(941) 960-9489 nancycallaham@mac.com

full lipsDermal Fillers

Fillers, sometimes referred to as a “liquid facelift”, can offer full facial rejuvenation with minimal pain and virtually no downtime.  Dermal fillers have the ability to enhance contours, balance the facial profile, and rejuvenate the skin.

Dermal fillers can be a great option for patients seeking to replace lost volume, fill in wrinkle lines, or restore youthful facial contours.  They can also be used to reverse signs of aging in the hands. In addition, injectable fillers are a great alternative to more invasive cosmetic procedures, such as facelifts.


Properly injecting dermal fillers requires the combination of an artistic eye, a deep understanding of the anatomy of the face, and years of experience. When it comes to selecting the right filler for your individual needs, the best source of knowledge will be your provider. If you go to an experienced injector, they should be able to guide you to the best course of treatment that is right for you.
At Subtle Perfections Med Spa, we use the most advanced techniques and safety measures to give you the best results! Our Physician Assistant, Nancy Callaham, PA-C, is not only talented, but has a long history of injecting fillers on a daily basis. She has an artistic eye, very gentle hand and high rate of patient satisfaction. Check out her outstanding reviews from patients and peers alike and see before and after pictures of actual patients.

Listen to your provider. It’s not uncommon for patients to love the results of their filler so much to the point where they want more and more. Know when to stop, and trust our provider if she advises you against more fillers. A good practitioner will know the limitations of your face and should advise against additional filler when you begin approaching the limit.

Have realistic expectations. People who overuse fillers do so because they have unrealistic expectations about the final results. Understand that they enhance your current facial traits; they are not meant to give you new facial characteristics. Educate yourself when it comes to fillers and listen to the expected end results. Every filler has its limitations, and as such they are not meant to give you the results of a face-lift. But, instead they are a great way to keep you looking natural and beautiful within the current state of your face.

dermal fillers - lip treatmentTYPES OF FILLERS

The most popular class of dermal fillers is based on Hyaluronic acid (HA), a sugar found naturally in human skin. Hyaluronic acid fillers love binding with water molecule. Therefore, HA fillers can add volume under the skin to smooth wrinkles and folds, plump lips, and cheeks. The effects usually last between 4 – 9 months.
At Subtle Perfections Med Spa we offer various HA fillers such as:

Juvederm Ultra

Is a FDA approved filler for lip augmentation. Juvederm Ultra is a smooth consistency gel made of hyaluronic acid- a naturally occurring substance in your skin. This is a great filler to add volume and plump your lips. The results can last up to 12 months in the lips.

Juverdem Ultra Plus

Juvederm Ultra Plus has a larger molecule than Juvederm Ultra. Juvederm products are developed using the Hylacross technology to allow a smoother, malleable gel. It can last up to 9 months.


Is a hyaluronic acid FDA approved filler to restore volume loss in the cheeks. Voluma filler lift and contour the cheeks creating a more youthful appearance. The molecule is bigger than all other Juvederm products, allowing for lifting capacity in the cheek area. After appropriate number of syringes the results can last up to 2 years. Best results are seen with 1-2 syringes per cheek.

Restylane Silk

Silk is the first FDA approved filler for lip augmentation. It is specifically designed for lip enhancement and to smooth out wrinkles around the mouth. It is great for contouring your lips and giving you really natural results.

Restylane Lyft

Lyft is an approved filler by the FDA to treat volume loss in the cheeks. It can also be use to treat the nasolabial folds (smile lines) and marionette lines.  Results can last up to 9 months.

Calcium-based Filler

Radiesse is a safe, FDA-approved dermal filler made of calcium that restores a natural, youthful look. Used primarily to treat areas with obvious signs of facial aging such as the cheeks. But, RADIESSE® is also used for correcting volume loss in the back of the hands. Once injected, it provides immediate volume while it continues to work by stimulating your body to produce more of its own natural collagen. Radiesse recommendations for cheek augmentation is 1 syringe per cheek at the appropriate dosing the results can last up to 18 months.


Although the possibilities are endless, these products are often used to treat some of the following areas:

  • Deep wrinkles from the nose to the corners of the mouth (Nasolabial folds)
  • Wrinkles from the corners of the mouth to the chin (Marionette lines)
  • Thin lips through a lip augmentation
  • Cheek augmentation
  • Scar filling
  • Oral vertical lines or smoker’s lines
  • Hand rejuvenation


Everyone is unique. To find out how many syringes of fillers you would need, call us for a free consultation with our provider.  Generally speaking, the cheeks use 1-2 syringes per side, nasolabial folds 1-2 syringes per side, lips 1 syringe, and marionette lines 1-2 per side, depending upon your skin condition, age, and volume loss.


  • The area to be treated is cleaned
  • A topical numbing cream is applied to the skin prior to treatment
  • Cold packs are used to create vasoconstriction to minimize any bruising
  • Before and after pictures will be taken, which are confidential
  • The injectable fillers are inserted with a very fine and small needle into the area to be treated
  • All of the fillers are mixed with lidocaine for added comfort.


  • The results are instantaneous
  • Redness and swelling is normal and temporary
  • May be slight, temporary bruising at the injection sites
  • Must remain upright or reclined for 6 hours after injection
  • Use a cold pack to the treated area to decrease any swelling
  • No exercise for 24 hours
  • Oral or topical Arnica as well as Vitamin K cream may prevent and/or treat bruising
  • Sunlight may cause permanent coloration after bruising, so wear Sunblock to protect your skin.

Give us a call today for a FREE consultation!



RADIESSE for Hands

The First and Only FDA-approved Filler for Hands

RADIESSE® for Hands is the first and only dermal filler FDA approved to correct volume loss in the hands.
Over time, loss of volume in the hands can leave skin looking thin and wrinkled, often revealing unsightly tendons and veins. As one of the most visible parts of the body, the appearance of the hands can be a significant indicator of age.1

With just one quick treatment, RADIESSE for Hands provides immediate volume for smooth, natural-looking results that last up to 1 year. 2

Call Subtle Perfections today to schedule your hands consultation with Nancy Callaham, PA-C and determine if RADIESSE® is right for you or to learn more about RADIESSE for Hands visit, www.RadiesseHands.com

Before and After!