natural approach to facial rejuvenation
If you’re seeking a natural approach to facial rejuvenation, KARISMA™ might be your dream treatment. This Italian-engineered soft filler is unlike traditional fillers: it not only adds subtle volume, it actively biostimulates collagen production for long-term skin improvement.
Parpar Medical Spa is proud to be among the first in the Suffern, NY area to offer KARISMA RH Collagen Softfiller Biorestorative Face treatments. Whether you’re bothered by fine lines, mild sagging, or loss of skin vitality, KARISMA can help smooth wrinkles, improve elasticity, and renew your glow – all while looking completely natural.
What is KARISMA RH Collagen Softfiller?
KARISMA RH Collagen Softfiller is an innovative injectable gel that combines three powerful components:
Rh Collagen
A lab-crafted recombinant human collagen protein that jump-starts your fibroblasts (the cells that make collagen in your skin). Essentially, it “tricks” your skin into behaving like younger skin by producing new collagen.
Hyaluronic Acid (HA)
A high molecular weight hyaluronic acid provides immediate hydration and a gentle volumizing effect. HA binds water, so it plumps and moisturizes from within, softening fine lines.
Carboxymethylcellulose (CMC)
This biopolymer acts as a scaffolding, supporting tissue structure and also has anti-aging properties, helping to prevent breakdown of your skin’s own HA
Together, these ingredients address not just the symptoms of aging (wrinkles, laxity) but the causes. By stimulating collagen and elastin, KARISMA improves skin flexibility and firmness over time. Think of it as both a filler and a regenerative treatment.
What does KARISMA™ RH Collagen Soft filler do
KARISMA is ideal for fine to moderate wrinkles, improving skin texture, and restoring elasticity. Common areas include the face (cheeks, smile lines, early jowls), and it can also help with certain scars or acne marks by smoothing them. It’s a great option if you have begun noticing subtle sagging or crepey skin and want to intervene early.
Natural-Looking
Because the volumizing effect is soft and the product integrates with your tissue, results are very natural. There’s no obvious “filled” look; rather, patients appear refreshed and firmer as if their skin quality itself improved (which it has!).
Biorestorative Benefits
Unlike standard fillers that simply occupy space, KARISMA actually improves skin health. The recombinant collagen in it induces your skin to produce more of its own collagen, essentially strengthening the skin’s foundation. Over time, this means your skin can become tighter and more resilient even after the initial filler material has been absorbed.
Benefits of Choosing KARISMA at Parpar
Parpar’s medical team has been specially trained in administering KARISMA for optimal results. We will
assess your skin’s needs and map out injection sites that will benefit most – whether that’s along fine lines, at the cheekbone for a bit of lift, or in areas of scarring that need improvement. Our goal is to help you achieve firm, radiant skin that looks like you’ve turned back time a few years.
Two-in-One Filler & Stimulator
With KARISMA, you get an immediate youthful plumping of fine lines and shallow wrinkles, plus a long-term boost in skin firmness as new collagen forms. It’s both instant gratification and lasting improvement in one treatment
Improved Skin Texture
Clients often remark that a few weeks after treatment, their skin feels smoother and “springier.” Those little criss-cross wrinkles (for example, on the cheeks when you smile, or fine lines on the chin) become less noticeable as skin quality improves.
Subtle Volume Restoration
This softfiller can restore minor volume loss in areas like the mid-face or temple hollows in a very delicate way. It’s not meant for big augmentation, but it nicely rejuvenates sunken or thin-looking skin with a gentle fill.
Collagen Boosting Power
KARISMA’s rhCollagen actively encourages fibroblasts to create new collagen type I – the type we have in abundance in youth. This translates to firmer, more elastic skin. Clinical studies on KARISMA have shown measurable improvements in skin tightness and a reduction in wrinkles over months
Safe and Low Allergenicity
The collagen in KARISMA is recombinant (lab-created via biotechnology), meaning it’s purer and non-animal derived, minimizing the risk of allergic reactions. There’s no need for pre-treatment allergy testing as was needed for old collagen injections. Additionally, the product is CE-certified in Europe as a Class III medical device, attesting to its safety for aesthetic use.
Gradual, Long-Lasting Results
You’ll see some results right away (softer lines, better hydration), but the magic truly unfolds in the weeks after. Many patients report their skin looks even better 6-8 weeks post injection than it did at 2 weeks. That’s the collagen biostimulation kicking in. Results can last 9-12 months or more, thanks to the structural improvements in the skin (with touch-ups recommended about annually for maintenance).
Minimal Downtime
Treatments are quick (about 30-45 minutes) and done with fine needles. There’s typically just a bit of redness or minor swelling at injection points. You can get back to your routine the next day – just avoid intense workouts or heat (sauna) the day of treatment. Bruising is possible but generally mild if it occurs at all. We also provide post-care tips and the option of arnica gel to help you recover fast.
Perfect for “Prejuvenation”
Younger clients (30s-40s) love KARISMA as a preventative “skin quality” booster. It’s an excellent way to delay more aggressive procedures by keeping the skin healthy and resilient. Think of it as skin fitness – maintaining your collagen so you age more gracefully.
What to Expect
KARISMA™ RH Collagen Softfiller Process
Consultation
We start by evaluating your skin and discussing your concerns. We’ll ensure you’re a good candidate for KARISMA (generally, most people looking for mild rejuvenation are). If you have very deep folds or need major volume, we might combine it with another filler for those areas, using KARISMA to improve overall skin quality
Preparation
On treatment day, we’ll cleanse the targeted areas thoroughly. KARISMA treatment usually doesn’t require heavy numbing because it’s typically injected in the deeper dermis with a fine needle which is not very painful, but we can use a topical anesthetic or ice for comfort if you prefer. (Fun fact: some of the injection points might be similar to acupuncture points for a little wellness bonus!)
