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What filler gives the best results?

May. 13, 2024

Best Fillers for Face, Top Facial Filler Options

Facial filler treatment is one of the most popular non-invasive cosmetic procedures for rejuvenation at the private dermatology office of board-certified cosmetic dermatologist Dr. Michele Green in NYC. Dermal filler injections can provide facial contour, reduce fine lines and wrinkles, restore facial volume loss, and enhance certain facial features without downtime or discomfort. Many different types of dermal fillers are composed of substances such as hyaluronic acid, poly-L-lactic acid, and calcium hydroxylapatite. Some of the most popular dermal filler products for reversing the signs of aging include injectable fillers such as Restylane, Juvederm, Radiesse, Sculptra, and Belotero.

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Dr. Michele Green is an internationally renowned board-certified cosmetic dermatologist with over two and a half decades of experience providing some of the world’s most discerning individuals with the best non-invasive cosmetic procedures available, including facial fillers. Dr. Green takes a holistic approach and embraces a less-is-more philosophy regarding facial rejuvenation, customizing each patient’s treatment plan to include a combination of the best in-office cosmetic procedures to address their specific concerns and provide their ideal aesthetic goals. She is consistently voted one of New York City’s best dermatologists by Castle Connolly, New York Magazine, Super Doctors, and the New York Times for her dedication to her patients and expertise. When you consult with Dr. Green for your facial filler treatment, she will work with you to create a personalized plan to achieve and maintain optimal rejuvenation results.

What are dermal fillers?

Dermal fillers are FDA-approved liquid or gel-like substances that are injected into soft tissue to correct age-related volume loss, enhance certain facial features, and reduce fine lines and wrinkles. Dermal filler injections can also improve the appearance of skin concerns such as acne scars and stretch marks. There is essentially zero downtime or discomfort associated with facial filler injections, meaning patients can easily schedule their treatment sessions. There are many different types of dermal fillers composed of various substances. The most popular facial fillers are made of hyaluronic acid, poly-L-lactic acid, and calcium hydroxylapatite. An experienced board-certified dermatologist and expert injector, such as Dr. Michele Green in NYC, may utilize a unique combination of dermal filler products to provide patients with their ideal results. The cosmetic effects of dermal filler treatment are semi-permanent, and most patients choose to engage in regular maintenance treatment sessions to keep up their ideal results.

What are the best fillers for the face?

Many different types of dermal fillers can be used to target various signs of aging or otherwise enhance one’s appearance. An experienced and knowledgeable board-certified dermatologist, such as Dr. Green in NYC, should select the best facial fillers for an individual.

Bellafill is a filler made of Polymethylmethacrylate PMMA- microspheres and is the only FDA-approved dermal filler that does not get absorbed by the body. This synthetic injectable was originally approved for reducing the appearance of smile lines. It can also be used to diminish the appearance of acne scars. Since this product contains bovine collagen, skin tests are required to ensure the patient is not allergic to this filler. Bellafill has been reported to last for more than five years in duration.

HA fillers are composed of hyaluronic acid. Hyaluronic acid is a naturally occurring substance that supplies it with essential hydration and youthful suppleness. Hyaluronic acid fillers are gel-like substances that, when injected, bind with the water in the skin, resulting in a lifting and plumping effect and an overall smoother skin texture. Juvederm, Restylane, and Belotero are among the most popular HA fillers.

Sculptra is a unique dermal filler composed of poly-L-lactic acid. Once injected, Sculptra stimulates the production of new collagen in the skin. Collagen is a protein in the skin that provides structural support and a firm skin texture. As part of the natural aging process, collagen in the skin is broken down over time, leading to the signs of aging. By restoring collagen to the treatment area, Sculptra injections can replenish lost volume and create a youthful appearance. The cosmetic effects are long-lasting, with results remaining up to two years after completing an initial short series of injections with Sculptra.

Radiesse is an injectable filler made of calcium hydroxylapatite, which replenishes the lost collagen under your skin and promotes an increase in your natural collagen production. Radiesse can last up to a year and be used for pan-facial rejuvenation.

