Markham, Ontario · Physician-performed

Dermal Filler in Markham

Hyaluronic acid dermal fillers restore lost volume, enhance facial contours, and soften lines while maintaining a natural appearance. Customized to your facial anatomy and aesthetic goals, they provide immediate, balanced rejuvenation with little to no downtime.

Price

from $600

Appointment

60 minutes

Performed by

Dr. Mazzuca, MD

Location

Markham, ON

Book a Consultation   Book Dermal Filler & Contouring directly

Quick answer

Dermal filler in Markham at Dr. Monique Mazzuca Aesthetics starts from $600, is injected personally by a licensed physician (MD, CCFP) at 200 Cachet Woods Court, Suite 309, and is booked as a 60-minute appointment. Hyaluronic acid filler restores volume and structure in areas such as the cheeks, temples, chin and jawline, and softens deeper lines that show at rest. Results are immediate, settle over about two weeks, and typically last 6 to 18 months depending on the area and product. Downtime is usually limited to mild swelling or bruising, and hyaluronic acid filler can be dissolved if needed. New patients start with a $50 consultation.

What dermal filler is

Dermal filler is an injectable gel placed beneath the skin to restore volume, support and contour. The fillers Dr. Mazzuca uses for facial contouring are made of hyaluronic acid (HA), a sugar molecule that occurs naturally in the skin, where it binds water and helps keep tissue plump. In filler, the hyaluronic acid is cross-linked into a gel so that it lasts for months before the body gradually breaks it down.

Hyaluronic acid fillers are not all the same. Firmer, more cohesive gels are designed to hold shape and are used for structure, such as the cheekbones, chin and jawline. Softer, more flexible gels are used where the tissue moves or the skin is thin. Most also contain a small amount of lidocaine, a local anaesthetic, for comfort. Choosing the right gel for each area is part of the assessment.

A key advantage of hyaluronic acid filler is that it is reversible. If a result is not right, or in the rare event of a complication, an enzyme called hyaluronidase can dissolve it. See filler dissolving.

How dermal filler works

Facial ageing is not only about wrinkles. Over time the facial bones gradually lose some projection, the fat pads that give the face its youthful fullness shrink and shift downward, and the skin produces less collagen. The visible result is flatter cheeks, hollow temples, a softer jawline, and folds such as the nasolabial folds (from the nose to the corners of the mouth) and marionette lines (from the corners of the mouth toward the chin). Some people also simply have a less projected chin or flatter cheekbones by nature.

Filler replaces the support that is missing. Often the most natural approach is to treat the cause rather than the line itself: restoring support in the cheek, for example, can soften a nasolabial fold more naturally than filling the fold directly. Depending on the area, filler is placed deep, close to the bone, for structure, or more superficially for softness, using a fine needle or a blunt cannula.

Dr. Mazzuca assesses the face as a whole before choosing where to treat. A small amount of product in the right place usually looks better than a larger amount spread across every line, and her aim is that people notice you look rested and well, not that you have had filler.

Dermal filler in Markham: what it treats

Areas commonly treated with hyaluronic acid filler include:

• Cheeks and midface: restoring lost volume and gentle lift, which can also soften the folds below.
• Temples: softening hollowing at the sides of the forehead, which can make the face look tired or gaunt.
• Chin: adding projection or length to balance the profile and the lower face.
• Jawline: improving definition and smoothing the line where early jowling begins. See also neck and jawline treatments.
• Nasolabial folds and marionette lines: softening deeper lines that are visible at rest, often by supporting the areas above them.
• Under-eye hollows, in carefully selected patients. Dr. Mazzuca also uses other approaches here; see under-eye rejuvenation.
• Lips and nose, which have their own pages: lip filler and non-surgical rhinoplasty.

Who dermal filler suits, and who should wait

Good candidates are healthy adults with volume loss, flattening, lines that are visible at rest, or a profile they would like to balance, and who want a refreshed version of their own face. Filler can also help patients whose face has become hollow after weight loss.

