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West Vancouver · MD-Led Clinic

Dermal
Fillers.

Volume. Contour. Precision. Every treatment personally performed by Dr. Eli Akbari — double board certified facial plastic surgeon.

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Dr. Eli Akbari performing dermal filler treatment
Fig. 1 — Dermal Filler Treatment
01
What Fillers Do

Restore.
Define.
Refine.

01
Restore Volume
Replace lost fullness in cheeks, temples, and under eyes — reversing the hollowing that comes with age.
02
Smooth Wrinkles
Soften lines around the mouth, eyes, and forehead. Fill and smooth without surgery.
03
Define Contours
Sculpt the jawline, chin, and lips with precision — creating balanced proportions that look entirely natural.
Non-Surgical Enhancement

The art of
subtle enhancement.

"The best filler result is one nobody notices — except that you look rested, refreshed, and completely like yourself."

Dermal fillers are among the most versatile non-surgical tools in aesthetic medicine. Composed primarily of hyaluronic acid — a substance naturally found in skin — they attract water, add volume, and integrate with your tissue for results that feel as natural as they look.

At Monarch MD, every filler treatment is personally performed by Dr. Eli Akbari. Her surgical background gives her an anatomical precision rare among injectors — she works with the architecture of your face, not against it.

Results are visible immediately, with final settling over 2 weeks. Depending on the product and area, effects last between 6 and 18 months.

2 wks
Final Results
Immediate improvement; full settle in two weeks
6–18
Months Duration
Varies by product and area treated
2×
Board Certified
Every injection personally by Dr. Akbari
100%
Reversible
HA fillers dissolved with hyaluronidase if needed
Results Gallery

Before & After.

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Jawline filler before and after
Lip filler before and after
Lip filler before and after
Undereye filler before and after
Dermal filler before and after

Individual results may vary. All treatments personally performed by Dr. Eli Akbari, MD, FRCSC.

Where We Treat

Common filler
treatment areas.

01
Lip Enhancement
Enhance naturally thin lips or restore lost volume. Improve shape, symmetry, and fullness for a beautifully balanced result.
02
Cheek Augmentation
Restore lost volume or create more defined, lifted cheekbones — giving the face a youthful, contoured appearance.
03
Temple Hollows
Restore volume to hollowing caused by aging or low body fat, softening the upper face for an overall youthful look.
04
Chin Projection
Enhance shape, correct asymmetry, or minimize the appearance of a double chin. Often combined with jawline work for refined facial harmony.
05
Jawline Definition
Create a sharper, more defined jawline. Strategic placement can feminize or masculinize the lower face to your desired aesthetic.
06
Tear Trough
Brighten and smooth under-eye hollows and dark circles. Tear trough fillers create a rested, youthful appearance with minimal downtime.
Is This Right for You

Dermal fillers
may be right
for you if —

You want to diminish visible lines without surgery or downtime.
You need to restore fullness in areas that have hollowed with age.
You want enhanced, defined facial features like lips, cheeks, or jawline.
You seek a refreshed, youthful appearance that still looks authentically like you.

Not sure if fillers are right for you? Book a consultation — Dr. Akbari will assess your goals honestly and recommend the best approach, even if that means a different treatment entirely.

Fillers work best as a complement to your natural anatomy — not a replacement for it. Dr. Akbari approaches every consultation with surgical rigour: assessing bone structure, skin quality, fat distribution, and muscle dynamics before recommending any treatment.

She is known for her integrity and will tell you clearly if fillers are not the right solution for your concerns. Alternatives such as Botox, laser resurfacing, or surgical options will always be considered and discussed honestly.

Products We Use

We use only FDA and Health Canada approved fillers from leading brands including Juvederm, Restylane, and Teosyal — each selected for their safety profile, longevity, and tissue compatibility.

Dr. Akbari consulting with a patient before dermal filler treatment
Fig. 2 — Personalized Consultation
The Process

Your appointment,
step by step.

01
Consultation
Dr. Akbari assesses your facial structure, skin condition, and goals. Photos taken. A treatment plan is customized to your anatomy and desired outcome.
02
Preparation
Skin cleansed. Numbing cream or local anesthetic applied for comfort. Treatment areas marked for precision placement.
03
Injection
Premium Health Canada and FDA approved fillers are injected using advanced techniques. Immediate volume and smoothing are visible.
04
Sculpting
Dr. Akbari shapes and refines the filler for natural contours. Gentle massage ensures even distribution and a seamless result.
05
Aftercare
Ice applied to reduce initial swelling. You leave with clear aftercare instructions for optimal healing and longevity.
06
Follow-Up
Two-week check-in to assess final results. Touch-ups scheduled if needed. Your maintenance plan is outlined for sustained results.
What to Expect

Recovery & results timeline.

