contour, shape, smooth, & lift with dermal fillers
Dermal fillers at bespøke by SkinAlchemy are used to restore structural support and balance, not to change facial identity. Every treatment begins with an anatomical assessment of bone, ligaments, fat compartments, and tissue behavior, allowing results that are proportional, stable, and natural in appearance.
All facial fillers used at bespøke by SkinAlchemy are hyaluronic acid–based, a substance naturally present in the body that integrates with tissue and supports hydration and volume. When used precisely, these fillers can soften wrinkles and folds, restore lost volume, support areas such as the lips and under-eye, and improve contour where structural support has diminished. Treatment decisions are guided by medical judgment and restraint, with a focus on long-term facial integrity rather than short-term augmentation.
Lip Restoration & Augmentation
As facial structure and skin quality change over time, the lips can lose support, definition, and hydration. At bespøke by SkinAlchemy, lip treatments are approached as a restorative procedure, guided by anatomy rather than trends. We use hyaluronic acid–based fillers from Restylane and Teosyal, selected for their ability to integrate smoothly with tissue while supporting natural movement and hydration.
Lip restoration is not limited to adding volume. Treatment may focus on improving symmetry, supporting the vermilion border, refining contour, or restoring hydration where structure has softened.
Every plan is individualized following a detailed consultation and anatomical assessment to determine the most appropriate technique and product choice. Pricing varies by approach and typically begins at $350+, with exact recommendations made in person.
Results are visible shortly after treatment, though mild swelling or bruising can occur and may take up to a few weeks to fully settle. Because hyaluronic acid fillers are gradually metabolized by the body, maintenance treatments are typically required over time to preserve balance and structure. Our goal is always the same: lips that feel natural, move naturally, and remain in proportion with the rest of the face.
Radiesse & Tissue Support
Radiesse® is a biostimulatory injectable used to restore structural support while encouraging the body’s own collagen production. At bespøke by SkinAlchemy, Radiesse is selected when deeper support and long-term tissue strengthening are required, rather than surface-level volume replacement.
This calcium hydroxylapatite–based injectable provides immediate structural reinforcement and acts as a temporary scaffold that stimulates collagen formation as it integrates into the tissue. Treatment planning focuses on areas where architectural support has diminished, such as the lower face, jawline, and selected midface regions, based on individual anatomy and tissue behaviour.
Results are visible shortly after treatment, with continued improvement over time as collagen production develops. Longevity varies by patient and treatment area, but effects often persist longer than traditional hyaluronic acid fillers due to Radiesse’s biostimulatory mechanism.
Mild swelling or tenderness can occur, and most patients resume normal activity the same day, with brief activity modification recommended.
Radiesse is used at bespøke by SkinAlchemy as part of a broader structural plan, not as a standalone aesthetic fix. The goal is support, balance, and tissue quality that remains stable and natural in appearance over time.
Sculptra & Structural Biostimulation
Sculptra is a biostimulatory injectable used to address collagen loss, one of the primary structural drivers of facial aging. Rather than creating immediate volume, Sculptra works by stimulating the body’s own collagen production, reinforcing the skin’s internal framework gradually over time. Its active component, poly-L-lactic acid (PLLA), is a biocompatible material with a long history of medical use and integration within tissue.
At bespøke by SkinAlchemy, Sculptra is selected when long-term structural support and tissue quality are the priority. Treatment planning may include areas such as the cheeks, temples, nasolabial folds, marionette lines, chin, and jawline, depending on individual anatomy and patterns of collagen loss. Placement is deliberate and conservative, with careful distribution to support global facial balance rather than isolated correction.
Because Sculptra stimulates your own collagen, results develop progressively as tissue responds over time. Mild swelling or bruising can occur following treatment and typically resolves within several days. Improvement in firmness, contour, and skin quality emerges gradually and can remain stable for an extended period, varying by individual biology and treatment plan. Sculptra is used as part of a long-term, structure-focused approach at bespøke, supporting facial integrity rather than short-term aesthetic change.
Under Eye Restoration & PRF
Under-eye changes are rarely isolated to the skin alone. Volume loss, ligament laxity, and thinning tissue all contribute to shadowing and fatigue in this area. At bespøke by SkinAlchemy, under-eye treatments are planned anatomically, with careful assessment of the midface, orbital support, and skin quality before selecting an approach.
We offer two distinct treatment pathways, chosen based on structure and tissue needs. The Signature Under-Eye Treatment focuses on restoring support through conservative dermal filler placement in the midface and tear trough region, reducing hollows and shadowing by re-establishing underlying architecture rather than overfilling the skin itself. Results are visible once swelling settles and can remain stable for an extended period, depending on anatomy and product selection.
For patients whose primary concern is skin quality rather than volume loss, the Bright Eyes Treatment uses a regenerative approach. This protocol combines platelet-based therapy with skin-boosting injectables to improve hydration, reflectivity, and dermal resilience. Rather than creating volume, this “light filling” strategy supports collagen activity and tissue quality over time.
Mild swelling or bruising can occur with either approach, and we recommend allowing a few weeks before important events for full settling. In some cases, a short series of treatments may be recommended to achieve optimal tissue response and durability. As with all treatments at bespøke, the goal is natural correction that respects the delicacy of the under-eye area and remains anatomically appropriate over time.