Filler is not the best tool for every concern. Lines that only appear with expression usually respond better to Botox. Loose or crepey skin is often better addressed by improving the skin itself, for example with Morpheus8 or Forma, and significant sagging may be a surgical question. Dr. Mazzuca will tell you if another treatment, or no treatment, is the better answer.

She will review your medical history and may recommend postponing treatment if you are pregnant or breastfeeding; have an active infection, acne flare or cold sore in or near the treatment area; have a known allergy to hyaluronic acid filler or lidocaine; have a bleeding disorder or take blood thinners; have an autoimmune or other condition that affects healing; have had permanent filler or an implant in the area; or have recent or upcoming dental work or an important event within two weeks. Bring a list of your medications and supplements to the consultation.

What the appointment is like

1. Assessment. Dr. Mazzuca looks at your face from the front and in profile, at rest and in motion, and asks what bothers you most. She explains which areas she recommends, approximately how much product is involved and the cost, before anything is injected.
2. Preparation. The skin is cleansed thoroughly. A topical anaesthetic may be used for some areas, and the filler itself usually contains lidocaine.
3. Injection. Filler is placed in small, deliberate amounts with a fine needle or a blunt cannula, checking symmetry and contour as she goes. Depending on the number of areas, the injecting takes roughly 15 to 40 minutes.
4. Aftercare. A cool pack is applied and you leave with written instructions. A review at about two weeks can be arranged to check the settled result and decide whether anything else is needed.

The visit is booked for 60 minutes. Most patients return to work or normal activities the same day.

Results: when you see them and how long they last

Results are visible immediately. Some swelling is normal for the first few days, so the area may look slightly fuller at first, and the result is judged at about two weeks once the filler has settled into the tissue.

How long filler lasts depends on the product, the area, how much the area moves, and your own metabolism. As a general guide:

Area	What filler does there	Typical longevity
Cheeks and midface	Restores volume and support	About 12 to 18 months
Chin and jawline	Adds projection and definition	About 12 to 18 months
Temples	Softens hollowing	About 12 months, varies
Nasolabial folds and marionette lines	Softens deeper lines at rest	About 6 to 12 months
Lips	Volume, shape and definition	About 6 to 12 months

These are ranges, not promises, and some patients find results last longer. Filler fades gradually, and maintenance treatments often need less product than the first.

Downtime, side effects and risks

Common and temporary: swelling, tenderness, redness at the injection points and bruising, which usually fades within 5 to 10 days. The area can feel firm or slightly lumpy for the first week or two while the filler settles.

Less common: asymmetry, lumps or nodules, filler that is visible as a bluish tint if placed too close to the surface, migration of filler away from where it was placed, infection, and delayed swelling or inflammatory reactions that can appear weeks or months later. Most of these can be treated, and hyaluronic acid filler can be dissolved if needed.

Rare but serious: vascular occlusion, where filler enters or compresses a blood vessel and reduces blood flow to the skin. Without prompt treatment this can damage the skin. In extremely rare cases, filler that reaches arteries connected to the eye has caused vision loss; this has been reported most often after injections around the nose, between the brows and in the forehead. Warning signs include sudden or severe pain, skin that turns white, dusky or mottled, and any change in vision. These are emergencies, treated promptly with hyaluronidase. Serious allergic reactions are very rare. If you notice any of these signs after treatment, contact the clinic immediately, or go to the nearest emergency department if the clinic is closed.

Careful technique reduces these risks substantially but cannot remove them completely, which is why the experience and training of the person injecting matters so much.

Aftercare: the first 24 to 48 hours

• Use a cool pack wrapped in a cloth for 10 minutes at a time during the first day to reduce swelling.
• Avoid pressing, rubbing or massaging the treated areas unless Dr. Mazzuca has asked you to.
• Skip strenuous exercise, saunas, hot yoga and alcohol for 24 to 48 hours.
• Sleep on your back with your head slightly raised for the first night or two.
• Light makeup can usually go on the next day once the injection points have closed.
• Avoid facials, dental work and other facial treatments for about two weeks.
• Contact the clinic if pain increases rather than settles, if the skin changes colour, or if you notice any change in vision.