Natural fillers for the face

HA filler is considered natural since hyaluronic acid is a naturally occurring substance in the skin. Hyaluronic acid provides essential hydration and contributes to an overall youthful look. Hyaluronic acid injectable fillers are an incredibly common type of dermal filler for enhancing contour, replenishing lost volume, and reducing the appearance of fine lines and deep wrinkles. When injected, HA fillers bind with the water that is present in the skin. The result is a lifting and plumping effect and a smoother skin texture.

Restylane filler for cheeks

Restylane contour is a hyaluronic acid dermal filler used to contour the mid-face, enhance the appearance of the cheekbones, and replenish volume to the cheeks. Restylane contour is ideal for injection into this area due to its flexibility, smooth integration into the skin, and firm texture to provide support and replenish volume. Dermal filler injections with Restylane Contour are an excellent option for patients experiencing a lack of volume or contour in the midface. Restylane Contour can also be used as a temporary treatment for patients who are considering having a more permanent cheek augmentation procedure, such as a facelift, cheek implants, or fat grafting, but who are not quite ready to undergo an invasive surgical procedure that requires significant downtime and recovery.

What do fillers do for your face?

Dermal fillers are a type of cosmetic injectable that can create a smoother, more youthful appearance by enhancing contour, diminishing fine lines and facial wrinkles, and restoring facial volume. Designed for injection beneath the skin’s surface, facial fillers offer patients a solution for rejuvenation without the need for plastic surgery. Different types of dermal fillers are composed of various substances. The most common types of dermal fillers are made of hyaluronic acid, poly-L-lactic acid, and calcium hydroxylapatite. The composition of injectable fillers makes them better suited for enhancing different areas of the face, which is why it is crucial to have facial fillers with an expert injector. The cosmetic effects of dermal filler treatment are semi-permanent, and most patients choose to engage in regular maintenance treatment sessions to keep up their ideal results. Dermal fillers can also be used to improve the appearance of concerns such as stretch marks and acne scars.

Where can fillers be injected?

  • Marionette lines
  • Under-eye hollows (tear troughs)
  • Nasolabial folds (smile lines)
  • Jawline enhancement
  • Chin augmentation
  • Lip augmentation
  • Deep wrinkles and facial creases
  • Acne scars
  • Stretch marks

What fillers are for lower face sagging?

Facial fillers can be an excellent treatment option for addressing skin laxity in the lower face. However, patients particularly troubled with skin laxity may benefit more from having Thermage. Thermage is a non-invasive skin tightening treatment that uses radiofrequency to stimulate new collagen production in the treatment areas. Thermage treatment stimulates the production of new collagen by applying radiofrequency energy, which delivers heat to the skin’s dermal layers. Collagen is a skin protein that provides a firm foundation, structural support and contributes to a youthful appearance. By replenishing levels of collagen, Thermage results in a smoother, firmer, tighter skin texture and a natural-looking, long-lasting, more youthful appearance. Zero downtime is involved, and Thermage can be used to treat the face, chest, neck, décolletage, hands, knees, upper arms, legs, buttocks, and abdomen. Thermage results can last up to two years before the effects of the treatment fade.

What are dissolving face fillers?

Dermal fillers composed of hyaluronic acid can be dissolved with an injectable enzyme called hyaluronidase. Hyaluronidase is an injectable enzyme that can break down hyaluronic acid dermal fillers, reversing their effects. Patients may choose to dissolve hyaluronic acid facial fillers due to asymmetry, nodule formation, or not achieving their desired results. It is important to always consult with a board-certified cosmetic dermatologist regarding your facial filler treatment to prevent the development of unwanted side effects and guarantee the best cosmetic results. Dr. Green is an internationally renowned board-certified dermatologist with over two and a half decades of experience providing her patients with the best non-invasive cosmetic procedures available, including facial filler injections.

What are autologous fat fillers?

This cosmetic procedure is designed to restore facial fat. Typically performed by a plastic surgeon, the first step entails liposuction to collect fat from one body area. It is purified and then injected into the areas of the face affected by age-related volume loss. The cosmetic effects of facial fat fillers are supposed to be permanent. However, fat is a naturally occurring substance that can be broken down by the body over time, and treatment can not prevent future signs of aging from developing. Patients undergoing facial fat transfer may still require additional cosmetic procedures to maintain a youthful appearance.

