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03Facial Balancing & Dermal Fillers

Dermal FillersRestore Volume. Refine Contours. Enhance Facial Balance.

Dermal fillers are injectable treatments designed to restore facial volume, soften selected lines, and enhance facial contours. At Parsa Wellness Clinic, our clinical team provides personalized treatments for the cheeks, chin, jawline, under-eye hollows, and other areas, focusing on balanced, natural-looking results. Available in North Vancouver and Chilliwack.

Clinics

North Vancouver & Chilliwack

Dr. Parisa Soltani, MD, FRCPC providing consultation for Dermal Fillers & Facial Balancing at Parsa Wellness Clinic

Treatment Duration

15 to 30 Minutes

Treatment time varies by the number of areas treated and the complexity of your plan.

Results Longevity

Typically 6–18 Months

Longevity varies by filler formulation, treatment area, and individual response. Some products may last longer.

Results

Initial Changes Visible Immediately

Swelling may temporarily affect the appearance as results settle.

Recovery & Downtime

Varies by person

Temporary swelling, tenderness, or bruising may last several days

Advanced Dermal Filler Care, Personalized to You

Treatment planning considers your goals, medical history, facial anatomy, and the benefits and limitations of available options. Ultrasound may support assessment when clinically indicated.

01

Experienced Medical Aesthetic Team

Personalized Care from Qualified Medical Professionals

Our clinical team considers your goals, facial anatomy, medical history, and treatment options when developing an individualized plan.

02

Point-of-Care Ultrasound

Clarius® Point-of-Care Ultrasound

Our Clarius® point-of-care ultrasound can help clinicians visualize relevant facial structures, assess existing filler, and support treatment planning when clinically indicated. Ultrasound provides additional anatomical information but does not eliminate injection-related risks.

03

Conservative, Anatomy-Based Treatment

Thoughtful Product Selection & Placement

We prioritize appropriate product selection and measured filler placement, with treatment plans designed around your facial anatomy, aesthetic goals, and natural proportions.

04

Hyaluronic Acid Filler Options

Options May Include Teoxane® & Stylage®

Available hyaluronic acid filler options may include Teoxane (Teosyal®) and Stylage®. Product selection is based on the area being treated and your clinical assessment.

Filler Basics

What Are Dermal Fillers and How Do They Work?

Dermal fillers are injectable gels used to restore volume, soften selected facial lines, and enhance contours. Many commonly used fillers contain hyaluronic acid, a substance naturally present in the body that helps retain moisture and support tissue volume.

Different hyaluronic acid formulations vary in firmness, flexibility, and placement depth—allowing clinicians to use more structured gels for deeper support in areas such as the cheeks, chin, or jawline, and softer gels for delicate or expressive areas.

Dermal fillers do not stop the aging process or permanently alter facial structures. Treatment results depend on the product, injection area, individual anatomy, and clinical response.

At Parsa Wellness Clinic, treatment planning focuses on selecting appropriate products and placement techniques to complement your natural facial features.

Clinician consulting with a patient about cosmetic injectable treatment
Facial assessment for dermal filler and facial contouring at Parsa Wellness Clinic

Personalized Facial Balancing Philosophy

What Is Facial Balancing with Dermal Fillers?

Facial balancing considers how your features relate to one another. Your clinician assesses your facial proportions and existing volume to discuss whether dermal filler in areas such as the cheeks, chin, or jawline may suit your goals. Your consultation also covers alternatives, limitations, and risks.

Facial Proportion Assessment

Your clinician considers facial proportions, existing volume, and how your features relate to one another.

Personalized Treatment Planning

Your anatomy, preferences, medical history, and goals guide the discussion of suitable options.

Natural Facial Expression

Facial movement and expression are considered when planning changes that complement your features.

Conservative Volume Enhancement

Product selection and the amount used are tailored to your assessment, with an emphasis on measured changes.

Targeted Facial Areas

Treatment Areas & Concerns We Address

Explore treatment options for selected concerns including cheek volume, jawline contour, under-eye hollows, and facial balance. Product selection and the amount used depend on individual anatomy, goals, and clinical assessment.

