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Author: Claire Hinkle, PA-C

Claire Hinkle, PA-C, is a skilled physician assistant at Donaldson Plastic Surgery in Columbus, Ohio. She primarily write articles that help patients understand more about the treatments she provides, including Botox injections, filler injections, laser skin therapy and other skin health services.
By Claire Hinkle, PA-C |

Natural Alternatives to Filler 

Professional Solutions That Effectively Address Volume Loss & Fine Lines 

Natural Alternatives to Filler

We’ve seen a recent increase in patients asking about “natural” ways to enhance their features and maintain youthful, healthy-looking skin — and we love that. Our providers embrace this shift toward mindful, holistic aesthetic care. Whether your goal is to smooth fine lines or restore facial volume loss, several science-backed options use your body’s own regenerative capacity to refresh your appearance.

The most effective natural alternatives to filler include Microneedling with PRP, Morpheus8, Halo Laser Resurfacing for volume loss and both BBL® and MOXI® laser treatments for fine lines.

A Clinical Caveat

Hyaluronic Acid is Technically Considered a Natural Substance

“Natural” can mean different things to different people. Hyaluronic acid (HA), for instance, is already found naturally within your body. It’s a sugar molecule that retains moisture and keeps your skin hydrated, plump and elastic.

As we age, our body’s natural HA production decreases, leading to fine lines, dryness and volume loss. Modern HA-based fillers replicate that same substance your skin already knows and uses, just in higher concentrations and specific formulations for different facial areas.

We understand that some patients prefer to avoid solutions that are synthetic or formulated. Safe, effective alternatives exist! We’re here to help you find the option that best aligns with your personal philosophy and goals.

The Best Filler Injection Alternatives

These nonsurgical solutions can enhance volume, smooth fine lines and/or improve overall skin quality without the use of traditional injectable filler.

Microneedling (With or Without PRP)

Microneedling treatments create controlled micro-injuries in the skin, triggering your body’s natural healing response. This process stimulates collagen and elastin, two of the most important proteins for firm, youthful-looking skin.

When Platelet-Rich Plasma (PRP) is added (often referred to as the Vampire Facial), your own concentrated growth factors are used to amplify results and accelerate healing. Your body’s own PRP encourages the skin to repair and renew itself — a profoundly natural approach to rejuvenation. The result is smoother texture, tighter skin with a subtle, refreshed glow that develops over time.

Claire Hinkle, PA-C, discussing aesthetic treatment options with a patient in Columbus Ohio
Columbus, Ohio Microneedling patient receiving a treatment at Donaldson

Morpheus8 Skin Tightening

Morpheus8 combines elements of microneedling with fractional radiofrequency energy to deliver controlled heat beneath the skin’s surface. This stimulates deep collagen remodeling and tightens underlying tissue, successfully addressing both mild skin laxity and softening fine lines.

Because it works with your body’s own natural healing mechanisms, Morpheus8 helps you achieve firmer, more lifted skin without adding volume or altering your existing features.

Halo™ Laser Skin Resurfacing

The Halo laser uses a combination of ablative and non-ablative wavelengths to rejuvenate both the surface and deeper layers of skin. This dual-action energy improves tone, texture and collagen density, which makes it an excellent choice for those who want a more natural way to restore some of the structure and fullness lost with age.

Unlike fillers that add volume directly, Halo prompts your body to rebuild its own collagen foundation over time for smoother, more radiant skin.

A close-up photo of the Halo Laser Skin Resurfacing device
Paige Brudzinski, BSN, demonstrating the MOXI Laser device in Columbus

BBL® & MOXI® Lasers

Both of these lasers target fine lines, pigment and early signs of aging rather than volume loss. MOXI laser works by gently targeting water molecules in the skin cells to stimulate renewal and even tone. BBL (or “BroadBand Light”) uses light-based energy to treat sun damage, redness and textural irregularities at a cellular level.

Together, these modalities encourage the body’s natural repair processes, resulting in improved clarity, minimized fine lines and enhanced overall luminosity. Because these devices work with your body’s biology, we consider them highly compatible with a “natural” aesthetic approach.

Facial Fat Grafting Surgery

“Surgery” may not sound natural to some patients. But for others, this approach feels like the most organic volume restoration solution available. As an ancillary service to facelift surgery, facial fat grafting extracts your own fat cells from one area (often the abdomen or thighs) and meticulously transfers it to regions of facial volume loss.

Since it uses your own living tissue, this technique avoids any synthetic materials while still restoring youthful contours. It’s a more natural, long-lasting option for patients who want natural fullness and are comfortable with a surgical route.

Holistic Approaches to Make Subtle Improvements & Help Prevent Common Aesthetic Concerns

These approaches focus on maintaining skin health, supporting collagen and preventing volume loss, with some very mild improvements. While they can’t replace the results of more involved treatments, they help preserve and prolong your existing radiance.

Comprehensive, Medical-Grade Skincare

Retinoids, Peptides, Moisturizers, etc.

Medical-grade skincare products use clinically proven concentrations of active ingredients to stimulate cell turnover and support collagen synthesis. Consistent, long-term use helps improve firmness, even tone and boost your skin’s natural glow.

When choosing products, look for clean, science-backed formulations and avoid harsh additives or fragrances that may cause irritation.

Different Tiers of Skincare

Dropper containing medical-grade serums for skin health
Functional medicine patient stretching and holding a yoga pose

Functional Medicine & Nutrition Support

Healthy skin starts from within. Functional medicine addresses the internal factors that impact skin quality, such as hormone balance, gut health, hydration, stress and micronutrient levels. By optimizing nutrition, sleep and metabolic health, you’re not only improving your overall well-being but also creating the conditions for stronger, more resilient skin.

Routine Spa Facials

Professional facials provide consistent, gentle care that supports long-term skin wellness. Steam and extractions help clear pores, while targeted treatments (like our Pumpkin Enzyme Facial) use naturally derived ingredients to exfoliate, brighten and balance the skin barrier.

