Offered at our convenient location in Portland, Oregon


Are your hands “bony”? Have you become self-conscious of the tendons, bones, and veins that have become more visible over time?

Bellafill treatment can help. As we age, fatty tissues diminish in our hands and faces. Muscles near the surface of our skin become less cushioned, resulting in the development of lines and wrinkles. Skin also becomes less elastic over time, adding to the loss of facial shape and the development of wrinkles. Sun exposure, heredity, and lifestyle also affect the skin’s health and appearance with time.

Dermal fillers are excellent anti-aging products.

Fillers are injected into the top layer of the skin to add more volume to areas like the face and hands. Bellafill, a dermal filler composed of a smooth collagen gel with polymethyl methacrylate (PMMA) microspheres throughout it, is highly effective at reducing the appearance of lines and scars.

Dr. Roby Hayes, a Board-Certified Surgeon, is an expert in Bellafill treatments. He is a Certified Bellafill Injector Trainer, instructing other providers in patient evaluation and injection techniques.

About Bellafill

Bellafill is an FDA-approved, collagen-based filler used to reduce the appearance of smile lines and pitted acne scars on the cheeks. Bellafill injection immediately adds volume below the surface of the skin and reduces wrinkles, for smooth results that last at least 5 years — longer than any other dermal filler.

A loss of volume and shape are indicators of aging. Bellafill injections are a great solution to reverse aging by improving wrinkles, folds, and bony-looking hands. Bellafill is particularly good at lessening the appearance of nasolabial folds, fine wrinkles, and rejuvenating the cheeks, chin, jawline, and neck.

Nasolabial folds, a crease that starts at the corner of the nose and ends at the corner of the mouth, are an ideal type of aging issue that Bellafill effectively treats. Bellafill is also used to fill in scars for a smoother, youthful appearance. This gel-like filler is composed of collagen and PMMA microspheres, two substances that are known for their excellent scaffolding characteristics. Bellafill’s cutting-edge gel formulation consistently achieves natural-looking results.

Dr. Hayes is an expert in fillers and specializes in hand rejuvenation. He artfully fills in facial wrinkles and hollow areas for smooth, long-lasting solutions. Bellafill injections help to improve facial lines and restore volume and fullness to hands.

If you are feeling self-conscious about your hands, wrinkles or scars, Bellafill injections may be your solution. These injections are fast and easy, requiring no downtime.

How Does Bellafill Work?

With Bellafill, you don’t have to decide between looking great now and looking great later.

Bellafill uses an innovative blend of 2 distinct components to create results that are both immediate and long lasting.

Suspended within its smooth collagen gel base are tiny polymethyl methacrylate (PMMA) microspheres. Once the filler is injected, the collagen goes to work immediately, adding natural-looking volume in the areas injected. Over time, your body naturally metabolizes the injected collagen — but that doesn’t mean your results disappear. The PMMA microspheres work as a scaffolding system, supporting the development of your own collagen and laying the foundation for long-term smoothness.

Before and After Photos

Treatment Areas

Acne Scars

Bellafill is the only FDA-approved dermal filler, on the market, for the correction of atrophic (pitted), distensible facial acne scars on the cheek. No other dermal filler on the market is approved for the treatment of acne scars.

Nasolabial Folds (Smile lines)

Once injected, Bellafill immediately reduces the look of smile lines. Over time, your body uses the microspheres to create a “scaffold” onto which your own collagen can develop. This collagen forms a foundation that adds volume to wrinkles, reducing their appearance. These natural-looking results feel soft and smooth through 5 years.

Other areas we use Bellafill

We have gotten excellent results using Bellafill for cheek augmentation, forehead lift, restoring lost volume in the temples, reshaping and rejuvenating the chin and jawline, softening lines around the eyes and lips, for lifting and smoothing the skin of the neck, and for long-lasting hand rejuvenation.

