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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 (when fully corrected). However, unlike treatment with neuromodulators, results are seen immediately. With a variety of fillers to choose from, Kristine Romine, MD or Sara Romine, DNP, FNP-C will customize your treatment to optimally treat your concerns. Dr Romine and Sara prefer to maintain very natural results and may use smaller amounts more frequently to optimize your youthful results.

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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.


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.

Revance® Redensity™

RHA Redensity ™ is a Hyaluronic Acid (HA) filler that provides a weightless, natural results for fine lines and wrinkles around the mouth.

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!