What Dermal Filler Is Right for Me?

The word “filler” sounds a little boring. Like you’re waiting for the next big thing to happen. But dermal fillers are anything but boring, infused as they are with the ability to rejuvenate skin by erasing wrinkles, restoring contours, and adding volume. At Novo Med Spa in Frisco, TX, we want to assist in finding the filler that’s right for you, whether you seek to treat multiple concerns or want to simply correct lines in a targeted spot.

What Dermal Filler Is Right for You?

The answer to this question depends on what you hope to achieve with fillers. They can be used in different ways, including:

  • Reducing the appearance of fine lines and wrinkles, especially nasolabial folds
  • Restoring volume to temples and cheekbones
  • Lifting sagging or droopy skin
  • Smoothing and contouring the jawline
  • Plumping lips
  • Improving facial symmetry

Some patients opt for fillers not to address the signs of aging, but to improve bone structure. Meaning, people who don’t have naturally high cheekbones or well-defined jawlines because of genetic facial structures can also benefit. For these purposes, dermal fillers add contours where patients previously had none. So keep this in mind as you consider the many choices available to you.

When Results Develop and How Long They Last

Identifying how you want to improve your appearance is the first step in choosing the filler that most closely aligns with your goals. You’ll need to answer a few more clarifying questions, however, before you have a truly accurate answer.

Some patients are willing to sacrifice long-lasting results for those that appear rapidly. This trade-off occurs because different fillers contain different active ingredients. Those made with hyaluronic acid (HA), for instance, produce results more quickly than those made with poly-L-lactic acid (PLLA). In return, HA usually lasts between six months and a year within the body, while PLLA can deliver results for two or more years.

A Note on Lip Fillers

The same is true of lip fillers, which vary in consistency to achieve different results. One might be better for giving a lush pillowy appearance, while another can deliver more subtle enhancements. The length of results also differs, which is useful to know if you’re not sure that plumper lips are right for you. You can therefore opt for a treatment with shorter results before choosing a longer-lasting alternative.

How Much Filler Will Be Needed

This reflects how much of your face you want treated, which we can help you decide with a few key points. Keep in mind that most dermal fillers contain 1cc of gel per syringe. This is equal to 1/5 of a teaspoon, which is a fairly minimal amount. So don’t worry that treatment will give you the “overdone” look that cosmetic therapy was, many years ago, once known for.

Now we can discuss whether you want a slight or moderate enhancement, which will play into the amount of filler you need. A slight enhancement might involve filling some lines or plumping a small area that’s become hollow. This type of treatment usually hones in on one site rather than a whole area. The goal is to improve your appearance without drastically changing it, and 0.5 to 3cc are usually enough to produce successful results.

Upper Face Enhancements

This part of the face includes the glabella – that area between the eyebrows – and forehead. It’s beneficial to treat both of these sites together because lines in one typically mean lines in the other. An upper face enhancement might need 1 to 2cc.

Mid-Face Treatments

As we get older, the mid-face starts to look flatter with volume loss in key areas like under the eyes, in the cheeks, and around the temples. These areas commonly requier more filler because we’re aiming to restore volume rather than just correct lines and wrinkles. Depending on your age, you can expect to need:

  • .5 to 1cc per side in the under-eye area
  • .5 to 2cc per side for temples
  • 1 to 3cc per side for cheeks

Lower Face 

This encompasses nasolabial folds that run from the nose to the mouth, marionette lines from the mouth to the chin, lip lines, and dimpling along the jawline. Of these concerns, nasolabial folds tend to be the most troubling for patients, as they grow deeper and more visible with time. Treating these may require .5 to 2cc of filler for each side. Marionette lines may need just slightly less, at .5 to 1cc per side.

Examining Specific Fillers

We offer six dermal fillers that each work slightly differently. We’ll start with Kybella, the first and only injectable to earn FDA approval for treating a double chin. Kybella is formulated with a synthetic molecule that mimics an acid found in human bile. This acid destroys fat cells, and when injected into the extra padding under your chin, Kybella acts in the same way.

The lymphatic and circulatory systems then break down the fat cell fragments to eliminate them from your body. These processes remain unseen and unfelt, making themselves known only in the reduction of chin fat to restore youthful contours to your face. In more than 20 studies, 80 percent of patients reported satisfaction with their treatment.

Kybella

Most patients experience the best results after two to four treatments. Results are permanent because, once removed, fat cells do not regenerate. This means you don’t need maintenance sessions, and you’re finished with Kybella once your treatment cycle is complete. Each appointment takes 15 to 20 minutes, and you can expect around 20 injections to be administered. Keep in mind it can take three to four weeks for results to start showing.

