Dermal Fillers


Dermal fillers, also known as injectable implants, soft tissue fillers or wrinkle fillers, are a non-invasive treatment for fine lines and skin wrinkles. It involves injecting a chemical substance (e.g. collagen) under the skin, which leads to improvement of skin texture, fullness and reduction of wrinkles. This helps in restoring the youthful appearance.

Common Uses of Injectable Fillers:

  • Plump up thin lips.
  • Enhance facial contours.
  • Reduce facial creases and wrinkles.
  • Improve the appearance of old scars.

What Fillers Are NOT Used For?

  • Increase breast size.
  • Increase buttocks size.
  • Enhance fullness of feet.
  • Implantation into bone, tendon, ligament, or muscle.

Different Types of Dermal Fillers Procedures:

Hyaluronic Acid Wrinkle Fillers

This is the most popular and commonly used type of filler that contains hyaluronic acid.

Side effects:

  • Local redness, irritation and swelling.
  • Bumps at the injection site.

Effects last from a few months to two years.

Repeated injections are known to stimulate the body’s own collagen production and thus naturally combat aging:

  • Eg. Captique
  • Elevess
  • Juvederm 24HV
  • Juvederm 30
  • Juvederm 30HV
  • Juvederm Ultra
  • Juvederm Ultra Plus
  • Juvederm Voluma XC
  • Perlane
  • Belotero Balance
  • Perlane-L
  • Prevelle Silk
  • Restylane
  • Restylane-L and silk

Synthetic Wrinkle Fillers

These are usually biosynthetic, lab-made chemicals.

Effects of this filler treatment are long-lasting.

Side Effects

If improperly administered, these can lead to bumps and disfigurement that might need surgical correction:

  • Radiesse
  • Sculptra
  • Silicone

Collagen Wrinkle Fillers

These fillers are derived from animal sources like cows.

These fillers provide a very natural sculpted appearance, but the effects are very short-lived, and the collagen started breaking down as early as a month.

Side effects:

  • Local redness, swelling and irritation.

Autologous Wrinkle Fillers

Fat is the most commonly used autologous injectable filler. Fat is sourced from the patient’s own body, like the thigh region. It is then purified and injected:

  • Both the procedures of fat extraction and injection can be done in one sitting.
  • Effects are usually short-lived.

Vampire lift is another kind of autologous injectable filler in which platelet rich plasma from the patient is injected at the desired site. Effects may last 12-18 months.

Severe, But Rare, Adverse Reactions to Fillers:

  • Severe allergic reaction (anaphylactic shock) that requires immediate emergency medical assistance.
  • Migration of filler material from the site of injection.
  • Rupture of the filler material at the injection site or through the skin (which may result from tissue reaction or infection).
  • The formation of permanent, hard nodules in the injected site.
  • Vision abnormalities, including blindness due to filler injections around the eye.
  • Blood vessel damage and haemorrhage.
  • Nerve injury

Things to Remember before Considering Dermal Fillers:

  • Let cost not be a guide to choosing fillers. It is always advisable to consult with an appropriately qualified healthcare provider and decide on the injectable filler that suits the patient’s needs.
  • Allergy tests are essential before considering fillers sourced from animals.
  • Ensure that the healthcare setup, where the procedure is being carried out, is well equipped to handle emergencies like anaphylactic shock.
  • Check with the doctor if the filler being used is FDA approved or not.
  • Discuss with the doctor about possible adverse effects and their warning signs.

A Visual Guide & Overview about Dermal Filler Treatments in New Jersey

Dermal Fillers

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