Compared to other types of dermal fillers, fat is a softer substance. This limits the use of facial fat fillers to treat generalized volume loss, as it is not well suited to augment or enhance facial features. Patients that are interested in having facial filler injections to enhance facial contour or definition may be better suited to other types of dermal fillers, such as hyaluronic acid fillers. When you have your facial filler consultation with board-certified dermatologist Dr. Michele Green in NYC, she will work with you to create a customized treatment plan that incorporates the types of dermal fillers best suited to your needs.

What are the best silicone fillers for the face?

Silicone is not FDA-approved as a cosmetic injectable for enhancement of the face or body. The FDA does not recognize silicone as a safe or effective dermal filler for any treatment area, and there are many potential health risks associated with using off-label silicone fillers, including skin discoloration, scarring, disfigurement, embolism, stroke, and death. In addition, silicone fillers do not dissolve over time and are not absorbed by the body. In fact, silicone injections produce a permanent effect that can potentially develop into much larger, inflammatory nodules called granulomas. Silicone injections can not be dissolved, and successfully removing it requires an invasive surgical procedure.

It is important to consult with an experienced and knowledgeable board-certified cosmetic dermatologist, such as Dr. Michele Green in NYC, regarding your facial filler treatment. Dr. Green is an internationally renowned board-certified cosmetic dermatologist with over two and a half decades of experience providing her patients worldwide with the best non-invasive cosmetic procedures for rejuvenation, including dermal filler injections. Dr. Green uses safe and effective dermal filler products, including HA fillers and Sculptra (poly-L-lactic acid). When you consult with Dr. Green at her private dermatology office in Manhattan’s Upper East Side neighborhood, she will work with you to create a customized treatment plan for facial rejuvenation that incorporates the facial fillers best suited to your particular skin concerns and overall aesthetic goals.

The best facial fillers for 2023

When it comes to naming the “best facial filler” or identifying the ideal facial filler treatment, there does not exist one “best” option for all patients. Each facial filler product offers a unique formulation that provides its own benefits, meaning that what’s best for one patient may not be best for the next. Selecting which facial fillers are best for each individual patient requires thorough experience and expertise. When you work with Dr. Green, she can assess your medical history, current skin condition, and aesthetic goals to determine which types of dermal fillers may be right for you. Some of the most popular dermal filler products used at Dr. Green’s private dermatology office in NYC include Juvederm, Restylane, Sculptra, and Belotero.

What are the best cheek fillers?

The midface and cheek area are often one of the first areas of the face affected by the signs of aging, including volume loss, fine lines and wrinkles, and skin laxity. Using dermal fillers is one of the best ways to reverse these signs of aging and restore a natural-looking, long-lasting, more youthful appearance. At Dr. Green’s private dermatology office in Manhattan’s Upper East Side neighborhood, some of the most common types of dermal fillers used for cheek augmentation and rejuvenation of the midface include Sculptra, Juvederm Voluma, and Restylane Contour.

Juvederm Voluma is one of the most popular injectables used for dermal filler treatments. Juvederm Voluma was designed to enhance contour and replace volume loss in the cheekbones and malar area. Voluma is designed to help restore youthful contours by plumping up the cheeks and chin where the aging process has caused volume loss. This advanced formulation of hyaluronic acid can produce natural-looking cosmetic results that last up to 12 months.

Sculptra is a cosmetic injectable that is composed of a substance called poly-L-lactic acid. Once injected, Sculptra stimulates the production of new collagen in the skin. Collagen is a protein in the skin that provides structural support and a firm skin texture. As part of the natural aging process, collagen in the skin is broken down over time, leading to the signs of aging. By restoring collagen to the treatment area, Sculptra injections can replenish lost volume and create a youthful appearance. The cosmetic effects are long-lasting, with results remaining up to two years after completing an initial short series of injections with Sculptra. Due to Sculptra’s ability to be used in multiple anatomic locations in the face, it is an ideal product for pan-facial rejuvenation.

