Fillers 101: A Glossary of Each Sort of Dermal Filler

Clean syringes placed near vial of liquid filler.

Picture Supply: Getty / Anna Efetova

  • Dermal fillers assist restore misplaced quantity, easy traces, and contour the face.
  • Totally different manufacturers of fillers are perfect for totally different areas of the face and physique.
  • Dermal fillers may be made with totally different substances, the most typical being hyaluronic acid.

Whereas trendy dermal fillers have been round for practically twenty years, they’ve seen an enormous bump in reputation in the previous few years. And it appears the stigma round facial enhancements like filler and Botox is steadily lowering (it is about time, TBH). Whereas celebrities like Kylie Jenner and Bella Hadid have introduced into the mainstream using filler to accentuate areas of their face, there are such a lot of methods to make use of dermal fillers past simply plumping up the lips and contouring the cheeks.

It is also necessary to know that not all dermal fillers are created equal — some are higher fitted to totally different elements of the physique, which ought to be considered when speaking to your dermatologist about your required look.

As a result of navigating the world of dermal fillers is usually a little daunting, we tapped a number of board-certified dermatologists and plastic surgeons to assist break down all the pieces it’s essential to find out about each different type of dermal filler in the marketplace.

What Is Dermal Filler?

Dermal fillers are injections placed under the skin which can be administered nonsurgically. They are often constituted of a couple of totally different substances; the preferred is hyaluronic acid, however they will also be constituted of calcium hydroxylapatite (CaHA), poly-L-lactic acid (PLLA), or the not often used polymethylmethacrylate (PMMA).

Dermal fillers are used so as to add quantity to sagging pores and skin, plump and contour areas of the face, repair any asymmetries within the face, and easy wrinkles and creases within the face and physique.

The place Can You Use Filler?

Dermal filler is most frequently used within the face however will also be injected into the physique in locations just like the higher palms, fingers, and earlobes. Fillers may be used in the lips, jawline, chin, temples, nasolabial folds, “marionette” traces, undereyes, bridge of the nostril (i.e., a liquid rhinoplasty), higher brow, and cheeks.

It is value noting that every one fillers are FDA authorized for sure makes use of, however many docs have “off label” makes use of they like for sure varieties of fillers. That is one more reason you must at all times select a board-certified dermatologist or plastic surgeon in your fillers since they’ve in depth coaching and information on the anatomy of the face and can have the ability to confidently advocate each on- and off-label placements.

How A lot Does Filler Value?

Like another beauty process, the worth will differ relying on the place you are situated (cities are normally costlier). Filler value is decided by what number of syringes (or models) are used, and one syringe can vary anyplace from $700 to $1,200. What number of syringes get used might be dictated by the realm you are treating and the look you are attempting to attain.

How Lengthy Does Filler Final?

It actually is dependent upon the kind of filler used and the place it is positioned. For instance, filler within the lips is probably going going to interrupt down quicker than filler within the temples since you’re utilizing and transferring your lips always. Lip fillers usually final anyplace from 4 to 6 months, whereas filler in your undereyes can final round a 12 months.

It additionally is dependent upon the kind of filler your physician chooses to make use of (don’t be concerned, we break all of them down beneath). Sure manufacturers of fillers are identified to final for various quantities of time, normally due to the fabric used to make them, the load of the molecules, and the filler texture (assume: easy vs. granular). The endurance and kind of outcome a filler provides additionally come right down to their G prime ranking. This refers back to the viscosity and elasticity of the product — that means how runny and pliable it’s. The decrease the G prime, the extra watery and versatile the filler is; the next ranking means the filler is extra dense and durable.

To get a way of a few of the timelines you are , listed below are a couple of widespread filler varieties you may see utilized in areas just like the lips, undereyes, and smile traces. “Each Restylane Refyne and Restylane Defyne have been proven to keep up effectiveness for the remedy of snigger traces for as much as 12 months,” says Rachel Westbay, MD, FAAD, a board-certified dermatologist at New York-based Marmur Medical, whereas the go-to for lip filler “Restylane Kysse is crosslinked with BDDE, an ingredient that helps kind a community with the hyaluronic acid to create a outcome that lasts as much as one 12 months. That is in distinction to most different fillers used within the lips, which are inclined to have a length of roughly six months.”

Based on Nancy Samolitis, MD, FAAD, board-certified dermatologist and proprietor of Los Angeles-based Facile Dermatology, the newer RHA (Resilient Hyaluronic Acid) assortment is alleged to final anyplace from 9 to 18 months. Board-certified dermatologist Elyse Love, MD, FAAD, says, “Radiesse is a biostimulatory filler that stimulates collagen and elastin manufacturing. It gives rapid outcomes and continued enchancment for 4 to 9 months after remedy.” Dr. Westbay says outcomes from Radiesse last more than hyaluronic-acid fillers, normally between 18 to 24 months.

Doctor injecting filler.

Picture Supply: Getty / fatihhoca

Kinds of Filler

Hold studying for a complete breakdown of each single kind of dermal filler and what docs use them for.

