a meaningful difference. When done well, results look like you—rested, refreshed, and more confident—not altered or overdone. That’s the goal, and you can achieve it with the expert care at Charlotte Skin & Laser. Take the next step and let us show you what’s possible.
Trust is at the heart of what we do. We value the trust you place in us and are committed to earning it every step of the way through thoughtful care, honest recommendations, and consistently natural outcomes.
Fillers Can Renew and Tighten Your Skin!
Yes, it’s true! Fillers can renew and tighten your skin—this is true regenerative medicine. These fillers stimulate your skin to renew its structure by producing collagen, regenerating elastin, and rebuilding the extracellular matrix, delivering skin renewal at multiple levels through biostimulation. How does this happen?
We mainly use what are called biostimulatory fillers to initiate this skin renewal process. There are two predominant biostimulatory fillers: Sculptra (poly-L-lactic acid) and Radiesse (calcium hydroxylapatite). Hyaluronic acid fillers can also have a biostimulatory effect, but are primarily used to restore volume, create lift, hydrate, and soften lines.
When a biostimulatory filler is injected into the dermal layer of the skin, the skin’s response to the filler produces the rejuvenating effect. The particles of the filler attract the attention of skin cells called fibroblasts. Without stimulation, these fibroblasts are dormant. They are what we call senescent cells, meaning they are present in the tissue but not performing their function and may even contribute to accelerated aging. When awakened by particles of biostimulatory filler, these aging fibroblasts stretch out, attach to the particles, and start functioning again. Their function is to produce collagen, elastin, and extracellular matrix—improving the structure of our skin.
This biostimulatory effect is effective on any area of skin—on and off the face. Areas we commonly use this technique include:
- Lower face and temples
- Neck
- Hands
- Upper arms
- Thighs and knees
- Abdomen
Particularly with Sculptra, the filler not only promotes skin renewal—improving fine lines and texture—but can also provide a tightening or lifting effect. Biostimulatory fillers are often combined with energy-based devices, such as lasers and radiofrequency treatments, as well as threads, to further tighten and enhance the skin.
Why Choose Charlotte Skin & Laser for Skin Fillers?
All of these changes and imperfections can be improved with skin fillers. Skin fillers are injectable products designed to be safely administered into the skin to restore volume and perform other key functions. Many signs of aging simply cannot be corrected without the use of fillers. Injectable fillers have revolutionized anti-aging cosmetic treatments and have also provided non-surgical options for addressing facial asymmetries and scars.
Here are some of the ways skin fillers can enhance your natural beauty:
Create Smoothness & Reduce Dynamic Lines
With age and sun damage, the skin loses collagen and elasticity, leading to crepey, wrinkled texture—especially in high-movement areas such as crow’s feet, the upper lip, and the lower cheeks (accordion lines from smiling). Injecting a thin layer of filler just beneath the skin’s surface in these areas creates a smooth foundation, reducing crepey lines. The biostimulatory effect also helps rebuild collagen and skin matrix for longer-term improvement.
Create Lift
Loss of facial volume allows the skin to sag—much like a deflating balloon. Fillers in the midface and lateral cheek areas can lift and restore volume. Adding volume to the temple area can lift the lateral eyebrow. Contouring the chin with filler can improve the appearance of jowls and enhance the lips by supporting the chin area.
Stimulate Skin Renewal
All dermal fillers exert a biostimulatory effect, meaning they stimulate the renewal of skin components like collagen, elastin, and the extracellular matrix—the supportive structure between skin cells. This regenerative effect helps smooth fine lines and wrinkles and gives the skin a brighter, fresher appearance.
Fillers Restore Contour and Volume
Fillers help restore the face’s natural, youthful contours, bringing back the way light naturally reflects off the cheeks and improving the overall visual perception of an aging face.
Hydrate Skin
Hyaluronic acid fillers are similar to the body’s natural hyaluronic acid. They attract and retain moisture, helping to hydrate, plump, and smooth the skin.
