REPLACE — paste a verbatim Google review and the reviewer's real first name
Dermal fillers in Scottsdale
structure, not volume
Filler restores what time removed — cheek projection, jaw definition, temple fullness. Placed by a national clinical trainer for Galderma and Prollenium, the companies that make the products. We map your face before a syringe is opened.
- Treatment type
- Hyaluronic acid injection
- Appointment
- 30–60 minutes
- Results
- Immediate, settled at 2 weeks
- Typically lasts
- 9–18 months by area
Filler replaces volume,
it does not lift skin
Most dermal filler is hyaluronic acid — a sugar your body already makes and uses to hold water in the skin. Manufactured into a gel and placed under the skin, it restores volume in a compartment that has deflated, or adds structure where you never had much.
The distinction patients almost never hear: filler treats volume loss, not skin laxity and not movement lines. If your cheek has flattened, filler helps. If your skin has loosened, filler placed to compensate makes a face look heavier, not younger — that is where the overfilled look comes from. And a line that only appears when you move is a neuromodulator conversation, not a filler one.
Getting that assessment right is most of the work. It is also why we would rather use one syringe well than three to chase a shadow that was never a volume problem.
- ✓A gel that restores volume in a specific facial compartment
- ✓Reversible — hyaluronic acid can be dissolved if you dislike it
- ✓Structural: cheeks, jaw, chin and temples change the shape of a face
- ✓Immediate, with swelling settling over roughly two weeks
- ✕A treatment for movement lines — that is Botox or Dysport
- ✕A substitute for a facelift; filler cannot lift loose skin
- ✕A skin-quality treatment — pigment and texture need peels or microneedling
- ✕Permanent, and that is a feature rather than a limitation
By the syringe,
never by the package
Filler is priced per syringe, because that is the unit you actually receive. Package pricing hides how much product is going in — and in this treatment, less product placed well is usually the better outcome. We map your face, tell you how many syringes and where, and quote the total before anything is opened.
Product choice and syringe count are decided at consultation. We never require a minimum number of syringes.
Ten areas we treat
with filler
Filler is a structural treatment. Below is every area we place it, what each one actually achieves, and roughly how long it lasts there — movement and blood supply differ across the face, so duration does too.
Cheeks & midface
The cheek carries the light on a face. When it flattens, the folds below deepen and the jawline softens even though nothing changed there. Restoring projection here often resolves three complaints at once.
Nasolabial folds
The lines from nose to mouth. Often better treated by rebuilding the cheek above them than by filling the fold directly — filling the fold alone is what creates a heavy, shelf-like look.
Marionette lines
The lines running down from the corners of the mouth. Treated alongside chin and jaw support so the lower face is rebalanced rather than patched.
Jawline definition
Sharpens the angle between face and neck. Filler adds bone-like structure along the mandible; for a heavy or square jaw, masseter Botox does the opposite job.
Chin projection
The most under-assessed point on the face. A chin set slightly back throws off profile balance and makes lips look overfilled when they are not.
Temples
Hollow temples narrow the upper face and make the brow look heavy. A small amount here restores the oval shape and is one of the least noticed, most effective corrections.
Under-eye · tear trough
The most technically demanding area on the face. Treated with a cannula, conservatively, and only when the hollow is genuinely volumetric rather than pigment or skin quality.
Lips
Definition, border and hydration using micro-droplet technique. Volume for its own sake is not what we do.
Perioral · smoker's lines
Fine vertical lines above the upper lip, treated with a soft filler and often combined with a small amount of neuromodulator and resurfacing.
Hands
Hands age faster than faces and are almost never treated. Filler restores the padding over the tendons and veins.
What is happening
under the skin
Filler does not stretch, tighten or lift skin. It occupies space in a specific tissue plane and holds water. Here is the sequence.
The compartment is identified
Facial fat sits in discrete compartments that deflate at different rates. We assess which one has lost volume — the visible problem is often a plane or two away from where you would point.
Product is matched to the plane
A firm, high-lift gel belongs on bone for structure. A soft, low-cohesion gel belongs superficially for fine lines. Using the wrong one in the wrong plane is the single most common cause of a lumpy or puffy result.
Placement, cannula or needle
A blunt cannula pushes vessels aside rather than piercing them, so it is used in the tear trough, temples and midface. A needle gives precision on bone and at the lip border. The choice is anatomical, not habitual.