Restylane Contour is designed specifically for injection into the mid-face. Restylane was FDA-approved in June of 2021, although the dermal filler has been used for several years in the United Kingdom and is known there as Restylane Volyme. Galderma, a trusted leader in skincare, manufactures Restylane Contour using its XpresHAn technology. The process of creating the dermal filler with XpresHAn technology produces a crosslinked hyaluronic acid filler that is firm enough to replenish lost facial volume yet flexible enough to move naturally with facial expressions. The result of having cheek augmentation with Restylane Contour injections is improved skin elasticity, enhanced facial contour and more prominent cheekbones, and restored facial volume for a more youthful, beautiful appearance and natural look.

When you initially consult with Dr. Green regarding facial filler treatment, you can discuss your specific concerns and personal aesthetic goals. Dr. Green will physically assess the treatment area and your skin condition to create a customized dermal filler treatment plan for rejuvenation, including the types of dermal fillers best suited to your needs, facial anatomy, and desired results.

What is the process of having dermal filler injections like?

The first step is scheduling a consultation with board-certified cosmetic dermatologist Dr. Michele Green. During your initial consultation with Dr. Green at her private dermatology office in Manhattan’s Upper East Side neighborhood, you will have an opportunity to discuss your specific concerns and ideal aesthetic goals in-depth. Dr. Green will collect a thorough medical history, review previous cosmetic procedures you may have had, and physically assess the treatment area. Suppose you are a good candidate for dermal filler injections. In that case, your facial filler treatment may be performed on the day of your initial consultation or scheduled for a later date, depending on time allowance and personal preference.

A topical lidocaine cream should be applied to the entire treatment area one hour before your dermal filler injections. Lidocaine is a local anesthetic that will numb the treatment area and eliminate any potential discomfort during the procedure. Once you arrive at Dr. Green’s office for your treatment, the numbing cream will be removed and the skin sterilized. Dr. Green will then artfully perform facial filler injections according to your customized rejuvenation treatment plan. Immediately after your dermal filler injections, ice packs will be applied to the treated area to reduce initial swelling. Depending on the type of dermal filler used for your treatment, cosmetic results may be visible immediately or take several weeks to develop. Since the effects of dermal filler injections are only temporary, most patients engage in regular follow-up treatment sessions to maintain the best results. When you have facial filler injections with Dr. Green, she will work with you to create a customized treatment plan and timeline that best suits your specific concerns and goals.

Are there any side effects?

When you have facial filler injections with an experienced board-certified cosmetic dermatologist, the cosmetic procedure is a safe and effective option for rejuvenation that is not associated with many side effects. Some dermal filler injections’ most common side effects include mild swelling, bruising, or tenderness at or near the injection sites. Dr. Green advises patients to discontinue any blood-thinning medications or supplements, including Aspirin, Ibuprofen, Aleve, Fish oil, and multivitamins, to prevent side effects like bruising and swelling. For patients that bruise easily, Dr. Green recommends taking an herbal supplement called Arnika Forte for several days before and after facial filler treatment. Allergic reactions to an injectable filler are very rare. An allergic reaction may include nodule formation, asymmetric fullness, or persisting tenderness and swelling. Any allergic reaction should be promptly reported to your injector for treatment.

Do face fillers dissolve?

Some facial fillers can be dissolved, while others can not. Hyaluronic acid facial fillers are a unique type of dermal filler in that their treatment effects are reversible through synthetic hyaluronidase injections. Hyaluronidase is the substance that breaks down hyaluronic acid naturally in the body. Hyaluronic acid facial fillers can be dissolved by injecting hyaluronidase into the treatment area. It is important to remember that residual swelling can persist in the treatment area for up to two weeks after facial filler injections. Patients that observe lumps or bumps remaining two weeks after their hyaluronic acid filler injections should follow up with their injector for hyaluronidase injections. Patients that did not achieve the desired results from their dermal filler injections can also be treated with hyaluronidase, so long as they were initially treated with hyaluronic acid fillers. Other facial fillers are considered semi-permanent, meaning their results will fade over 1-5 years. Sculptra, Radiesse, and Bellafill are examples of semi-permanent types of dermal fillers that cannot be dissolved or removed.

