Dermal Fillers

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 have 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
  • Improve under eye volume loss

What are Fillers Made With?

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
  • Restylane products: Restylane, Restylane Kysse,&  Restylane Lyft.
  • Belotero Balance

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®.

Which filler do I need?

Treatment Areas:

Dermal Filler Treatment Areas

Dermal Fillers:

  • Belotero Balance: Under eyes, lips, nasolabial folds, superficial lines, acne scars.
  • Juvederm XC / Ultra / Plus: Nasolabial folds, deep lines, mild volume loss
  • Juvederm - Voluma XC: Cheeks/Mid-face
  • Juvederm Volbella XC: Lips
  • Restylane Kysse: Lips - Restylane Kysse is the first lip filler designed with XpresHAn Technology for flexible movement and natural-looking volume proven to last for up to 1 year.1-3 Enhance texture and color of the lips while maintaining a full range of expressions.
  • Restylane Lyft: Cheeks and hands - Restylane® Lyft is a safe, effective and dissolvable HA filler. Treatment can be administered in your hands and face at the same appointment — and can result in a more youthful-looking appearance.
  • Radiesse
  • Revanesse® Versa™ is a hyaluronic acid dermal filler that can be used to treat moderate to severe facial wrinkles and folds, including nasolabial folds




Actual patient. Results may vary. Unretouched photos taken before treatment and 1 month after final treatment. A total of 3.0 mL of JUVÉDERM VOLUMA® XC was injected into the cheek area. A total of 2.5 mL of JUVÉDERM® XC was injected into the parentheses, marionette, and vertical lip lines. A total of 1.8 mL of JUVÉDERM® Ultra XC was injected into the lips.
Juvederm Voluma and Ultra Plus
Juvederm Voluma and Ultra Plus

Lip Filler - Soften vertical lip lines

Vobella for Lips

JUVÉDERM® Lip Collection Product Differentiation Video – Make Your Mark

This video features Dr. Anita Cela discussing JUVÉDERM® Ultra XC and JUVÉDERM VOLBELLA® XC, and includes patient before and afters.

What to Expect

Before the 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.

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.

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.

Hyaluronic acid fillers tend to be the most temporary option, and are often recommended for first-time filler patients. These will typically last from 6 to 18 months. Voluma, Radiesse & Restylane Lift may last longer. Injections to the lips may dissolve a little faster than those to the nasolabial folds due to movement.

Please Read: Important Safety Information - For Patients

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