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A provider performing a dermal filler treatment

Dermal Fillers in San Antonio & Boerne

Restore lost volume, soften lines, and enhance your natural features with results you can see right away. At Alamo Primary Care, dermal fillers for the lips, cheeks, smile lines, under-eyes, and jawline are planned and performed by medical providers who know your health history, at our Westover Hills clinic in San Antonio and on Main Street in Boerne.

Book a filler consultation

  • Immediate results
  • Natural-looking volume
  • Dissolvable if needed
  • Provider-led

What Are Dermal Fillers?

Dermal fillers are injectable gels, most commonly made of hyaluronic acid (HA), a substance your skin already contains that attracts and holds moisture. As we age, the face naturally loses volume and structure. Fillers replace that lost volume, smooth lines, and add definition, with results visible immediately.

Most HA fillers also contain lidocaine for comfort, and they can be dissolved with an enzyme called hyaluronidase if needed.

A patient during an aesthetic treatment

Filler vs. Botox vs. Sculptra

Dermal fillerBotoxSculptra
What it doesAdds volume and contourRelaxes muscles that cause linesStimulates your own collagen
Best forLips, cheeks, folds, under-eyes, jawlineForehead, frown lines, crow’s feetOverall volume loss and skin quality
ResultsImmediate3–14 daysGradual, 2–3 months
Lasts6–18 months3–4 monthsUp to 2+ years
ReversibleYesWears offNo

Many patients combine treatments for balanced, natural results.

Dermal Filler Treatments in San Antonio & Boerne

Lip Filler

Adds volume, shape, and definition to thin or uneven lips, or simply hydrates and smooths them for a subtle refresh. Plans range from a soft “lip hydration” look to fuller lips, always balanced with your other features. Typical amount: 0.5–1 syringe · Lasts: about 6–12 months

Cheek Filler

Restores volume to flattened cheeks and lifts the midface, which can also soften smile lines and give the face a more rested look. Typical amount: 1–2 syringes · Lasts: about 12–18 months

Under-Eye (Tear Trough) Filler

Softens hollows and shadows under the eyes that make you look tired, using a light, carefully placed filler. Not everyone is a good candidate; your provider will assess skin quality and puffiness first. Typical amount: 0.5–1 syringe · Lasts: about 9–12 months

Smile Line (Nasolabial Fold) Filler

Smooths the folds that run from the sides of the nose to the corners of the mouth. Typical amount: 1 syringe · Lasts: about 9–12 months

Marionette Line Filler

Softens lines running down from the corners of the mouth that can create a downturned or sad expression. Typical amount: 1 syringe · Lasts: about 9–12 months

Chin Filler

Adds projection and balance to a recessed or soft chin, improving facial proportions and side profile. Typical amount: 1–2 syringes · Lasts: about 12–18 months

Jawline Filler

Defines and sharpens the jawline, a popular option for both women and men who want a more sculpted lower face. Typical amount: 2–4 syringes · Lasts: about 12–18 months

Temple Filler

Restores volume to hollow temples, an early sign of aging that can make the face look thinner. Typical amount: 1 syringe per side · Lasts: about 12–18 months

How Many Syringes of Filler Do You Need?

AreaTypical syringes
Lips0.5–1
Under-eyes0.5–1
Smile lines1
Marionette lines1
Cheeks1–2
Chin1–2
Temples1–2
Jawline2–4

Your provider will recommend an amount based on your anatomy and goals. Many patients start conservatively and add more at a follow-up if needed.

How Much Do Dermal Fillers Cost in San Antonio & Boerne?

  • Fillers are priced per syringe, so your total depends on the area and amount used
  • Your plan and pricing are confirmed at your consultation before anything is booked

What to Expect at Your Filler Appointment

  1. 01

    Consultation

    We discuss your goals, review your health history, and recommend areas and amounts.

  2. 02

    Preparation

    Your skin is cleansed, and topical numbing may be applied.