Top 5 fillers for face

Many different types of dermal fillers on the market work beautifully to smooth out fine lines and wrinkles, provide facial contour, and restore lost facial volume. To guarantee optimal results, it is important to always consult with an experienced board-certified dermatologist for your facial filler injections, such as Dr. Michele Green in NYC. Dr. Green is an internationally renowned board-certified cosmetic dermatologist and expert injector with over two and a half decades of experience. Below are the top 5 of the most popular dermal fillers used at Dr. Green’s office for natural-looking, long-lasting rejuvenation results.

Sculptra is a unique facial filler product that is composed of a substance called poly-L-lactic acid. Once injected, Sculptra induces new collagen production in the treatment area. Collagen is a protein in the skin that provides structural support and a firm skin texture. By restoring collagen to the treatment area, Sculptra injections can replenish volume loss and create a youthful appearance. The cosmetic effects of Sculptra are long-lasting, with results remaining for up to two years after completing an initial short series of injections with Sculptra. Due to Sculptra’s ability to be used in multiple anatomic locations in the face, it is an ideal product for pan-facial rejuvenation. Sculptra can also be used to treat other areas of the body, including the neck, décolletage, and buttocks.

Belotero is a thin hyaluronic acid filler that treats fine lines and wrinkles. Belotero replaces lost hyaluronic acid caused by natural aging, filling fine lines. Its unique properties offer a soft, even correction to those delicate areas of the face, such as lip lines and the tear trough area under the eyes. One of the benefits of Belotero is that it is much less likely than other hyaluronic dermal fillers to cause the Tyndall effect.

Juvederm Ultra Plus is ideal for injection into the mid and lower face. The formula is relatively thick compared to other hyaluronic acid fillers, which is beneficial when treating deep wrinkles, such as the nasolabial folds and marionette lines. Juvederm Ultra Plus is also an excellent injectable for lip augmentation. Juvederm Ultra Plus XC is compounded with lidocaine, a local anesthetic that helps reduce discomfort associated with injections.

Juvederm Voluma is one of the most popular injectables used for dermal filler treatments. Juvederm Voluma was designed to enhance facial contour and replace volume loss in the cheekbones and malar area. Voluma is designed to help restore youthful contours by plumping up the cheeks and chin where the aging process has caused volume loss. This advanced formulation of hyaluronic acid can produce natural-looking cosmetic results that last up to 12 months.

Restylane-L is a hyaluronic acid filler designed for correcting moderate facial wrinkles around the corners of the mouth, marionette lines, laugh lines, and the tear trough area (the under eye). Restylane-L is also a favorite dermal filler product for providing natural lip augmentation. The cosmetic effects of injection with Restylane-L last approximately 6 months to a year. Restylane-L is compounded with local anesthetic lidocaine to minimize any potential discomfort associated with dermal filler injections.

For more information, please visit What Is the Best Dermal Filler.

What cosmetic procedures can I pair with facial fillers?

Since there is essentially zero downtime associated with facial filler injections, it is easy to incorporate other non-invasive cosmetic procedures into one’s facial rejuvenation treatment plan. Many of Dr. Green’s patients combine Thermage skin-tightening treatment or Botox’s revitalizing effects with facial filler injections to achieve a natural-looking, long-lasting, more youthful appearance. When you consult with Dr. Green at her private dermatology office in Manhattan’s Upper East Side neighborhood, she will work with you to determine which

Botox is an injectable neurotoxin that is lauded in the world of cosmetic dermatology for its unmatched ability to smooth dynamic fine lines and creases. Dynamic wrinkles form in response to repetitive facial expressions, most commonly appearing on the forehead, the glabella (the 11s, between the brows), and the crow’s feet (around the eyes). Botox, botulinum toxin, is a neuromodulator that essentially ‘freezes’ targeted facial muscles by blocking nerve signals that control expression.