These services promote clarity, hydration and overall skin vitality, making them an ideal option for patients who prefer a more natural maintenance routine.

Medspa patient in the comfortable lighting of the Donaldson Plastic Surgery Lewis Center location

“Skin health is healthcare! It is vital to treat your skin with the same respect that you treat your brain, your lungs & your heart. And the best part? Many of the same things we do to help boost our skin health also promote overall wellness.” 

-Claire Hinkle, PA-C

MORE INSIGHT

Non-Viable or Minimally Effective “Natural Alternatives”

Topical “Collagen Creams”

Collagen molecules are too large to penetrate the skin barrier. They can hydrate the surface but cannot rebuild underlying structure or firmness.

Over-the-Counter Hyaluronic Acid Serums

These provide surface hydration and mild plumping, but they don’t replace lost facial volume or address deeper wrinkles like injectable HA fillers do.

Facial Exercises (“Face Yoga”)

Movement can improve circulation and reduce inflammation, but it doesn’t regenerate collagen or restore lost volume. In fact, repetitive facial motion can deepen certain lines over time.

Essential Oils & DIY “Filler” Blends

There’s no scientific evidence that essential oils or homemade mixtures can increase dermal volume. In some cases, certain oils and products can irritate or sensitize the skin.

“Natural Collagen” Pills or Powders

While they may support overall skin elasticity, they cannot rebuild facial volume or lift specific areas in the way fillers or collagen-stimulating treatments can.

LED Face Masks (for Filler-Like Results)

LED therapy has shown the ability to improve overall skin tone, firmness and elasticity while reducing inflammation. It’s a decent option if you’re looking to routinely stimulate collagen and elastic production in your own home. However, it cannot mimic the volumizing or structural benefits of filler.

Patient using an LED red light mask at home
“If there were a miracle cream or magical supplement that could replace lost facial volume, trust me, we’d be using it every single day! Every one of our patients would be stocked up for the year.”
-Claire Hinkle, PA-C
Claire Hinkle PA-C Author Photo

About The Author

Claire Hinkle, PA-C, is a credentialed aesthetic provider at Donaldson Plastic Surgery in Columbus, Ohio. She specializes in Botox injections, filler injections, laser skin therapy and other results-driven aesthetic treatments. With an emphasis on empathy, Claire’s education-first approach helps patients discover solutions that align with both their cosmetic goals and their preferred philosophy of care.

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By Claire Hinkle, PA-C |

Most Common Skin Concerns of 2025

The Aesthetic Skin Concerns Patients Told Us Were Most Top-of-Mind

Most Common Skin Concerns of 2025

Skin concerns are highly personal! They’re shaped by everything from age, dedication to skincare, to how many smiles you gave throughout your life.

While everyone’s experience is unique, we’ve compiled the most commonly selected aesthetic facial skin concerns reported by individuals over the past year. This data does not include structural concerns (like rhinoplasty), functional issues (like hyperhidrosis) or enhancements (like lip filler or hair restoration).

Here are the Most Common Face Skin Concerns of 2025, based on real survey data submitted to Donaldson Plastic Surgery.

Key Takeaway

We don’t like fine lines. We don’t like wrinkles. But more patients than we realized dislike their moles & skin tags!

#1: Fine Lines

(28.1% of Respondents)

Fine lines are often the first visible sign of skin aging. They typically begin to appear in your late 20s to early 30s, and the sooner you address them, the better your chances of softening their appearance before they deepen into creases.

Some of the Solutions We Use to Treat Fine Lines:

  • Botox: Temporarily relaxes facial muscles to prevent fine lines from deepening with movement.

  • Fillers: Restores subtle volume and smooth areas where skin has begun to crease.

  • Halo Lasers: Uses hybrid fractional laser technology to resurface skin and promote collagen regeneration.

  • Morpheus8: Combines microneedling and radiofrequency to tighten skin and improve texture at the cellular level.

Patient looking online for ways to address face wrinkles without surgery

#2: Wrinkles & Loose Skin

(23.8% of Respondents)

Wrinkles form over time due to natural collagen loss, repetitive movement and environmental exposure. Loose skin becomes more prominent as skin elasticity decreases. Depending on severity and existing facial features, surgical intervention may be required for optimal results.

Some of the Solutions We Use to Treat Wrinkles & Loose Skin:

  • Morpheus8: Tightens sagging skin and improves the appearance of deeper wrinkles through fine-tuned microneedling.

  • Filler: Restores volume loss and smooths deeper static wrinkles in strategic areas of the face.

  • Microneedling: Stimulates collagen production for mild-to-moderate wrinkles using fine, controlled skin injury.

  • Facelift Surgery: Offers a long-lasting solution for moderate to severe sagging, jowling and deep lines.

Note About Aesthetic Symptoms: Fine lines, wrinkles, loose skin and facial volume loss often overlap, especially when patients bring them to us as concerns. But each symptom stems from different underlying causes and requires tailored solutions. A credentialed provider can help you understand which is most relevant to your appearance.

Moles & Skin Tags

(20.0% of Respondents)

This one surprised us, but it tracks! More patients are turning to aesthetics-focused providers for the removal of noncancerous moles and skin tags. Our approach is designed to minimize visible scarring and prioritize the final cosmetic result, which is something many freeze-off methods can’t offer.

Mole Removal

Texture

(19.1% of Respondents)

Uneven texture can feel like sandpaper or show up as dull, blotchy skin. It’s often caused by a buildup of dead skin, chronic inflammation or damage from the sun and acne. Treatments like chemical peels, microneedling and laser resurfacing are commonly used to refine skin texture and promote a more even feel.

Prevent & Reverse Dull Skin 

“I Just Want Healthier Skin”

(17.0% of Respondents)

This response says so much in so few words. Patients are more informed than ever. However, they’re also trusting credentialed experts to help navigate the overwhelming world of skincare.