  3. 03

    Treatment

    Precise injections with a fine needle or cannula, taking about 30–60 minutes.

  4. 04

    Immediate results

    You’ll see a difference right away, though swelling can make results look fuller at first.

  5. 05

    Two-week check-in

    Results are reviewed once swelling settles, with small touch-ups if needed.

Results Timeline: What to Expect After Filler

  • Day 1–3: swelling is most noticeable, especially for lips; results may look fuller or slightly uneven
  • Day 4–7: swelling and any bruising fade
  • Week 2: filler fully settles and integrates; this is your true result
  • 6–18 months: filler gradually breaks down, depending on the area and product
A patient two weeks after treatment

Before and After Your Filler Treatment

Before your appointment:

  • Avoid aspirin, ibuprofen, fish oil, vitamin E, and alcohol for a few days, if your provider approves, to reduce bruising
  • If you’ve had cold sores, tell your provider before lip filler; antiviral medication may be recommended
  • Avoid dental work and vaccines for about two weeks before and after, if possible
  • Plan around events, allowing at least two weeks for swelling to settle

After your treatment:

  • Apply a cool compress to reduce swelling
  • Avoid strenuous exercise for 24–48 hours
  • Avoid heat (saunas, hot yoga, hot tubs) for a few days
  • Don’t massage the area unless your provider instructs you to
  • For lip filler, avoid straws and kissing for the first day or two
  • Sleep with your head slightly elevated the first night

Are Dermal Fillers Safe?

Hyaluronic acid fillers are FDA-approved and widely used. Common, temporary side effects include swelling, bruising, tenderness, and redness. Rare but serious complications, such as filler blocking a blood vessel, can occur, which is why anatomy knowledge and an experienced medical provider matter. Because HA fillers can be dissolved, problems can be corrected quickly. Fillers aren’t recommended if you:

  • Are pregnant or breastfeeding
  • Have an active skin infection, cold sore, or inflammation at the treatment area
  • Have a known allergy to hyaluronic acid or lidocaine
  • Have certain autoimmune conditions or bleeding disorders (discuss with your provider)

Dermal fillers are for adults 18 and older.

Why Choose Alamo Primary Care for Dermal Fillers?

  • Medical providers, not a med spaTreatment planned around your health history
  • Natural, balanced resultsThat enhance your features rather than change them
  • Dissolvable fillersAnd an experienced team to manage any concerns
  • Clear pricingBefore anything is booked
  • Two-week follow-upTo review your results

Book your filler consultation

Westover Hills, 12047 Potranco Rd, San Antonio (Mon–Thu 7–5, Fri 7–3) and 1411 S Main St, Boerne (Mon–Fri 8–5). Serving Alamo Ranch, Helotes, Fair Oaks Ranch, and Kendall County.