Thermage is the gold standard cosmetic procedure when it comes to non-invasive skin-tightening. Thermage treatment stimulates the production of new collagen by applying radiofrequency energy, which delivers heat to the skin’s dermal layers. Collagen is a skin protein that provides a firm foundation, structural support and contributes to a youthful appearance. By replenishing levels of collagen, Thermage results in a smoother, firmer, tighter skin texture and a natural-looking, long-lasting, more youthful appearance. Zero downtime is involved, and Thermage can be used to treat the face, chest, neck, décolletage, hands, knees, upper arms, legs, buttocks, and abdomen. Thermage results can last up to two years before the effects of the treatment fade. The Thermage treatment can be repeated yearly in a given treatment area. Dr. Green often recommends scheduling an annual treatment session with Thermage to maintain the best cosmetic results and increase collagen production in your skin.

How to get started with dermal fillers for facial rejuvenation

Most patients do not want to undergo cosmetic surgery for rejuvenation, as it is invasive, costly, associated with many potential side effects, and can require weeks of downtime. Thanks to dermal fillers, it is possible to achieve a natural-looking, long-lasting, more youthful appearance without downtime or discomfort. Dermal fillers can correct age-related volume loss, enhance certain facial features, reduce fine lines and wrinkles, and improve skin concerns such as acne scars and stretch marks. If you are looking for a non-invasive cosmetic procedure for rejuvenation, facial filler treatment with Dr. Green may be just right for you.

Dr. Michele Green in New York City is an internationally renowned board-certified cosmetic dermatologist with over two and a half decades of experience providing some of the world’s most discerning individuals with the best non-invasive cosmetic procedures, including dermal filler injections for facial rejuvenation. Castle Connolly, New York Magazine, Super Doctors, and the New York Times consistently identify Dr. Green as one of NYC’s best dermatologists for her dedication to her patients and expertise. When you consult with Dr. Green, she will work with you to create a customized treatment plan for rejuvenation best suited to your specific skin concerns and personal aesthetic goals. Schedule a consultation by contacting Dr. Green online or calling our New York City office at  212-535-3088.

Injectable Dermal Fillers Guide | ABCS

What are Injectable Dermal Fillers?

Dermal fillers are gel-like substances that are injected beneath the skin to restore lost volume, smooth lines and soften creases, or enhance facial contours. More than 1 million men and women annually choose this popular facial rejuvenation treatment, which can be a cost-effective way to look younger without surgery or downtime.

How Can Dermal Fillers Enhance My Appearance?

While dermal fillers are casually known as “wrinkle fillers,” they can do much more than just smooth out wrinkles, although they are excellent at this too! Here are a few of the common issues dermal fillers can help address:

  • Smooth out lines around nose and mouth (a.k.a. marionette lines, smile lines, and parentheses)
  • Enhance & restore volume to sunken cheeks or temples
  • Diminish vertical lip lines
  • Plump & enhance the lips
  • Smooth out a chin crease
  • Improve symmetry among facial features
  • Key Benefits
  • Glossary

Key Benefits

  • Adds volume to face: Injectable fillers can add volume to various areas of the face, such as the cheeks, lips, and under the eyes, creating a more plump appearance.
  • Smooths out wrinkles: In addition to adding volume, injectable fillers can also smooth out wrinkles and fine lines, particularly around the mouth and nose.
  • Enhances facial contours: By adding volume and smoothing out wrinkles, injectable fillers can also enhance facial contours, creating a more sculpted appearance.

Glossary

  • Volume restoration: The process of replenishing lost volume in the face or body to achieve a rejuvenated appearance.
  • Dermal fillers: Injectable substances used to restore volume, smooth wrinkles, and enhance facial contours.
  • Hyaluronic acid: A naturally occurring substance that is commonly used in dermal fillers to provide hydration and volume to the skin.
  • Soft tissue filler: Another term for dermal fillers, referring to injectable substances used to add volume and improve the contours of soft tissues.
  • Calcium hydroxylapatite: A biocompatible substance used in dermal fillers to restore volume and stimulate collagen production.
  • Poly-L-lactic acid: A dermal filler substance used to stimulate collagen production and gradually restore volume over time.
  • Polymethyl-methacrylate microspheres (PMMA): Tiny microspheres suspended in a gel-like substance used in dermal fillers to provide long-lasting volume correction.
  • Fat injections: A technique where a person’s own fat is harvested from one area of the body and injected into another area to restore volume and enhance contours.
  • FDA approved: Indicates that a high-risk medical product (i.e. a drug or implantable device, including dermal filler) has undergone pre-market review and approval by the U.S. Food and Drug Administration for specific uses based on valid scientific evidence of safety and efficacy.
  • FDA cleared: Indicates that a moderate-risk medical device has been determined by the U.S. Food and Drug Administration to be safe and effective for its intended use based on substantial equivalence to a predicate device.
  • Nasolabial fold: The crease or line that extends from the sides of the nose to the corners of the mouth, commonly targeted for dermal filler treatment to reduce the appearance of wrinkles and folds.
  • Tear troughs: The hollow or sunken area beneath the eyes, often treated with dermal fillers to restore volume and reduce the appearance of dark circles or hollowness.
  • Frown lines: Vertical lines or wrinkles that appear between the eyebrows, often treated with dermal fillers to smooth out the skin and reduce their appearance.

