- Overview
- Surgeon
- Q&A
About the treatment
Fillers
Fillers are a cosmetic procedure used to enhance facial features and reduce wrinkles. They are typically made of hyaluronic acid, a naturally occurring substance in the skin that helps to retain moisture.
How Fillers Work
- Fillers are injected into the skin using a fine needle.
- The filler material fills in wrinkles and depressions, creating a smoother appearance.
- Results can last for up to a year, depending on the type of filler used and the individual's skin.
Benefits of Fillers
- Enhance facial features, such as lips, cheeks, and jawline.
- Reduce wrinkles and fine lines.
- Improve skin texture and elasticity.
- Non-surgical procedure with minimal downtime.
Considerations
- Fillers may not be suitable for everyone, such as those with certain medical conditions or skin allergies.
- Results can vary, and some individuals may require multiple treatments to achieve desired effects.
- It is important to choose a qualified and experienced injector to minimize risks and ensure optimal results.
Candidate
Fillers are a type of injectable treatment that can be used to improve the appearance of the skin. They are made of a variety of materials, including hyaluronic acid, collagen, and polylactic acid.
Fillers can be used to treat a variety of skin concerns, including wrinkles, scars, and volume loss. They can also be used to enhance the lips or to create a more defined jawline.
Fillers are generally safe and effective, but there are some potential side effects to be aware of, including bruising, swelling, and redness. It is important to discuss the potential risks and benefits with a doctor before undergoing any type of filler treatment.
Fillers can be a great way to improve the appearance of the skin, but they are not a substitute for a healthy lifestyle. Eating a healthy diet, getting regular exercise, and getting enough sleep are all important for maintaining healthy skin.
Side & After Effects
Fillers are a type of cosmetic procedure that is used to add volume to the face and reduce the appearance of wrinkles. Fillers are typically made of hyaluronic acid, which is a natural substance that is found in the body. However, there are also some fillers that are made of other materials, such as collagen and polylactic acid.
Risks of Fillers
- Bruising and swelling: This is a common side effect of fillers, and it typically goes away within a few days.
- Infection: This is a rare but serious side effect of fillers, and it can occur if the filler is not injected correctly.
- Allergic reaction: This is another rare but serious side effect of fillers, and it can occur if the patient is allergic to the filler material.
- Granuloma formation: This is a rare but serious side effect of fillers, and it occurs when the body's immune system attacks the filler material.
- Asymmetry: This can occur if the filler is not injected evenly, or if the patient's face is asymmetrical.
- Overcorrection: This can occur if too much filler is injected, or if the filler is injected in the wrong location.
After Effects of Fillers
- Swelling: This is a common side effect of fillers, and it can last for up to a week.
- Bruising: This is another common side effect of fillers, and it can last for up to two weeks.
- Tenderness: This is a common side effect of fillers, and it can last for up to a few weeks.
- Lumpiness: This can occur if the filler is not injected evenly.
- Wrinkling: This can occur if the filler is injected too deeply.
Conclusion
Fillers can be a safe and effective way to improve the appearance of the face. However, it is important to be aware of the risks and after effects of fillers before undergoing the procedure. If you are considering fillers, be sure to talk to your doctor about the risks and benefits of the procedure.Things to Know
Procedure Time
1 Hour
Overnight Stay
No
Recovery Time
1-2 days
Surgeon

Karen M. Horton, MD, MSc, FACS
Board Certified Plastic Surgeon
Dr. Karen Horton is Internationally Board Certified in Plastic Surgery by both the American Board of Plastic Surgery and the Royal College of Surgeons of Canada, specializing in cosmetic and reconstructive surgery for women. Since 2006, Dr. Horton’s boutique Pacific Heights San Francisco Plastic Surgery private practice focuses on providing personalized care with meticulous attention to detail in a warm, welcoming and unintimidating environment. Regardless of whether surgery is cosmetic or reconstructive, Dr. Horton’s practice is centered on providing BEAUTIFUL, NATURAL looking and long-lasting results. “Dr. Karen” is also a Plastic Surgery patient herself! Learn all about her own Mommy Makeover experience in her blog series.