Hydration and integration
Hyaluronic acid binds water, so the area swells for several days then settles. The gel integrates with surrounding tissue over about two weeks — which is when the result is real and when we review it.
Gradual breakdown
Your body metabolises the gel over months. Mobile areas like lips clear faster than static areas like the jaw, which is why duration differs across a single treatment.
Thirty to sixty minutes,
and you drive yourself home
Facial assessment and mapping
We look at your face in three dimensions and at rest — projection, proportion, asymmetry and profile. This is where syringe count is decided, and where we tell you if filler is not the right answer.
Your quote, before anything opens
Areas, product, number of syringes, total. Nothing is drawn up until you have agreed to it.
Numbing
Topical anaesthetic for 15 to 20 minutes. Most fillers also contain lidocaine, so comfort improves as the treatment progresses.
Placement
Cannula or needle depending on the area. You will be sat upright and shown a mirror partway through so you are part of the decision.
Aftercare and your two-week review
Ice, arnica if you bruise easily, and written aftercare. We book your complimentary review at two weeks, when swelling has resolved and the result is genuinely final.
Dermal filler
before and after
Individual results vary. All photographs are of KORA patients, unretouched, in identical lighting and framing, published with written consent.
Filler timeline, day by day
Dermal filler results are visible immediately but swollen for several days. Swelling resolves within about a week and the final result settles at two weeks. Depending on the product and area, filler lasts 9 to 18 months.
Treating before an event? Allow four weeks, not two. Filler bruises more than neuromodulators and you want a review window before the date.
It is almost never
too much product
Overfilled faces are usually the result of product placed in the wrong plane, or of chasing a shadow that was caused by skin laxity rather than volume loss. Adding filler to compensate for loose skin widens a face — so the next appointment adds more, and the face widens further. We assess laxity separately and will tell you when the honest answer is that filler is the wrong tool.
- ✓Assessed in three dimensions, at rest and in motion
- ✓Under-correction by default on a first visit
- ✓We will decline to treat when filler is not the answer
Filler carries real risk.
That is why an NP places it
The serious complication in filler is vascular occlusion — product entering or compressing a blood vessel. It is rare, it is time-critical, and it is managed with hyaluronidase by someone who recognises it immediately. We use a blunt cannula in the highest-risk areas, aspirate where a needle is used, and keep hyaluronidase on site at all times. This is the argument for who holds the syringe rather than which brand is in it.
- ✓Cannula technique in tear trough, temple and midface
- ✓Hyaluronidase on site at every appointment
- ✓Injected only by a nurse practitioner
We dissolve filler
without a lecture
Migrated lip filler, an overfilled midface, a tear trough that has gone puffy — all common, all correctable. Hyaluronidase breaks down hyaluronic acid within days, and we can rebuild afterwards once the tissue has settled, usually at two to four weeks. A significant share of our filler work is correction, and there is no judgement attached to it.
- ✓Dissolving assessed and quoted separately
- ✓Rebuild after the tissue settles, if you want one
- ✓No judgement about where the work was done
Not all filler
is the same gel
Hyaluronic acid fillers differ in how firm they are, how much they lift, how much water they attract and how long they last. A firm, high-lift gel belongs on bone at the cheek or jaw. A soft, low-swell gel belongs at the lip border or under the eye. Matching gel to plane is the difference between structure and puffiness — and it is the part of the decision most patients are never walked through. Katie trains other injectors on exactly this for Galderma and Prollenium.
Which one do you actually need?
These four do genuinely different jobs and are routinely confused. Filler adds volume now. Sculptra rebuilds your own collagen slowly. Botox relaxes muscle. Kybella removes fat. If your line is only there when you move, no filler will fix it — and if your cheek has deflated, no neuromodulator will.
| Compare | This treatmentDermal filler | Pairs withSculptra | Pairs withBotox | AlternativeKybella |
|---|---|---|---|---|
| Best for | Volume loss — cheeks, jaw, chin, temples, lips | Gradual, whole-face collagen rebuilding | Lines caused by movement | Fat under the chin |
| What it does | Adds structure and volume immediately | Stimulates your own collagen over months | Relaxes the muscle folding the skin | Permanently destroys submental fat cells |
| Onset | Immediate, settled at 2 weeks | 6–12 weeks | Day 3–5 | 6–12 weeks |
| Typically lasts | 9–18 months | Up to 2 years | 3–4 months | Permanent |
How much do dermal fillers cost
in Scottsdale?