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What are Fillers Made With?

There are a variety of FDA approved filler products that cosmetic surgeons use. In general, fillers are categorized by the substance they are made from. A note for your safety: always make sure that you are receiving FDA approved, brand name fillers, which are only available through a licensed physician, such as a board certified cosmetic surgeon.

Hyaluronic Acid (HA)

Hyaluronic acid is a naturally occurring substance that is already found in your skin. It helps keep skin plump and hydrated. HA fillers are typically soft and gel-like. The results are temporary, lasting 6 to 12 months or longer before the body gradually and naturally absorbs the particles. Most HA fillers are infused with lidocaine to help minimize discomfort during and after treatment. FDA approved HA fillers include:

  • Juvéderm products: Juvéderm XC, VOLUMA, VOLBELLA, VOLLURE
  • Restylane products: Restylane, Restylane Silk, Restylane Lyft, Restylane Refyne, Restylane Defyne, Restylane Kysse, Restylane Contour
  • Belotero Balance
  • Revanesse Versa
  • The RHA collection: RHA 2, RHA 3, and RHA 4

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Calcium Hydroxylapatite (CaHA)

Calcium hydroxylapatite is also a naturally occurring substance, found primarily in our bones. When used in a filler, the calcium particles are nearly microscopic and suspended in a smooth gel. The consistency of a CaHA filler is typically thicker than that of a hyaluronic acid filler and typically last longer as well, about 12 months for most patients. Calcium hydroxylapatite is also reported to help stimulate natural collagen production, and it is typically used for deeper lines and wrinkles. FDA approved CaHA fillers include Radiesse®.

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Poly-L-lactic Acid

Poly-L-lactic acid is a biocompatible (meaning it is safe to use in the body), biodegradable synthetic substance. It has been used for many years in medical devices, such as dissolvable stitches. Poly-L-lactic acid products are technically classified as “collagen stimulators,” as their main mechanism to smooth fine lines is by helping your skin rebuild natural collagen—the filler gel itself dissipates a few days after treatment. Poly-L-lactic acid is typically used to treat deeper facial wrinkles, and results can last more than 2 years. FDA approved Poly-L-lactic acid fillers include Sculptra® Aesthetic.

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Polymethylmethacrylate (PMMA)

Polymethylmethacrylate (PMMA) is a synthetic, biocompatible substance that has been used in medicine for much of the last century. In dermal fillers, PMMA takes the form of a “microsphere” or tiny ball, that remains beneath the skin indefinitely to provide continued support. PMMA fillers will also contain collagen, a naturally occurring substance in the skin that provides structure and firmness. FDA approved PMMA fillers include Bellafill® (formerly known as Artefill).

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Autologous fat injections (facial fat grafting)

Autologous fat injections are the only injectable filler treatment that requires surgery, but results can last for many years. Your own fat is harvested from another area (autologous means “from the same person”), typically using liposuction. The fat is then purified and injected into the face to help restore volume to the cheeks, temples, lower eyelids, or other areas. Fat injections require specialized training to perform safely and achieve great results, and should only be performed by an experienced, board certified cosmetic surgeon.