Cheeks & Midface Volume

May add volume to selected areas of the cheeks and midface and refine contour. The degree of change depends on your anatomy and treatment plan.

Under-Eye Hollows & Tear Troughs

For selected patients, filler may soften hollows beneath the eyes. Dark circles can have other causes, and under-eye filler is not suitable for everyone.

Jawline Definition & Early Jowls

Jawline filler may improve definition and create a more structured lower-face contour. In selected patients, it may help camouflage mild jowling, although it does not tighten loose skin or replace surgical lifting procedures.

Chin Projection & Profile Balancing

Chin filler may improve projection and definition in patients with a small or recessed chin. Treatment can help refine facial proportions and the appearance of the side profile without surgery.

Smile Lines (Nasolabial Folds)

Filler may soften the appearance of selected lines between the nose and mouth. The degree of change varies with facial anatomy and treatment plan.

Marionette Lines & Downturned Corners

Filler may soften selected lines from the mouth corners toward the chin and refine the surrounding contour. Suitability and results vary.

Hollow Temples (Temporal Hollowing)

May restore volume in selected cases of temple hollowing. The degree of contour change varies, and an outer-brow lift cannot be guaranteed.

Vertical Lip Lines (“Smoker's Lines”)

Dermal fillers may help soften selected fine lines around the mouth and improve the appearance of age-related volume changes. Suitability depends on skin condition, facial movement, and individual assessment.

Non-Surgical Nose Job (Liquid Rhinoplasty)

May improve selected nasal contour irregularities with hyaluronic acid filler. Suitability depends on individual anatomy and clinical assessment; filler adds volume and does not reduce nose size.

Interested in enhancing lip volume or definition? Explore our personalized lip filler treatments.

Understanding Your Options

Dermal Fillers vs. Collagen Biostimulators: What’s the Difference?

Hyaluronic acid fillers primarily add volume and refine contours. Collagen biostimulators are intended to encourage gradual collagen production. Which approach may suit you depends on your goals, anatomy, and clinical assessment.

Hyaluronic Acid Dermal Fillers

  • Purpose: Add volume and refine selected contours.
  • Timing: Changes may be visible soon after treatment; swelling can affect the early appearance.
  • Duration: Varies by product, area, and individual factors.
  • Dissolving: Hyaluronidase can break down HA filler, though response varies and precise reversal is not guaranteed.

Collagen Biostimulators

  • Purpose: Encourage gradual collagen production; they are not a direct substitute for targeted HA filler.
  • Timing: Changes develop gradually and vary by product and individual response.
  • Treatment areas and duration: Depend on the product and clinical assessment.
  • Dissolving: Hyaluronidase does not dissolve collagen biostimulators.
Explore Sculptra Treatments
Clinical Assessment & Treatment Planning

Non-Surgical Nose Job(Liquid Rhinoplasty)

Refine Nasal Contours Without Surgery

Non-surgical rhinoplasty uses carefully placed hyaluronic acid filler to improve selected nasal contour irregularities, such as small depressions or the appearance of a dorsal hump. Suitability depends on individual anatomy and clinical assessment. Filler adds volume rather than reducing the physical size of the nose. Nasal filler carries important risks, including vascular complications that can cause serious tissue injury or vision problems; these risks are discussed during assessment.

Ultrasound-Assisted Assessment

Where clinically indicated, ultrasound can help assess relevant anatomy and inform treatment planning. It does not eliminate vascular risk.

Recovery Varies

Temporary swelling, tenderness, or bruising may occur. Your clinician can discuss aftercare and expected recovery.

Variable Duration

Filler longevity varies by product and individual factors; duration cannot be guaranteed.

Request an AppointmentClinical consultation & custom nose assessment
Non-surgical rhinoplasty and liquid nose reshaping consultation at Parsa Wellness Clinic

Candidate Suitability

Liquid Rhinoplasty: Benefits & Limitations

Individualized Plan
  • May camouflage selected irregularities: Filler can add volume around a contour dip to soften the appearance of some bumps; it does not remove the bump.
  • Nasal Tip Refinement: In carefully selected patients, hyaluronic acid filler may improve the appearance of nasal tip definition or contour. Suitability depends on individual anatomy and clinical assessment.
  • May improve the appearance of asymmetry: Filler may soften the look of selected minor contour differences, but it cannot structurally straighten the nose.
  • Understanding Treatment Limitations: Liquid rhinoplasty cannot reduce nasal size, correct breathing difficulties, or address every structural concern. Surgical rhinoplasty or another approach may be more appropriate for certain patients.
Product selected after assessmentNon-surgical

Clinical Outcomes

Dermal Filler Before & After Results

Individual results vary. Photographs, where shown, represent specific patients and do not guarantee a similar outcome.