Different Tiers Of Skincare 

Claire Hinkle, PA-C, discussing aesthetic treatment options with a patient in Columbus Ohio

“I Just Want Healthier Skin”

“These are some of my favorite patients! They’re open to long-term plans & they’re ready for the dedication. These plans bring together in-office treatments, medical-grade skincare regimens & lifestyle changes that support lifelong skin health.

– Claire Hinkle, PA-C

Hyperpigmentation / Uneven Tone

(15.6% of Respondents)

Dark spots. Melasma. Sun damage.

Hyperpigmentation goes by many names and comes in many forms. Often worsened by UV exposure or hormonal shifts, it’s deeply frustrating to treat on your own. That’s why we turn to tools like BBL HERO, Moxi laser skin therapy and custom topical regimens to fade discoloration and even out skin tone over time.

Lasers

Thin / Uneven Eyebrows

(15.4% of Respondents)

Many of our patients want to bring more shape, structure and fullness to their look. Whether your brows have thinned over time or you’ve always had uneven growth, we offer microblading, permanent eyebrow tattooing, tinting and waxing to help you reach your preferred brow shape and definition.

Best Aesthetic Treatments To Enhance Your Eyes

Acne Scarring

(12.7% of Respondents)

Not all acne scarring is the same. That’s why treatment plans vary so widely. For deeper scarring, we’re seeing strong results with Halo laser treatments or SkinPen Microneedling paired with Ariessence PDGF to help rebuild damaged tissue. Forever Clear BBL, chemical peels and certain medical-grade skincare products can be used to mitigate lesser acne scars.

Acne Scar Treatment

Dull Skin

(10.9% of Respondents)

Caused by dead skin cell buildup or slowed cellular turnover. Treatments like dermaplaning, chemical peels and regular exfoliation help restore radiance.

Prevent & Reverse Dull Skin 

Stubborn Fat

(8.6% of Respondents)

When fat deposits appear under the chin or along the jawline, we may use Kybella, CoolSculpting or Morpheus8 to target these areas. More significant cases may require submental liposuction.

How Can I Improve My Jawline?

Facial Volume Loss

(7.0% of Respondents)

We use strategically placed dermal filler to restore balance, often redirecting patients away from undereye filler alone and toward midface support. Facial fat grafting may be considered for advanced volume loss.

What Is The 8 Point Facelift? 

#12: Adult Acne

(5.7% of Respondents)

Our 3-month Acne Bootcamp starts with a root cause investigation, which may uncover hormone imbalance, dietary triggers or topical product reactions. The earlier we treat, the better your chances of avoiding future scarring.

Patient with adult acne

“Adult acne is real. It’s been uplifting to hear more patients seeking solutions & openly talking about it. For too long, there was this stigma surrounding it. But why? Most of the time, you really can’t control breakouts without some serious interventions & knowledge!”

-Claire Hinkle, PA-C

A laser hair removal patient showing off her legs after undergoing multiple rounds of treatment

#13: Unwanted Hair

(4.3% of Respondents)

From peach fuzz to coarse chin hair, unwanted hair was one of the more under-discussed but clearly present concerns — at least as it pertains to facial hair (vs. body hair removal). Laser hair removal offers longer-lasting solutions, while dermaplaning remains a popular, satisfying and no-downtime choice for removing fine facial hair.

Finding Solutions Most Suitable for Skin Types, Tones & Goals

Each face is different. Your skincare plan should reflect that.

Our providers emphasize education and aggressively transparent conversation to find solutions that feel safe, effective and sustainable. We discuss lifestyle habits and schedules. We look at the makeup products you like. We dig deeper into your personal experiences with previous professional treatments.

“As care providers, we’re working to achieve your preferred aesthetic goals, while tailoring solutions to your anatomy. We are building a plan that works with your existing features — not against them.”

-Claire Hinkle, PA-C

About The Author

Claire Hinkle, PA-C, is an aesthetic medicine expert in Columbus, Ohio. She specializes in a variety of facial rejuvenation treatments, including laser therapy, neurotoxin injections, dermal filler injections and skin resurfacing techniques. Claire is passionate about empowering her patients through education and offering them the tools they need to feel confident in their decisions!

Claire Hinkle, PA-C, Author Photo
About the Data

Methodology & Data Collection

The data used in this report was generated from 12 months of patient surveys submitted through our website at Donaldson Plastic Surgery. More than 750 HIPAA-compliant entries were analyzed without any patient names or identifying information.

Patients were allowed to select multiple concerns, which is reflected in the data structure.

Concern % of Respondents
Fine Lines 28.1%
Wrinkles / Loose Skin 23.8%
Moles & Skin Tags 20.0%
Texture 19.1%
“I Just Want Healthier Skin” 17.0%
Hyperpigmentation / Uneven Tone 15.6%
Thin / Uneven Eyebrows 15.4%
Acne Scarring 12.7%
Dull Skin 10.9%
Stubborn Fat 8.6%
Face Volume Loss 7.0%
Adult Acne 5.7%
Unwanted Hair 4.3%

For a breakdown of exact total respondents per each concern selection, please contact us directly.

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By Claire Hinkle, PA-C |

How Filler Enhances The Eyes 

Hyaluronic Acid Injections To Achieve A Naturally Refreshed Look

How Filler Enhances The Eyes 

Our eyes are one of the fastest and most expressive reflections of our health and vitality. While there are countless eye creams, patches and promises on the market (and on social media), filler injections remain a gold standard option for those beginning to see signs of aging. It works, it’s relatively comfortable and it offers an approachable entry point to aesthetic treatments.

What Causes Undereye Volume Loss?

The fat pads under our eyes begin to thin, shift and descend as we age. Collagen and elastin production also begin to slow down, leading to weaker connective tissue and increased skin laxity. This volume loss, in combination with natural changes to bone density and facial structure, creates the shadowing and hollowness that many people notice in the mirror.

Beyond natural aging, factors that contribute to increased volume loss include genetics, chronic stress, poor sleep quality, rapid weight loss, environmental damage and hormonal changes.