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Choosing a Provider for Filler Treatments

When selecting a provider for injectable treatments, give your decision the same level of care and scrutiny that you would for a surgical procedure. Non-surgical filler treatment is still a medical procedure that requires specific training, knowledge and skill to ensure safe treatment and natural-looking results. Choose a provider with an extensive knowledge of facial anatomy, a well-developed aesthetic eye, and a surgeon’s skill and precision.

Whomever you choose, make sure your provider has a proven background in cosmetic medicine as well as training and substantial experience performing filler injections. Ask to see before & after photos of a potential provider’s patients. If an R.N. or physician’s assistant will be performing your injections, that person should be working closely under the supervision of a qualified physician, preferably a board certified cosmetic surgeon.

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Which filler do I need?

With so many dermal filler products on the market, it can be difficult to know which option is best for you without an experienced cosmetic surgeon’s guidance. Each product is uniquely formulated to have a certain texture, density, and injection depth, which means that certain fillers work better for certain areas of concern. While your provider will determine what product is best for you, the following diagram illustrates in general where cosmetic surgeons tend to apply certain products:

Click to enlarge

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What to Expect During Treatment

Dermal filler injections are non-surgical and typically completed during an office visit. Your initial treatment will begin with a consultation, during which you will meet with your cosmetic surgeon to discuss your concerns and goals.

Pre-treatment consultation

During your consultation, your cosmetic surgeon will evaluate your area of concern and review your medical history. While the risks associated with dermal fillers are minimal, you need to fully disclose your medical history prior to treatment, as certain allergies, skin and neurological conditions, or medications can jeopardize your safety or results. For instance, you need to tell your cosmetic surgeon if you have been taking NSAIDs (e.g., aspirin, ibuprofen, naproxen) or blood thinners, as these increase the likelihood of bruising.

Your injectable filler treatment

Just before the actual treatment, the area will be cleaned, and you may be given a topical anesthetic to numb the area prior to injection. Many filler products also contain lidocaine, a mild anesthetic, which is intended to help minimize discomfort during and after your treatment. Your provider will then inject a precise amount of filler strategically beneath the skin.

Depending on the product and the areas treated, you should be able to notice results immediately after receiving filler injections. Some patients experience mild bruising and swelling, but these are temporary and should subside over the days following treatment. You will be able to go back to your normal activities right after treatment, but your cosmetic surgeon may ask you to take the day off from exercise or other strenuous activity.

If you are having fat injections…

Facial fat grafting is a surgical procedure and follows a different treatment protocol. Typically, fat grafting is performed as an outpatient procedure, using general anesthesia or local anesthesia with sedation. Up to 2 weeks of downtime may be required, depending on the extent of liposuction performed. Your cosmetic surgeon will go over what to expect with surgery and recovery during your consultation.

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How Long Do the Results Last?

How long the effects of dermal fillers will last depends on the product, the area of treatment, and the patient. Generally speaking, the denser the product is and the more deeply it is injected, the longer it will last, although this is not a hard and fast rule. To maintain your results, your cosmetic surgeon will simply repeat treatment, adjusting the amount and techniques as necessary to ensure optimal results.

Hyaluronic acid fillers tend to be the most temporary option, and therefore are often recommended for first-time filler patients. These will typically last from 6 to 18 months. Injections to the lips will wear out a little faster than those to the nasolabial folds. Certain HA fillers, such as VOLUMA, are formulated to last longer, but are usually limited to certain areas, such as the cheeks.

Synthetic fillers tend to last longer, as they are not absorbed by the body. They can be a great option for the right patient, but you’ll want to be ready to commit to results that will be there for several years—and choose an experienced, qualified provider whose aesthetic style you like.

Fat injections are meant to last indefinitely; however, some of the injected fat is expected not survive. Initially, your cosmetic surgeon may overfill the treatment area, resulting in an initially fuller look that will gradually settle into a more natural appearance.

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Find a qualified dermal filler provider near you

With the help of an experienced, qualified provider, injectable fillers can provide natural-looking enhancements to help you feel more confident in your appearance.  If you’re ready to learn more about your options, the next step is to meet with a board certified cosmetic surgeon for a consultation. You can use our ABCS Find-a-Surgeon tool to locate a cosmetic surgeon near you.

For more Dermal Filler Wholesaleinformation, please contact us. We will provide professional answers.

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