What are Facial Fillers? And What Are There Variations? Which Ones Are Best For Me? What Are The Costs?

What are Facial Fillers? And What Are There Variations? Which Ones Are Best For Me? What Are The Costs?, dermalfillerbeforeandafter

Facial fillers can be either synthetic or naturally occurring substances, which are injected into the lines, folds, and tissues of the face to reduce the appearance of wrinkles and also restore the facial fullness that naturally diminishes with as we get older.

These injectable substances have a variety of names, they are also known as dermal fillers, injectable implants, wrinkle fillers, and soft-tissue fillers. They’re used to erase smile lines, plump up cheeks and lips, and correct acne scars.

Most fillers are absorbable. As such, they offer temporary enhancements that can last anywhere from a few months to around 2 years, there are a variety of factors that determine how long they last, and these factors are discussed in detail in another article on this site, see the article on longevity and looking after your dermal filler, but on the whole, the length of time they last really depends on the product, the person and the post-care taken of the treatment, such as the regular usage of sunscreen, for instance, to prevent UV damage and the use of quality and relevant moisturisers. However, as mentioned these are discussed in more detail in the other article on the subject.

Some fillers are marketed as permanent and can last up to several years.

According to the American Society of Plastic Surgeons, 2.7 million facial filler procedures were performed in 2017 alone, an increase of 3 percent over the previous year.

Types of facial fillers

The market is abuzz with facial fillers.

While many facial fillers provide immediate results, says the American Academy of Dermatology (AAD), some fillers do require more than one treatment over the span of several weeks or months for the best benefits, followed by occasional touch-ups.

Detailed Examination of the Various Types of Facial Fillers Available

Hyaluronic acid (HA)

The best known of all is this gel-like substance, which is found naturally in the body. Its main use is to “plump up” the skin, adding volume to places such as the cheeks and smoothing out wrinkles, in particular around the eyes, lips, and forehead areas.

Well-known brands of this variation include Juvéderm and Restylane. As the body reabsorbs hyaluronic acid gradually over time, the results are time-limited, but in general, they only last 6 to 12 months, reports the American Board of Cosmetic Surgery (ABCS). With continued research, there have been some advances in the development of these dermal fillers, and these will typically last 12 months or longer.

Calcium hydroxylapatite (CaHA)

This filler uses calcium (in the form of microscopic particles) and adds it to a gel that is then injected. The gel is of a thicker consistency than HA, which makes it better suited for deep wrinkles, says the ABCS.

The results of CaHA (brand name Radiesse) and tend to last about a year.

Poly-L-lactic acid

This is a biodegradable acid, it helps stimulate the skin’s own collagen production, instead of “filling” wrinkles. This gives firmness to the skin and reduces the appearance of wrinkles.

Marketed under the brand name Sculptra Aesthetic, this filler is used to treat deep wrinkles and increase the volume where fat has been lost. It works over time, i.e. unlike HA based fillers it does not show immediate results, but can provide results for at least two years, making it a semi-permanent filler.

Polymethylmethacrylate (PMMA)

This filler consists of tiny balls (called microspheres) and collagen that plump up the skin. However, it is known to have some issues, according to a journal article in the Plastic and Aesthetic Research.

Although this type of filler (marketed under the name Bellafill) is considered permanent, with results lasting five years, it’s usually not the first choice of doctors.

According to research published in the Aesthetics Journal, long-acting dermal fillers have higher rates of complications, such as infection and nodules, it is for this reason that doctors tend to avoid these.

Autologous fat injections (fat grafting)

This technique, as the name suggests takes fat from parts of your body, such as the buttocks, and injects it into facial areas for filling.

This fat is typically removed from your body using liposuction, a well-known procedure in which fat is vacuumed out of the body via a hollow tube inserted through incisions in the skin.

This procedure requires sedation, and you may need a week or two to recover. In most cases, fat grafting provides long-lasting results, however, carries the most complications for its overall use.

NameUseAnestheticPrice (average)PermanenceRealSelf
Belotero BalanceSmooths and fills moderate to severe nasolabial foldsNo$625Up to 6 months88%
CaptiqueSmooths and fills in moderate to deep wrinkles. Adds volume. – $700Up to 3 months NA
EsthelisCrow’s feet, lip lines, glabellar lines, lip lines and more –$500 Up to 12 months
Hydrelle (Elvess) Nasolabial foldsYes $475 30%  
HylaForm Nasolabial Folds & Lip Plumping No$300-$500Up to 6 monthsNA
Juvederm Voluma XCAdds volume to lift and contour cheeksYes $1,475 DHI $799/syringe Up to 2 years 83%
Juvederm XCSmooths moderate to severe parenthesis lines and wrinkles around your nose and mouth.Yes$750DHI – $475 Up to 1 year 92%
Juvederm Ultra XCAdds fullness to the lipsYes $1,000DHI
 Up to 1 yearNA 
Juvederm Volbella XCAdds fullness to the lips and softens the appearance of “Smoker’s Lines” around the mouth.Yes $525DHI $399/syringe Up to 1 year 89%
Juvederm Vollure XCSoftens moderate to severe parentheses lines and wrinkles by adding volume. Yes  $750DHI
Up to 18 months83% 
Restylane Facial wrinkles, marionette lines, lip plumpingVaries $750DHI $525/syringe Up to 1 year89%
Restylane-L Same as above – ‘L’ stands for LidocaineYes 
Restylane-Lift Smooths smile lines and increases volume in the cheeksYes$1000 Up to 18 months96%
Restylane SilkPlumps the lips and fills fine lines around the mouthYes$675Up to 6 months 85%
Restylane Refyne Marionette or “laugh” linesYes$725Up to 12 months 95%
Restylane DefyneModerate to severe laugh lines around the mouthYes$575  Up to 12 months100% 

Collagen Facial Fillers

AutologenFrown lines and 11s$1,200 – $1,500Up to 9 months
CosmoDerm / CosmoPlastFrown lines, vermilion lines, depressed scarsYesUp to 3 months
EvolenceNo longer available in U.S.31%
Zyderm / ZyplastFine lines and scars  –$300-$400 Up to 6 months – 

Synthetic Facial Fillers

BellafillSmile lines, acne scars, nasolabial$2,525Up to 12 months91%
RadiesseModerate to severe facial wrinkles. Also used to correct volume
loss in hands
$975DHI $750/syringeUp to 18 months79%
SculptraMarionette lines, chin, depressed temples, jowlsYes$1,925Up to 24 months90%

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