Nikki showcasing medical-grade skincare in Dublin Ohio office

At Some Point, Great Skincare Products May Not Be Enough

Medical-grade, topical skincare does a phenomenal job of addressing pigmentation, hydration and surface texture. However, it can’t replace volume beneath the skin. That’s where filler offers its greatest benefits. Hyaluronic acid injections support the skin from the inside out.

“Combining filler with consistent, high-quality skincare creates even better results. Remember: Skin health is healthcare!”

– Claire Hinkle, PA-C

Types Of Filler Used Around The Eyes

Expert injectors use specialized hyaluronic acid-based fillers like Restylane-L, Volbella and, our preferred product, RHA Redensity for the delicate undereye area. These formulations are chosen for their smooth consistency, minimal swelling and natural-looking finish. These factors make them ideal for thin-skinned, movement-prone regions like the tear troughs.

Claire preparing for an injections treatment in Columbus Ohio

Cheek Filler For Under Eye Hollows

Midface volume plays a significant role in how the undereye appears. By adding support to the cheeks, we can reduce eye bags, along with the shadowing and puffiness that often show up beneath the eyes without surgical intervention.

“Patients often ask me about tear trough filler to help with their under eyes. But the real secret weapon for this area is cheek filler! We can do so much just by restoring volume to the cheeks.”

– Claire Hinkle, PA-C

Cheek Filler Can Also Improve Other Common Concerns At The Same Time

Cheek filler doesn’t just lift the eyes, it can also contour the jawline, enhance facial balance and improve nasolabial folds all at once. The face is interconnected, and cheek filler helps bring everything together again.

How Long Does Cheek Filler Last?

Cheek filler tends to be one of the longer-lasting options, with most patients seeing results for 12 to 18 months. The structural nature of this area means it metabolizes more slowly, especially when placed with precision.

Do I Need Under Eye Filler?

Undereye filler (also known as “tear trough filler”) becomes a thoughtful next step when cheek filler alone no longer provides the support needed to smooth or brighten the undereye area. This decision is made collaboratively between you and your provider, taking into account your facial anatomy, your comfort level and the advanced skill required to treat this delicate region responsibly and effectively. This is considered a more advanced injection technique that is used sparingly, only after other solutions (like cheek filler, Botox and PDGP rejuvenation) have been ruled out or exhausted.

Undereye Filler Columbus Ohio Patient

Is Filler Safe Around The Eyes?

Patient safety and comfort are paramount. This area requires not only the right product but the right provider. Advanced injectors have in-depth anatomical knowledge, specialized training and gentle techniques to administer safe and effective treatments. Unique to our practice, our providers offer ultrasound-guided injections to deliver exceptional results while minimizing risks.

How Long Does Tear Trough Filler Last?

Most undereye fillers last anywhere from 9 to 12 months, depending on the patient’s metabolism and the type of filler used. With proper placement and aftercare, many patients enjoy a refreshed look that extends beyond the one-year mark.

Claire reaching for a Botox vial in our Columbus Ohio location

Filler & Botox: The Perfect Pairing For Nonsurgical Eye Enhancement

While filler addresses volume, Botox complements those results by smoothing dynamic wrinkles around the eyes including crow’s feet and frown lines. Together, they offer a subtle yet powerful enhancement that keeps the eye area looking bright, rested and alert.

“I tell my patients all the time: We can’t stop time — and that’s OK! Aging is beautiful. And aging gracefully means working with your body, not against it, and injectable filler is one of the most powerful tools that we have in the toolbox.”

– Claire Hinkle, PA-C

When To Consider Cosmetic Surgery 

If filler alone isn’t addressing your concerns, surgical options like upper or lower blepharoplasty and brow lifts may be the next step. These procedures offer more permanent solutions for excess skin, severe puffiness or drooping. An experienced aesthetic provider can help you determine if eyelid surgery is the next step for you as you seek a more refined look and more noticeable results.

Claire Hinkle, PA-C, author photo

About The Author

Claire Hinkle, PA-C, is a highly skilled filler injection specialist in Columbus, Ohio. She specializes in dermal fillers, Botox, laser treatments and more — using each nonsurgical intervention as a tool to ensure her patients’ outward appearance reflects their internal energy and confidence. Claire approaches every treatment with a focus on precision, comfort and natural-looking results that enhance (rather than alter) your unique features.

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By Claire Hinkle, PA-C |

How Can I Improve My Jawline?

Safe & Effective Solutions To Strengthen Jaw Appearance 

How can I improve my jawline

A strong, well-defined jawline is often associated with masculinity and attractiveness. Many men seek to enhance their jawline through surgical and nonsurgical methods, as well as lifestyle changes and daily exercises designed to strengthen the muscles around the chin. We use our professional experiences and aesthetic expertise to help men answer the question “How can I improve my jawline?” with safe and effective solutions.

Surgical Solutions

Chin Liposuction

Chin liposuction is a straightforward surgical procedure that removes excess fat from beneath the chin and along the jaw. This helps to refine the contours of the lower face, enhancing the overall definition and appearance of the jawline.

What To Expect From Recovery

Male chin liposuction patient

Chin Implant/Augmentation Surgery

Chin implant surgery (sometimes referred to as “chin augmentation”) involves placing an implant around your natural chin bone to create a more prominent and defined jawline. This procedure can significantly enhance the jaw’s structure, providing a more balanced and masculine facial profile.

Facelift & Neck Lift Surgery

Both facelift and neck lift surgeries tighten the skin and underlying tissues near the chin and jaw. By removing excess skin and repositioning fat and muscles, these surgeries can elevate the jawline, giving you a more youthful and sculpted appearance.

Nonsurgical Solutions

Kybella

Kybella is an injectable treatment that dissolves fat cells under the chin, reducing the appearance of a double chin. This nonsurgical solution helps to make the jawline appear slimmer and more defined by taking away what could be covering up your natural features.

