Author Bio: Dr. Sanusi Umar MD is the author of this article.
A dermal filler is an injectable substance that is generally used to treat wrinkles or depressions. They work to correct these issues by lifting them. In this Q&A video, Dr. U (Dr.Umar) answers a question, commonly asked by his Los Angeles patients who often ask, “what is the best dermal filler that is right for me?”
The Best Dermal Filler Injection and Choosing from Three Types
Dr. U discusses the three basic categories of dermal fillers that are available to patients. These include:
- Hyaluronic acid (Juvederm, Restylane, Perlane, Belotero)
- Calcium hydroxylapatite (Radiesse)
- Poly-L-Lactic (Sculptra)
Hyaluronic Acid As The Best Dermal Filler For Soft Tissue Volume – Selecting Juvederm, Restylane, Perlane or Belotero
Dr.U explains that hyaluronic acid is a naturally occurring substance already found in our bodies, in areas like the skin and joints, among many others. The pharmaceutical products are manufactured using a sterile version of HA that comes from bacteria, not people or animals to avoid inflammation and allergic reactions. This compound is considered to be a sugar and has an exceptional ability to hold a large amount of water, many times its own weight giving it excellent lubricating properties. Hyaluronic acid fillers like Juvederm, Restylane, Perlane, and Belotero are able to blend in very seamlessly as it hydrates the skin and its soft tissue surroundings.
Each one has different consistencies allowing them to create desired results for specific applications.
Hyaluronic acid is the best dermal filler for depressed areas that require more volume to regain a youthful look. It is an ideal choice for early or milder forms of nasolabial folds, around the nose and mouth. HA fillers are also popular for lip augmentation as well.
Here is a brief description of each of the different hyaluronic acid filler brands. Juvederm and Belotero can be used for filling and adding subtle levels of volume. Belotero, however, has been cross-linked to be a continuous substance that is ideal for filling fine lines closer to the skin’s surface. The nature of Juvederm is a particulate gel suspension. When light passes through it, it will produce a bluish discoloration through the skin (i.e. the Tyndall effect). With Belotero’s unique configuration, this will not occur. Juvederm cannot be used for superficial applications. It needs to be injected much deeper below the skin to avoid clumping and the Tyndall effect.
Restylane and Perlane are firmer, more particulate and much thicker in viscosity. These HA injectables are better suited for areas of the face that need significant lifting and volume such as deep creases. Plus they can be sculpted to a moderate extent.
The Best Dermal Filler Injection for Laugh Lines and Facial Contouring
Radiesse is a dermal filler made of tiny calcium hydroxyapatite microspheres. Since calcium exists in our bones, its properties offer greater firmness. The particles within the injection gel will gather together tightly or diffusely in order to mimic the surrounding tissue. This makes it possible to use Radiesse for a wide range of different applications, including non-surgical facial contouring on the nose, the cheeks and chin. Treatments with Radiesse often last 9-12 months. But actual timelines may vary depending on how fast individuals metabolize the filler.
Many patients with moderate to more severe forms of laugh lines (i.e. nasolabial folds around the nose and mouth) can benefit from injections with this product. Besides laugh lines, Radiesse is also the best dermal filler for non-surgical jowl lifts.
What is the best dermal filler for under the eyes?
One of the most common cosmetic issues that men and women seek to address is wrinkling and the appearance of darkness beneath the eyes. However, the skin in this area is very thin and delicate. Due to this characteristic, it is extremely susceptible to the Tyndall effect.
Since Radiesse is a dermal filler made of a white substance, it will not result in a bluish discoloration under the eyes. It is ideal for reducing the look of shadows or darkness. Also, since it can be shaped, Radiesse offers an effective solution for mild forms of under eye bags.
Sculptra the Best Dermal Filler for Longer Term Results
As Dr. U explains, Sculptra is made of the same material as water-soluble sutures. This substance is known as Poly-L-Lactic. Since it is a synthetic substance, the body will not metabolize it as easily as hyaluronic acid or calcium hydroxyapatite. Results produced with the Sculptra dermal filler will last up to two years.
Sculptra is used for restoring facial volume. It helps fill deep depressions and creases like laugh lines. It’s original intent was to help patients struggling with facial lipoatrophy. This is a condition that is often seen in patients with AIDS or HIV. It is caused by facial fat tissue wasting away.
To speak to Dr. U about getting treated with dermal fillers, sign up for a complimentary consultation.
Frequently Asked Questions for Los Angeles Patients- Choosing the Best Dermal Filler
What is the best dermal filler for the temple area?
The most common type of wrinkle that forms in the temple area are crows feet lines. These wrinkles emanate like branches from the outer corners of the eyes. They are caused by muscle contractions which crease the overlying skin. Initially, crows feet wrinkles are only visible when the individual smiles or laughs. Over time, the lines become permanently etched on the skin’s surface.
Some patients will choose Botox or Dysport to relax the muscles around the eyes. Others may choose to simply fill in the etched creases that appear when the face is at rest. Since Belotero is specially formulated for fine lines, this is an excellent dermal filler to use for these types of crows feet wrinkles.
Can dermal fillers cause toxic reactions?
Dermal fillers are generally safe as long as they are used by qualified physicians. These include cosmetic dermatologists, facial plastic surgeons, plastic surgeons or occuloplastic surgeons. Like all other drugs, they may incur side effects. If you are concerned about unwanted reactions, talk to your doctor about the individual likelihood of experiencing these issues.
How long do hyaluronic acid fillers last?
Hyaluronic acid fillers tend to last anywhere between six to eighteen months. Because they are made of sugar molecules, the body will metabolize this filler much faster than Radiesse or Sculptra. Individuals will differ in terms of how fast this will occur. Also the placement of the injection affects its longevity. More active areas of the face (e.g. lips) will experience shorter timeframes than less mobile regions, such as the nasolabial folds.