SkinVive by Juvéderm:
Internal Hydration
SkinVive by Juvéderm is a hyaluronic acid–based injectable designed to improve skin quality rather than alter facial structure or volume. At bespøke by SkinAlchemy, SkinVive is used to support hydration, texture, and dermal resilience by delivering micro-deposits of hyaluronic acid directly into the skin.
Unlike traditional dermal fillers, SkinVive does not add shape or lift. It functions as an intradermal hydrator, helping the skin retain moisture and improve surface smoothness and reflectivity over time. Treatment planning focuses on skin behaviour and integrity, making it appropriate for patients whose primary concern is dryness, texture irregularity, or early fine lines rather than volume loss.
SkinVive is most commonly used on the face, and in selected cases may also be applied to areas such as the neck or hands where skin quality has thinned or lost hydration. Results develop as the skin integrates the product, with improvements in softness and overall skin appearance that are subtle and natural rather than dramatic.
Downtime is minimal, and most patients resume normal activity shortly after treatment, though small injection marks or mild swelling can occur temporarily. SkinVive is typically incorporated into a maintenance-based skin health plan at bespøke by SkinAlchemy, supporting long-term skin quality without changing facial structure or expression.
dermal fillers before & after
frequently asked questions
What is the difference between Neuromodulators and Dermal Fillers?
Neuromodulators and dermal fillers are two of the most popular treatments when it comes to revitalizing your face, but understanding their differences and how they work can be confusing.
Neuromodulators are substances like Botox and Dysport that are used to reduce lines and wrinkles. They inhibit the release of neurotransmitters which causes muscles to relax resulting in a smoother appearance.
On the other hand, dermal fillers actually fill out lost volume due to aging. Fillers use hyaluronic acid or calcium-based products which help improve facial contours by filling in wrinkles, scars or indentations in the Skin.
While both of these treatments provide amazing results, it's important to understand their differences so you can make an informed decision about what works best for you!
For Dermal Fillers, what is the average longevity for each treatment area?
See below for average longevity based on treatment:
Cheek Filler: 9-18 months
Under Eye Filler: Please see under eye treatment area
Lip Filler (full syringe): 6-12 months
Lower Face Filler: 9-18 months
Neckline/Tech-Neck Filler: 6-9 months
Jawline Filler: 9-18 months
Chin Augmentation: 9-18 months
Non-Surgical Rhinoplasty: 9-18 months
Nasolabial Fold (Smile/Laugh Lines) Filler: 6-12 months
Earlobe Filler: 9-18 months
Temple Filler: 6-12 months
What type of dermal filler is right for me?
At bespøke by SkinAlchemy we take a comprehensive approach to facial rejuvenation and strive to achieve natural-looking results with our dermal filler treatments. Our team of highly trained professionals will work with you to develop a custom plan tailored to your individual needs and desired outcome. We are committed to helping you look and feel your best! Contact us today to find out which dermal filler treatment may be right for you.
What are injectable treatments?
Injectable treatments are medical procedures that use neuromodulators and dermal fillers to restore balance, support structure, and improve skin quality. At bespøke by SkinAlchemy, injectables are used as architectural tools — not cosmetic shortcuts.
Do you specialize in natural-looking results?
Yes. Our approach prioritizes proportion, restraint, and long-term facial harmony. Treatments are planned based on anatomy and movement patterns, not trends or exaggerated outcomes.
What types of dermal fillers do you offer?
We offer a curated range of medical-grade injectables, including:
Hyaluronic acid fillers for structural support and refinement
Skinvive for skin hydration and surface quality
Sculptra and Radiesse for collagen stimulation and long-term tissue support
Product selection is individualized during consultation.
What is Skinvive and who is it for?
Skinvive is a hyaluronic acid injectable designed to improve skin smoothness, hydration, and glow rather than volume. It’s ideal for patients focused on skin quality and subtle refinement.
What are biostimulatory fillers like Sculptra and Radiesse?
Sculptra and Radiesse stimulate your body’s own collagen production over time. They are used to improve firmness, structure, and longevity of results rather than immediate volume alone.
Do you offer under-eye restoration?
Yes. Under-eye treatment may involve filler, collagen stimulation, or skin quality support depending on anatomy. We assess volume loss, skin thickness, vascular patterns, and facial balance before recommending treatment.
Are lip fillers only for volume?
No. Lip filler can be used for shape, support, hydration, and balance — not just size. The goal is proportionate enhancement that integrates naturally with the rest of the face.
How long do injectable results last?
Results vary by product and area:
Neuromodulators: typically 3–4 months
Hyaluronic acid fillers: 6–18 months
Biostimulatory fillers: results develop gradually and can last 1–2 years
Longevity depends on metabolism, anatomy, and treatment plan.
laser treatments guided by skin biology and structure
At bespøke by SkinAlchemy, laser treatments are used to address skin behaviour at a biological level, not to chase surface perfection. Each protocol is selected based on skin type, tissue response, pigment, vascular activity, and long-term goals.
Our laser technologies are used to support collagen remodeling, improve tone and texture, reduce sun damage and redness, and strengthen overall skin integrity. Treatments are planned deliberately, often as part of a broader clinical strategy that may include injectables, regenerative therapies, or medical-grade skincare.
Rather than offering one-size-fits-all solutions, we build laser plans around how your skin functions and how it will age over time, prioritizing results that look natural, settle gradually, and remain stable.