Google Reviews

Alamo Primary Care

4.8 1,221 reviews
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C Casey Torresa month ago
We are thrilled with our first visit here. Everything moved very quickly and efficiently, as they seem to have a very effective team of employees. The appointment lasted approximately 1 hour, and that included new patient intake forms, vitals, seeing the doctor and getting labs done. I love how fast the process went, while also feeling seen, heard and feeling like our concerns were valid and taken seriously. The receptionists were all very friendly, inviting and helpful, including Delilah, who checked us out and set our next appointment. Finding a new primary care provider can be quite overwhelming and time consuming, but not here, and the services offered go above and beyond anything we expected. We look forward to future visits with this practice.
S Stassney Bernala month ago
Alamo Primary Care has the BEST staff! From the moment I walked in, I had such a great experience as a new patient. I’m especially thankful they were able to get me in for a same day appointment. Im finally feeling like I’m getting the answers I’ve been looking for. Highly recommend!
M Mark & Eva Serna2 months ago
We came in to establish care with my new PCP, Dr. Vishal, and his staff were absolutely wonderful! Everyone was so informative, patient, and thorough throughout the entire process. I’m so happy that I made the change and feel confident knowing I’m in such great hands. Thank you, Dr. Vishal and team, for making us feel so welcomed and cared for!
J Jeremy Bazan3 months ago
I’ve had a great experience with Alamo Primary Care. Everyone in the office has always been friendly, welcoming, and willing to help. The front desk ladies are always kind and make everything easy, whether it’s scheduling appointments or answering questions. The doctor takes the time to listen and explain things without making you feel rushed, and the PA has been just as helpful and knowledgeable. It’s nice to go to a doctor’s office where you feel like they actually care about their patients. Highly recommend!
I IRIS BANE4 months ago
My senior mother had an appointment there today and let me know how well every member of your staff treated her from beginning to end. I appreciate your professionalism, empathy and amazing bedside manner. I’m happy to know she felt comfortable and in good hands. Highly recommend! Respectfully, patients daughter.
G Glenda Wilton5 months ago
I had an excellent experience with this doctor and their entire office staff. From the moment I walked in, I was greeted warmly and treated with kindness and professionalism. The front desk team was efficient and helpful, making the check-in process smooth and stress-free. The doctor took the time to listen carefully to my concerns, explained everything clearly, and made sure I felt comfortable with the treatment plan. I never felt rushed, and it was clear that they genuinely care about their patients’ well-being.
S Sheila Evans5 months ago
I had a very positive experience at this primary care office. The staff was friendly, professional, and made me feel comfortable from the moment I walked in. Dr. Vishal Nemargommula took time to listen carefully to my concerns, answered my questions thoroughly, and never made me feel rushed. He was very kind, professional and easy to talk to. I especially appreciated how respectful and understanding everyone was during my visit. The office was clean, organized, and the overall atmosphere was welcoming.
C Cheyenne Peters7 months ago
This was my first time at this location and I was pleasantly surprised at every turn of this appointment. The front staff were incredibly welcoming and equally as funny. I’m a nervous talker so they humored me and it helped me calm down a lot. The doctor was punctual and very thorough for a first time visit which was a pleasant surprise. He had several follow up questions about each of my concerns and gathered more information as well as educated me more than any physician I’ve seen on a first visit. Excellent first impression and visit.
R Ruben Guerra8 months ago
I cannot say enough good things about my experience with Dr. Vishal. From the moment I walked in, I felt comfortable from the check in with the ladies up front to the medical assistants in the back! He talked to me, not at me. He listened to my concerns, asked thoughtful questions, and made me feel validated. He came highly recommended and I never felt one ounce of regret. It’s such a relief to finally have a primary care doctor who makes you feel seen and heard. 10/10 recommend!
J julio catalan10 months ago
Very nice customer service it was a very pleasant visit of what I was dreading to be bad news. Every single nurse had a great attitude and made me feel very comfortable and welcomed. I’m glad I found this place and it’s only 5 minutes away from me. Plus they do IV therapy!!! Also the receptionist were awesome Andrea, Jen, Delilah were so nice to my kids they gave them Christmas light up necklaces because my kids asked for stickers. Great people

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Frequently Asked Questions

Where can I get dermal fillers in San Antonio, TX?

Alamo Primary Care offers dermal fillers at its Westover Hills clinic, 12047 Potranco Rd, San Antonio, TX 78253. Treatments for lips, cheeks, smile lines, under-eyes, and jawline are performed by medical providers after a consultation, with results visible immediately.

Where can I get lip filler in Boerne, TX?

Alamo Primary Care provides lip filler at 1411 S Main Street, Boerne, TX 78006, open Monday to Friday, 8 am to 5 pm. Lip filler typically uses half to one syringe and lasts about six to twelve months for patients from Boerne, Fair Oaks Ranch, and Kendall County.

Where can I get lip filler in San Antonio?

Alamo Primary Care offers lip filler at its Westover Hills clinic in San Antonio using hyaluronic acid fillers. Plans range from subtle hydration to fuller lips, designed to stay balanced with your other features, and can be dissolved if needed.