To reduce bruising, avoid aspirin, ibuprofen, fish oil, vitamin E, ginkgo and alcohol for a few days beforehand unless a physician has prescribed them.

Dermal filler vs Botox, biostimulators and skin tightening

	HA dermal filler	Botox	Sculptra & Radiesse
What it does	Adds volume and structure directly	Relaxes the muscles that crease the skin	Stimulates your own collagen
Best for	Cheeks, chin, jawline, temples, lines at rest	Frown lines, forehead lines, crow's feet	Broad volume loss, skin firmness
Onset	Immediate	3 to 5 days	Gradual over weeks to months (Radiesse also gives some immediate lift)
Lasts	About 6 to 18 months	3 to 4 months	About 12 months to 2 years
Reversible	Yes, with hyaluronidase	Wears off	No
Cost	From $600	$10 per unit	From $700

These treatments work well together. A common plan is Botox to stop the creasing, hyaluronic acid filler for precise structure, and a collagen biostimulator for broader volume and skin quality. If the main concern is loose or crepey skin rather than lost volume, skin treatments such as Morpheus8 RF microneedling or Forma skin tightening may be a better starting point. Dr. Mazzuca plans these together rather than treating one line at a time.

Why patients choose a physician

At this clinic the person assessing you and the person treating you are the same person, and that person is a licensed physician. Dr. Mazzuca is an MD with CCFP certification in family medicine and additional training in cosmetic medicine, facial anatomy, women's health, and longevity medicine. Treatment is not delegated.

Her stated approach is to emphasise "subtle, elegant results that refresh rather than transform, using the least invasive treatments necessary to achieve safe, natural, and lasting outcomes."

Dermal filler is placed in a face that is full of blood vessels and nerves, and the safest placement depends on a detailed understanding of facial anatomy. As a physician, Dr. Mazzuca assesses you, performs the treatment, and recognises and manages any complication herself, including dissolving filler with hyaluronidase. In Ontario, injectables can legally be delegated to nurses and other staff working under a physician's directive; at this clinic they are not.

Booking, pricing and what happens next

Step	What it involves	Cost
1. Consultation	Facial and skin assessment, discussion of goals, customized plan	$50 (30 min)
2. Virtual option	Video consult if you are outside the Markham area	$20 (15 min)
3. Dermal Filler & Contouring	Treatment performed by Dr. Mazzuca	from $600 (60 minutes)

All appointments are booked online through the clinic's booking system, where current availability and pricing are shown before you confirm.

Dermal filler starts from $600. Your total depends on how many areas are treated and how much product your plan needs, and it is confirmed at your assessment before anything is injected. Larger plans are often staged over more than one visit, which spreads the cost and lets the face adjust gradually. As a simple illustration, a patient who has one treatment at the starting price each year spends about $600 a year, or roughly $50 a month; areas that last longer may need maintenance less often. Cosmetic filler is not covered by OHIP.

Serving Markham and the Greater Toronto Area

The clinic is located at 200 Cachet Woods Court, Suite 309 in the Cachet Woods area of Markham, near Woodbine Avenue and Major Mackenzie Drive, with parking on site. Patients travel from Unionville, Richmond Hill, Vaughan, Aurora, Stouffville, Thornhill, North York, Scarborough and the wider GTA. If you are outside the area, a virtual consultation is available before you commit to an in-person visit.

Frequently asked questions

Every treatment on this page is booked through Dr. Mazzuca's secure online system. New patients begin with a consultation; returning patients can book the treatment directly.

Written and medically reviewed by Dr. Monique Mazzuca, MD, CCFP. Last reviewed 2026-08-07.

This page is general information, not medical advice, and it is not a substitute for an in-person assessment. Results vary between patients, and every treatment carries risks that are reviewed with you before you consent. Suitability is determined by Dr. Mazzuca at your consultation.

Other treatments at the clinic