Ideal Candidates

Patients who have had a positive reaction to the Bellafill Skin Test, have a history of severe allergies, have known bovine collagen allergies, are allergic to lidocaine, have bleeding disorders or are prone to thick scar formation and/or excessive scarring should not receive Bellafill. An ideal candidate for Bellafill injections has:

  • Prominent lines and wrinkles on their face
  • Hands that appear sunken and hollow
  • Realistic expectations of the results
  • Good health

Both men and women may benefit from dermal fillers. Bellafill is commonly used in older patients but anyone may schedule a consultation to discuss the benefits of dermal fillers.

Preparing for Bellafill

bellafill For sensitive patients, specialized formulations of Bellafill are combined with lidocaine, an anesthetic, to reduce any discomfort. Dr. Hayes can also apply topical anesthesia or numb the predetermined area with ice. Patients interested in topical anesthesia will need to inform Dr. Hayes, or his staff, before the scheduled injections.

Avoid medications, vitamins, or herbs that might increase bleeding: aspirin, NSAIDs (ibuprofen, Aleve), blood thinners, antiplatelet medications, vitamin E, omega-3 fatty acids (such as in fish oil supplements), garlic, ginger, ginseng, gingko biloba, green tea, feverfew, grape seed, horseradish, and fenugreek.

There should be no active skin infection in the areas that will be treated. No other special preparation is required prior to Bellafill injection.

Your Consultation

During your initial consultation, one of our certified advanced aestheticians will review your medical history, exam you, perform a detailed facial mapping, and discuss your specific concerns. She will then work with you to develop a customized treatment plan to help you achieve your goals, using Bellafill and potentially other treatment options available in our office. Treatment plans are reviewed and finalized by Dr. Hayes who performs his own assessment prior to proceeding with injections.


Dr. Hayes uses modern techniques to ensure the best results. When the patient arrives for their procedure, Dr. Hayes will apply a cleaning solution to the areas where the injections are to be administered. The Bellafill injections will then be applied. Dr. Hayes will massage the injected areas to ensure the aesthetic goals and desired volume are achieved.

Dr. Hayes is well-experienced at delivering beautiful results for his patients, striking the perfect balance between artistry and anatomy.


Benefits of Bellafill injections include:

  • Decreased wrinkles and folds
  • Smoother skin
  • Increased collagen production

Bellafill is synthesized using naturally-occurring ingredients and is formulated to be beneficial to patients who experience allergies or are more likely to have an allergic reaction. Bellafill produces a natural result that rarely produces side effects. Bellafill has been used in dentistry and reconstructive surgery with a long safety record. Men and women may benefit from the aesthetic improvement of dermal fillers. The backs of your hands will appear perkier and youthful, and deep facial lines are smoothed away.


Bellafill injections are non-invasive and require little to no downtime. Some patients may experience bruising, swelling, redness and itching surrounding the injected areas. Makeup may be applied in a light layer to cover any redness.

Any symptoms should be gone within a few days. Follow-up appointments are not required; however, maintenance appointments are sometimes recommended to ensure the best results possible.


Results have been clinically proven to last up to five years or more in many patients, making Bellafill an excellent long-lasting filler for your hands and face. Bellafill also stimulates the body’s production of collagen. This is beneficial because your body will metabolize the filler over time leaving behind the natural collagen for long-lasting rejuvenation.

Complementary Treatments

Complementary treatments are often requested by patients who have a certain aesthetic goal in mind.

Fillers are commonly used in tandem with wrinkle-prevention products such as Botox and Xeomin. These products help diminish the appearance of wrinkles and lines found on the forehead and around the eyes. Botox and Xeomin prevent muscle contractions that lead to wrinkles. This process helps to relax skin that has tightened and formed lines. Botox and Xeomin are often used alongside fillers like Bellafill to achieve a comprehensive rejuvenation result.


The price for Bellafill varies depending on your areas of concern, the number of syringes and sessions needed, and your ultimate goals. Your provider and you will work together to create a customized treatment plan that’s tailored to your body, your goals and your budget.