
Elegance without extravagance.

Filler
Before and After Gallery
Confidence looks good on you!
Age: 39
Procedure: Lip Filler
Surgeon: Dr. Kate Impastato
Location: Vancouver, WA
This beautiful 39-year-old patient wanted natural appearing lips but was upset that her lips are becoming more thin. I placed filler into her lips to give her a natural but youthful look in addition to a small amount of botox throughout the face. This photo is taken three months after injection of lip filler.




Age: 70
Procedure: Filler- cheeks, jaw line, marionette lines, SkinVive
Surgeon: Dr. Kate Impastato
Location: Vancouver, WA
This beautiful 70-year-old patient does not want surgical rejuvenation but wanted a quick refresh before the holiday season. She didn't want to look overdone or very different "just refreshed"! I put Juvederm Volux along her jawline to decrease the appearance of her jowls, Juvederm Voluma to augment her cheeks where she has lost some volume but not enough to completely take away her wrinkles or change her anatomy: Juvederm Vollure to soften her marionette lines, and Juvederm SkinVive throughout the face to hydrate her skin and help smooth the fine lines and wrinkles.

Natural-looking facial filler results in a 55-year-old woman in Vancouver WA

Before and after jawline enhancement using dermal filler to improve definition and lower-face balance. This patient sought a refreshed appearance without surgery. Treatment completed at Evergreen Plastic Surgery in Vancouver, Washington.

Lower-face filler used to soften smile lines and restore structure while maintaining a natural appearance. This 55-year-old woman wanted to look refreshed without downtime or surgery. Treatment by Dr. Kate Impastato of Evergreen Plastic Surgery in Vancouver, Washington.

Natural-looking facial filler results in a 55-year-old woman in Vancouver WA
Age: 55
Procedure: Filler- cheeks, jaw line, marionette lines, SkinVive
Surgeon: Dr. Kate Impastato
Location: Vancouver, WA
This 55-year-old woman wanted to look refreshed and rested — not “done" and she did not want to undergo facial surgery. She chose non-surgical facial rejuvenation to soften lines, restore structure, and improve skin quality while keeping her features unmistakably hers.
Her treatment plan was thoughtfully layered:
• Juvederm Voluma® for the cheeks and define the jawline
• Juvederm Vollure® to soften marionette lines and nasolabial folds
• Skinvive™ by Juvederm® to improve perioral hydration and skin texture
The goal wasn’t a dramatic change — it was balance and subtle rejuvenation.
Non-surgical options can be powerful when used conservatively and strategically. Every face has a different story, and we love for the plan to match the person!
Contact
13317 NE 12th Ave, Suite 107
Vancouver, WA 98685
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