Restylane

What it is made from: Hyaluronic acid
Why select Restylane? Restylane was the very first filler developed by Galderma, so it is tried and true by practitioners. As board-certified dermatologist Corey L. Hartman, MD, FAAD, explains, there are additionally a spread of filler varieties below Restylane (outlined beneath) which can be designed to handle a number of quantity wants and areas. Restylane is granular and extra cohesive when it comes to texture, which Dr. Westbay says permits it to remain in place higher, making it supreme for including quantity in facial areas which can be quantity poor. Restylane can also be arguably simpler to mildew than different filler manufacturers, which permits the injector to higher create shapes and contours.

Restylane-L

Injection websites: Undereye space. “It’s best for the tear-trough space as a result of it provides a refined carry with out the Tyndall impact,” Dr. Hartman says, referring to the blueish impact that may influence undereye filler.

Restylane Silk

Injection websites: Lips. “I exploit it in sufferers who need extraordinarily pure and refined outcomes,” Dr. Love says. “It is an important possibility for individuals who need to fill out the form of their lips however are not looking for any extra pout or plumpness.”

Restylane Lyft

Injection websites: Cheekbones, temples, higher brow, jawline, chin, puppet traces, nasolabial folds, and lips. “It’s my primary go-to and essentially the most versatile filler for nearly any space on the face and physique to offer predictable, hydrated quantity,” says Ellen Marmur, MD, FAAD, board-certified dermatologist and founding father of Marmur Medical. “I don’t use it within the nostril or straight below the eyes.”

Restylane Refyne

Injection websites: Smile traces and lips. “That is finest for the nasolabial folds and marionette traces in sufferers with crinkles that lack good pores and skin texture,” Dr. Hartman says. Based on Dr. Westbay, it is higher fitted to traces that aren’t as profound or deep, however slightly superficial traces which can be off label (together with wonderful traces on the edges of the cheeks, wonderful traces across the mouth, and contours across the lip corners).

Restylane Defyne

Injection websites: Chin and jawline. “Defyne is a softer possibility in comparison with Lyft,” Dr. Love says. “It’s nice for including construction to the decrease face.”

Restylane Kysse

Injection websites: Lips. “It’s supposed for lip augmentation and the correction of wrinkles above the lips,” Dr. Westbay says. “It succeeds at offering a outcome that’s smooth and pure feeling whereas nonetheless conveying a pure fullness that moreover has the advantage of being lengthy lasting.”

Restylane Contour

Injection websites: Cheekbones, jawline, temples, and tear troughs. As Dr. Marmur places it, the aim of Contour is within the identify: contouring the face.

Juvéderm

What it is made from: Hyaluronic acid
Why select Juvéderm? Juvéderm is backed by the makers of Botox (Allergan) and supply long-lasting fillers that give pure outcomes. Dr. Westbay says as a result of Juvéderm has a smoother texture, some really feel it is superior at addressing finer traces and wrinkles in tight facial areas. This filler additionally tends to create a extra “plump” impact than Restylane merchandise, so “many injectors like to position Juvéderm in areas we need to swell, hydrate, or be extra pillowy, such because the lips, temples, and midcheeks, however don’t use it in areas such because the tear trough (below the eyes) or on the jawline.”

Juvéderm XC

Injection websites: Lips, temples, and wonderful traces across the mouth. As Dr. Love places it, “That is for the Kylie Jenner lip. It is for the affected person who needs their lips carried out and is not ashamed for individuals to know they’d their lips carried out.”

Voluma

Injection websites: Lateral cheeks, temples, and jawline. “It’s the thickest and most structurally supportive [filler in the Juvéderm family],” Dr. Westbay says. “It’s indicated for cheek augmentation to appropriate age-related quantity deficit within the midface, and the cheeks are undoubtedly the place it’s used most frequently.”

Volbella

Injection websites: Perioral traces and lips. “It is nice for refined lip enhancement for individuals who don’t need quantity however slightly to easy perioral traces and restore the construction of the lips,” Dr. Hartman says.

Vollure

Injection websites: Nasolabial folds, lips, tear troughs, and marionette traces. “It is among the most versatile fillers obtainable,” Dr. Westbay says. “It may be thought of a really perfect ‘center of the street’ filler. It may be a wonderful selection when sufferers want to stay to a extra conservative finances, because it permits the remedy of multiple space with out the necessity to buy one other syringe of filler.”

RHA Assortment

What it is made from: Hyaluronic acid
Why select an RHA filler? The RHA assortment is the latest FDA-approved filler in the marketplace and the primary and solely Resilient Hyaluronic Acid filler authorized for dynamic wrinkles and folds. It’s designed to be resilient sufficient to adapt to your facial motion, which can present a pure have a look at relaxation and in movement.

RHA 2

Injection websites: High-quality traces across the mouth, lips, neck, earlobes, and fingers. “It’s a very gentle and easy filler that may be injected extra superficially than another fillers on this space,” Dr. Samolitis says. “High-quality traces may be handled with out leaving bumps or extra fullness behind.”