Injection Technique
Our practitioner will use either a serial puncture technique or a blanching technique depending on the area. Small amounts of the KARISMA gel are placed just under the skin.
Common areas:
We inject very strategically to get a uniform rejuvenation without lumps. KARISMA’s smooth texture helps it disperse nicely.
Cheeks
a few injections spread over the area to tighten and smooth.
Nasolabial or Marionette lines
threading the filler along these lines to soften them and stimulate collagen in the crease.
Jawline
small injections along the jaw border to improve skin firmness and jawline definition subtly.
Forehead or temple fine lines
if needed, micro injections can improve crepey skin.
Massage
After injecting, we may gently massage the area to ensure even distribution. Because KARISMA is soft and contains CMC which acts as a carrier, it integrates well on its own.
Procedure Time
Around 30 minutes after numbing. You’ll be in and out in under an hour in most cases.
Post-Treatment
You might notice some small bumps or fullness at injection sites immediately after – this is normal and generally subsides within a day or two as the product diffuses. We advise: – No heavy makeup the same day (to keep injection sites clean). – Avoid direct high heat or intense cold exposure on your face for 24 hours. – Stay hydrated and consider a good topical moisturizer to complement the internal hydration KARISMA provides
Frequently Asked Questions
How soon will I see results, and how do they evolve over time?
You’ll see some results right away within a week – primarily improved hydration and plumpness. Fine lines will look diminished due to the hyaluronic acid component. The really exciting changes (in firmness and elasticity) develop gradually over 4–8 weeks as your skin generates new collagen in response to the treatment. Clients often report their skin looks best about 2 months after the injection: firmer, bouncier, with a youthful “spring.” These collagen-stimulated improvements can last a long time, even as the filler’s HA slowly metabolizes. Overall, you can expect results to last around a year. Many patients choose to do a refresher treatment annually to continue the collagen stimulation benefits.
Is KARISMA safe? What about side effects or allergies?
Yes, KARISMA is very safe. Its ingredients are naturally found in the skin (collagen and hyaluronic acid) or biocompatible. The collagen is lab-synthesized via transgenic technology (using silkworms to produce human-like collagen), which means it’s ultra-pure and avoids the allergic issues older collagen injections had. In clinical usage so far, no significant immunogenic reactions have been observed; it’s considered non-immunogenic. Common injection-related side effects are mild: you might get redness, swelling, or bruising at injection sites, similar to other fillers. These resolve in days. Because it’s not a heavily cross-linked filler, the risk of nodules or granulomas is extremely low. We’ll review your medical history to ensure you don’t have any contraindications, but for the vast majority of people, KARISMA is a gentle and safe rejuvenation option.
How is KARISMA different from other fillers like Juvéderm or Restylane?
Think of KARISMA as a hybrid treatment. Traditional fillers like Juvederm, Restylane are fantastic for adding volume or filling deep wrinkles, but they typically don’t actively improve your skin’s biochemistry – they’re purely fillers. KARISMA, on the other hand, is specifically formulated to regenerate and improve skin. It’s not about big volume changes; it’s about quality changes. KARISMA’s collagen component sets it apart – it’s working on a cellular level to strengthen your dermis. Also, KARISMA is relatively softer and more fluid than volumizing fillers, so it’s injected more superficially and spreads to treat larger areas of skin. In summary: if you want plumper lips or a dramatically lifted cheek, a traditional filler is chosen; if you want smoother, firmer skin texture and mild lift, KARISMA is ideal – and sometimes we combine them for a comprehensive result.
How many sessions of KARISMA do I need?
Many patients get wonderful results from a single session. However, for optimal biorestructuring, a regimen of two sessions spaced 6-8 weeks apart can be beneficial, especially if you have more advanced skin aging. The first session jumpstarts the collagen build, and the second reinforces it. After that, results can last a year or longer. We’ll assess your skin’s response after the first treatment. Some people come back annually for one maintenance treatment; others may do a two-session series each year for maximum effect. It really depends on your skin’s baseline and your goals. We will customize a plan – rest assured, there’s no long-term commitment required, but continuing with periodic treatments will sustain and compound the skin benefits.
Can KARISMA be combined with other treatments?
Absolutely, and in fact it often synergizes well. We might use KARISMA alongside a deeper filler (for example, Juvederm Voluma for cheek augmentation) – KARISMA to improve the skin and fine lines, and another filler to restore lost volume. It’s also a great complement to microneedling or laser procedures: because those also stimulate collagen, pairing them can enhance overall results. If you’re doing energy-based skin tightening (like radiofrequency), KARISMA can boost the outcome by adding moisture and collagen precursors. We usually space different treatments a few weeks apart to let each do its work without confusion. During your consultation, let us know all your beauty plans, and we’ll map out an integrated approach to reach your aesthetic goals safely and effectively
What areas can KARISMA treat besides the face?
Primarily, KARISMA is indicated for the face, but it can be used in other spots where skin quality needs help. For instance, some practitioners use it in the neck lines or décolletage where crepey skin is an issue – the collagen boost can firm those areas nicely. It could also be considered for the backs of hands to improve crepey texture (though for hands we often use other fillers like Radiesse; still, KARISMA could be an option for skin quality). If you have an area of concern, feel free to ask. The principle is the same: anywhere you want better skin elasticity and fine line reduction, this softfiller could lend a hand. We’ll ensure it’s used in a safe, beneficial manner