| Treatment area | Typical syringes | Priced | Estimated cost |
|---|---|---|---|
| Cheeks & midface | 1–2 syringes | Per syringe | Quoted at consultation |
| Nasolabial folds | 1 syringe | Per syringe | Quoted at consultation |
| Marionette lines | 1 syringe | Per syringe | Quoted at consultation |
| Jawline definition | 2–4 syringes | Per syringe | Quoted at consultation |
| Chin projection | 1–2 syringes | Per syringe | Quoted at consultation |
| Temples | 1–2 syringes | Per syringe | Quoted at consultation |
| Under-eye (tear trough) | 1 syringe | Per syringe | Quoted at consultation |
| Lips | 1 syringe | Per syringe | Quoted at consultation |
| Perioral / smoker's lines | 1 syringe | Per syringe | Quoted at consultation |
| Hands | 1–2 syringes | Per syringe | Quoted at consultation |
| Filler dissolving (hyaluronidase) | Per session | Per syringe | Quoted at consultation |
| Consultation & two-week review | — | — | Complimentary |
Katie Manhardt, MSN, FNP-C, Founder & Nurse Practitioner
Katie Manhardt is a board-certified family nurse practitioner and the founder of KORA Aesthetics. She holds a nursing degree from the University of Northern Colorado and a master's from the University of Cincinnati, and serves as a national clinical trainer for both Galderma and Prollenium — teaching injection technique and facial anatomy to other medical professionals across the country.
She practises facial balancing: assessing the face as a single structure against its midline rather than treating complaints one at a time. Every filler appointment at KORA is performed by Katie or by Victoria Patterson, NP.
Trained by the manufacturers
Katie is a national clinical trainer for Galderma and Prollenium — the companies behind Restylane and Revanesse. She teaches other injectors how to place these products safely.
A nurse practitioner, every time
Filler carries vascular risk that a neuromodulator does not. Every appointment is performed by Katie or Victoria Patterson, NP, with hyaluronidase on site.
What Scottsdale says about filler at KORA
How to prep & what to do after
Bruising is the thing to plan around
- Book at least four weeks before any event. Filler bruises more than neuromodulators and you want a review window before the date.
- If medically appropriate and cleared by your physician, stop blood thinners, NSAIDs, fish oil, vitamin E and alcohol 48 hours ahead.
- Tell us about every medication and supplement, and about any history of cold sores — lip filler can trigger an outbreak and we may prescribe antiviral cover.
- Reschedule if you have an active skin infection or a dental procedure within two weeks either side.
- Eat beforehand. Injections on an empty stomach are the most common cause of feeling light-headed.
- Let us know if you are pregnant, trying to conceive or breastfeeding — we will not treat you.
The first 48 hours matter most
- Ice intermittently for the first 24 hours, 10 minutes on and 10 off. Sleep with your head elevated for two nights.
- Do not massage or press the area unless we have specifically shown you how.
- No strenuous exercise for 48 hours — raised blood pressure worsens swelling and bruising.
- Avoid heat for 48 hours: sauna, hot tub, hot yoga, sun beds.
- Avoid alcohol for 24 to 48 hours.
- Expect lumps and asymmetry in the first few days. This is swelling, not the result.
- No dental work or facials for two weeks.
- Call us IMMEDIATELY for blanching or white patches, escalating or disproportionate pain, dusky or mottled skin, or any vision change. These are signs of vascular compromise and are time-critical.
Filler questions, answered properly
Basics
What are dermal fillers?+
Dermal fillers are gels — most commonly hyaluronic acid, a sugar your body already produces — injected under the skin to restore lost volume or add structure. They treat flattening and hollowing rather than movement lines or loose skin.
How long do dermal fillers last?+
Between 9 and 18 months depending on the product and the area. Mobile areas such as lips clear faster than static structural areas such as the jawline, so duration varies within a single treatment.
Cost
How much do dermal fillers cost in Scottsdale?+
Filler is priced per syringe and quoted at consultation. Scottsdale practices generally range from $650 to $1,100 a syringe depending on product. Most first treatments use one to two syringes, and there is no minimum requirement at KORA.
