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Gravity is important, but when it comes to facial aging, it’s all about volume—and when it comes to volume, it’s about subtlety. Among the most common procedures performed at Total Aesthetics ™ is the use of injectable fillers to smooth facial wrinkles and help restore natural contours by adding volume to the face and sometimes to other areas of the body. The results are immediate and can last up to two years. Dr. Joseph O’Connell believes that to achieve the most natural results, it’s best to use smaller amounts of filler more frequently rather than overcorrect once each year. In other words, if you keep the tank three-quarters full, you’ll help stabilize the aging process rather than going through peaks and valleys of facial aging. We always have the latest fillers in stock, including JUVÉDERM VOLUMA®, JUVÉDERM VOLBELLA®, JUVÉDERM VOLLURE™, Restylane® Silk, Restylane® Refyne™, and Restylane® Defyne™ as well as RADIESSE® and Sculptra® Aesthetic.

Why your filler experience at Total Aesthetics ™ will be different

  • Dr. O’Connell believes that the aesthetic results achieved from injectable fillers are profoundly dependent upon the training, skill, and experience of the injector; that’s why all fillers at Total Aesthetics ™ are personally injected by Dr. O’Connell—a nationally recognized, Ivy League-educated and trained, board-certified plastic surgeon with over 35 years of clinical experience. While some practitioners claim expertise, Dr. O’Connell has been injecting fillers since the late 1980s!
  • We were among the first to use vibration anesthesia to minimize the discomfort associated with injection
  • We believe that, as exogenous material, all fillers should be injected under meticulously clean and sterile conditions. At Total Aesthetics ™, you’ll receive the artist’s practiced eye with a surgeon’s level of precision, cleanliness, and sterility.
  • We use only legitimate, US FDA-approved fillers sourced directly from the manufacturer. We do not use illegally imported or “re-imported” products—we’ll even open the sterile packaging in your presence so you can be sure you’re not receiving an illegal foreign product. *Because we use only legitimate products, we can provide you with all discounts and rebates offered by the manufacturers.
  • With fillers, one size doesn’t fit all. We keep many fillers in stock so we can offer you the best and latest options for each and every application.
  • We’re the first and only practice in Connecticut to use the revolutionary AccuVein® technology to minimize risk of bruising.
  • We understand that with injectable fillers it’s important to “underdo it”—our goal is for an understated, natural, non-surgical result.
  • We have hyaluronidase in stock at all times in case an adjustment is needed.
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Who Can Benefit From Injectables

Fine Lines and Surface Wrinkles

Currently, fillers are used in almost all areas of the face and even the body to soften lines and improve contours. While the most commonly treated area is the nasolabial fold, at Total Aesthetics ™, fillers are used to enhance cheek volume, balance and augment the lips, strengthen the jawline, fill temporal hollows, and even correct imperfections in the nose.

Lips and Lines

One commonly treated region is the perioral or lip area. Vertical lip lines have several causes—muscular action, volume loss, and damage to the skin. Because of this, we utilize a multi-faceted approach when treating perioral lines, including the use of BOTOX® Cosmetic, lasers, and fillers. We are pleased to offer both Restylane® Silk and JUVÉDERM VOLBELLA® XC, which are two fillers with FDA approval specifically for lip augmentation and correction of perioral lines.

Volume Loss

Cheeks Augmentation

JUVÉDERM VOLUMA® XC, Allergan’s hyaluronic acid-based filler with two-year longevity, is one of our most popular filler choices. Because of VOLUMA®’s ability to enhance facial structure, it’s our “go-to” filler for cheek augmentation. At Total Aesthetics ™, Dr. O’Connell carefully examines and treats each zone of the cheek to optimize your aesthetic result. Correction of age-related volume loss in the cheeks can also provide improvement to the nasolabial fold and lateral tear-trough areas.

Temporal Hollows

Temporal hollowing and the pre-jowl sulci (the depression in front of the jowl) is treated at Total Aesthetics ™ using hyaluronic acid-based fillers. By contouring and strengthening the jawline, we’re able to safely and inexpensively mimic the effect of a mini facelift and perhaps enable our patients to delay surgical treatment of the lower face.

Labia Majora

Age-related decrease in estrogen and weight loss can lead to deflation of the labia majora. Dermal fillers, fat grafting, and Sculptra® Aesthetic can be used to recreate a full, vital, and symmetrical look in this area.

