Dermal Fillers

Volume and fullness in the face suggest a more youthful appearance. The effects of sun exposure, gravity, and facial movements such as smiling, squinting, eating or smoking cause tissue breakdown, leaving lines and creases in these areas. We offer a choice of dermal fillers to correct moderate to severe facial lines and creases, and restore volume and fullness to the lips.


Restylane / Restylane Lyft / Restylane Refyne and Defyne / Juvederm

Hyaluronic acid is a non-animal-based, natural substance similar to that already existing in the human body. No skin test is required, and results are immediate. Some patients prefer a local anaesthetic to numb the area to be treated; others describe the treatment as a quick pin prick. The gel is injected into the skin in tiny amounts with a very fine needle. This produces volume that smoothes the wrinkle or fold, shapes the facial contour or enhances the lips in a natural way.

The result is instantaneous and produces a long-lasting, natural enhancement, gentle and safe to the skin, leaving no scars on the face. The hyaluronic acid fillers last about 6-8 months, depending on each individual.

Visit our facial plastic / cosmetic surgery office in Winchester, Virginia (VA), located in Frederick County, Virginia (VA) and accessible to residents of Maryland and West Virginia.


Radiesse is a safe, FDA-approved dermal filler that consists of smooth microspheres called calcium hydroxy appetite which is naturally found in the body. There’s virtually no risk of allergic reaction.

Whether you’re longing to reverse the common signs of aging or need to address a more serious health issue, Radiesse® dermal filler provides a simple, natural alternative to invasive treatments. Developed with safety and longevity in mind, RADIESSE dermal filler offers superior versatility for both cosmetic and reconstructive use without the risks and costs associated with surgery. The hydroxy appetite lasts about 12-14 months, depending on each individual.

Dr. Karen and his staff have been operating with care and excellence in the Shenandoah Valley of Virginia for over 15 years, serving patients of Winchester, Harrisonburg, Front Royal and more.