Dermal Fillers
Restoring Volume Where Time Has Taken It
As we age, the face loses fat, collagen, and bone density in a predictable pattern. Cheeks flatten, the area under the eyes hollows, folds around the mouth deepen, and lips lose their fullness. Dermal fillers replace that lost volume using hyaluronic acid, a substance your body already produces, so the change looks like something you always had rather than something you had done.
At June Medical, Dr. Vanessa Vélez Martínez treats filler as a matter of facial balance rather than a list of syringes. She reads the whole face, identifies where the volume loss actually started, and builds a plan that restores structure in the right order. Sometimes that means treating the cheeks to lift the lower face rather than chasing the fold that brought you in.


Treatment Areas and What Happens Next
Filler can address flattened cheeks, hollow temples, under eye hollows, nasolabial folds, marionette lines, thin or asymmetric lips, a soft jawline, and volume loss in the hands. Dr. Vélez will walk you through which areas she recommends and what each one contributes to the overall result.
Most appointments run thirty to sixty minutes depending on how much we are treating. Numbing cream and the lidocaine already mixed into the product keep you comfortable throughout. You will see results immediately, though mild swelling and occasional bruising are normal for the first few days. By the end of the first week everything has settled, and depending on the product and placement, your results will last somewhere between nine months and two years.
A few reasons our San Juan patients choose filler at June Medical.

Will my face look overfilled?
Not with a conservative approach. Dr. Vélez uses the minimum amount needed to restore balance and often prefers to build gradually across two visits rather than doing everything at once. The goal is that people notice you look well, not that you had work done.
How long do dermal fillers last?
It depends on the product and the area. Lip filler generally lasts nine to twelve months, while structural filler in the cheeks or jawline can last up to two years. Areas that move a lot tend to metabolize product a bit faster.
Is there downtime after filler?
Very little. Some swelling and tenderness is expected for two to three days, and bruising happens occasionally, especially around the lips and under the eyes. Most patients return to normal activity right away and plan any social events for about a week out.
Can filler and neuromodulators be done in the same visit?
Absolutely, and they work well together. Neuromodulators relax the muscles that create movement lines while filler restores volume and structure. Dr. Vélez will tell you whether combining them makes sense for what you want to achieve.