Day One
24 hrs
Immediate results visible. Mild swelling or redness is normal. Avoid touching, massaging, or strenuous activity. Sleep with head elevated.
Days Two to Five
2–5 days
Swelling peaks then subsides. Light bruising is possible. Cold compresses help. Filler begins to integrate with surrounding tissue.
Full Settle
2 weeks
Filler fully settles and softens. All swelling resolves. Final, natural-looking results are visible. Follow-up appointment at this point.
Why Monarch MD

The standard of
filler care in Vancouver.

I
Surgical Expertise
Dr. Eli Akbari is a double board certified facial plastic surgeon — the highest level of training in this field. She personally performs every filler treatment at Monarch MD.
II
Tailored Treatment Plans
Every plan is meticulously crafted for natural, subtle results. Dr. Akbari is known for her integrity — she'll tell you honestly if fillers aren't the right option for your goals.
III
Premium Products Only
We use only FDA and Health Canada approved fillers from Juvederm, Restylane, and Teosyal — selected for their safety, longevity, and tissue compatibility.
IV
Exceptional Patient Experience
From first consultation to final follow-up, every touchpoint is designed around your comfort, clarity, and confidence. We treat every patient like royalty.
Patient Experiences

What our patients
say.

"Dr. Eli Akbari is the best. She and her staff have a special way of making you feel important, cared for, and safe. She is truly passionate about enhancing your natural beauty, not changing your appearance."

Amanda B. — Patient

"Everything about this experience was beyond positive. An incredibly client-centred team with so much expertise — you truly feel like you're in the best hands possible."

Sarah J. — Patient

"Dr. Eli is amazing — like a sculptor. She treated me like family, yet was so professional and talented. She took time to explain every detail. I wouldn't trust anyone else."

Mark T. — Patient

"Dr. Akbari was very attentive, professional, and knowledgeable. She took time to explain procedures in detail while being caring and understanding. Highly recommend for any cosmetic enhancement."

Emily R. — Patient
Frequently Asked

Your questions,
answered.

Dermal fillers are injectable treatments that restore volume, smooth wrinkles, and enhance facial contours. Most are made from hyaluronic acid — a substance naturally found in skin that maintains hydration and plumpness. When injected, HA fillers attract water and add volume, giving skin a smoother, more youthful appearance.
Results typically last 6 to 18 months depending on the product, your metabolism, and the area treated. Lips are an area of frequent movement and may need top-ups around 6 to 9 months. Cheeks and jawline can maintain results for up to 18 months.
Improvement is visible immediately after treatment. Within 2 weeks, the filler fully integrates with your tissue, any initial swelling resolves, and your final result is revealed. We schedule a follow-up at this point to assess symmetry and satisfaction.
Most modern fillers contain lidocaine, a local anesthetic that numbs the area during injection. You may feel mild pinching or pressure, but discomfort is minimal. A numbing cream can be applied beforehand for added comfort if you're more sensitive.
Common temporary effects include mild redness, swelling, bruising, or tenderness at injection sites — typically resolving within a few days. Serious complications are extremely rare when performed by a trained medical professional. Dr. Akbari's surgical background allows her to anticipate and mitigate risks that less qualified injectors may miss.
Avoid touching or massaging treated areas for at least 24 hours to prevent filler migration. Skip strenuous activity, excessive heat, and alcohol for the first 24 to 48 hours. Sleep with your head elevated to minimize swelling.
Yes. Hyaluronic acid fillers are completely reversible. If you're not satisfied with the result, an enzyme called hyaluronidase can be injected to safely dissolve the filler. This makes HA fillers both adjustable and temporary — a significant advantage for first-time patients.
Absolutely. Fillers work exceptionally well combined with Botox for a comprehensive approach — fillers restore volume and contour while Botox addresses dynamic wrinkles. Adding laser resurfacing or skin treatments on top creates a more complete, balanced rejuvenation. Dr. Akbari will help you build a cohesive treatment plan during your consultation.
Not at Monarch MD. Dr. Akbari's entire philosophy is built around subtlety and precision. Her surgical training gives her a three-dimensional understanding of facial anatomy that informs how fillers are placed. The goal is refinement — you'll look refreshed and rested, never overdone.
Yes. Fillers are increasingly popular among men seeking to maintain or enhance their features. Common areas include the jawline, cheeks, and under-eye hollows. Each treatment is tailored to achieve masculine, natural-looking results that complement your facial structure.

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