Request an Appointment
Dermal filler before and after case 1
Dermal filler before and after case 2
Dermal filler before and after case 3
Dermal filler before and after case 4

The Treatment Journey · What to Expect

What to Expect During Your Dermal Filler Treatment

Your clinician will explain the assessment, treatment options, recovery expectations, and follow-up plan for your individual care.

01
Consultation & Assessment

Your Consultation & Treatment Plan

We discuss your goals and medical history, assess your facial anatomy, and review suitable options, expected benefits, limitations, and risks. Ultrasound may be used when clinically indicated.

02
Comfort & Treatment

Personalized Dermal Filler Treatment

If you choose to proceed, your clinician selects a product and technique based on the area and plan. Numbing options may be discussed to support comfort.

03
Healing & Settling

Healing & Initial Settling

Temporary swelling, tenderness, or bruising may occur and can last several days or longer. The early appearance may change as swelling settles.

04
Review if appropriate

Review Your Results

Your clinician can advise when to review your result. The timing and need for follow-up or any additional treatment depend on your response and the clinic’s follow-up policy.

Follow-Up When Appropriate

Post-Treatment Review

Your clinician can advise when a review may be useful. The timing and need for follow-up or any additional treatment depend on your response and the clinic’s follow-up policy.

Request an Appointment

Preparation & Aftercare

Preparing for Dermal Fillers & Aftercare

These general suggestions support preparation and recovery. Your clinician will provide instructions suited to your treatment and health history.

Part 01

Preparing for Treatment

Before Your Appointment
01

Discuss Medications & Supplements

Tell your provider about all medications and supplements you take, including aspirin, anti-inflammatory medications, and blood thinners. Some products may increase bruising. Do not stop prescribed medication unless advised by the healthcare professional who prescribed it.

02

Alcohol Before Treatment

Alcohol may contribute to bruising or swelling in some patients. Your clinician can advise whether avoiding alcohol before your appointment is appropriate.

03

Dental Procedures & Vaccinations

Tell your provider if you have dental work or vaccination planned around your appointment. They can advise whether timing should be adjusted based on your treatment plan and clinic protocol.

04

Skin Health & Medical Conditions

Inform your clinician about active skin infections, cold sores, recent illness, or changes in your health before your appointment. Treatment may need to be postponed depending on your condition. Inform your clinician if you are pregnant, breastfeeding, or planning pregnancy, as the safety of cosmetic dermal fillers during pregnancy and breastfeeding has not been established.

Part 02

After Your Injections

Hours 0 to Day 14
01

Avoid Pressure & Massage

Avoid unnecessary pressure or massage on treated areas for the period advised by your clinician. Do not massage the area unless specifically instructed.

02

Cold Compresses, If Recommended

If recommended by your clinician, apply a clean, wrapped cold compress gently to help manage temporary swelling. Avoid direct ice contact or excessive pressure.

03

Skip Intense Workouts & Saunas (24–48 Hours)

Your clinician may recommend avoiding strenuous exercise, saunas, hot yoga, and excessive heat for 24–48 hours following treatment to help limit temporary swelling and bruising.

When to seek urgent medical care

During or shortly after filler treatment, seek immediate medical attention for unusual pain, skin blanching or new white, gray, or blue discolouration near the injection site, or any change in vision. Sudden vision changes or possible stroke symptoms—such as face drooping, weakness or numbness, difficulty speaking or walking, severe headache, dizziness, or confusion—are emergencies. Call 911.

Full-Face Harmony & Proportions

Facial Balancing & Combination Treatments

A treatment plan may address more than one concern. Dermal fillers, neuromodulators, collagen biostimulators, and lip treatments have different uses and may be combined when clinically appropriate.

