Fillers Specialist

What are dermal fillers?

Dermal fillers are injectable treatments used to restore lost facial volume, smooth wrinkles, and enhance contours, giving a more youthful appearance without surgery. These fillers are commonly made from hyaluronic acid, a substance naturally found in the body, or other materials like calcium hydroxylapatite, poly-L-lactic acid, or polymethylmethacrylate. The specific type of filler used depends on the treatment area and the desired effect.

When injected, dermal fillers can help smooth out lines and wrinkles, plump areas that have lost volume (such as the cheeks or lips), and add definition to facial features. Some fillers are designed for deep injections to restore volume, while others are more suitable for superficial wrinkles.

What aesthetic concerns can dermal fillers address?

Dermal fillers can be used to treat a variety of aesthetic concerns, including:

• Nasolabial folds: The lines that run from the sides of your nose to the corners of your mouth, often referred to as "smile lines."
• Marionette lines: Lines that run from the corners of the mouth downward toward the chin, giving a "sad" appearance.
• Hollow or sunken cheeks: Fillers can add volume to the mid-face to restore youthful fullness and lift the cheekbones.
• Under-eye hollows (tear troughs): Fillers can reduce the appearance of dark circles and hollows under the eyes.
• Jawline definition: Dermal fillers can help contour and define the jawline and chin, creating a more sculpted appearance.
• Lip enhancement: Fillers are commonly used to add volume and smooth out wrinkles around the lips.
• Hand rejuvenation: Dermal fillers can also be injected into the hands to restore lost volume and reduce the appearance of veins or tendons.

How long do dermal fillers last?

The duration of dermal filler results can vary depending on the type of filler used, the area treated, and individual factors like metabolism and lifestyle. Generally, hyaluronic acid-based fillers can last between 6 to 18 months. Areas with more movement or finer lines (like around the mouth or lips) may require touch-ups sooner, while areas that don't move as much (like the cheeks or jawline) may last longer.

Can dermal fillers be combined with other treatments like Botox?

Yes! Dermal fillers are often combined with Botox or other neurotoxin treatments like Dysport for comprehensive facial rejuvenation. While dermal fillers add volume and smooth static wrinkles (wrinkles visible even when the face is at rest), Botox works by relaxing the muscles responsible for dynamic wrinkles (wrinkles caused by facial expressions, like frown lines or crow’s feet).

Combining these treatments can provide a more complete result, helping to both lift and smooth the face while preventing new wrinkles from forming. Your provider can help determine the best combination based on your goals and facial anatomy.

What should I expect during a dermal filler treatment?

A dermal filler treatment typically takes about 15 to 30 minutes, depending on the number of areas being treated. Before the injections, your practitioner will discuss your goals and may mark the treatment areas. A topical numbing cream is often applied to minimize discomfort, and many dermal fillers contain lidocaine (a numbing agent) to enhance comfort during the procedure.

After the treatment, you may experience some temporary swelling, redness, or bruising at the injection sites. These side effects usually resolve within a few days. Most people can return to normal activities right away, though it's advised to avoid strenuous exercise and excessive sun exposure for 24-48 hours after the procedure.

Are there any risks or side effects?

While dermal fillers are generally safe, they come with some risks, including:

• Swelling and bruising at the injection site (common and usually resolves within a few days)
• Lumps or bumps that may form if the filler is unevenly distributed (often resolves with massage)
• Allergic reactions (though rare, it’s possible with certain types of fillers)
• Infection (though this is uncommon when proper technique and hygiene are followed)

Choosing an experienced provider and using FDA-approved products can significantly minimize the risks of complications.

If you're considering dermal fillers, a personalized consultation with a skilled practitioner is key to determining the right treatment plan for you. During your consultation, you'll discuss your aesthetic goals, and your provider will guide you toward the most suitable fillers for your needs.