Dermal and Facial Fillers in Carlsbad and Rancho Bernardo

The natural aging process can negatively affect our appearance in many ways, especially when it comes to how our features seem to shift with time. Volume loss in bone and fat, weakening connective tissues, and consistent facial movement tugging on then creasing the skin all lead to visible changes to our face. Sunken cheeks, hollowed eyes or under eye circles and fine lines and wrinkles can all contribute to an aged look that doesn’t reflect our real age or vitality. However, Dermacare has an answer to these problems. With the careful placement of dermal and jawline filler in San Diego, our patients can not only see substantial improvements in these unwanted aging signs but also have the convenience they want; most treatments Dermacare offers fit easily into your budget and lifestyle, and involve little to no downtime.

There is a wide range of options to choose from when considering dermal and facial fillers in Carlsbad. While most fillers provide the immediate benefits of restoring lost volume, different injectable treatments have their own unique characteristics and lifespans, making the selection of the most appropriate products for your needs difficult without an expert consultation. Dr. Jeff Birchall can help his patients choose the ideal fillers for their concerns, with thoughtful, expert advice based on his years of experience in aesthetic medicine.

How do fillers work?

The treatment process for our facial fillers in Carlsbad is fairly simple. Dermal fillers are injected into the face where patients have begun to experience volume loss, leading to lines, wrinkles and furrows. These treatments restore lost volume with long-lasting results, but they also serve several additional functions which enhance a patient’s outcomes.

Many fillers are formulated using hyaluronic acid, a compound naturally produced by the body. A hydrophilic (“water-loving”) molecule, its ability to attract and store moisture creates a sustained plumping effect, replenishing your body’s natural store of hyaluronic acid. Additionally, the surrounding skin can also experience a boost of hydration, improving as a direct result of treatment. Some research indicates that hyaluronic acid fillers can also stimulate collagen production, helping the skin rejuvenate itself from the inside out. Results from a hyaluronic acid based filler can be seen immediately, and typically last up to 6 months.

Collagen stimulators are sometimes dubbed “permanent fillers”, as they work to stimulate the production of collagen and elastin in the deeper layers of the skin in the long run. Collagen and elastin help support the skin’s underlying structures, giving it the elasticity and tone that is the hallmark of healthy, youthful and vibrant skin. Results from dermal and jawline filler in San Diego tend to be longer lasting, creating a rejuvenated look that can last over a year in just one treatment. However, unlike traditional volume adding fillers, this type of filler does not create an immediate plumping effect. Results appear subtly and naturally over time, with optimal outcomes often seen a few months after the initial treatment.

A true “permanent filler”, facial fat grafting injections are a natural alternative to man-made fillers. Made from purified fat taken from a donor site on the patient’s own body (Most often the abdomen or hips), these injections can be safely used across different parts of the face. While the body will absorb some of the fat cells, the remaining cells that take root will naturally replace the lost fat on the face for good.

It is important to note that neuromodulator treatments, like Botox® and Dysport®, are different from facial fillers. They work in a completely different way: by safely arresting the muscle movements that create dynamic wrinkles, these lines are smoothed out and patients can enjoy smoother skin with a more relaxed appearance.

Types of Injectable Fillers Available at Dermacare

Dermacare proudly offers the safest and most effective injectable filler treatments on the market, addressing every area of the face.

Hyaluronic Acid Fillers

Belotero® Balance

Belotero’s very smooth consistency allows it to penetrate deeply into the skin layers for enhanced rejuvenation, and is designed to integrate into facial skin tissue. This soft, cohesive gel injectable provides patients with natural and subtle-looking improvements, and is especially suitable for the delicate tissues of the eyes and mouth, while being sufficiently versatile to also address moderate nasolabial folds. Patients will enjoy immediate results from their Belotero treatment that can last for four to six months.

Juvederm® — Ultra XC, Ultra Plus XC & Voluma XC

Juvederm offers several hyaluronic-acid based fillers to treat many of the most common aging concerns affecting the face. This family of dermal filler injectables include formulations that range in thickness, to address different parts of the aging face. Thicker consistencies are used to improve deeper wrinkles and folds effectively, while finer-consistency fillers are used to treat more delicate areas and symptoms, such as the skin of the lips and surrounding the eyes. The manufacturer’s proprietary cross-linking technology boosts the effects of the hyaluronic acid, giving patients even more benefits while ensuring they continue to look natural, healthy and like themselves. Depending on which Juvederm product is selected, you may enjoy your results for six months up to over a year.

Restylane®, Restylane Silk & Restylane Lyft

Restylane, like Juvederm, offers many hyaluronic-acid based formulations to treat mild, moderate and more severe facial wrinkles and lines appearing in the face, such as marionette lines and laugh lines. Restylane Silk can be very effective in treating the finer lines around the lips, while Restylane Lift can significantly improve loss of volume in the cheeks and on the backs of the hands. Dr. Birchall can help patients determine whether Juvederm or Restylane will be a better option for their needs based on his experience and a full examination of their concern areas. Patients who have Restylane can enjoy results lasting from nine to 12 months.

Collagen Stimulators


Bellafill is an ideal treatment for patients concerned with deep nasolabial folds (the folds between the nose and mouth), prominent smile lines, and the appearance of pitted acne scars. Bellafill is a highly effective treatment and the only dermal filler approved by the FDA to be effective for safely rejuvenating treated areas for up to five years. The formula uses a combination of a smooth collagen gel, which provides instantaneous results, and a suspension of tiny polymethyl methacrylate (PMMA) microspheres, which provide a base on which your body’s own natural collagen production can develop, delivering natural looking, long term results.