Education & Training
1996 - 2000 University of Toronto Faculty of Medicine Doctor of Medicine, First Class Honours
2000 - 2005 University of Manitoba - Canada Residency in Plastic and Reconstructive Surger
2005 - 2006 Buncke Clinic, California Pacific Medical Center Senior Clinical Fellowship in Hand and Microsurgery
Awards & Academic Achievements
ASPS Ambassador Appointment 2005-Present
America's Top Plastic Surgeon Award 2004-Present
America's Top Physicians Award 2005-Present
America's Top Surgeon Award 2008-Present
Board Certification(s)
American Board of Plastic Surgery (ABPS)
Fellow of the American College of Surgeons (FACS)
Location
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2100 Webster St unit 520, San Francisco, CA 94115, USA
Questions and Answers
Dr. Horton does not have any Q&A at this time.
Schedule a consultation
Fillers

Karen M. Horton, MD, MSc, FACS
Board Certified Plastic Surgeon
Customizable
Natural Results
High Patient Satisfaction
Dr. Karen Horton is Internationally Board Certified in Plastic Surgery by both t...
Fillers by Karen M. Horton, MD, MSc, FACS.
About the Procedure
Introduction
Introduction
Fillers Procedure Overview Fillers Procedure Overview
Fillers are a cosmetic procedure used to enhance facial features and reduce wrinkles. They are typically made of hyaluronic acid, a naturally occurring substance in the skin that helps to retain moisture.
How Fillers Work
- Fillers are injected into the skin using a fine needle.
- The filler material fills in wrinkles and depressions, creating a smoother appearance.
- Results can last for up to a year, depending on the type of filler used and the individual's skin.
Benefits of Fillers
- Enhance facial features, such as lips, cheeks, and jawline.
- Reduce wrinkles and fine lines.
- Improve skin texture and elasticity.
- Non-surgical procedure with minimal downtime.
Considerations
- Fillers may not be suitable for everyone, such as those with certain medical conditions or skin allergies.
- Results can vary, and some individuals may require multiple treatments to achieve desired effects.
- It is important to choose a qualified and experienced injector to minimize risks and ensure optimal results.
Duration
1 Hour
Overnight Stay
No
Recovery Time
3-4 Days
Effective Period
11 days
Fillers are a type of injectable treatment that can be used to improve the appearance of the skin. They are made of a variety of materials, including hyaluronic acid, collagen, and polylactic acid.
Fillers can be used to treat a variety of skin concerns, including wrinkles, scars, and volume loss. They can also be used to enhance the lips or to create a more defined jawline.
Fillers are generally safe and effective, but there are some potential side effects to be aware of, including bruising, swelling, and redness. It is important to discuss the potential risks and benefits with a doctor before undergoing any type of filler treatment.
Fillers can be a great way to improve the appearance of the skin, but they are not a substitute for a healthy lifestyle. Eating a healthy diet, getting regular exercise, and getting enough sleep are all important for maintaining healthy skin.
- Can improve the appearance of wrinkles and fine lines. Fillers can be used to fill in wrinkles and fine lines, making them less noticeable. This can give you a more youthful and refreshed appearance.
- Can add volume to the face. Fillers can be used to add volume to the face, which can help to create a more balanced and symmetrical appearance. This can be especially beneficial for people who have lost volume in their face due to aging or weight loss.
- Can improve the shape of the lips. Fillers can be used to enhance the shape of the lips, making them appear fuller and more defined. This can give you a more attractive and youthful appearance.
- Can be used to correct scars. Fillers can be used to correct scars, making them less noticeable. This can be a great way to improve the appearance of your skin.
- Are relatively safe and effective. Fillers are a relatively safe and effective way to improve the appearance of your skin. They are typically injected into the skin with a fine needle, and the results can last for several months to a year or more.
