As we age, our face starts to lose volume that was originally present during youth, resulting in hollowed features and a sunken appearance. Factors that contribute to aging of the skin include sun exposure, gravity, diet, genetics, and the overall use of facial muscles. 

As one of the top nonsurgical providers in Hawaii, we offer cosmetic treatments at our Kailua-Kona, Waimea, and Hilo locations such as BOTOX® and Dysport®, which have been proven effective at softening the facial muscles and promoting a more youthful appearance; as well as dermal fillers Restylane®, JUVÉDERM®, Sculptra, and Radiesse which are effective solutions for combating wrinkles, creases, and folds.

Here at Refresh by Dr.Monica & Dr. Monica Scheel Dermatology,
 we offer a variety of cosmetic injectables that can promote a
more youthful countenance and help you look your best.

Botox & Dysport

Botox and Dysport are wrinkle relaxers or neuromodulators. They are used to temporarily reduce muscle contractions and smooth skin wrinkles. The entire procedure takes approximately 10 minutes, and there is no downtime. Numbing cream is offered to all of our patients to minimize discomfort. Results start appearing 2-5 days after the treatment and last 3-4 months. Our office offers a free 2 week follow visit/touch-up to all of our patients to ensure a perfect treatment.


What are Botox and Dysport?

Botox (manufactured by Allergan) and Dysport (manufactured by Galderma) are the two types of brands we carry in our office. Each brand has a slightly different recipe of a similar substance, Botulinum toxin A, but essentially works very similarly. Both products can help reduce or eliminate wrinkles and fine lines caused by repeated muscle contraction. The most important aspect of using these different products is not which one you choose, but ensuring that a reputable and respected provider is injecting you. Dr. Scheel and her PAs have years of training and experience in relaxer injections. Dr. Scheel is a Board Certified Dermatologist and has been using these relaxers for over 15 years. A knowledgeable injector will soften lines and features with the goal of relaxing lines instead of “freezing” the face.

What areas are treated with Botox and Dysport?

At Dr. Monica Scheel Dermatology, the most commonly treated areas include the crow’s feet around the eyes, forehead lines, “11’s” between the eyebrows, vertical lip lines, “bunny lines” on the nose, down turning of the mouth corners, chin wrinkles and the neck (platysmal bands). Botox and Dysport are also highly effective in treating excessive underarm sweating (hyperhidrosis) and masseter hypertrophy (helping with teeth grinding and TMJ).

We believe in a natural look and don’t “overdo it” with our patients. With regular upkeep and visits to our injection specialists, you will find you look rejuvenated, more youthful, refreshed, and relaxed. While many men and women in their 40’s, 50’s, and 60’s come in to treat the lines that have already developed, there has been a movement of younger people seeking preventative treatment of lines and wrinkles.

Things to Know

  • Smoothes frown lines, forehead lines, and crow’s feet
  • Prevents wrinkles from forming when regular injections maintained
  • It can be combined with fillers for overall rejuvenation
  • No downtime, “lunchtime” procedure.
  • Minimal discomfort
  • Minimal and rare bruising may occur
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How much does it cost?

$350-$620 for 2-3 areas
( 11’s, Crows Feet, Forehead)
For More than 3 areas – $620- $1000

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We offer a full selection of dermal or facial fillers, including hyaluronic acid (HA) fillers (Juvederm and Restylane), calcium hydroxylapatite (Radiesse), and poly-L-lactic acid (Sculptra). Injections are done with topical numbing and ice with minimal discomfort. Downtime is minimal and can be minimized by following our pre and post-filler treatment instructions. Most fillers last 1-2 years.


Where can you inject Filler?

Some of the specific areas that we specialize in at Dr. Monica Scheel Dermatology include lip restoration and enhancement, jawline contouring, chin profile correction, nasolabial folds, under eyes, cheek lifting and contour, temples, jowl correction, but are not limited to these areas. Other treatments we offer include a specialized technique of using a dilute filler to smooth and tighten necklines as well as upper arm and knee crepey skin. We also treat thinning and aging chest skin with a unique filler treatment.

Hyaluronic Acid(HA) Fillers 

We utilize a variety of brands and types of hyaluronic acid filler to customize a cosmetic plan that caters to each individual’s needs. HA Fillers add immediate volume to an area, filling facial wrinkles and folds and restoring volume loss. Dr. Scheel and her PAs can discuss the specifics with you, and together you can determine what product will best suit you, leaving a natural and refreshed look.

Sculptra & Radiesse

Sculptra which is a poly-L-lactic acid filler and Radiesse which is a calcium hydroxyapatite filler replace collagen loss and smooth wrinkles and folds. These can be hyper-diluted to treat the body as well.

For refining fine lines and superficial correction:

Restylane, Restylane Refyne, Restylane Kysse, Juvéderm XC and Volbella, are some of the fillers we use to treat softer areas such as the lips and lip lines, hollowing under eyes, and other fine facial lines. These fillers and our unique injection techniques allow us to smooth lines, correct volume loss, or restore those kissable lips.

For lifting the deeper folds:

Restylane Lyft, Restylane Defyne, Juvederm UltraPlus XC, Voluma, and Vollure are some fillers we use to treat areas that require more support or have deeper folds. Areas we treat with these fillers include nasolabial folds, marionettes, temples, cheeks, chin, and jawline. By using our advanced injection techniques, we can restore the youthful structure of the face and enhance areas if desired.