Filler to improve men's jawline

Filler Injections

Dermal fillers can be strategically injected along the jawline to add volume and enhance its shape. This minimally invasive procedure can provide immediate results, refining the jawline’s contours and improving facial balance.

CoolSculpting For The Chin

CoolSculpting is a noninvasive procedure that uses controlled cooling to freeze and eliminate fat cells under the chin. This treatment helps to reduce submental fat without incisions or downtime. Maximum results are most often experienced after two CoolSculpting sessions.

Botox for Jaw Enhancement

Wrinkle relaxers can be used to enhance your jawline and improve the look of a receding chin. An overactive mentalis muscle can cause the chin to appear weak and blunted, but Botox works by acting on the nerves to relax the muscles, preventing them from contracting.

Explore Masseter Botox

Facial Massage

Regular facial massage can improve circulation and reduce fluid retention in the face. This can be performed routinely by a professional massage therapist or at home as part of your daily skincare routine to maintain a well-defined jawline.

Lifestyle changes to improve jawline

Lifestyle Changes & At-Home Solutions

The following are straightforward DIY techniques and lifestyle interventions that can help improve the jawline look. However, they are not as effective as the surgical and nonsurgical solutions listed above which offer greater, more noticeable and lasting results.

Low-Sodium Diet

A low-sodium diet helps reduce water retention in the body, including the face. By minimizing bloating and puffiness, being mindful of your diet can subtly improve the chin’s appearance.

Adequate Sleep

Proper sleep hygiene is essential for overall health and can significantly impact your facial appearance. Getting enough rest reduces puffiness and promotes better skin elasticity, which can help maintain a defined jawline.

Man waking up in the morning

Chewing Gum

As simple as it may sound, chewing gum regularly can strengthen the muscles in your jaw, potentially enhancing the jawline’s definition. This easy exercise can be easily incorporated into your daily routine.

Does Mewing Actually Improve Jawline Appearance?

Mewing involves proper tongue posture, where the tongue rests on the roof of the mouth to promote better alignment of the jaw and teeth over time. Despite its social media buzz, there is no reputable research suggesting mewing as an effective technique at this time.

 

Claire Hinkle, PA-C, author photo

About The Author

Claire Hinkle, PA-C, is a renowned injectables expert in Columbus, Ohio. As an aesthetic provider at Donaldson, she specializes in a variety of nonsurgical treatments including Botox, filler injections, laser hair removal and more. When she isn’t performing these procedures, she can be found working one-on-one with patients, helping them to better understand the range of solutions to achieve their aesthetic goals and improve overall skin health.

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By Claire Hinkle, PA-C |

Lessons Learned Along The Way

What Our Providers Wish They Had Known Before Joining Donaldson

Education is a critical component of the patient experience. It is also vital for the growth of our practice and the ability to serve our patients more effectively. Our practitioners are constantly refining their techniques and accumulating on-the-job knowledge from each other, seeking to blend the principles of functional medicine with the advancements in aesthetic medicine.

We wanted to take a minute to share some of those lessons with you as you continue to find new ways to improve your confidence and overall health.

Donaldson Aesthetic ProvidersThe Power Of Incremental Change

One throughline all of our care providers shared: they wish they knew that aesthetic treatments didn’t have to be all or nothing — small tweaks can be just as impactful as significant surgery. It may be easier than you think to get the facial optimization and refreshed look you want. 

 

 

 

Confidence Is Contagious!

Stacie Isler, PA-C — Patient Care Director, PA-C

Your confidence can and will inspire others around you to do great things. Your positivity can bring out the positivity in others, even if they’re not at their best that day. We always try to be the highlight of our patients’ days and, so often, they’re the highlight of ours. 

 

 

Find The Right Combination Early

Paige Brudzinski, RN — Aesthetic Provider 

A blend of preventative laser treatments and neurotoxin, combined with a good skincare routine, is the secret to aging gracefully. My skin has changed drastically since starting at Donaldson and I only wish I would have started sooner.

 

“Medical-Grade” Makes A Difference

Claire Hinkle, PA-C — Aesthetic Provider 

Spend money on products that actually work! “Medical-grade skin care” is backed by science, regulated by the FDA and contains higher concentrations of active ingredients. Over-the-counter products aren’t as regulated and often don’t have the percentage of ingredients to be effective.

 

I Can Do My Best Work Here

Tatjana Dzamov, LE — Senior Medical Aesthetician

In my 26 years as an Aesthetician, I have been exposed to many different aspects of the industry — from spa to dermatology and plastic surgery. All along the way, I knew I wanted to be in plastic surgery because of the many different treatments and surgeries that are available for corrective, preventative and enhancement purposes. In my aspect of the job, I knew that I could offer so much more than if I was in a spa setting.

 

Plastic Surgery Enhances, It Doesn’t Replace

Nikki Rucinsky, LE — Medical Aesthetician 

Plastic surgery can be done to enhance what you already have, not change how you look completely. You can maintain your look and favorite features while also resolving concerns that may have held you back before.

 

 

We Shouldn’t Settle For Feeling Average

Andie Schroeder — Skin Care & Makeup Specialist

Feeling unwell has become too normalized! That isn’t something that’s normal or that we should accept from our healthcare providers. There are lab tests that can get to the root cause and real options to fix the problem. Our baseline should be happy and healthy, not just surviving.

 

Schedule A Consult & See What You’ve Been Missing!

Many of these lessons wouldn’t have been possible without the collaborative and education-driven environment at Donaldson. Our providers continue to expand their knowledge through experiences with patients, collaboration with each other and their own independent learning. We invite you to get in touch with us today in hopes that we can share this knowledge with you — or you can help us learn something new!

Let’s Talk Today

 

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By Claire Hinkle, PA-C |

What To Expect From A Lip Filler Appointment

Your Lip Augmentation — From Consultation & Beyond 

What To Expect From A Lip Filler Appointment

If you’re considering enhancing your lips with dermal fillers, it’s essential to have a clear understanding of what to expect from a lip filler appointment so you can walk into the clinic with confidence. Whether it’s your first time or you’re seeking a touch-up, here is a comprehensive guide to help you prepare for your next lip filler appointment.

