Making the Right Choice: What Dermal Filler is Best for Me?

Over the years, dermal fillers have become increasing popular due to their wide variety of cosmetic enhancing products and their ability to provide a cost-effective alternative to cosmetic surgery. Dermal fillers, also known as cosmetic fillers, are commonly used to reduce fine lines around your mouth and lips, but they are also used to reduce wrinkles, acne scars and facial folds (the area from your nose to the outer corners of your mouth). The purpose of a dermal filler is to improve the condition of your skin so that you retain a healthy, youthful appearance. Collagen-based dermal fillers include: Evolence, Zyderm, Zyplas, Cosmoplast, Cosmoderm and Cymetr. Calcium-based fillers include: Radiesse. Hyaluronic acid-based fillers include: Restylane, Juvederm and Hylaform and polylactic acid-based fillers include: Sculptra.

The cost of a filler depends heavily on the substance being used and the services provided, but the price can range from $400.00 to almost $2,000.00 per treatment. During the treatment process, a skin care specialist (i.e. dermatologist or esthetician) uses a syringe to inject the filler into your skin. In most cases, you are able to resume normal activities within a few hours. If you would like to know about dermal fillers – you are in luck. This blog will help you determine which dermal filler is best for you.

Steps that can help you decide which dermal filler will yield your desired results:

Determine What Areas Need Improvement

If you are trying to decide which dermal filler is best for you – you will first need to determine what areas of your appearance need improvement. It is important to note that no one else can make this decision for you. Only you can decide what will make you feel better about your appearance. Take a close look at your face and decide what areas would benefit from a dermal filler.

It is normal to experience loose, saggy and/or wrinkly skin as you age, but thankfully, dermal fillers will not only restore your skin’s elasticity and fullness, but also reduce fine lines (between your nose and mouth), diminish lip wrinkles, augment (pump up) your lips and hide irregularities, blemishes and acne scar “pits.” Once you have identified the areas that you might want to treat, you will be ready pick a dermal filler that works best for you.

Research Dermal Fillers

Once you have determined your target areas, it will be time to do your research. In other words, research the various types of dermal fillers to see which one will provide the desired outcome based on your skin condition and complexion. It is important to understand the differences between the various dermal fillers because each one has different effects. For instance, a collagen-based dermal filler lasts between 3 and 6 months and hyaluronic acid-based dermal filler lasts between 6 months and 1 year, while longer lasting dermal fillers that contain calcium hydoxylapatite or polylactic acid tend to last 2 or more years.

It is important to note that the long-lasting dermal fillers tend to be more expensive then the temporary (3 months to 1 year) ones. It is also essential that you understand the injection procedure. Your specialist will first apply a topical anesthetic (i.e. numbing cream) to the injection site to prevent pain and discomfort. Once the area is numb, the specialist will use a tiny needle/syringe to inject the filler into your skin (wrinkles, facial folds, fine lines, etc.).

Schedule a Consultation

Once you have completed your research it will be time to schedule a consultation with a dermatologist or licensed/trained esthetician (skin care specialist). Discuss your problem areas with the specialist and explain to him/her what services you would like him/her to perform. If possible, seek out a specialist who offers a free consultation and helps you understand what to expect before, during and after treatment.

Take Everything into Consideration

Before you commit to a dermal filler injection – make sure you consider all of the factors involved such as: price, longevity, effectiveness and maintenance. It is easy to get “caught up” in the excitement of improving your appearance, but the last thing you want to do is choose the wrong dermal filler and experience side-effects/complications and/or unsatisfactory results. Take your time and consider all of the factors associated with getting a dermal filler injection.

Learn the Possible Side-Effects and Complications

Although the effects of most, if not all, dermal fillers are temporary, it is important that you thoroughly know and understand the possible side-effects and complications associated with your chosen treatment. In general, it is possible for you to experience mild pain once the anesthesia wears often, but the discomfort should subside within 24 hours.

Other common side-effects associated with dermal fillers include: swelling, injection side redness, tightness, swelling and tenderness, minimal bleeding and bruising. Seek emergency treatment, if you experience prolonged and/or continuous bleeding/hemorrhaging, an allergic reaction, breathing difficulties, chest pains, an injection-site infection, facial paralysis, swelling and/or intense pain.

American Osteopathic College of Dermatology. (2014). Dermal fillers. Retrieved from

Face Forum. (2014). Derma fillers. Retrieved from

U.S. Food and Drug Administration (FDA). (2014). Wrinkle fillers approved by the center for devices and radiological health. Retrieved from WrinkleFillers/ucm227749.htm


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