

At Appel Wormer Esthetics, our dermal filler treatments are guided by the precision and anatomical insight of board-certified plastic surgeons Dr. James Appel and Dr. Blair Wormer. By utilizing top-tier hyaluronic acid and poly-L-lactic acid formulations, including JUVÉDERM, Restylane, and Sculptra, our expert injectors customize every injection to smooth deep folds, restore lost cheek fullness, and enhance lip volume. Performed in our comfortable Charlotte practice, every session is tailored to produce balanced, beautifully natural results with zero surgical downtime.

Injectable filler treatments with JUVÉDERM®, Restylane®, and Sculptra®

15 to 45 minutes as a simple in-office outpatient treatment

Zero downtime; immediate return to daily activities with minor swelling at the injection sites.

Immediate volume improvement for HA fillers, lasting 6 to 18 months; gradual collagen restoration for Sculptra®, lasting up to 2 years).
Wrinkle fillers (or simply fillers) are often injected to replace diminished facial volume. Faces often lose volume for various reasons, but significant weight loss and age are major contributors. The procedure works by incorporating a liquid (the dermal filler) beneath the skin to fill areas lacking volume or shape. Injectable fillers in Charlotte, NC are a great, nonsurgical alternative for Charlotte, NC individuals desiring to smooth wrinkles, fine lines, and sagging skin to create a younger-looking face.
Dermal fillers can also be incorporated into other aesthetic services to reveal the results of a traditional facelift without the need for surgery, the presence of scars, and the required downtime that follows. There are a variety of fillers that may help meet the goals and expectations of each patient, including JUVÉDERM, Restylane, and Sculptra. To explore which products are recommended for your goals, we invite you to visit Appel Wormer Esthetics, where our team of aestheticians can help you decide.
Before your treatment, one of our skilled injectors will consult with you to learn more about your cosmetic goals and determine what product will best produce them. At the time of the actual procedure, a numbing cream will be used as a local anesthetic to make the injections as pain-free as possible. Your aesthetician will use their experience to determine the amount of filler needed and will slowly and meticulously inject it via a very fine needle. Depending on the desired outcome, either half or an entire syringe could be used.


At our office in Charlotte, NC fillers provide an effective, non-surgical treatment for age-related volume loss, facial creases, and contour enhancement:
Midface and Cheek Atrophy
Plumps flattened or sunken cheekbones to restore a refreshed "triangle of youth."
Deep Nasolabial Folds & Marionette Lines
Smooths prominent laugh lines around the nose and mouth corners.
Thin or Asymmetrical Lips
Adds natural softness, border definition, and plumpness to thin or aging lips.
Tear Trough Hollows
Fills under-eye hollows and dark circles caused by tissue thinning.
Weak Mandibular Line or Chin Deficits
Sharpens jawline contours and improves chin projection for better profile balance.
For Charlotte, NC individuals, injectable fillers can address multiple worries and provide numerous advantages, such as:
Ideal candidates for dermal fillers are adult men and women bothered by facial volume loss, deep facial creases, or thin lips who want to enhance their features without surgery. Candidates should be in good overall health, not pregnant or nursing, and free from active skin infections in the planned treatment areas. Whether you want to restore lost cheek volume or subtly plump your lips, a consultation at Appel Wormer Esthetics will help determine which filler formulation best matches your anatomical needs.


After injections with filler Charlotte, NC patients will have minimal recovery, allowing you to return to work and most normal daily activities immediately after your appointment. You may experience minor localized swelling, mild tenderness, or pinpoint bruising at the injection sites, which typically subsides within 2 to 7 days.
To ensure the best possible outcome and minimize bruising, avoid rubbing, pressing on, or massaging the treated facial areas for at least 24 to 48 hours. Strenuous workouts, saunas, hot tubs, and alcohol consumption should also be paused for 24 hours post-treatment. Applying a cold compress intermittently during the first afternoon will help keep initial swelling to a minimum.
For hyaluronic acid-based fillers like JUVÉDERM® and Restylane®, positive changes in facial volume and contour are visible immediately upon completion of your injection session. Once any minor post-injection swelling settles over the first few days, your final smooth, youthful result becomes fully integrated into your natural facial features.
Depending on the specific formula used, the injection area, and your personal metabolic rate, hyaluronic acid fillers typically last between 6 and 18 months. Biostimulatory fillers like Sculptra® work gradually by prompting your body to build fresh native collagen, delivering a subtle, natural volume that peaks around 3 to 6 months and lasts up to 2 years. Regular touch-up treatments help maintain your refreshed, youthful aesthetic indefinitely.

Injecting dermal fillers requires an artistic eye combined with a deep understanding of facial anatomy and vascular safety. At Appel Wormer Esthetics, our non-surgical facial treatments are directed by board-certified plastic surgeons Dr. James Appel and Dr. Blair Wormer. Our expert clinical team approaches every injection with precision, ensuring proper depth and volume placement so your results enhance your natural beauty without ever appearing overfilled or unnatural.
If you feel insecure about signs of aging but are intimidated by the thought of a surgical facelift, fillers may be the answer you seek. Fillers reveal youthful, voluminous skin without significant risks or the threat of scarring. There are many different products available, like JUVÉDERM, Restylane, and Sculptra, that can help you reach the look you dream of. For more information or to book a consultation, call Appel Wormer Esthetics in Charlotte, NC at your earliest convenience.
Dermal fillers target the cheeks, tear troughs beneath the eyes, nasolabial folds, lips, marionette lines, jawline perimeter, chin, and temples.
The longevity of dermal fillers depends on the product used and the treatment location. Hyaluronic acid fillers (JUVÉDERM®, Restylane®) typically last between 6 and 18 months; areas with high mobility like the lips tend to break down filler faster (6 to 12 months), while cheeks and tear troughs often maintain volume for up to 18 months. Collagen-stimulating fillers like Sculptra® can last up to 2 years or longer.
Discomfort is minimal. We apply a prescription topical numbing cream prior to treatment to ensure your comfort. Furthermore, most modern filler formulations (like JUVÉDERM® XC and Restylane®) contain lidocaine directly within the gel, which further numbs the treatment area as the injection is delivered.
BOTOX® (a wrinkle relaxer) works by temporarily relaxing hyperactive facial muscles that cause dynamic expression lines, such as frown lines and Crow's feet. Dermal fillers do not affect muscle movement; instead, they add physical volume beneath the skin to fill in static wrinkles, smooth deep folds, and plump hollow facial structures.
One of the key benefits of hyaluronic acid fillers (JUVÉDERM®, Restylane®) is that they are completely reversible. If you are unsatisfied with your result or want an adjustment, an enzyme called hyaluronidase can be injected into the area to safely dissolve the filler within 24 to 48 hours.
To prevent bacteria from entering the microscopic injection points, we recommend waiting at least 12 to 24 hours before applying makeup. Once the injection sites have closed naturally, you can resume your normal cosmetics routine.