The Initial Consultation 

Before you come in for your first lip filler treatment, you will first meet with one of our highly-trained injectors for an initial consultation. They will use this time to get to know you and introduce you to our practice and philosophy. We will also use this time to: 

  • Discuss your goals: Share your desired lip appearance and any specific concerns you have about the procedure.
  • Assess your suitability: Your practitioner will evaluate whether you are a suitable candidate for lip fillers based on your medical history and current health.
  • Determine the right filler type: Different fillers are used for various lip enhancement goals, and your practitioner will recommend the most suitable one for you.
  • Review potential risks and complications: You will be informed about possible side effects associated with lip filler injections.
  • Create a treatment plan and quote: Your practitioner will create a personalized treatment plan, including the amount of filler needed and the areas to be treated.

Preparing For Your Appointment

To ensure a successful injection, here are some pre-appointment preparations you should consider:

  • Avoid blood-thinning medications: Discontinue the use of aspirin, ibuprofen and other blood-thinning medications at least a week before your appointment to reduce the risk of bruising.
  • Stay hydrated: Proper hydration can improve skin elasticity and help with the healing process.
  • Limit alcohol and caffeine: Reducing alcohol and caffeine intake a few days before the appointment can help minimize swelling and bruising.

The Numbing Phase

Before a lip augmentation is performed, you will be numbed using a topical numbing cream for 15 to 30 minutes. While your lips are numbing, your injector will explain what they will be able to do with your natural lips and how they will be injected. They will talk to you about the structure and viscosity of the filler chosen, and they will also verify with you the kind of swelling and downtime you can expect. 

Your provider may feel your lips, take measurements, create marks around your lips with a temporary pencil, ask you to smile or speak so they can evaluate your lips’ natural movements, or point out the areas that you would most like to correct. All of these measures will help your injector to make sure you have the best treatment possible!

The Injection Begins 

After that, your injector will remove the numbing cream from your lips and sterilize the area before the first injection. As they inject, they will inform you of the areas they are going to treat before introducing the needle. Depending on your treatment, the injection will likely only take a few minutes. Overall, the whole process takes somewhere between 30 and 45 minutes.

Does Lip Filler Hurt? 

You may feel minor discomfort during the injections, but this will be temporary. There is a numbing agent inside of the filler for your comfort, so your lips will feel fully numbed once the first injection is administered.

Most of the discomfort with lip injections is caused by the swelling response. The lips are a highly sensitive area, and you may feel like your lips feel stretched and sore from the swelling. This will dissipate and can be managed with proper aftercare.

Patient performing lip injection aftercare

Before You Leave 

You will likely notice an immediate improvement in lip volume and shape, although there may be some initial swelling and redness. Your practitioner will provide specific instructions on post-procedure care, including avoiding alcohol, using cold compresses and taking over-the-counter pain relievers if needed. Depending on the type of filler used and your individual response, you may need follow-up appointments to assess the results and make any necessary adjustments.

A Final Note About Lip Filler Results

These results are not permanent and usually last between 6 months to 1 year, depending on the filler type and your body. To maintain your results, you may need periodic touch-up appointments. It’s essential to follow your practitioner’s recommendations for follow-up treatments to ensure long-term satisfaction with your enhanced lips.

About The Author Claire Hinkle, PA-C, author photo

Claire Hinkle, PA-C, is an expert lip filler injector in Columbus, Ohio. Her understanding of the human anatomy, transparency about the process and emphasis on lasting results make her one of the most sought-after providers in the entire region. When she isn’t working directly with patients, Claire can be found honing her craft by attending education-driven conferences and researching the most modern injection techniques. 

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By Claire Hinkle, PA-C |

What Is TrapTox?

What Is TrapTox

Botox In The Trapezius Muscle Can Provide A Slimmer Shoulder Look

TrapTox (sometimes referred to as “Shoulder Slimming Botox”) is a non-surgical procedure that involves injecting Botox into the trapezius muscle in an effort to achieve a leaner upper frame and relieve the appearance of a “hunchback.” This unique technique has gained popularity for its ability to target and relax the muscles responsible for a bulkier, more pronounced and sculpted shoulder appearance.

Why Has TrapTox Gained Popularity? 

This treatment has seen a recent increase in demand since gaining viral notoriety on TikTok. Users create before and after videos showcasing their individual 3 – 4-week journey. These users often boast positive results along with their rationale for opting for this treatment, ranging from nerve pain management to a smaller and more feminine appearance. 

How Does TrapTox Work?

The TrapTox technique uses botulinum toxin (Botox) to selectively relax and slim down the muscles in the shoulder region. By injecting Botox into specific muscle groups, TrapTox aims to reduce the prominence of shoulder muscles, resulting in a more refined and elegant appearance.

This non-surgical approach offers an alternative to traditional methods, such as invasive surgeries or restrictive dieting for those seeking a more delicate shoulder contour.

TrapTox Consultation With Claire Hinkle, PA-C

What Happens At A TrapTox Appointment?

The Initial Consultation 

Everything begins with an initial consultation to ensure that you qualify for this treatment. Together, you and your provider will explore your medical history, discuss your goals and establish expectations. 

Based on your candidacy, anatomy and desired outcome, the provider will establish a tailored TrapTox treatment plan for you. The plan includes the targeted muscle groups, recommended dosage, and an overview of the expected results.

The Botox Injection Session 

During the in-office treatment session, the provider will administer Botox injections directly into the identified shoulder muscles in concurrence with your custom treatment plan. The injections are strategically placed to selectively slim down the muscles responsible for the bulkier appearance.

The procedure is typically quick, with minimal discomfort reported by most patients.

