Dermal fillers are popular cosmetic treatments that involve injecting natural or biodegradable substances beneath the skin’s surface. These substances can help to reduce wrinkles and signs of aging while improving facial contours, balancing asymmetry, and boosting self-confidence. As the beauty industry evolves, so do the formulations and applications of dermal filler gels. In this article, readers will discover the various types of dermal fillers, the best brands of 2023, and the associated side effects.
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All dermal fillers for the face are synthetic substances that bind water under the skin, stimulate natural collagen production, and plump the skin around the injection spot. The best dermal filler types are:
Hyaluronic acid occurs in the human body and the bodies of animals naturally. This substance is an essential part of the natural hydration cycle and keeps moisture in body tissues. However, natural production decreases with age, and body tissues start losing water.
Synthetic HA binds water under the skin and adds volume. However, it resembles in body tissues with time because it is biodegradable. The effect lasts for several months. Some producers combine HA with natural antioxidants and other valuable substances to increase the result and make the effect longer.
Calcium hydroxylapatite (CaHA) also naturally occurs in the human body, but mainly in the bones. Compared with HA, the fillers with CaHa have a higher density, which is why this type of filler is recommended for deep wrinkles and hollows. The effect also lasts longer in comparison with HA treatments, approximately for 1-2 years.
Poly-L-lactic acid (PLLA) is a synthetic biodegradable polymer produced from lactic acid with water loss. This type of filler also binds and keeps water in body tissues and stimulates natural collagen production with a long-lasting result.
Polymethylmethacrylate (PMMA) is a half-degradable filler consisting of natural collagen, small round acrylic balls, and small capsules that stay under your skin. This type of filler gives the most long-lasting effect, and it is recommended for severe problems like deep wrinkles or facial asymmetry.
With the improvement of dermal fillers, procedures are also evolving. Let us review the most popular procedures with dermal filler injections.
As each body part, lips lose moisture with age. Yet, many patients use lip volumizing procedures at a young age just to add more volume to the lips. A common opinion is that bigger lips look more attractive, which makes increasing the lips’ volume one of the most popular treatments.
The first wrinkles on the forehead can appear in the early twenties. We actively use our eyebrows for mimics, and the mimic wrinkles on the foreheads are the result. People call it “wisdom wrinkles.” Dermal fillers help smooth or temporarily remove these wrinkles.
A chin and a nose are the essential parts of a human face, and many people are not satisfied with the natural shapes of their chin and nose. Small dermal filler injections can give a better shape to these face parts and give more confidence to the patient.
With age or strict diets and weight loss, the underskin fat layer on the face disappears. People lose the volume in their cheeks and look older. Dermal filler can revitalize cheek skin and make the cheeks full again.
We cannot stop the natural processes of aging, Yet, we can reduce some visual effects of it. With long-lasting dermal fillers, it is possible to reduce the deep wrinkles and folds on the face, like marionette lines and nasolabial folds.
The scars appear on the human body after traumas or surgery, and many patients want to reduce or remove scars on the visible parts of the body. Dermal fillers are not a panacea against scars, but they can significantly improve the appearance and reduce asymmetry.
Each brand offers a range of products: fillers of various densities and effect duration, with or without anesthetic, with or without supplements, and so on. Here is the list of the most popular dermal filler brands in 2023.
Radiesse is a dermal filler brand with CaHa. This filler brand treats severe issues such as deep nasolabial folds, scars, face asymmetry, or temple hollows.
Juvederm is one of the market favorites, an FDA-approved popular US brand. It is affordable and with infrequent side effects. Juvederm family offers HA fillers for different areas of the face with moderate to severe issues.
Restylane – the high-quality filler brand produced by Medicis Pharmaceutical, USA. The brand provides a broad range of fillers for all facial zones and other body parts.
Perlane is a sister brand for Restylane, also the product of the US Medicis Pharmaceutical company. Perlane products are thicker than Restylane, so they go for deeper wrinkles, folds, and hollows. Perlane products have a more prolonged effect duration.
Evolence is a product from the leading Johnson and Johnson company presented by the Ortho-Neutrogenia brand.
Stylage, a French company Vivacy Laboratories product, provides a broad range of dermal fillers combined with natural antioxidants. Stylage dermal fillers stimulate the natural skin revitalization processes.
The line of Revolax fillers originates from the United Kingdom and positions itself as the national favorite dermal filler. Revolax produces dermal fillers for all facial zones.
Among all the benefits of using some of the best quality dermal filler for the face, we’d mention several of the most important.
The rehabilitation after dermal filler injections takes a short time, from several hours to a couple of days. Then a patient can enjoy the effect.
Besides the variety of aesthetic benefits, there is evidence that these treatments can also have positive psychological effects, such as boosting self-confidence and self-esteem, regardless of the type of treatment used.
Unlike face sculpting massage or professional make-up, dermal filler injections have a longer effect, from a couple of months to a couple of years. With time, fillers resemble the body. If a patient is unhappy with the results, they will just need patience for the effect to be reversed.
