Dermal Fillers for Facial Injections

What are dermal injectable fillers?

Dermal fillers are also known as facial fillers or injectable cosmetic fillers.

Most dermal fillers used today are Hyaluronic acid based. Hyaluronic acid derivatives are exciting new materials used for tissue augmentation.

Our technique of using facial injectables has changed significantly over the last 10 years. Over 10 years ago,we were filling lines and nasolabial folds. Today we have changed our focus to volumizing and reshaping the face to recreate the volume lost with age. We also use the injectables to enhance certain features and beatify them.

We try to get rid of the sad and the tired look by filling the tear troughs and augmenting the cheeks. We no longer chase lines with the injectables.

It is incredible what we can do with the wide variety of fillers we have on the market. Different fillers have different characteristics that allow us to use the different fillers depending on what we want to create. Certain fillers are designed to create lift, others are designed to create soft lips and yet others are great to create soft transitions from one part of the face to the other.

Every patient is unique and has a different type of skin. Some patients have thin skin, while others have heavier skin with a different lift capacity. It therefore becomes the skill of the injector that determines how to use different injectables on the market to help each individual look better, healthier and more rested.

I have patients that I have been following for over 10 years and they not only look younger but they also look better than 10 years ago, and yet they have aged 10 years!

Examples of hyaluronic dermal fillers are:

The Restylane® family of products

Restylane® , Restylane Fine Lines® and Perlane® also known as Restylane® Lyft, Restylane® Volyme, Defyne and Kysse are Swedish products are made from high quality raw materials. They are based on The products are hyaluronic acid of non-animal origin. This range of products product has been on the market for 20 years and is internationally renowned. Together with Restylane Skin Boosters®, this family is complete.


The Juvéderm® family from Europe is the second generation of hyaluronic acid injectable fillers and is widely used worldwide.


The Teosyal® of injectable fillers is Swiss made and is very similar to Juvéderm. My two favorites are the Teosyal Kiss® which is designed specifically for lips, and Redensity II®, the latest addition to the Teosyal Redensity II® family and is especially designed for under-eye circles.


Belotero® products are Swiss made and have been on the market since 2005. It is the fourth generation of resorbable gels developed from hyaluronic acid of non-animal origin. Its nature and cohesive matrix makes it a very homogeneous injectable.

What is Hyaluronic acid?

Hyaluronic acid is a polysaccharide found naturally in the dermis or skin, connective tissue and in synovial fluid.

It is therefore extremely compatible. Its ability to draw water assists in the hydration of the skin as well as provide tissue turgor.

Many different types of Hyaluronic acid based fillers exist today on the market. While each one is a little different in its physical properties, they are all basically cousins and act in a similar way. The beauty of these theses products is that they are resorbable, meaning that they are degraded by your own body over time and are therefore temporary.

Therefore, as you age and your face and tastes change you can adapt with the fillers.

Also this way there is no danger to having a permanent product in your face that your body can read as a foreign object and try to reject by creating lumps, which would require surgical removal.

These products are injected into the skin to correct deep folds and to provide volume restoration where needed or desired.

Examples of areas that can be injected are

  • Cheeks
  • Lips
  • Hands
  • Nose
  • Perioral lines or smoker lines
  • Nasolabial folds
  • Marionette lines
  • Chin
  • Jawline contouring
  • Temples
  • Wrinkles
  • Tear troughs or hollows under the eyes

Often multiple syringes are required to achieve desired results.

Treatments last 6-12 months depending on the patient and the injection site.

All fillers come in different size molecules depending on the area that requires injection. One can compare this to using different size paintbrushes to create a painting, the fat brush for the background and the fine brush for the details.


Radiesse is semi permanent filler that is made with calcium-based microspheres suspended in a water-based gel.

It stimulates collagen around the injection area.

It is a dermal filler that is very popular in the United States. As it is a very volumizing product it is used for deep volume loss and facial contouring. It is great filler that is approved for hand rejuvenation.

Results can last a year or more in certain patients.