Recovery & Results 

Following TrapTox treatment, patients can resume their daily activities without significant downtime. It is common to experience mild redness, swelling or bruising at the injection sites, which usually subsides on its own within a few days. You should avoid strenuous exercise, alcohol and caffeine for the first 24 – 48 hours after your session to ensure the most efficient recovery. 

The effects of TrapTox gradually manifest over several weeks, with optimal results becoming noticeable within 4 to 6 weeks.

TrapTox Results: Considerations & What To Expect

  • This is a temporary treatment: TrapTox results are not permanent and typically last between 4 to 6 months. To maintain the desired shoulder slimming effects, individuals may need periodic touch-up sessions. However, some patients are able to preserve their results for longer periods of time due to lifestyle changes. 
  • Every body is different: The physical response to TrapTox can vary among individuals due to differences in muscle anatomy and metabolism. It is essential to have realistic expectations and discuss potential outcomes with a qualified injector during your consultation.
  • Safety & expertise considerations: TrapTox is an advanced injection technique and should only be performed by experienced healthcare professionals who are well-versed in administering Botox. Ensuring the provider’s qualifications and adherence to safety protocols is crucial to mitigate risks and achieve desirable outcomes.
Claire Hinkle, PA Author Photo

About The Author

Claire Hinkle, PA-C, is an expert aesthetic treatment provider at Donaldson Plastic Surgery. She specializes in a variety of nonsurgical treatments, including fillers, laser therapy and Botox injections. Claire combines her calming bedside manner with her passion for learning the latest concepts in the industry to improve the confidence of her patients on a daily basis. She currently performs TrapTox in Columbus, Ohio.

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By Claire Hinkle, PA-C |

Exercise After Botox

Exercise After Botox

Answers To The Common Question: Can I Work Out After Botox? 

Exercise after Botox — among other strenuous activities — should be avoided for at least 6 hours after treatment. Our providers recommend abstaining from intense exercise for 24 hours after Botox injections. This gives the neuromodulator an opportunity to settle into place and the skin gets enough time to heal.

If a patient insists on exercising on the same day as the treatment, we urge them to keep the intensity low. A brisk walk to get the heart rate up or yoga poses can be OK, but the patient should abstain from sweating as much as possible. Following this recommendation for at least a day can prolong cosmetic results.

“The earliest stage after your session is important. If you’re going straight from our office to the gym for a high-intensity workout, there’s potential that you will run through the Botox faster. We want you to get as long as you can out of your treatment!”

– Claire Hinkle, PA-C

What Else Should I Avoid After Botox? (Up To 24 Hours) 

  • Direct sunlight
  • Other forms of heat exposure, including hots, saunas and tanning beds (up to 48 hours after) 
  • Touching the treated area 
  • Exfoliating washes 
  • Facial treatments, including facials, massages, permanent makeup
  • Wearing hats or any coverings that come in direct contact with the treated area
  • Alcohol (24 hours before and after treatment)*

*Alcohol can potentiate any natural bruising that occurs and negatively impact the healing process

Does Exercise Impact The Longevity Of Botox Results?

Yes. While the longevity of Botox varies from person to person, routine sweating can shorten the lifespan of results. Greater circulation to the face that comes with rigorous exercise, along with increased light abrasions (like wiping away sweat) can cause the body to metabolize the material faster. 

Coincidentally, Botox can also be used to treat Hyperhidrosis (or “Excessive Sweating”). By blocking the nerve signals responsible for sweating, the sweat glands’ ability to produce too much sweat is throttled but not completely cut off.

How Long Do Botox Results Typically Last? 

Full Botox results can take up to 2 weeks to take full effect and should last until about the 8 – 10 week mark when you start to see minor movement returning. If movement comes back, this can be related to stress, exercise or your body’s natural metabolism. Your best results are maintained if you consistently retreat with Botox. We advise patients to prebook their next appointment in 12 weeks to ensure they stay on an optimal schedule.  

Claire Hinkle, PA Author Photo

About The Author

Claire Hinkle, PA-C, is a renowned aesthetic provider at Donaldson Plastic Surgery who specializes in Botox injections and lip filler. With rich experience in both nonsurgical procedures and post-surgical recovery, she brings a truly holistic approach to the cosmetic treatments she performs each day. Claire strives to help patients safely achieve their desired results — and to hold onto those results even longer. 

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By Claire Hinkle, PA-C |

PRP For Laser Treatments

The Benefits Of Adding Platelet-Rich Plasma To Your Next Skin Treatment 

PRP For Laser Treatments

Laser therapies (like Halo, BBL, skin resurfacing and acne scar reduction) have proven effective for patients seeking advanced skincare solutions that go beyond an over-the-counter product. We’re going to dig deeper into the benefits of adding PRP for laser treatments to a session, along with how this upgrade can improve the overall patient experience by reducing the recovery period, improving aesthetic results and bolstering those amazing results.

What Is Cosmetic PRP? 

Platelet-rich plasma (PRP) has become an increasingly popular addition to aesthetic skin treatments due to its ability to naturally enhance the healing process and improve overall cosmetic outcomes. PRP involves using the patient’s own blood to extract nutrient-rich platelets, which are then concentrated and injected back into the body or placed onto the skin after the treatment is completed.

PRP has been successfully used in various medical fields, including sports medicine, sexual wellness, orthopedics and hair restoration, and is now being incorporated into laser skin treatments. 

“The PRP is all the good stuff — all of the growth factors that stimulate collagen production, promote cell growth, efficiently repair the micro-injuries made during the treatment and help those results really shine after the recovery process.”

-Claire Hinkle, PA-C
Magellan PRP Machine

Growth Factors Found In Platelet-Rich Plasma: 

  • Platelet Derived Growth Factor (PDGF)
  • Transforming Growth Factor (TGF)
  • Vascular Endothelial Growth Factor (VEGF)
  • Epidermal Growth Factor (EFG)
  • Insulin-Like Growth Factor (IGF)
  • Fibroblast Growth Factor (FGF)

What Treatments Can Benefit From PRP? 

Does PRP Reduce The Recovery Time For Laser Treatments? 

