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MidAmerica Plastic Surgery: Ryan Diederich, MD
4955 South State Route 159 #1
Glen Carbon, IL 62034
(618) 288-7855
Monday & Wednesday: 7 a.m.–5:30 p.m.
Tuesday & Thursday: 8 a.m.–5 p.m.
Friday: 8 a.m.–12 p.m.


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The Spa at MidAmerica Plastic Surgery
4955 South State Route 159 #1
Glen Carbon, IL 62034
(618) 307-6233
Monday–Tuesday: 8 a.m.–5 p.m.
Wednesday–Thursday: 8 a.m.–7 p.m.
Friday: 8 a.m.–4 p.m.

Dermal Fillers

Request Your Consultation

The Spa at MidAmerica Plastic Surgery offers cosmetic dermal fillers such as JUVÉDERM® and Restylane® in Glen Carbon, IL, for instant facial rejuvenation. Our patients from St. Louis and beyond utilize these simple treatments to fade signs of aging and rejuvenate their skin.

What are fillers made of?

There are many types of cosmetic fillers utilizing different substances. Perhaps the most common cosmetic fillers are hyaluronic acid products which are materials naturally found in all of us. Others include collagen, calcium hydroxyapatite, and more. Each of these offers their unique advantages and disadvantages.

How do fillers work?

Cosmetic fillers work by increasing volume in areas that have lost volume or adding volume to areas you wish to improve. When this gel is injected, it acts like an inflated cushion to support facial structures and tissues that may have lost volume or elasticity due to normal aging. It also brings water to the surface of the skin to keep it looking fresh and supple.

Where can you put dermal fillers?

Common uses for cosmetic fillers include:

  • Nasolabial lines – the lines spanning from the corner of the nose to the corner of your mouth
  • Labiomental lines – the lines spanning from the corners of the mouth down
  • Lower eyelid – tear trough depression below the eyelid
  • Cheek augmentation
  • Vertical lip lines
  • Lip augmentation
  • Hands

Are fillers safe?

Cosmetic fillers are very safe. Most of the products are similar or the same to those naturally found in your body. There are risks, especially when injecting around the eyes, that must be discussed prior to the procedure.

Do fillers have long-term side effects?

In most cases, side effects from JUVÉDERM and/or Restylane® are mild and typically last 7 days or less. Side effects, should they occur, include redness, pain/tenderness, firmness, swelling, lumps/bumps, bruising, itching and discoloration in the area of injection.

Before the Procedure

Provide a full list of health problems, medications, allergies, and other treatments to The Spa at MidAmerica Plastic Surgery. Especially if you have:

  • Any disease that affects your muscles and nerves (such as amyotrophic lateral sclerosis [ALS or Lou Gehrig’s disease], myasthenia gravis or Lambert-Eaton syndrome).
  • Allergies to any botulinum toxin product had any side effects from any botulinum toxin product in the past.
  • Breathing problems such as asthma or emphysema.
  • Swallowing problems.
  • Bleeding problems.
  • Plans to have surgery or have had surgery on your face.
  • Weakness of your forehead muscles, such as trouble raising your eyebrows.
  • Drooping eyelids any other change in the way your face normally looks.
  • Are pregnant or plan to become pregnant. – It is not known if fillers can harm your unborn baby.
  • Are breastfeeding or plan to breastfeed – It is not known if fillers pass into breast milk.

What To Expect After JUVÉDERM/Restylane® Injections

Treatment injections usually take 15-60 minutes. The number of injections you need will depend on multiple factors, including your facial features and the extent of your wrinkles. Dr. Ryan Diederich uses a combination of topical cream, topical cooling, and anesthetic as needed for your treatment area and needs. Most of the fillers used by MidAmerica Plastic Surgery contain anesthetic which further limits discomfort.

After a Filler Procedure

For at least 4 hours:

  • Stay upright and not lie down for 4 hours

Avoid the following for at least 48 hours:

  • Strenuous exercise
  • Consumption of alcoholic beverages
  • Extended exposure to sun or heat

Avoid the follow for at least 1-2 weeks:

  • Do not massage the injection site(s)
  • Additional treatment in area

How long do filler results last?

The effects can last from 6 months to over 1 year; however, this depends on the product and the location. When used to plump and contour lips, fillers generally last around 6 months.

How much downtime should be expected?

Often there is little to no downtime with these procedures. Occasionally you may develop some bruising that can often be covered with makeup.

Are lip fillers painful?

The only discomfort associated with lip injections is the tiny pinch of the initial puncture, made with a very fine needle. Injectable products are pre-mixed with a local anesthetic to keep you comfortable during your procedure. We can also apply a topical anesthetic prior to your lip augmentation treatment.

Filler Procedure Risks

Although generally safe, side effects and complications from cosmetic fillers can include:

  • Bruising and pain at the injection site.
  • Redness.
  • Headache.
  • Flu-like symptoms.
  • Nausea.
  • Vision changes or loss.

Board-Certified Plastic Surgeon Dr. Ryan Diederich

Dr. Diederich is a Southern Illinois native realizing his dream of giving back to the community. He helps patients feel and look their best with his surgical skills and compassionate care.

Learn More

Now what?

Dr. Ryan Diederich is a board-certified plastic surgeon specializing in a range of aesthetic and reconstructive plastic surgery procedures at Mid-America Institute of Plastic & Cosmetic Surgery near Maryville, IL. If you’re looking for a plastic surgeon east of St. Louis, you can schedule a consultation online, or call us at 618-307-6233 to schedule an appointment.

For more information see the American Society of Plastic Surgery topic “Dermal Fillers: Hyaluronic Acid”

*This article is intended as a guideline only. This is not intended as medical advice. There are no guarantees written or implied from the information presented here. Only a consultation can provide an appropriate evaluation and discussion regarding any procedure. Refer to your physician for medical decision making and advice.

1. Allergan, Inc. http://www.juvederm.com