Facial aging begins in your 20s due to both internal (natural aging and genetics) and external (sun exposure, oxidative stress, etc.) factors. This results in skin laxity and volume loss. Fillers are a great option for enhancing your naturally beautiful features by adding volume that may have deflated over time. Depending on the type of filler, and amount used, results typically last between six and nine months. However, unlike treatment with neuromodulators, results are seen immediately. With a variety of fillers to choose from, Dr. Romine customizes your treatment to best treat your concerns. She prefers to maintain very natural results and may use smaller amounts more frequently to optimize your youthful results.

Dysport Phoenix

Types of Fillers


Restylane® is a line of hyaluronic acid (HA) fillers. HA occurs naturally in our skin and aids in delivering nutrients to the skin, which helps your skin retain moisture and softness while adding volume. Restylane® provides natural-looking results by smoothing wrinkles and lines, enhancing lips, and lifting and volumizing cheeks. An often overlooked area of aging, the back of your hands, can also be addressed with Restylane® by adding volume.


Restylane®, a product specifically produced to behave like your body’s own hyaluronic acid, addresses the signs of aging by adding fullness and volume to wrinkles and folds around the nose and mouth.

Restylane® Lyft™

Restylane® Lyft™, formerly known as Perlane-L®, adds natural-looking volume to your face and now hands! As we age, our natural fat begins to diminish which results in volume loss, sagging skin, and more noticeable wrinkles. Restylane® Lyft™ has been specially formulated to add back your youthful fullness.

Restylane® Refyne™

Restylane® Refyne™ is produced with XpresHAn Technology™, which helps to soften your laugh lines. With this unique cross-linking technology, Restylane® Refyne™ corrects lines while allowing you to maintain your natural facial expressions so you always look like you!

Restylane® Defyne™

Restylane® Defyne™ is developed with XpresHAn Technology ™ and helps to smooth out deeper laugh lines while allowing you to maintain your natural facial movements.

Restylane® Silk

Lines around your lips develop over time and the lips themselves can also thin with age. Restylane® Silk is designed to create natural-looking lips through the use of smoother, smaller hyaluronic acid particles when compared to those used in other Restylane® products. Treatment with Restylane® Silk results in smoother, silkier lips.


Juvederm® is a collection of hyaluronic acid (HA) fillers. HA occurs naturally and aids in delivering nutrients to the skin, which helps your skin retain moisture and softness while adding volume.

Juvederm Voluma® XC

One of the visible signs of aging is volume loss in the cheek area (midface) which leads to skin laxity. Juvederm Voluma® XC adds volume beneath the skin’s surface to contour and lift the cheek area. In a clinical study, patients reported looking up to five years younger six months after treatment.

Juvederm Volbella® XC & Juvederm® Ultra XC

Thin lips can be a result of genetics or the aging process. Juvederm Volbella® XC and Juvederm® Ultra XC are options for beautifully full and natural appearing lips. Juvederm® Ultra XC plumps and adds more fullness to thin lips while Juvederm Volbella® XC was created to add subtle volume and smooth the appearance of vertical lip lines.

Revanesse® Versa™

Dr. Romine and KRMD Advanced Medical Skin Care have been selected as the only Dermatologist in the Valley to attain status as the Center for Excellence for Prollenium® Versa™. Revanesse® Versa™ is a unique filler in that it has been developed to provide optimal smoothness and volume with less swelling. In a recent study, Versa™ was shown to have a lower rate of swelling when compared to another popular HA filler – which produced swelling 24% more often than Versa™.  The spherical particles that make up Versa™ are easily accepted by the body and break down slowly over time. Completely free of all animal products and with its biocompatible and biodegradable formula, you’ll love and feel good about your results!


As we age, collagen production slows and eventually stops. Re-Inflators are different from fillers in that they stimulate your body’s own natural production of collagen, which helps re-inflate your skin!

Types of Lifters

Sculptra® Aesthetic

As we age, we begin to lose and eventually stop producing collagen at the age of 30. Collagen molecules are large and cannot be absorbed by the skin, which is why topical collagen creams do not provide lasting results and can truly only be classified as moisturizers. Sculptra® Aesthetic is a poly-L-lactic acid collagen stimulator that is injected to lift and re-inflate sagging skin. Sculptra® Aesthetic helps to build a collagen “scaffolding” within the deep dermis which aids in building volume. For optimal results, three sessions spaced over three to four months are recommended, with a single session yearly for maintenance of the beautiful and most natural looking results.