Cleveland Dermal Fillers | Cleveland Facial Plastic Surgeons

When to consider fillers with Cleveland Facial Plastic Surgeon Dr. Diana Ponsky

Sometimes it’s not about a nip/tuck, but more about a plump/smooth. In the early signs of aging, dermal fillers help to diminish facial lines and restore volume and fullness in the face. The natural loss of volume in the face paired with skin laxity can make wrinkles and skin laxity appear more severe, and a thoughtful application of dermal fillers can restore a youthful look.

How It Helps

Fillers are perfect for places you want to add volume or smooth fine lines. Fillers won’t lift skin that has a lot of sagging, but they replace lost volume, which will contribute to a rejuvenated, more well-rested appearance.

Hyaluronic acid

Hyaluronic acid fillers are made of a sugar that occurs naturally in the body. These gel formulations come in thin and slightly thicker consistencies ideal for shallow areas, such as fine lines above the lips, and deeper folds, like those around the nose and the creases that run downward from the corners of the mouth. Hyaluronic fillers can also plump up thinning lips, restore cheek volume, fill under-eye hollows, and add jaw definition.

Calcium hydroxylapatite

Calcium hydroxylapatite is a compound similar to minerals found in the body. Thicker than hyaluronic acid, it can be used to achieve more significant volume changes. Ideal uses might be to build up a weak chin, strengthen a jawline, pad sunken cheeks, or fill deep wrinkles. Results last a year or longer.

Poly L-lactic acid

Poly L-lactic acid is a biodegradable synthetic material also used in stitches. It doesn’t provide the kind of instant plumping that other fillers do. Instead, it stimulates the body to gradually regenerate its own collagen. You will need a series of three to six injection sessions, about a month apart, for results lasting up to two years.


Collagen fillers often come from cows (bovine) or human cells. The body slowly absorbs the collagen over time so regular injections may be needed to maintain results. Hyaluronic fillers are now more commonly used than collagen.

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What to expect before a fillers application

Dr. Diana Ponsky will begin your consultation by asking about your goals and expectations, then will discuss any pre-existing health conditions or risk factors. After examining, photographing, and analyzing your face, the surgeon will discuss potential options and a recommended course of treatment, as well as outcomes, risks, or potential complications.


What to expect during a fillers application

Fillers are sometimes mixed with lidocaine to minimize discomfort. Your face will be mapped for injection sites and then cleansed. A numbing cream may be applied before the injections to help reduce pain. Injections usually take only a few moments per site, with intermittent massage and gentle compression. Depending on the number of areas to be treated, the process may take 15 minutes, or as long as an hour.


What to expect after a fillers application

You may be offered an ice pack to reduce swelling and alleviate discomfort. Although the area may feel a bit tender for a day or two, it is usually not painful enough to require any medication. There may be redness, swelling, or bruising that can last up to a few weeks. Give yourself time to heal and get comfortable with your renewed appearance. We recommend scheduling your filler appointment at least two weeks before a big event.

What Our Patients Say

  • The office was nice. Receptionist was very polite. Dr. Ponsky was great. The experience was comfortable and she explained everything to me before doing anything. She made sure I understood. Thank you Dr. Ponsky!

    - YM( Cleveland Facial Plastic Surgery )
  • I have always been apprehensive of ANY cosmetic procedures. Not any more! Dr Ponsky and her entire staff are friendly, professional and reassuring. Dr Ponsky is gentle, thorough, professional, talented, knows medicine and her craft. I can’t recommend this entire practice more. It is a gift that we have her in Cleveland.

    - SA( Cosmetic Surgery, Cleveland )
  • I can’t be happier with the results of my Rhinoplasty on both aspects functionally and aesthetically, Dr. Ponsky did such a great job, before, during, and after surgery, she is on top of everything and follow her patients very carefully after surgery to ensure complete healing and great results. Thank you Dr. Ponsky and her staff from the bottom of my heart🙏🙏

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    - A( Rhinoplasty, Cleveland )
  • I have nothing but positive to say about Dr. Ponsky and her entire staff! The first time I came in for a appointment I felt a welcoming and warm energy from the entire group . Dr. Ponsky’s assistant Jaime is fabulous and I love how she can answer all my questions if I don’t understand all!!
    Thank you everyone !!!

    - DB( )
  • Dr Ponsky’s staff are full of energy and very friendly. They are extremely personable, and worked to ensure that I felt comfortable and had everything I needed (down to a blanket during the procedure). Dr Ponsky is thorough, sweet, and gentle in her explanations. She made sure to explain the answers to each of my questions and I never felt rushed/forced to make a decision. I love the fact that we could do the entire procedure under local anesthesia.

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    - EE( Blepharoplasty, Cleveland )