Juvéderm and Restylane. By appointment in Burbank and Sherman Oaks — serving Beverly Hills, Studio City, Encino, Toluca Lake, Pasadena, Arcadia, and Valencia.
Why You’re Here
Bad filler is harder to hide than bad Botox. A frozen forehead lasts three months and self-corrects. Filler in the wrong place — a cheek that sits too high, an under-eye with a blue cast, a lip that’s migrated up toward the nose — can last a year and cost money to dissolve. That’s why patients walking into a filler appointment are usually quieter than they were for Botox. They’ve seen what overdone looks like.
The product itself is rarely the problem. Fillers, broadly, are very safe. The question is who’s placing them.
Filler at Berg-Feinfield is performed by Dr. Robert Feinfield, an ophthalmologist with nearly four decades of injection experience. The credential matters more in filler than in Botox for one reason: the under-eye.
“If you’re considering filler anywhere near the eyes — under-eye hollows, sunken cheeks affecting your lower lids, brow filling — the injector’s training in that region is the variable that matters.”
— Berg-Feinfield Dermal FillersWhat Sets Our Approach Apart
The hollow between the lower eyelid and the cheek — the hardest spot on the face to filler well, and the most consequential to get wrong. Ophthalmologists train on this exact region for years.
Too much product, the wrong product, or placement in the wrong tissue plane can produce a blue-grey cast under thin under-eye skin. The under-eye is unforgiving — we choose the product and the plane to avoid it on the front end.
Dr. Robert Feinfield has nearly four decades of injection experience — the breadth that lets us match the right HA gel to the right tissue plane in every region of the face.
How Fillers Work
Most modern fillers are made of hyaluronic acid (HA) — a sugar molecule your body produces naturally that holds water and gives skin its plumpness. We lose it as we age. Filler replaces what’s gone in stabilized gel form, holding shape under the skin for months to years before the body reabsorbs it.
It’s reversible — if you don’t like the result, an enzyme called hyaluronidase dissolves the filler within hours. The two filler families we use are Juvéderm and Restylane.
Skip alcohol for 24 hours, and if medically appropriate, hold aspirin, ibuprofen, fish oil, and vitamin E for the week prior. After: no vigorous exercise for 24 hours and no dental work for two weeks.
Common Areas
Most filler placements sit either within a few centimeters of the eye or in the lower face. These are the regions we evaluate and treat most often.
Soft cheek augmentation and midface volume restoration. Juvéderm Voluma is our first choice for a diffused, natural look; Restylane Lyft or Contour when the patient wants more lift.
Hollowing under the eyes that creates shadow. Treated with Restylane Eyelight or Restylane-L — the gel structure holds shape with less swelling and less migration risk.
Subtle refinement to fuller volume. Volbella for fine lip lines, Kysse for movement and color, Ultra for more volume. Cannula technique to reduce bruising and migration risk.
The lines from nose to mouth corner. Vollure XC (up to 18 months) or Restylane Refyne for moderate folds, Defyne for deeper.
Jawline definition and chin projection. Volux XC for jawline shaping, Voluma for chin and cheek-to-chin support.
Vertical lines around the mouth and marionette lines from mouth corner downward. Restylane Silk for fine perioral lines; Defyne for deeper marionette folds.
Each region is evaluated at the consultation — product, plane, and dose chosen for the area, not the appointment.
Two Filler Families
Both are hyaluronic acid. Both are reversible. The choice between them comes down to the area being treated and the look you’re going for. Each family has multiple products in its line — we recommend the specific one at consultation.
The Two Families
Each family has a deep product line, each with a different gel structure suited to different areas of the face. Below is the short version of when we reach for which.
Made by Allergan, the same company that makes Botox. The gel is smooth and integrates well into tissue — cheek augmentation and lower-face restoration in patients who want a softer, more diffused result. The trade-off: in some patients it holds more water (more day-one swelling) and can migrate over time if overused in the lips.
Products we use most often: Voluma XC (cheek and chin volume; up to 2 years), Vollure XC (nasolabial folds; up to 18 months), Volbella XC (fine lip lines and subtle lip enhancement), Ultra XC and Ultra Plus XC (fuller lip enhancement and deeper folds; up to a year), Volux XC (jawline definition).
See where we use JuvédermMade by Galderma. The first HA filler FDA-approved in the U.S. (2003). Where Restylane earns its reputation: the under-eye. The gel structure holds its shape with less swelling and less risk of migration than softer fillers — exactly what you want in the tear trough. For patients whose primary concern is under-eye hollowing, Restylane is usually our first recommendation.
Products we use most often: Lyft (cheek volume, midface lifting, hand rejuvenation), Refyne and Defyne (nasolabial folds and marionette lines), Kysse (lip augmentation with movement and color), Silk (fine vertical lines around the mouth), Restylane-L and Eyelight (under-eye tear troughs), Contour (cheek augmentation).
See where we use RestylaneChoosing Between Them
Neither is universally better. The decision is made per area, not per visit — and you don’t have to pick going in. We recommend the specific product for each area at your consultation.
For cheek volume in a patient who wants softness, Juvéderm Voluma. The gel reads as natural in motion and integrates well into the midface. For nasolabial folds, Vollure XC or Restylane Defyne depending on depth. For jawline definition, Volux XC. Restylane Lyft when the patient wants a firmer lift.
For under-eye hollowing, Restylane Eyelight or Restylane-L — the gel structure is more predictable in the delicate tear-trough area. For lips, either family works; the choice depends on the look — Kysse for movement and color, Volbella for subtlety, Ultra for more volume.
First Visit
A first filler visit runs 45 minutes to an hour. We talk first — what’s bothering you, what you’ve had done before, what result you’re trying to land. Photos at rest and in motion. A plan with specific products and amounts before anything happens.
Topical numbing is applied. Most modern fillers also contain lidocaine in the gel itself. Dr. Feinfield uses a fine needle or a blunt-tip cannula depending on the area — a cannula reduces bruising in the cheeks and under-eyes.
The injection itself takes 15 to 30 minutes per area. You’ll see immediate volume; some is filler, some is short-term swelling. Final result at 2 weeks.
“Most patients return to work the same day. Plan for some swelling for 1–3 days and mild bruising in the lips and around the eyes. Schedule at least two weeks before any major event.”
— Berg-Feinfield Dermal FillersWhere We Are
Filler appointments are at our Burbank and Sherman Oaks offices, both in the San Fernando Valley. Patients we see for eye care at our Beverly Hills, Arcadia, or Valencia offices can schedule their filler appointment through the same front desk.
Closest for Toluca Lake, Studio City, North Hollywood, Universal City, and Burbank itself. Pasadena and Arcadia patients usually come to Burbank (~25 minutes via the 134). Valencia and Santa Clarita are about 30 minutes south on the 5.
Burbank office detailsIf you’re coming from Beverly Hills, West Hollywood, or the Westside, Sherman Oaks is your closer office — 20 to 25 minutes north on the 405. Also serves Encino, Studio City, and the central San Fernando Valley.
Sherman Oaks office detailsIf we see you at our Beverly Hills, Arcadia, or Valencia eye care offices, the front desk can schedule the aesthetic visit at Burbank or Sherman Oaks in the same call.
Questions We Hear a Lot
The questions we hear most often from patients researching dermal fillers in Los Angeles, Burbank, Sherman Oaks, and Beverly Hills.
Juvéderm and Restylane, placed by an ophthalmologist with nearly four decades of injection experience. Call us or request a consultation online — Burbank and Sherman Oaks appointments available.