Lip restoration or enhancement:

Depending on your desired treatment goals, we utilize Restylane or Juvederm products to restore lost volume in lips, smooth lines and wrinkles, rehydrate lips, or enhance and plump them. We hand select the right product for you to achieve your perfect pout. Click here to see more photos of lip filler treatments done in our office.

Liquid facelift:

Using our signature liquid facelift technique, we can achieve excellent results without the downtime and scarring associated with surgical procedures. We pair advanced injection with a selection of various thickness fillers to restore the needed volume in the face. By utilizing multiple products, we achieve natural and long-lasting improvement in facial volume depletion with minimal downtime.

Jawline Contouring and Chin Profile Correction:

The world does not see you 2D, so it is essential to have a balanced profile from all angles. Volume loss in the chin and jawline can lead to heavy-looking jowls and an undefined jawline. Using fillers, we can lift, enhance, restore and sculpt a jawline that fits your profile.

We currently offer the following fillers:

  • JUVÉDERM® Ultra XC
  • JUVÉDERM® Ultra Plus XC
  • Restylane-L®
  • Restylane® Refyne
  • Restylane® Defyne
  • Restylane® Lyft
  • Restylane® Kysse
  • Restylane® Contour
  • Sculptra
  • Radiesse

Things to Know

  • Naturally replace volume loss
  • Smooth lines and Wrinkles
  • Typical results last 1-2 years depending on the product and the area treated
  • Minimal downtime
  • Slight bruising and swelling possible for a few days

How much does Filler Cost ?

They range from $675 – $1000 per syringe 

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As we age, our face loses volume causing our cheeks to flatten and skin to sag. This volume loss starts in our 20s and becomes more noticeable as we age. Juvederm Voluma XC temporarily adds volume and reverses these signs of aging, and our office is the most experienced Voluma injector in Hawaii. Juvederm Voluma instantly adds natural-looking volume to your cheek and chin area. It can provide contour and a subtle lift for up to
two years!

We will discuss your goals during your visit, examine your skin, and determine the amount to inject. Contact us today to schedule a consultation and find out if Voluma is right for you.


Before Filler Treatment

  • Avoid aspirin, vitamin E, Fish Oil, and Ibuprofen one week before treatment as it may increase bruising.
  • Avoid dental procedures and vaccinations 2 weeks before and 2 weeks after filler treatment.
  • If you have a special event, plan your time frame, there may be redness, swelling, or bruising for 24 to 72 hours after a treatment.
  • Start arnica before the treatment and continue for 48 hours afterward.
  • Ice immediately after and the evening of your treatment.
  • No vigorous exercise for 48 hours after fillers.
  • If you get a bruise, we offer complimentary laser treatments to help the bruise resolve faster.

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Sculptra (poly-L-lactic acid) is a unique type of filler that utilizes one’s own collagen synthesis to treat volume loss. Sculptra is used to lift and fill in deeper volume loss and folds, such as cheeks, chin, jawline, temples, nasolabial folds, and marionette lines. Sculptra can also help improve thin and crepey skin and shallow smile lines. It works gradually by stimulating collagen, producing a more refined, natural-looking appearance that can last up to two years.

Some people get the rejuvenating results they want with only one treatment, but most skin issues respond best to two to three treatments, spaced six weeks apart. Since Sculptra’s benefits are so long-lasting, a trained and experienced practitioner must do the procedure. Call our office to see if Sculptra is the right filler for you.


Click here to learn more about Sculptra

Things to Know

  • Replaces lost collagen and reinforces the structure of the skin.
  • Stimulates the production of collagen.
  • Restores volume loss.
  • Massaging the injection sites is an integral part of post-operative care.
  • It takes 6 weeks after treatment for full effects
  • It can last up to 2 years.
  • A series of treatments will provide optimal results.

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Radiesse  (Calcium Hydrolyapete) is a filler used to treat lines, wrinkles, sculpt the jawline and chin, and smooth crepey and wrinkled skin of the neck, arms, and above the knees. Radiesse is also FDA-approved to restore volume loss in the hands.

Our office uses Radiesse along the jawline and chin area to define and lift the jawline and jowls as well as sharpen and contour for a slimmer profile.

Dr. Monica Scheel Dermatology also specializes in a unique preparation of Radiesse to help with thin, creepy, and wrinkled skin of the neck, inner arms, and upper knees. Many factors contribute to the loss of collagen and elastin and Radiesse is one of the only fillers that stimulates the production of these with minimal downtime.

We specialize in creating a unique dilution of Radiesse paired with a cannula to address your unwanted crepey skin. Radiesse can be injected into your neck, knees, arms, face, and hands.

Patient’s pictured had one syringe injected per side and one treatment. Patient’s also applied Dr. Monica Scheel Dermatology’s Retinol Firming Body Lotion once daily.


Things to Know

  • Smooths lines and wrinkles in the neck, upper arms, and upper knees
  • Stimulates the production of collagen and elastin.
  • Results are immediate but continue to improve over 1 month
  • It can last 1-2 years.
  • 1-2 treatments are recommended for optimal results.

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