Filler Options

We’re fortunate today to have many excellent filler options, and Dr. O’Connell’s preference is to use certain fillers for specific applications based on the unique properties of each product. Click here to see Dr. O’Connell’s article entitled “The New Era of Designer Fillers.” Because he prefers to replace “like with like” and because hyaluronic acid is an important component of our skin, Dr. O’Connell most commonly uses hyaluronic acid-based fillers for both wrinkle filling and volumizing the face, including the lips, temporal hollows, jawline, and tear troughs. We only use premium fillers, hence the JUVÉDERM® and Restylane® families of products are extensively used in our practice. Hyaluronic acid fillers have an important safety advantage because they can be reversed with hyaluronidase—which is always available at Total Aesthetics ™. In order to minimize discomfort, we commonly apply topical anesthetic cream and utilize vibration anesthesia prior to injection, and fillers that that contain lidocaine such as JUVÉDERM® Ultra XC and Restylane-L® are preferred. Sculptra® Aesthetic and RADIESSE® are also utilized at Total Aesthetics ™.


  • Side Effects

    All aesthetic treatments carry risk of complications and side effects. The most common side effects of filler injections are temporary bruising and swelling at the injection sites. There are other risks, and these will be discussed in detail prior to filler treatment at Total Aesthetics ™.

  • Scars

    Scarring is not an anticipated side effect following injectable filler treatment.

  • Cost

    Because the extent of treatment varies from patient to patient, Dr. O’Connell will discuss the cost of the various aesthetic options during your confidential consultation. We use only US FDA-approved fillers sourced directly from the manufacturer, and all fillers are injected personally by Dr. O’Connell.

  • Discomfort

    At Total Aesthetics ™, use of topical anesthetic gel commonly precedes filler injection. Local anesthetic blocks are provided at no extra cost prior to lip injections. Dr. O’Connell most often utilizes fillers that contain, or can be mixed with, lidocaine. We're among the very first practices to utilize vibration anesthesia to minimize injection associated discomfort.

Frequently Asked Questions

  • How long will my filler results last?

    The longevity of the result will depend upon the filler being employed and the area of the body or face being treated. The various filler options will be reviewed with you prior to injection during your confidential consultation at Total Aesthetics ™.

  • Can filler be injected in my hands?

    Wrinkles and volume loss in the hands are common complaints and tell-tale signs of age. RADIESSE® is the only dermal filler approved by the FDA for correction of lost volume in the hands.

  • Can filler be injected in the nose?

    Dr. O’Connell commonly treats small nasal imperfections and asymmetries in the nose with filler.

  • What is a “liquid facelift”?

    This term refers to injecting fillers sometimes in combination with a neuromodulator to rejuvenate the face non-surgically.

  • Do you inject fillers at BOTOX® Cosmetic parties or in hair salons?

    Because fillers are long-lasting injections of exogenous material, Dr. O’Connell believes that the highest standards of cleanliness and sterility are important. At Total Aesthetics ™, you get the cleanliness and safety of a licensed surgicenter with the experience and skill of a board-certified plastic surgeon with over 35 years of clinical experience.

  • Who injects fillers at Total Aesthetics ™?

    Because Dr. O’Connell believes that the aesthetic result achieved with fillers is greatly dependent upon the training, skill, and experience of the injector, all fillers in our practice are personally injected by Dr. O’Connell. One method of injection used by Dr. O’Connell is his “micro-filling structural lattice” approach, where he creates a structural web from micro-tunnels that each contain an extremely small amount of filler. He has helped pioneer the “fill and fan” approach for upper lip lines.

  • What about PRP?

    We use Platelet-Rich Plasma to soften hollowing of the lower eyelids and cheeks and also in other areas of the face. This exciting collagen induction technology has many roles including stimulation of hair growth and enhancement of sexual function.

  • What is vibration anesthesia?

    Vibration anesthesia utilizes a small hand held device placed next to the area of filler (or Botox!) injection to make the injections more tolerable. The technique is based upon the gate control therapy of pain where the vibratory sensation by blocking, reduces or eliminates pain transmission to the brain.

Dr. O'Connell - a 2017 Connecticut Magazine Top Doctor

Dr O'Connell Top Doc 2017

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Total Aesthetics

208 Post Rd. West, Westport, CT 06880

Tel: (203) 454-0044

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