Treatment
Does filler hurt?+
Less than most people expect. We apply topical numbing for 15 to 20 minutes, and nearly all modern fillers contain lidocaine, so comfort improves as treatment progresses. Lips are the most sensitive area.
How long is the swelling after filler?+
Swelling peaks at day 1 to 3 and largely resolves within a week. The final result is at two weeks. Lips swell most and can look startling on day two — that is normal and not the outcome.
Results
Will filler make me look overfilled?+
Not if it is assessed properly. The overfilled look usually comes from placing product in the wrong plane, or from using filler to compensate for skin laxity rather than volume loss. We under-correct by default and add at your two-week review if needed.
Can dermal filler be dissolved?+
Yes. Hyaluronic acid filler is reversed with hyaluronidase, which breaks it down within days. We dissolve our own work and other providers', and can rebuild afterwards once the tissue has settled.
What is the difference between filler and Botox?+
Filler adds volume and treats hollowing or lines present when your face is completely still. Botox relaxes muscle and treats lines that appear when you move. Many patients need a small amount of both, and identifying which is causing which line is most of the assessment.
Filler or Sculptra — which is better?+
Neither is better; they do different jobs. Filler gives immediate, targeted structure and lasts 9 to 18 months. Sculptra stimulates your own collagen gradually over 6 to 12 weeks, gives a softer whole-face change, and can last up to two years. Many patients use both.
Safety
Is dermal filler safe?+
Hyaluronic acid fillers have a long safety record, and the material is reversible. The serious risk is vascular occlusion — product entering a blood vessel — which is rare, time-critical and managed with hyaluronidase. We use blunt cannulas in the highest-risk areas and keep hyaluronidase on site at every appointment.
Who should not have dermal filler?+
Anyone pregnant, trying to conceive or breastfeeding; anyone with an active skin infection at the site; anyone with a known allergy to hyaluronic acid or lidocaine; and anyone with certain autoimmune conditions. We screen for all of this at consultation.
Can I fix filler from another provider?+
Yes, and it is a significant part of what we do. Migrated lip filler, an overfilled midface and puffy tear troughs are all common and all correctable with hyaluronidase. There is no judgement attached to it.
Location
Do you treat patients from Paradise Valley?+
Frequently. Our clinic is on 69th Street just south of Shea — inside Scottsdale, a few hundred yards from the Paradise Valley boundary, usually a five to ten minute drive from most of PV.
Where in Scottsdale are you located?+
10505 N 69th Street, Suite 1300, Scottsdale, AZ 85253 — at 69th Street just south of Shea Boulevard, with free private parking. We are appointment only.
Dermal filler across Scottsdale, Paradise Valley and the Valley
Our clinic sits at 69th Street just south of Shea — inside Scottsdale, and a few hundred yards from the Paradise Valley town line. Patients travel to us from across the East Valley.
Pairs beautifully with filler
Dysport
Faster onset, spreads slightly wider
Explore Dysport →Dermal Fillers
Restores volume Botox cannot
Explore Dermal Fillers →Lip Fillers
Adds volume where a lip flip adds show
Explore Lip Fillers →Juvederm
Explore Juvederm →Sculptra
Rebuilds your own collagen over months
Explore Sculptra →Kybella
Explore Kybella →Dissolving Filler
Explore Dissolving Filler →SkinPen PRF Microneedling
Treats texture and etched lines Botox cannot
Explore SkinPen PRF Microneedling →PRF Injections
Explore PRF Injections →VI Chemical Peel
Addresses pigment and sun damage
Explore VI Chemical Peel →Thirty minutes. No obligation.
A full facial assessment, your syringes mapped, your total quoted upfront — and an honest answer, including when filler is not what you need.
Worried about looking overfilled?
So are we. We under-correct on a first visit by default and add at your complimentary two-week review. If your concern is loose skin rather than lost volume, we will tell you filler is the wrong tool.
Not sure how many syringes you need?
That is what the consultation is for. We map your face in three dimensions, tell you the syringe count and quote your total before anything is opened.
Had filler somewhere else you dislike?
Common and fixable. We assess what is there, dissolve it with hyaluronidase if needed, and rebuild once the tissue settles. No judgement.
Nervous about the risks?
Reasonable — filler carries vascular risk that a neuromodulator does not. We use blunt cannulas in the highest-risk areas, inject only via a nurse practitioner, and keep hyaluronidase on site at every appointment.