What are dermal fillers made of?

Most dermal fillers are made of hyaluronic acid, a natural substance in the skin that attracts and holds moisture. Many also contain lidocaine for comfort. Hyaluronic acid fillers can be dissolved with an enzyme called hyaluronidase if needed.

How long do dermal fillers last?

Dermal fillers usually last six to eighteen months, depending on the product and area. Lip filler lasts about six to twelve months, under-eye and smile line filler about nine to twelve months, and cheek, chin, and jawline filler about twelve to eighteen months.

How long does lip filler last?

Lip filler typically lasts about six to twelve months. Lips move constantly, so filler breaks down faster there than in areas like the cheeks. Many Alamo Primary Care patients schedule a lip touch-up about every six to twelve months.

How many syringes of filler do I need?

Typical amounts are half to one syringe for lips or under-eyes, one syringe for smile lines, one to two for cheeks or chin, and two to four for the jawline. Your Alamo Primary Care provider recommends an amount based on your anatomy and goals.

How much does lip filler cost in San Antonio?

Lip filler is priced per syringe, and most lip treatments use half to one syringe. Alamo Primary Care confirms your treatment plan and pricing at your consultation in San Antonio or Boerne before anything is booked.

Does lip filler hurt?

Most people feel mild discomfort or pressure. Most fillers contain lidocaine, and topical numbing is applied beforehand, which makes treatment much more comfortable. The lips are more sensitive than other areas, but the procedure is quick.

How long does lip filler swelling last?

Lip filler swelling is usually most noticeable for the first two to three days and largely settles within a week. Final results are visible at about two weeks, once the filler fully integrates.

What should I avoid after filler?

After filler, avoid strenuous exercise for 24 to 48 hours, avoid heat such as saunas and hot yoga for a few days, and don’t massage the area unless instructed. After lip filler, avoid straws and kissing for a day or two to reduce swelling.

Can dermal fillers be dissolved?

Yes. Hyaluronic acid fillers can be dissolved with an enzyme called hyaluronidase if you’re unhappy with results or if a complication occurs. This makes HA fillers one of the most adjustable aesthetic treatments.

What is under-eye filler?

Under-eye filler, also called tear trough filler, uses a small amount of hyaluronic acid to soften hollows and dark shadows under the eyes. Not everyone is a candidate, so your Alamo Primary Care provider assesses your skin and puffiness first.

Can men get jawline or chin filler?

Yes. Jawline and chin filler are popular with men who want a stronger, more defined lower face. Alamo Primary Care plans treatments for men in San Antonio and Boerne to enhance structure while keeping features natural and masculine.

What is the difference between filler and Botox?

Filler adds volume to areas like lips, cheeks, and smile lines, with immediate results. Botox relaxes muscles that cause expression lines like forehead lines and crow’s feet. Many patients at Alamo Primary Care combine both for balanced results.

What is the difference between filler and Sculptra?

Hyaluronic acid filler adds volume immediately and can be dissolved, lasting six to eighteen months. Sculptra stimulates your own collagen for gradual results that can last up to two years or more but cannot be dissolved. They are often used together.

Will filler make me look overdone?

Not with a conservative plan. Alamo Primary Care starts with modest amounts and would rather add a little at a follow-up than overdo it. The goal is to enhance your natural features, not change them.

What are the side effects of dermal fillers?

Common side effects include swelling, bruising, tenderness, and redness that usually resolve within a week. Rarely, filler can block a blood vessel, which requires prompt treatment. Experienced injectors and dissolvable HA fillers help reduce and manage this risk.

Who should not get dermal fillers?

Fillers are not recommended during pregnancy or breastfeeding, for people with an active skin infection or cold sore at the treatment area, or for anyone allergic to hyaluronic acid or lidocaine. Certain autoimmune or bleeding conditions should be discussed with your provider first.