RHA 3

Injection websites: Nasolabial folds and marionette traces. “It’s particularly designed for areas of the face with a whole lot of motion,” Dr. Samolitis says. “The product is smooth and elastic, so it would not trigger stiffness or look unnatural with facial expressions.”

RHA 4

Injection websites: Cheeks, chin, and jawline. Dr. Samolitis says, “It has the softness and pure motion like the opposite RHA merchandise however is a thicker gel to supply extra quantity in areas the place we’re focusing on facial contour.” Dr. Marmur agrees, including, “I layer lighter fillers over the deeper RHA4.”

Revanesse Versa

What it is made from: Hyaluronic acid
Why select Revanesse Versa? The important thing issue that appears to make individuals select Versa over different HA fillers is it might have much less post-injection swelling. Additionally it is made with none animal merchandise or byproducts and is formulated with out lidocaine.
Injection websites: Nasolabial folds and lips. Revanesse Versa is indicated for injection into the mid to deep dermis for correction of average to extreme facial wrinkles and folds, similar to nasolabial folds.

Belotero Stability

What it is made from: Hyaluronic acid
Why select Belotero Stability? Belotero Stability is an particularly refined filler. Dr. Marmur says it is her go-to filler for first timers. Dr. Love notes that Belotero Stability is refined as a result of it would not entice added water.
Injection websites: Tear troughs, nasolabial folds, wonderful traces, and nostril. “That is preferable in these areas the place additional water could create the looks of puffiness.” Dr. Marmur says, “It’s a light hydrator great for tiny lip traces, corduroy-like cheek traces, smile dimples, eyebrow carry, full brow carry, and liquid rhinoplasties.”

Radiesse

What it is made from: Calcium hydroxylapatite (CaHA)
Why select Radiesse? Radiesse is a biostimulatory filler constituted of calcium hydroxylapatite, a mineral that is present in human bones and tooth that stimulates collagen and elastin manufacturing. Dr. Love says it gives rapid outcomes and continued enchancment for 4 to 9 months after remedy. In contrast to hyaluronic-acid fillers, Radiesse can’t be dissolved as soon as injected. It is also one of many solely fillers (together with Sculptra) FDA indicated to assist restore and/or appropriate facial fats loss in adults with HIV (HIV lipoatrophy).
Injection websites: Again of the palms, cheekbones, jawline, and chin. “It’s usually utilized in facial areas that require a deeper fill and extra construction, slightly than to fill tiny wrinkles in smooth, cellular areas of the face,” Dr. Westbay says. “Whereas others are made for extra gentle ageing pores and skin issues, it’s best fitted to focusing on extreme quantity loss and wrinkles. Outcomes additionally last more than hyaluronic-acid fillers, normally between 18 to 24 months.”

Sculptra

What it is made from: Poly-L-lactic acid
Why select Sculptra? Sculptra would not create rapid filling however stimulates development of collagen over time. Dr. Hartman says, “Sculptra is the one biostimulatory product that not solely fills however stimulates collagen to stop the pores and skin from shedding quantity.” Initially, it was FDA authorized for the correction of facial lipoatrophy that was related to HIV an infection. Sculptra was then authorized for the correction of the nasolabial folds and wrinkles. Hysem Eldik, MD, a board-certified dermatologist at Marmur Medical, says you may require a sequence of three or extra injections to essentially respect the distinction in wonderful traces and wrinkles.
Injection websites: Temples, cheeks, nasolabial folds, marionette traces, jawline, lateral face, and preauricular cheek. “It gives a lifting impact and might volumize steadily in a really natural-looking method,” Dr. Samolitis says. “The outcomes last more than volumizing with HA fillers.” The one areas the place Sculptra will not be used are the tear troughs and lips.

Bellafill

What it is made from: Polymethylmethacrylate (PMMA)
Why select Bellafill? That is the one filler authorized to deal with pimples scarring. It additionally lasts for much longer than different fillers — as much as 5 years. Observe that Bellafill is the least-commonly-used filler (not one of the docs on this article use it).
Injection websites: Zits scars and deep wrinkles. You need to take an allergy check a couple of month earlier than attempting Bellafill to ensure you do not have a response to the bovine collagen.

Potential Dangers of Dermal Filler

Relying on the realm of the face or physique the place you bought fillers, it is regular to see some redness and swelling for up to a couple days. You may even see just a little little bit of bleeding and bruising as effectively, particularly if you happen to obtained fillers in a spot the place the pores and skin is very skinny, just like the undereyes. In case your filler is injected improperly, it is attainable that the filler will migrate.

In fact, any beauty process comes with some dangers, though they’re very uncommon. They embrace asymmetrical look, extreme swelling and ache, allergic response, injury to the pores and skin, an infection, lumps below the pores and skin, numbness, and rash. In very uncommon instances, normally related to fillers across the nostril, you might expertise an instantaneous lack of eyesight, weak spot, or ache on one aspect of the physique, through which case you must go to the emergency room.

One of the best ways to keep away from any problems is by seeing a board-certified dermatologist or plastic surgeon who has plenty of expertise with injectables.

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