Risks of Fillers
Fillers are generally considered safe, but like any medical procedure, there are some risks involved. These include:
- Infection: This is a rare but serious complication that can occur if the filler is injected into an unclean area or if the injector does not follow proper sterile technique.
- Bruising and swelling: These are common side effects of filler injections, and they usually resolve within a few days.
- Allergic reactions: These are also rare, but they can occur if the patient is allergic to the filler material.
- Granulomas: These are small, hard bumps that can form around the filler injection site. They are usually harmless, but they can be unsightly.
- Vascular occlusion: This is a rare but serious complication that can occur if the filler is injected into a blood vessel. This can lead to skin damage or even blindness.
Safety of Fillers
Fillers are made from a variety of materials, including hyaluronic acid, collagen, and polymethylmethacrylate (PMMA). Hyaluronic acid is the most common type of filler used, and it is generally considered to be safe and effective. Collagen fillers are also relatively safe, but they can cause allergic reactions in some people. PMMA fillers are permanent, and they are not recommended for use in the face.
Fillers are typically injected into the skin using a fine needle. The procedure is usually done in a doctor's office or clinic, and it takes about 30 minutes to an hour. The results of filler injections can last for several months to years, depending on the type of filler used and the individual patient's body.
Who Should Not Get Fillers
Fillers are not recommended for people who have certain medical conditions, such as:
- Active acne
- Skin infections
- Blood clotting disorders
- Autoimmune diseases
- Pregnant or breastfeeding women
If you are considering getting fillers, it is important to talk to your doctor about the risks and benefits of the procedure. Your doctor can also help you determine if you are a good candidate for fillers.
Before Treatment:
1. Consultation:
- Schedule a consultation with a qualified and experienced healthcare provider who specializes in dermal fillers.
- Discuss your goals, concerns, and expectations.
- Inform the provider about any medical conditions, allergies, or medications you are taking.
2. Pre-Treatment Instructions:
- Avoid blood thinners (e.g., aspirin, ibuprofen) for 7-10 days prior to treatment to minimize bruising.
- Stop smoking 2-4 weeks before and after treatment to improve healing.
- Avoid alcohol for 24-48 hours before treatment.
- Wash the treatment area thoroughly with a gentle cleanser.
- Remove any makeup or skincare products.
3. Planning:
- Determine the appropriate type and amount of filler based on your desired results.
- Discuss the injection technique and any potential side effects.
- Establish a realistic timeline for results and follow-up appointments.
4. Informed Consent:
- Review and sign an informed consent form that outlines the procedure, risks, benefits, and potential complications.
Day of Treatment:
1. Arrive on Time:
- Arrive at the clinic punctually for your scheduled appointment.
2. Injection Site Cleansing:
- The healthcare provider will cleanse the injection site with an antiseptic solution.
3. Numbing:
- A topical anesthetic cream or local anesthesia may be used to minimize discomfort during the injections.
4. Injections:
- The healthcare provider will carefully inject the filler into the desired areas using a fine needle.
- The number of injections and the amount of filler used will vary depending on the individual patient and treatment goals.
5. Post-Treatment Care:
- Apply a cold compress or ice pack to the injection sites for 20-30 minutes to reduce swelling and bruising.
- Avoid touching or rubbing the treated areas for the first 24 hours.
- Keep the injection sites clean and dry.
- Follow any specific post-treatment instructions provided by the healthcare provider.
Follow-Up Appointments:
- Schedule a follow-up appointment 1-2 weeks after treatment to monitor results and discuss any necessary adjustments.
- Regular follow-up appointments may be recommended to maintain optimal results.
Immediate Post-Treatment
- Apply ice packs to the treated area to reduce swelling and discomfort.
- Avoid touching or rubbing the area.
- Sleep with your head elevated to minimize swelling.
- Avoid taking blood-thinning medications, such as aspirin or ibuprofen, as they can increase the risk of bruising.
First 24-48 Hours
- Continue applying ice packs for 15-20 minutes at a time, several times a day.
