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Dermal Filler

  • As we age or lose weight, we lose volume in our face. Fillers aim to replace the lost volume, provide soft lines (instead of deep noticeable lines of the face) and lift tissue. Fillers are very commonly used in facial rejuvenation.
  • There are many types and brands of dermal fillers, they can be temporary (e.g. Hyaluronic Acid or HA fillers) as Juvederm, Restylance or permanent as Bellafill.
  • Common areas to be injected: teartrough (under the eye), nasolabial folds (smile lines), lips, around the jowls, cheeks.
  • It is very important to think of the face as cosmetic units and discuss how augmenting an area of the face would affect the neighboring areas and the balance of the face.

Before and After Gallery

Dermal Filler Lips - Patient #1

Dermal Filler Lips - Patient #2

Dermal Filler Lips - Patient #3

Dermal Filler Lips - Patient #4

Dermal Filler Lips - Patient #5

Dermal Filler Lips - Patient #6

Dermal Filler Nasolabial Folds - Patient #1

Dermal Filler Silikon Lips - Patient #7

Dermal Filler Silikon Lips - Patient #8

Dermal Filler Tear Trough - Patient #1

Liquid Rhinoplasty - Patient #1

All before and after photos are of actual Akkary Surgery Center patients and are shown with permission. Please remember: these pictures are courtesy of patients who kindly agreed to share their experience on our website. The pictures are to be viewed only and not to be downloaded, copied, captured or used for any other purpose. Individual results may vary.

Additional Facts

Who is a good candidate for Dermal Filler?

Overall healthy patients who desire to:

  • Soften facial lines and wrinkles rejuvenating the face.
  • Add volume to the face.
  • Add volume to the hands to compensate for lost volume and prominent appearance of the tendons in the back of the hands.
  • Improve the appearance of scars.

What are Dermal Filler contraindications?

We recommend avoiding the procedure in severe or uncontrolled systemic diseases, connective tissue disease, malignancy, unrealistic expectations, local skin pathology and pregnancy.

Note: A contraindication is a condition or factor that serves as a reason to withhold a certain medical treatment due to the harm that it would cause the patient.

How is this procedure performed?

  • The procedure is done using topical anesthetic.
  • Icing is used before and after to help with anesthesia and decrease swelling.
  • The skin is cleaned with alcohol
  • The filler is injected using small needle.
  • Many fillers contain Lidocaine (numbing medication) to decrease discomfort.
  • If Belafill filler is used, an allergy skin test is performed prior to the procedure.

How long does the effect last?

  • Temporary fillers as Juvederm, Restylane last for approximately 9 months.
  • Semi-permanent fillers as Scupltra last for approximately 18 months.
  • Permanent fillers as Belafill last for approximately five or more years..

What should I expect during recovery?

Mild swelling and bruising can occur and usually resolve within a few days. Icing can decrease these side effects.

Where is the scar?

There are no incisions or scars.

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Patients
Dr. Akkary

I wouldn't go anywhere else!

I have been seeing Dr. Akkary since 2014. The first day I was given his cell number...that has NEVER happened before at any other doctor's office. He is genuine and compassionate and really only wants to help you succeed. I have called him so many times and he has ALWAYS answered my questions. He has performed 2 surgeries on me and I wouldn't go anywhere else! I trust him and his staff completely. They will listen to all of your concerns and explain everything completely!

-E. Smith, Fairmont, WV on HealthGrades

Great for anything in his speciality

If you are looking for a doctor who will listen to you and explain what & why he’s going to do something, you have found him. He has the added benefit of a wonderful bedside manner minus the arrogance found in doctors ( just because they are doctors, you have met a few if you’re reading this I’m sure). In all he’s a wonderful person who if you’re lucky enough to find him, give him a call. You will have an amazing doctor who is there for you without dodging your call’s no matter how silly you think the question or thought may be ( this isn’t a paid ad I promise, you have his cellphone number incase of anything no matter the time. Sorry, but I’ve never been able to reach a doctor 24-7 without going through a answering service and even then how many times do you get to talk to them? Not many from my experience and I’ve seen more doctors than I care to think about.) he’s always able to answer it or calm your pre surgery nerves. He’s great if you’re looking for anything in his specialty and if I could, he’d be my doctor for everything, but he’s only one person so I will settle for his specific fields.

My acid reflux and GERD was curable

I never imagined that my acid reflux and GERD was curable. I truly never imagined the life changing results that something called a Nissan Fundoplication would bring to my life thanks to the skilled hands of Dr. Ehab Akkary! Thank you Doc!

-Newman Pauley, Google

I refer patients to Dr. Akkary

Dr. Akkary is a skilled and caring surgeon who puts patient safety and great results as his highest priorities. Not only has he been highly trained, he continues to expand and refine his knowledge and skills with continuing training. I refer patients to Dr. Akkary knowing that they will receive the best of care. I give Dr. Akkary my highest level of recommendation!

-Dr. Robert E. Bowen, Cosmetic Surgeon, Martinsburg WV, Facebook

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