There are multiple fillers used for a variety of reasons. Let’s start by reviewing a few uses of fillers then talk about the different types of fillers.
Some Indications for Injectable Fillers
Wrinkles – Fillers work by lifting the base of the wrinkle to a higher position, essentially flattening the appearance of a wrinkle to make it less noticeable. Unlike Botox, fillers work on wrinkles that are present at rest – in other words, if the wrinkles are only present when you move your forehead, for instance, Botox will likely be a better option. If the wrinkles are present at rest, such as around your mouth, fillers will likely be the better option.
Scarring – Certain scars and indentations, especially acne scarring, may benefit from a combination of surgical procedures and artificial fillers.
Volumizing the chin – Enhance chin volume and projection with fillers.
Different Types Of Fillers
Hyaluronic Acid (Restylane, Juvederm, Perlane, Belotero) – FDA approved. Lasts from 6 months to 1 year. Some advantages include its small particle sizes which make this filler ideal for lips and fine wrinkles. There is also a medication that allows this injectable material to be dissolved.
Calcium Hydroxylapatite (Radiesse) – FDA approved. Typical results last 8 months to 1 year. A slightly thicker texture makes this filler better for volumizing larger regions of the face such as the cheeks and tear trough.
Poly-L-Lactic Acid (Sculptra) – FDA approved. This longer lasting filler lasts 1-2 years. Multiple sessions may be needed for placement of this filler, usually 2-3 sessions are required. This filler is not typically used for fine wrinkles since it can be felt through the skin if injected superficially.
Polymethyl Methacrylate (Artefill) – FDA approved “permanent filler”. This long lasting filler may provide results that last up to 5 years. A test of this filler should be performed prior to injection 1 month prior since it uses bovine collagen.