- Avoid strenuous activity.
- Take over-the-counter pain relievers, such as acetaminophen, if necessary.
- Protect the treated area from the sun.
First Week
- Swelling and bruising should gradually subside.
- Avoid extreme temperatures, such as heat or cold.
- Massage the treated area gently to help distribute the filler and reduce lumpiness.
- Avoid wearing tight clothing or headgear that could put pressure on the area.
Second Week and Beyond
- Most swelling and bruising should be gone.
- Continue massaging the area as needed.
- Protect the treated area from the sun.
Long-Term
- The results of fillers typically last for several months to years.
- Touch-up treatments may be necessary over time to maintain the desired effect.
- Avoid excessive sun exposure and smoking, as they can break down fillers prematurely.
Additional Tips
- Choose a qualified and experienced injector for your treatment.
- Inform your injector of any allergies or medical conditions you have.
- Follow the instructions provided by your injector carefully.
- If you experience any unusual symptoms or complications, contact your injector immediately.
- Be patient, as the recovery process can take several weeks.
Things to know before start
Before Treatment:
1. Consultation:
- Schedule a consultation with a qualified and experienced healthcare provider who specializes in dermal fillers.
- Discuss your goals, concerns, and expectations.
- Inform the provider about any medical conditions, allergies, or medications you are taking.
2. Pre-Treatment Instructions:
- Avoid blood thinners (e.g., aspirin, ibuprofen) for 7-10 days prior to treatment to minimize bruising.
- Stop smoking 2-4 weeks before and after treatment to improve healing.
- Avoid alcohol for 24-48 hours before treatment.
- Wash the treatment area thoroughly with a gentle cleanser.
- Remove any makeup or skincare products.
3. Planning:
- Determine the appropriate type and amount of filler based on your desired results.
- Discuss the injection technique and any potential side effects.
- Establish a realistic timeline for results and follow-up appointments.
4. Informed Consent:
- Review and sign an informed consent form that outlines the procedure, risks, benefits, and potential complications.
Day of Treatment:
1. Arrive on Time:
- Arrive at the clinic punctually for your scheduled appointment.
2. Injection Site Cleansing:
- The healthcare provider will cleanse the injection site with an antiseptic solution.
3. Numbing:
- A topical anesthetic cream or local anesthesia may be used to minimize discomfort during the injections.
4. Injections:
- The healthcare provider will carefully inject the filler into the desired areas using a fine needle.
- The number of injections and the amount of filler used will vary depending on the individual patient and treatment goals.
5. Post-Treatment Care:
- Apply a cold compress or ice pack to the injection sites for 20-30 minutes to reduce swelling and bruising.
- Avoid touching or rubbing the treated areas for the first 24 hours.
- Keep the injection sites clean and dry.
- Follow any specific post-treatment instructions provided by the healthcare provider.
Follow-Up Appointments:
- Schedule a follow-up appointment 1-2 weeks after treatment to monitor results and discuss any necessary adjustments.
- Regular follow-up appointments may be recommended to maintain optimal results.
Immediate Post-Treatment
- Apply ice packs to the treated area to reduce swelling and discomfort.
- Avoid touching or rubbing the area.
- Sleep with your head elevated to minimize swelling.
- Avoid taking blood-thinning medications, such as aspirin or ibuprofen, as they can increase the risk of bruising.
First 24-48 Hours
- Continue applying ice packs for 15-20 minutes at a time, several times a day.
- Avoid strenuous activity.
- Take over-the-counter pain relievers, such as acetaminophen, if necessary.
- Protect the treated area from the sun.
First Week
- Swelling and bruising should gradually subside.
- Avoid extreme temperatures, such as heat or cold.
- Massage the treated area gently to help distribute the filler and reduce lumpiness.
- Avoid wearing tight clothing or headgear that could put pressure on the area.
Second Week and Beyond
- Most swelling and bruising should be gone.
- Continue massaging the area as needed.
- Protect the treated area from the sun.