Revanesse Versa

This injectable is approved by the FDA to correct moderate to severe creases and wrinkles, like nasolabial folds. Its active ingredient is hyaluronic acid, like many fillers, but it’s unique in that it employs wet milling technology to achieve uniformly spherical particles. This creates a formula that delivers smooth and natural results.

Benefits of Versa include:

  • Results that develop immediately
  • Up to 50 percent less swelling in the treatment site than many other fillers
  • Reduces nasolabial folds for up to 12 months
  • Less downtime compared to most fillers

Hyaluronic Acid

Now might be a good time to talk about hyaluronic acid, and the details we provide will apply to Revanesse Versa as well as other injectables listed here. HA serves as a humectant within the body, meaning it retains moisture to keep skin looking plump, soft, supple, and dewy. The body produces HA naturally, so using an injectable made of the same material reduces the likelihood of adverse reactions.

HA is also linked to the production of collagen, a protein that weaves with fat and elastin to form the skin’s underlying supportive structure. This structure is crucial, as it keeps skin lifted, and wrinkle-free. When collagen production slows, as happens with age, the structure erodes and gives way to creases and wrinkles. Injectables formulated with HA, therefore, provide multiple benefits that extend beyond the treatments themselves.

Restylane

Also made with HA, Restylane is a family of fillers intended to plump skin and eradicate fine lines. Under this umbrella are the following:

  • Restylane Silk to enhance lips, correct lines around the mouth, and improve under-eye hollows
  • Restylane Lyft to rejuvenate hands and lift cheeks
  • Restylane Defyne and Refyne to treat marionette and laugh lines
  • Restylane Krysse to plump lips

Just with this family of products, you can treat a wide variety of concerns. Patients like Restylane because results show almost immediately and, depending on injection sites, last between 10 and 18 months. Each Restylane product has a different particle size to achieve different effects; hence, the reason for a whole catalog of products. Each blend is also formulated to allow natural facial movement when you smile, laugh, or otherwise emote.

Radiesse

This filler is unique in that it contains not HA but calcium hydroxyapatite (CaHA) microspheres. This is helpful in creating a robust gel that, once injected below the skin’s surface, can be molded and shaped over your natural contours to create real lift. For many patients, Radiesse is a great alternative to face implants, allowing them to forego surgery while still attaining the volume they want.

CaHA produces immediate results and also prompts the body’s collagen production (like HA does). It is ideal for treating:

  • Nasolabial folds
  • Lost volume in cheeks
  • Acne scars
  • Lost definition along the jawline

Results

While the gel itself helps add volume to your face, CaHA microspheres also interlock with the skin’s framework to naturally boost volume from within as well. This is what gives Radiesse such staying power; you can expect results to last 18 months or longer. Maintenance treatments can then help retain your youthful contours.

Belotero Balance

Another HA filler, Belotero is known for its lightweight consistency. This makes it ideal for smoothing moderate to severe folds and lines in the lower face. It specifically targets nasolabial folds and deeply-etched wrinkles around the mouth and lips. Benefits of this treatment include:

  • Feels natural after injection
  • Helps the face retain normal movement
  • Provides immediate results
  • Is quickly and easily administered
  • Requires almost no downtime

Thanks to its smooth gel, Belotero blends seamlessly with underlying tissues to bind with the skin’s water. It quickly and effectively fills wrinkles and lines. Many patients opt for Belotero injections around the mouth, where skin is naturally delicate and requires gentle treatment.

Juvederm

This collection of fillers includes five different products that plump, fill, and smooth. The product lines includes:

  • Voluma XC for deep injection into the cheeks and chin to restore volume and improve contours
  • Vollure XC to treat moderate to severe wrinkles and folds
  • Volbella XC for subtle lip augmentation and correction of mouth lines
  • Ultra XC to plump lips

Made with HA, Juvederm products can restore a natural glow to tired or dull skin. Final results can take up to a week to develop but last more than a year – across all products under this umbrella. Juvederm fillers are also known for delivering smooth and natural enhancements. Treatments can be built upon each other to achieve the desired contours, meaning you can opt for subtle or striking improvements.

The Benefits of Fillers

Two significant benefits emerge when speaking of dermal fillers. The first is that almost all improve the health of your skin because they’re made with biocompatible ingredients. Second, fillers can give you a more youthful appearance that, in previous years, could only be achieved with surgery. They are ideal for adults of almost all ages (over 21) and all skin types.

Identifying the filler that’s right for you means answering a few questions. You need to know what you hope to achieve, the area(s) you want to treat, and the kinds of results that work best with your goals and lifestyle. For more information, or to schedule your consultation appointment, contact Novo Med Spa in Frisco, TX, today.