Pairing 01Volume & Muscle Relaxation

Dermal Fillers & Neuromodulators

Contour + Expression Lines

Dermal fillers add volume or contour in selected areas, while neuromodulators reduce activity in selected muscles. They may be considered together when appropriate, but each treatment has different benefits and risks.

Complementary TreatmentsNeuromodulators
Pairing 02Volume & Collagen Support

Dermal Fillers + Sculptra®

Volume + Gradual Collagen Stimulation

Hyaluronic acid fillers can provide visible volume or contour change, while Sculptra is intended to stimulate collagen gradually. The timeline and duration of results vary; your clinician can discuss whether either option suits your goals.

Collagen StimulationSculptra® PLLA
Pairing 03Lower-Face Harmony

Chin, Jaw & Lip Harmonization

Lower-Face & Profile Alignment

Chin, jawline, and lip treatments may be considered individually or together to refine lower-face proportions. Your clinician assesses facial anatomy, profile balance, and treatment goals to determine which areas, if any, may benefit from enhancement.

Lower-Face BalancingLip Fillers

Correction & Revision Care

Dermal Filler Dissolving & Correction

Unwanted, uneven, or migrated hyaluronic acid filler may be treated using hyaluronidase, an enzyme that breaks down hyaluronic acid. Outcomes vary, and precise or complete reversal cannot be guaranteed.

Where appropriate, ultrasound imaging can help assess filler location and guide treatment planning. Our clinical team evaluates each case individually to determine the most suitable corrective approach.

01

Ultrasound Mapping

When appropriate, ultrasound may help assess the location of filler and relevant structures. Imaging has limitations and cannot remove all uncertainty.

02

Hyaluronidase Treatment

Hyaluronidase may be placed in selected areas to break down hyaluronic acid filler. The response varies and may affect more than the intended filler.

03

Follow-Up & Future Treatment Planning

After treatment, your clinician may recommend a follow-up assessment to evaluate your response. If additional filler treatment is appropriate, timing and options can be discussed after reassessment.

Common Inquiries

Frequently asked questions about dermal fillers

Learn about treatment planning, ultrasound assessment, filler correction, and how results vary.

Have old migrated filler?

We assess concerns about previous hyaluronic acid filler and discuss correction options, including hyaluronidase when appropriate.

Contact Our Clinic

Liquid rhinoplasty uses hyaluronic acid filler to add volume to selected areas and create the appearance of a smoother contour. It may improve some small depressions or the appearance of a dorsal hump, but it does not physically reduce the nose. Suitability is determined through clinical assessment. Nasal filler has important risks, including vascular complications, which can cause serious tissue injury or vision problems; ultrasound may support assessment when indicated but cannot eliminate these risks.

Our clinical team discusses your goals, medical history, facial anatomy, and treatment options before developing a plan. When clinically indicated, point-of-care ultrasound may help assess anatomy and support planning. As with any injectable treatment, risks remain and outcomes vary.

The amount and placement of filler can affect facial proportions, and overfilling is possible. We discuss a conservative, individualized plan based on your anatomy and goals. No approach can guarantee a particular appearance, and you can choose whether to proceed after discussing the benefits and risks.

Product options may include hyaluronic acid fillers from Teoxane (Teosyal®) and Stylage®. Formulations differ, and the product selected depends on the treatment area, your anatomy, and clinical assessment. No filler brand guarantees a specific result, safety profile, or duration.

Longevity varies by product, treatment area, amount used, and individual factors such as metabolism. Your clinician can discuss a reasonable expectation for the proposed treatment, but duration cannot be guaranteed and maintenance may be considered over time.

The under-eye area requires careful assessment, and filler is not appropriate for everyone or every cause of dark circles. Your clinician will discuss potential benefits, alternatives, and risks, including swelling, contour irregularities, and vascular complications. A needle, cannula, or ultrasound assessment may be considered based on the individual treatment plan; no technique eliminates risk or guarantees that a Tyndall effect will not occur.