For patients who have had good experiences with dermal fillers before and wish to reduce their number of yearly appointments, Bellafill could be the right fit.


Radiesse uses calcium hydroxyapatite rather than hyaluronic acid to rejuvenate treated skin. The compound, naturally found in bones and teeth, helps support the internal structures of the skin, smoothing the skin and improving skin tone while also immediately restoring lost volume. Radiesse also stimulates collagen and elastin production where it is introduced to achieve continued, natural rejuvenation. Rejuvenation from Radiesse can last anywhere from 12 to 15 months.

Sculptra® Aesthetic

Sculptra uses Poly-L-lactic acid to treat the aging signs which trouble patients most, with lasting results. The active ingredient in Sculptra helps spur natural collagen and elastin production in the body, for subtle yet visible results that include smoother skin with better tone and hydration. Sculptra treats the entire facial area with results that can last for up to two years.

Permanent Filler

Natural Fat Transfers

Natural-fat transfers offer patients who don’t want to use synthetic fillers another natural alternative to improve their facial aging concerns. Fat carefully drawn from other areas of the body can be safely injected into a patient’s concern areas in the lips and face for very natural, long-lasting and permanent results. Treated areas can often feel more natural as well, due to the fact that natural body fat has been used to restore lost volume. Patients can enjoy a comfortable procedure, minimal downtime and permanent results with a natural-fat transfer.

Other Injectables Available at Dermacare


One of the oldest and most well-known wrinkle-fighting treatments, this neuromodulator can improve “dynamic wrinkles,” those wrinkles produced by repeated muscle movements which stress the skin, leaving behind unwanted lines and furrows. Botox can improve the appearance of the wrinkles you currently have, slow down their progression and help prevent new wrinkles from forming. Patients can maintain their results through periodic touch-ups.


Like Botox, Dysport is a neuromodulator that achieves patient results by inhibiting the movements of wrinkle-causing muscles. For some patients, Dysport can be a better option than Botox since it can diffuse more easily once injected and has a quicker onset; however, Botox lasts slightly longer. Dr. Birchall can help you select the best neuromodulator for your concerns during your in-person consultation. If you have Dysport, you will benefit from additional treatments on a regular basis to maintain your results, as with Botox.


Even as fat vanishes from the mid face and up, pockets of fat can form around the jawline and under the chin as we age, resulting in the formation of jowls and a double chin. For stubborn pockets of fat like these, no amount of dieting or exercise can safely and permanently shift them without affecting what fat remains in other parts of the face. A targeted treatment, Kybella uses deoxycholic acid, a naturally occurring substance in the body, to dissolve stubborn fat. A careful map will be drawn over the desired treatment area, and the injection delivered at the exact level of submental fat, providing even and noticeable results. As the treated fat cells burst and are naturally removed by the body’s lymphatic system over the weeks following a Kybella treatment, the result is a more well-defined and youthful chin and jawline.

What Will Happen During Your Filler Treatment

Patients who have their injectable treatments performed by Dr. Jeff Birchall or our expert cosmetic nurse injectors will not only benefit from one of many high-quality fillers but also from the keen knowledge of facial anatomy that the team has accrued over the years. Our philosophy is the fact that less is more: our aesthetic is one where we want you to still look like you at the end of the treatment, just more refreshed and youthful. When fillers are used to enhance your unique facial concerns skillfully, patients will reap the greatest rewards. Dr. Birchall can provide ample evidence of the entire team’s skill in administering fillers through before and after photos to improve his patient’s appearance while also preserving the features that make them unique and attractive.

To achieve these results, at Dermacare we mainly use microcannulas to deliver fillers, which allows us to administer the fillers you choose with much greater control and reduced risks of bruising and swelling than other methods allow. Injectable treatments are very fast, often taking no more than a few minutes to perform, and are typically very comfortable, requiring no anesthesia. Many fillers come formulated with lidocaine, providing even more comfort for our patients. For most treatments, there is little to no downtime and no recovery period necessary. A natural, subtly-improved look, achieved safely, is the ultimate goal of a treatment at Dermacare, but you also enjoy great comfort and convenience.

What to Expect After Your Injectable Treatment

A few mild side effects are normal after having an injectable treatment. They include slight swelling, redness and tenderness in treated areas, but these symptoms will quickly subside in the hours immediately after treatment. Discomfort is minimal and pain medications are not required. You can resume all your usual activities after your office visit with either immediate results or results developing in the weeks following your treatment, depending on which filler you’ve selected.

Visit Dr. Jeff Birchall at Dermacare for fast and effective injectable treatments today!

Few doctors understand the importance of personalized care, as well as Dr. Jeff Birchall. The doctor spent years of his career in family medicine, where he learned the impact of making informed diagnoses and providing the highest quality patient care. Dr. Birchall takes the same approach with all cosmetic procedures he performs, and has helped patients in the field of aesthetic medicine for almost two decades.

When it comes to good filler results, the goal is to keep everyone guessing with results that look utterly natural. We strongly recommend that patients seeking anti-aging filler treatments bring in photos of their younger selves, so we can better ascertain areas of volume loss for a more natural outcome. Call to schedule your complimentary in-person dermal filler consultation at one of our offices today. You can book your appointment by calling 858-943-2443 for our Rancho Bernardo location or 760-472-5088 for our Carlsbad location. We hope to see you soon.