Dermal fillers fill the underskin gaps and pump up the skin. Yet, they also stimulate natural collagen production with an additional positive effect on the skin.
Modern dermal fillers are very clean, with a minimal quantity of side substances. As a result, the risk of side effects is very low – of course, if a licensed medical professional does the procedure.
The body can naturally react to the substance when a therapist injects a gel under the skin. However, sometimes the allergic reaction or procedure protocol violation causes substantial consequences. We divide the side effects into two groups: frequent effects and rare effects. Let us review both groups.
The frequent side effects after dermal fillers injection are:
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All these side effects appear around the injection spot and disappear in 48 hours maximum. This is a natural reaction to the best dermal filler, and it does not require any actions from the patient’s side. However, if it lasts for more than two days, the therapist should be involved.
Rare side effects of dermal face fillers are mostly the result of the injection protocol violation and very rarely are the results of individual reactions. They are the following:
If patients notice an unpleasant reaction or feel pain, they should contact the therapist urgently. In some cases, the dermal filler should be immediately removed, and a quick response could be critically important.
The best dermal fillers keep the leading position in the beauty market, and there are several reasons for it. They are safe and affordable, and they give immediate and visible results.
Besides the quality of the injections, healthcare professionals who give the injectable treatment should be well-trained and licensed.
There are several different types of dermal fillers. The most common types are:
Brand names include: Radiesse
Calcium hydroxylapatite is found naturally in human bones and is a mineral-like compound. It's often used to:
Calcium hydroxylapatite is biosynthetically produced, which means that no animals or animal products are used. This lowers your risk of an allergic reaction and no skin testing is required. This type of dermal filler is known to produce a very natural result, doesn't migrate and side effects are rare. This dermal filler was first used in dentistry and reconstructive surgery and has a long safety record.
Brand names include: Captique, Esthélis, Elevess, Hylaform, Juvederm, Perlane, Prevelle, Puragen, Restylane
Hyaluronic acid injections can be used to improve the skin's contour and reduce depressions in the skin due to scars, injury or lines. You can see potentially dramatic improvements for:
Hyaluronic acid is a natural substance found in your body. High concentrations are found in soft connective tissues and in the fluid surrounding your eyes. It's also in some cartilage and joint fluids, as well as skin tissue. It is extracted and reformulated and now has become one of the most popular kinds of injectable fillers. If the term sounds familiar, it's because the same substance is often injected into the aching joints of people with arthritis to ease pain and provide extra cushioning.
Brand names include: Aquamid
Polyalkylimide is a semi-permanent dermal filler and is often used by plastic surgeons to:
Polyalkylimide has very little reaction with human tissue, meaning it's biocompatible, and no allergy test is required. It is radio transparent, meaning it won't interfere with x-rays.
After the injection, a thin layer of collagen slowly forms around it over the course of about a month. The gel is eventually completely surrounded. A single procedure can inject large volume. This product, which is thought to be quite stable over time, can even be removed if necessary.
Brand names include: Sculptra
Polylactic acid is a synthetic dermal filler that is injected into your face, causing your body's own production of collagen. This type of dermal filler is known as a stimulator. This non-toxic, biodegradable substance has been used for more than 40 years as suture material.
Polylactic acid is known to work particularly well in the lower half of your face, and is used to:
This substance is unlike other dermal fillers because it doesn't produce immediate results. Instead, it stimulates your own body's collagen production, so results appear gradually over a period of a few months.
You will likely need about three monthly treatments to achieve your desired results. With each treatment, there is re-stimulation of your own collagen. Then it can take four to six weeks to see the full effect. While this type of dermal filler is considered semi-permanent, you may still need occasional touch-ups.
Brand names include: Bellafill
PMMA is considered a semi-permanent filler and is most often used to treat medium-to-deep wrinkles, folds and furrows, particularly nasolabial folds. It can also be used to fill out pitted scars and to augment thin lips.
When a more permanent solution to facial wrinkles is desired, PMMA is often used instead of collagen replacement therapy or hyaluronic therapy. PMMA has been used for many years in permanent surgical implants. Because of this, your surgeon will likely under-fill on the first treatment, adding more later if needed.
One of the downsides of PMMA is that a number of injections are needed to create volume and it can take up to three months to realize the full effects. It may also be visible under the skin. To avoid any unwanted results, it's key that your plastic surgeon is familiar with the proper technique, which involves injection at the dermal subcutaneous junction using threading or tunneling methods.
Dermal fillers differ in chemical makeup, longevity and have varying degrees of softness. Softer fillers are used in the lips, for example, while sturdier fillers might be desired to enhance cheekbones.
Your surgeon will determine with you the best type and volume of filler needed for your particular areas of concern.
For many people, the use of "off-the-shelf" fillers can be a simple office-based procedure that can nicely enhance their appearance. These dermal fillers are very predictable and have relatively minimal risks and side effects. These fillers are often injected in the surgeon's office or medical spa.
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