When clinically indicated, point-of-care ultrasound can help assess relevant facial structures and inform treatment planning. It cannot identify every vessel or eliminate the possibility of vascular injury, so it is one consideration within a broader clinical assessment and risk discussion.

Hyaluronidase can break down hyaluronic acid filler, but the response varies and more than one treatment may be needed. Dissolving can cause discomfort and does not guarantee a precise or complete reversal. A clinician will assess the area, discuss risks and options, and decide whether ultrasound may help with treatment planning.

Adults seeking to address selected volume loss, facial asymmetry, or contour concerns may be candidates. A consultation is needed to review your health, goals, anatomy, and options. Fillers are not suitable for everyone, and treatment may be deferred or another approach recommended.

Dermal fillers add volume or contour in selected areas. Neuromodulators temporarily reduce activity in selected muscles and are commonly used for certain expression-related lines. They work differently, and a clinician can explain which option, if any, fits your goals.

Some contour change may be visible immediately, but swelling or bruising can temporarily affect the appearance. Your clinician can advise when to assess the result; timing varies by treatment area and individual healing.

Most patients experience some discomfort during injections, although the sensation varies by treatment area and individual sensitivity. Your clinician may recommend topical numbing or other comfort measures when appropriate. Some hyaluronic acid fillers contain lidocaine, which may help reduce discomfort during treatment.

Most dermal filler procedures take approximately 15–30 minutes. Treatments involving multiple areas or comprehensive facial balancing may take longer. Additional time may be required for consultation, assessment, preparation, and aftercare instructions.

Many patients can resume routine daily activities after treatment. Temporary swelling, redness, tenderness, or bruising may occur. Your clinician may recommend avoiding strenuous exercise, excessive heat, and pressure on treated areas for a period after your injections. Recovery instructions vary by treatment area and individual circumstances.

Our Dermal Filler Clinical Team

Meet Your Dermal Filler Providers

Our clinical team includes physicians and aesthetic nurse injectors who develop individualized plans based on your goals and assessment. Results vary, and no particular outcome can be guaranteed.

Dr. Parisa Soltani, MD, FRCPC, Founder & Medical Director of Parsa Wellness Clinic

Dr. Parisa Soltani

MD, FRCPC, GC Pain

Double Board Certified Anesthesiologist · Pain Practitioner · Master Injector · Co-Founder & Medical Director

North Vancouver · Chilliwack

With over 20 years of experience, Dr. Parisa Soltani is a respected Pain Management Practitioner and the Founder of Parsa Wellness Clinic. She created the Turn Pain Into Power program to deliver comprehensive, patient-centered care for chronic pain. Dr. Soltani’s approach integrates medical treatments, restorative therapies, and holistic strategies to address pain in all its dimensions. Her dedication helps patients overcome limitations, regain control, and rediscover quality of life.

Jamie Graves

Jamie Graves

BScPN, RPN · Certified Aesthetic Nurse Injector

Registered Psychiatric Nurse & Certified Aesthetic Nurse Injector

Chilliwack

With over 18 years of nursing experience, Jamie Graves blends compassion, skill, and a holistic approach to care. Specializing in aesthetic nursing, she provides neuromodulators, dermal fillers, IV therapy, and PRP treatments at Parsa Wellness Clinic. A devoted wife, mother of two, and fitness enthusiast, Jamie is passionate about helping clients feel confident, radiant, and empowered through results that reflect both artistry and medical precision.

Prabh

Prabh

Registered Nurse (RN) · Certified Nurse Injector

Chilliwack

Prabh is a nurse with a background in the Neonatal Intensive Care Unit (NICU), where she developed strong clinical precision, attention to detail, and a compassionate approach to patient care. She is now expanding into aesthetic nursing and cosmetic injectables. At Parsa Wellness Clinic, Prabh provides neuromodulator and dermal filler treatments, working closely with clients to help them feel confident and supported throughout their aesthetic journey.

Personalized Assessment · Natural Architecture

Ready to Enhance Your Natural Facial Features?

Discover personalized dermal filler treatments designed to restore volume, refine contours, and complement your natural features. Book a consultation with our clinical team in North Vancouver or Chilliwack.

Individualized Clinical AssessmentNorth Vancouver & ChilliwackTreatment Options Discussed Individually