Yes. Recent research indicates that properly timed PRP usage can aid in cell regeneration and wound repair processes after laser treatments and microneedling. It can also minimize adverse symptoms, including erythema, edema and crusting.

Does PRP Improve Laser Treatment Results?

Yes. Limited studies have shown that fractional carbon dioxide lasers, combined with platelet-rich plasma treatments, resulted in a significant increase in patient satisfaction with their cosmetic results, specifically when it comes to combatting photoaging and treating wrinkles. 

Can It Preserve Those Results Longer? 

There is not much in the way of published academic studies when it comes to PRP’s effect on the longevity of results. However, our providers have seen, first-hand, longer-lasting positive outcomes when PRP was added to treatment. This could be due to the plasma’s healing properties and growth factors, but this could also be correlated with patients who are more dedicated to their skincare regimen and tend to strictly adhere to post-treatment protocols designed to preserve results. 

How Long After A Laser Treatment Is PRP Added?

For maximum efficacy, providers apply platelet-rich plasma to the treated area and massaged it into the skin almost immediately after the treatment is completed. The PRP is left to sit for about 20 minutes. A soothing balm may then be applied to help reduce swelling and improve comfort.

Patients Should Avoid PRP If They’ve Been Diagnosed With:

  • Skin cancer in the desired treatment area
  • HIV/AIDS
  • Hepatitis C
  • Blood cancer
  • Any cardiovascular disease that requires blood thinners 
Claire Hinkle, PA Author Photo

About The Author

Claire Hinkle, PA-C is an esteemed aesthetic provider at Donaldson Plastic Surgery. Her nonsurgical specializations include laser skin therapies, Botox and filler injections. Claire has spent more than 7 years immersed in the world of plastic surgery and head and neck surgery recovery, assisting thousands of patients through this vulnerable time in their lives. With her rich history in the postoperative experience, she aims to help even more patients recover faster and bolster their cosmetic outcomes. 

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By Claire Hinkle, PA-C |

Ultrasound-Guided Filler Injections

Our Providers Use Ultrasound Imaging To Make Treatments Safer & More Effective

Ultrasound-guided filler injections involve the use of a handheld ultrasound device to scan different areas of the face to identify both the location of blood vessels and how deep they are prior to the injection. This advanced technique provides a safer experience for patients and allows us to be more efficient and thorough with our injections by highlighting the ideal depth for filler placement.

How Do You Use Ultrasound For Injectables?

First, we apply ultrasound transmission gel to the skin to help conduct sound waves more effectively. Those controlled soundwaves are then sent down into the skin using our handheld ultrasound device, which relays the images to the mobile app that is connected to a phone or iPad. This allows us to see the area that we’re working with.

These soundwaves don’t cause damage; there are no long-term effects, and patients don’t feel them at all. They bounce off structures underneath the skin so we can see different layers based on the density of the structures. Denser structures like bone, teeth and cartilage will bounce off and show up as white.

How Does Ultrasound Prevent Dangerous Injections?

As certified providers, we have a fairly strong understanding of where everything is located anatomically in the face. Using ultrasound imaging gives us an even closer look at the underlying structures. We provide injections as safely as possible by knowing how deep each blood vessel is with a great degree of certainty.

Are There Specific Areas Where Ultrasound Is More Useful?

There are certain areas on the face that we know this technique to be very useful for. The main area of note is near the nasolabial folds. There is a distinct and large artery that runs right along the nose. Ultrasound allows us to locate that vessel and avoid it at all costs.

Another great way to leverage this technique is with non-surgical rhinoplasty. Blood supply to the nose is limited, so it is important to be able to preserve all of the blood vessels there. We use it right along the dorsal hump of the nose which helps us identify not just the sensitive arteries, but also all the additional nasal cartilage and bone irregularities.

What Happens If Filler Is Injected Into A Vein, Nerve Or Artery?

Injecting filler or Botox into the wrong place is a genuine cause for concern. In mild cases, it can result in discomfort, numbness and “blanching” (whitening of the tissue). In more serious situations, this can result in vascular occlusions which may progress to tissue necrosis if not addressed quickly.

This is another reason why we strongly urge individuals everywhere to only seek reputable, well-trained and experienced professionals to perform their treatments.

How Does Imaging Technology Improve The End Result?

Everyone learns anatomy in 2D – we all know where things are supposed to be when they’re flat on a textbook page. But life is in 3D and cosmetic injections are all about depth. We’re doing more than just not injecting into an area where there’s a blood vessel; we’re making the most of the space by knowing how deep to place certain fillers based on that patient’s anatomical variances. This extra step also allows us to identify existing filler in the specific layer that it is in to help plan the next treatment for layering.

What Treatments Can Ultrasound Be Used With?

We can use this technique on all injectables in the face and neck area, including (but not limited to) Botox, lip injections, liquid rhinoplasty, Kybella fat reduction, chin/jawline filler, undereye filler and nasolabial fold filler.

Should I Always Ask For Ultrasound At My Appointment?

Your provider should ask a series of important questions during your consultation, such as “have you had filler before” and “have you experienced complications in the past?” Your answers will help the provider decide if an ultrasound is necessary for greater safety. However, if you have rapport and experience with this specific injector, they may forgo ultrasound imaging simply because they already know your unique facial anatomy and the placement of the previous injections.

The majority of providers in the United States are not equipped or trained to use imaging technology for these types of treatments. Asking for it may result in a pretty quick “no.” This does not mean that other providers are dangerous or unqualified; they’re just lacking the resources necessary to make the most of your money and take your results and safety to the next level.

About The Author:

Claire Hinkle, PA-C, is one of Columbus, Ohio’s most sought-after injectables experts, with a rich history of employing the ultrasound imaging injection technique to help her patients achieve safer outcomes and more satisfying results. She has a wealth of experience providing incredible results with non-surgical treatments like Botox, laser therapies, Ultherapy and more.

Claire Hinkle, PA-C, author photo

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