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Integrating The Art of Medicine with the Science of Beauty
At Charlotte Skin & Laser, we offer personalized skincare with a boutique touch—combining medical expertise and aesthetic artistry to deliver natural, results-driven care. From skin checks to rejuvenation, our expert team is here to guide you.
Preparing for Your Charlotte, NC, Skin Filler Appointment
It is ideal to follow these instructions before your appointment:
- Avoid aspirin and ibuprofen for one week before your appointment to minimize bruising
- Don’t consume alcohol or caffeine for 24 hours before your appointment, as it can increase bleeding and bruising risk
- Use a gentle cleanser the morning before your appointment, and don’t wear makeup
- Your comfort is our priority. Discuss with us if you remain anxious about your appointment. You may benefit from an oral medicine to help you relax. We ask that you not drive if one of these medicines is given.
What to Expect During Your Skin Filler Appointment
Prior to your injection session, you will be asked to remove makeup and earrings. Photos will be taken, and you will be asked to sign a consent form. This form is available on our TouchMD app, allowing you to sign it ahead of your appointment. If you have any questions, they can be addressed before we begin.
We will review your photos, discuss any treatment plan, and go over any previous injection treatments you have had. Then, we will evaluate you in person and discuss your goals. After this, the filler will be prepared.
Your skin will be cleansed with an antiseptic cleanser. Tiny injections of numbing medication will be placed in the treatment area to allow for filler injection via a cannula. A cannula is a fine, blunt-tipped hollow tube used for injections. Because it is blunt-tipped—not sharp like a needle—the risks of bruising and injecting into a blood vessel are minimized. Multiple filler placement areas can be reached from a single insertion point. At the end of the injection session, the treated areas may be gently massaged.
We often blend the filler with a small amount of lidocaine or another numbing agent to ensure minimal discomfort as the injections proceed, since the area becomes quite numb. This numbing effect typically lasts about an hour. Because of this, it’s often comfortable to have a laser or radiofrequency treatment immediately following filler injections.
Keeping You Safe During Your Charlotte, NC, Filler Injections
Serious side effects from filler injections are primarily related to inadvertent injection into an artery. Arteries supply blood to the skin, so if an artery becomes blocked by a bolus of filler, the skin may be compromised. Large areas can be affected, potentially leading to necrosis, or tissue death, due to a lack of blood supply. This is a medical emergency and can later result in wound healing issues or require surgical correction.
If this occurs, we will immediately attempt to dissolve the filler in the blood vessel by locating it with ultrasound and injecting a dissolving agent, hyaluronidase, into the area. We can also inject hyaluronidase blindly around the area, as it is safe for the surrounding tissues.
To minimize the risk of injecting into an artery, the injectors at Charlotte Skin & Laser follow these protocols:
- Use a blunt-tipped cannula
- Use slow, tiny bolus injections
- Keep the cannula tip moving at all times
During your treatment, it’s important to focus on your comfort and stay relaxed. Anxiety and muscle tension can cause facial blood vessels to enlarge, increasing the risk of bleeding, bruising, and vascular complications. Please be open and honest with us about your anxiety, pain tolerance, and comfort level throughout the treatment.
Types of Dermal Fillers Include
Hyaluronic Acid
- Restylane
- Restylane Lyft (previously called Perlane)
- Restylane Kysse
- Juvéderm Ultra
- Juvéderm Voluma
- Juvéderm Volbella
- Belotero
- Revanesse Versa
- Teoxane RHA 2, RHA 3, & RHA 4
Poly-L-lactic Acid
Sculptra™
Hydroxylapatite
Radiesse
Honor Your Natural Beauty with Skin Fillers at Charlotte Skin & Laser
Refreshing your contours and overall appearance with skin fillers is quick, simple, and effective. At Charlotte Skin & Laser, we focus on delivering superior outcomes and helping you achieve healthy, beautiful skin.
Contact our office today at (704) 333-9113 or schedule your appointment online to get started with one of Charlotte’s premier board-certified dermatologists, Dr. Elizabeth Rostan. Your journey to beautiful, healthy skin starts here.
