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. Read more about Sculptra here.
Polymethyl Methacrylate (Bellafill) – 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.
Fat Grafting – Some of the newest breakthroughs in our industry have occurred in refinements in fat grafting and harvesting the power of adult stem cells. If you are over 40 years old and desire longer lasting results, this may be an excellent option for you. See my fat grafting page for more information as well as posts on my blog.