Long-Term
- The results of fillers typically last for several months to years.
- Touch-up treatments may be necessary over time to maintain the desired effect.
- Avoid excessive sun exposure and smoking, as they can break down fillers prematurely.
Additional Tips
- Choose a qualified and experienced injector for your treatment.
- Inform your injector of any allergies or medical conditions you have.
- Follow the instructions provided by your injector carefully.
- If you experience any unusual symptoms or complications, contact your injector immediately.
- Be patient, as the recovery process can take several weeks.
Surgeon

Karen M. Horton, MD, MSc, FACS
Board Certified Plastic Surgeon
Owner at San Francisco Plastic Surgery
San Francisco County, California
50 views today
Speaks: English, French
Dr. Karen Horton is Internationally Board Certified in Plastic Surgery by both the American Board of Plastic Surgery and the Royal College of Surgeons of Canada, specializing in cosmetic and reconstructive surgery for women. Since 2006, Dr. Horton’s boutique Pacific Heights San Francisco Plastic Surgery private practice focuses on providing personalized care with meticulous attention to detail in a warm, welcoming and unintimidating environment. Regardless of whether surgery is cosmetic or reconstructive, Dr. Horton’s practice is centered on providing BEAUTIFUL, NATURAL looking and long-lasting results. “Dr. Karen” is also a Plastic Surgery patient herself! Learn all about her own Mommy Makeover experience in her blog series.
Education & Training
- 1996 - 2000 University of Toronto Faculty of Medicine Doctor of Medicine, First Class Honours
- 2000 - 2005 University of Manitoba - Canada Residency in Plastic and Reconstructive Surger
- 2005 - 2006 Buncke Clinic, California Pacific Medical Center Senior Clinical Fellowship in Hand and Microsurgery
Awards & Academic Achievements
- ASPS Ambassador Appointment 2005-Present
- America's Top Plastic Surgeon Award 2004-Present
- America's Top Physicians Award 2005-Present
- America's Top Surgeon Award 2008-Present
Board Certification(s)
- American Board of Plastic Surgery (ABPS)
- Fellow of the American College of Surgeons (FACS)
2100 Webster St unit 520, San Francisco, CA 94115, USA
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Surgeon

Karen M. Horton, MD, MSc, FACS
Board Certified Plastic Surgeon
Owner at San Francisco Plastic Surgery
San Francisco County, California
50 views today
Dr. Karen Horton is Internationally Board Certified in Plastic Surgery by both the American Board of Plastic Surgery and the Royal College of Surgeons of Canada, specializing in cosmetic and reconstructive surgery for women. Since 2006, Dr. Horton’s boutique Pacific Heights San Francisco Plastic Surgery private practice focuses on providing personalized care with meticulous attention to detail in a warm, welcoming and unintimidating environment. Regardless of whether surgery is cosmetic or reconstructive, Dr. Horton’s practice is centered on providing BEAUTIFUL, NATURAL looking and long-lasting results. “Dr. Karen” is also a Plastic Surgery patient herself! Learn all about her own Mommy Makeover experience in her blog series.
Education & Training
- 1996 - 2000 University of Toronto Faculty of Medicine Doctor of Medicine, First Class Honours
- 2000 - 2005 University of Manitoba - Canada Residency in Plastic and Reconstructive Surger
- 2005 - 2006 Buncke Clinic, California Pacific Medical Center Senior Clinical Fellowship in Hand and Microsurgery
Awards & Academic Achievements
- ASPS Ambassador Appointment 2005-Present
- America's Top Plastic Surgeon Award 2004-Present
- America's Top Physicians Award 2005-Present
- America's Top Surgeon Award 2008-Present
Board Certification(s)
- American Board of Plastic Surgery (ABPS)
- Fellow of the American College of Surgeons (FACS)
2100 Webster St unit 520, San Francisco, CA 94115, USA
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Questions and Answers
Q&A
Dr. Karen M. Horton does not have any Q&A at this time.
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