Fillers restore facial volume loss caused by aging and can add structure depending on the type of filler and the depth at which the filler is placed.

Over time, aging causes levels of hyaluronic acid to decline. This continuous decline in hyaluronic acid (HA) loss, in conjunction with free radicals accounts for approximately 50% HA loss in comparison to levels for women in their 20’s and 30’s. Hyaluronic acid is a naturally occurring substance in the body. Its main function is to retain moisture. HA works with collagen and elastin to plump the skin to achieve smooth, wrinkle-free skin, that is both moisturized and hydrated.

The newer generation HA fillers all contain lidocaine which makes the procedure, essentially pain-free. Also, at Cosmetic Plastic Surgery of Maryland, we use soft tip cannulas rather than blunt tip needles to minimize any of the risk of bruising or swelling after the procedure.

Liquid Facelift

Dermal fillers have been called “liquid facelifts” because they offer many of the benefits of a surgical facelift without the downtime. Although they can’t help with excess sagging skin, these soft tissue fillers can add more volume and provide immediate results at a lower cost than surgery. These treatments aren’t permanent, however, and they must be repeated and maintained.

Some dermal fillers are used in conjunction with other skin rejuvenation treatments such as injections of botulinum toxin. Dr. Ashruf will assess your needs and recommend one or a combination of treatments to achieve your desired results.

Both Radiesse and Bellafill are longer lasting facial fillers. Radiesse lasts about 1 year while Bella Fill has been FDA cleared to last at least 5 years.


Bellafill is a filler made of a collagen gel and microspheres of non-absorbing polymethylmethacrylate PMMA molecules. It is a very natural looking filler which provides clients with not only long lasting results but also beautiful correction. This is achieved through the size of the PMMA molecules. The molecules are so small that they can disperse into the skin to provide beautiful, smooth correction instantly.

Additional dermal filler we use: