Dermal Fillers – Get Latest Update 2023

Dermal Fillers

Dermal Fillers

Dermal fillers injections smooth out lines and wrinkles on the face. You can find various types of dermal fillers.

Healthcare professionals typically inject dermal fillers around your eyes, mouth, and nose. This common cosmetic procedure can last for months or years with immediate results.

What are Dermal Fillers

Dermal filler injections are nonsurgical type cosmetic procedures. Dermal fillers add volume to your face and smooth lines and wrinkles. These substances are injected directly into your skin by your healthcare provider.

Dermal fillers are often chosen by people who want to improve their facial features or want a younger appearance. The average time of this elective treatment usually takes less than 30 minutes, with minimal recovery time.

You can experience results immediately, which can last for months to years, depending on the type of filler used and the location.

Nowadays, there are various kinds of dermal fillers available. You and your healthcare provider will discuss the best option for you. Similar to other cosmetic procedures, there are risks, including infection, bleeding, and bruising. Health insurance plans generally do not cover these filler injections and other elective cosmetic procedures.

Why are dermal fillers used?

Collagen is a crucial substance you can find in your body’s skin, muscles, bones, and connective tissues. Collagen loss begins as you get older. Skin laxity (looseness) and volume loss are common problems you can experience due to a lack of collagen in the body. Skin begins to sag, become thinner, and lose its elasticity.

You can restore the following problems with the help of dermal fillers injections:

  • Plump up lips and cheeks.
  • You can add volume to sagging skin.
  • Make your facial features more symmetrical and structural.
  • Smooth out the wrinkles and creases on your face.

Thinness in the face can be caused by some medications used to treat conditions like HIV and AIDS. After taking these drugs, some people may get these dermal fillers to restore their faces, adding more volume.

What are the types of dermal fillers?

Hyaluronic acid, Polymethyl methacrylate, Poly-L-lactic acid, Calcium hydroxylapatite, and the person’s body fat are examples of FDA-approved dermal fillers products. The doctor works with each patient to determine the best suitable option for them based on their skin type, age, other characteristics, and the desired effect.

Dermal fillers are available in wide varieties. Healthcare experts use your body fat and “off-the-shelf” fillers made of synthetic (man-made) materials and substances naturally found in your body. This procedure, known as “autologous fat grafting,” involves injecting fat from one area of your body into your face.

The following are examples of off-the-shelf fillers:

Hyaluronic Acid Dermal Filler

The connective tissue of our skin contains natural hyaluronic acid. Its effectiveness and safety make it the most widely used filler in cosmetic facial procedures. Hyaluronic acid injections can restore skin fullness and soften wrinkles and fine lines.

The sizes of the particles in hyaluronic acid products are different to treat different depths of wrinkles: smaller particles for superficial lines and larger particles for more substantial folds and wrinkles.

Your skin contains naturally occurring hyaluronic acid (HA). It keeps your skin hydrated and gives it volume. Your body stops producing hyaluronic acid with growing age and as you get older. The effects of HA injections typically last between six months and a year.


A common type of HA filler is Restylane®. This is a collection of dermal fillers with distinct advantages. Restylane serums can plump the lips and reduce deep wrinkles and nasolabial folds.


The Juvéderm family of fillers is widely used to add volume to aging skin and smooth out facial age lines. A specially prepared hyaluronic acid (HA) compound is used in these fillers to add fullness to the lips and cheeks and reduce the signs of aging in the mid-facial areas of the face.

Calcium Hydroxylapatite Dermal Filler

Doctors use Calcium hydroxylapatite to treat deeper wrinkles and skin folds. It helps the patients to get the contour of the jawline and restore the volume in and around the cheeks. These infusions might last up to three years to fill wrinkles and one year for contouring.

Calcium Hydroxylapatite (CaHA) is a filler that comprises a substance in your bones—results from these fillers regularly lasting close to a year. Medical services suppliers generally use CaHA fillers for more profound wrinkles. An example of this CaHA filler is Radiesse®.


Radiesse dermal filler is made of calcium hydroxylapatite (CaHA) compounds that instantly add volume to treating facial areas. Additionally, it helps encourage the production of collagen.

Poly-L-lactic acid Dermal Filler

Dermal fillers containing poly-L-lactic acid were initially developed to treat severe facial wasting caused by HIV infection; however, the FDA has now approved this filler for treating facial aging. These Poly-L-lactic acid filler injections can last up to two years.

Your body uses poly-L-lactic acid (PLLA) to make collagen. Doctors and nurses usually use poly-L-lactic acid to remove deep wrinkles on your face. The outcomes may last for at least two years. Sculptra® is one of the PLLA fillers available.


Sculptra, made from poly-L-lactic acid, instantly adds volume to reduce deep smile lines and encourage collagen production.

Polymethyl Methacrylate (PMMA) Dermal Filler

This Polymethyl Methacrylate (PMMA) Dermal Filler contains microspheres suspended in a collagen-based gel. The gel instantly adds volume to the skin and lifts it, softening wrinkles and acne scars. The microspheres maintain their position and offer structural support for smoother skin.

Collagen and very small balls of polymethyl methacrylate (PMMA) fillers remain under your skin after being injected by a medical professional. These PMMA balls help to add volume and keep your skin firm. Bellafill® is an example of PMMA fillers.


Bellafill® contains both collagen and the synthetic polymer knowns as polymethyl methacrylate (PMMA). Nasolabial folds, or lines that run from the nose to the edges of the lips, can be effectively treated with it. Bellafill® fillers results can last up to five years.

Human Fat

The doctor may inject the patient’s fat to improve facial fullness, fill in deep creases, and create shallow contours. Fat injections require liposuction to remove the fat prior to injection, making them more involved than other injectable fillers.

The longevity of this fat injection treatment varies from patient to patient and the injection location, making them somewhat unpredictable.

Other Injectable Cosmetic Treatments

Deoxycholic Acid

In 2015, the FDA approved deoxycholic acid, a natural component of stomach acid, as a nonsurgical treatment for a double chin or excess fat under the chin.

In the past, liposuction and surgery were the only options for treating this area.

Deoxycholic acid injection treatments are given in the doctor’s office. Occasionally, multiple treatments are required to treat double chin.

According to clinical studies, redness, swelling, bruising, and numbness are the most common side effects, lasting less than four weeks. The body gradually flushes the fat cells out over several weeks as the acid breaks them down gently.

Patients with mild to moderate amounts of excess skin and excess fat under the chin are best treated with deoxycholic acid treatments. This procedure is unsuitable for people with a lot of extra skin.

Botulinum Toxin

Botulinum toxin is an FDA-approved cosmetic form of purified protein injectable filler that is available and used by doctors for the temporary treatment of frown lines. With the help of this simple nonsurgical injection, you can eliminate or reduce crow’s feet near the eyes, thick bands in the neck, and forehead creases.

The toxin makes the skin look smoother and refreshed by blocking nerve impulses and temporarily paralyzing the muscles that cause wrinkles.

Your doctor will review the different kinds of dermal fillers and talk to you about which one is best for you. Talk to them about how to set attainable goals and what to expect from injections.

Dermal Filler Cost

According to the latest research and recent statistics from the American Society of Plastic Surgeons, the following is the list of several well-known dermal fillers brands and their cost per syringe. The majority of patients require multiple syringes to achieve their goals.

Sl. No.Dermal FillerBrand NamePrice
1Calcium hydroxylapatiteRadiesse$717
2Fat grafting $2,508
3Hyaluronic acidJuvederm Ultra, Juvederm Ultra Plus, Perlane, Restylane, Belotero$684
4Platelet-Rich Plasma (PRP) $981
5Polylactic acidSculptra$853
6Polymethyl-methacrylate microspheresBellafill$1,058
Dermal Fillers Cost

The cost is always a factor when choosing an elective procedure or treatment. The expertise and qualifications of the person performing the treatment, the kind of procedure used, the amount of time and effort required for the procedure or treatment, and the office location all play a role in determining how much dermal filler injections would cost.

Your satisfaction involves more than a fee.

Remember that the surgeon’s experience and your level of comfort with them are just as important as the final cost of dermal filler injections when choosing a plastic surgeon.

Dermal fillers are not covered by health insurance; however, many plastic surgeons offer patient financing plans; make sure to inquire about the details of these financial schemes.

Read more about Apple Cheek Filler Treatment And Procedure 2023

1 ml Dermal Filler Cost

On average, cheek filler costs between $600 to $1,200 per syringe and most people often need two to three syringes during one treatment. Accordingly, you can calculate and do the math.

Some clinics in New York City charge $1,200 for an under-eye filler syringe that can treat both under-eye areas.

A nose filler will cost you anywhere between $750 to $1,500 per syringe, but the exact cost will depend on where you live and the kind of doctor available. If you’re willing to go the temporary route, it’s more affordable—at least for a few years—than an actual rhinoplasty, which costs $5,500 on average.

The price of smile-line fillers varies widely depending on several factors, but one syringe typically costs between $750 and $1,500.

Dermal Filler Before and After

Dermal Fillers Before and After
Dermal Fillers Before and After

What happens before a dermal filler procedure?

Before you get dermal fillers, you can have a conference with your healthcare specialist. Consider seeing a dermatologist or a doctor who specializes in skin care. They will look at your face and inquire about your objectives and areas of improvement.

They might use a pen or marker to mark your face to show you where exactly you need the fillers injections. Additionally, they may take pictures of your face. Your doctor will tell you which filler or fillers to use and talk about potential side effects and how long it will take to recover.

Your healthcare provider will also inquire about your medical history during this consultation. It’s very important to let them know if you’re taking any medications because some of them can make it more likely that you’ll have filler problems. Inform your physician if you have the following complications:

  • History of inflammation, bruising or bleeding after similar procedures.
  • Neurological problems.
  • Allergies.
  • Skin conditions.

Dermal filler aftercare

Your doctor will cleanse your skin and provide an ice pack to ease pain and swelling after your dermal filler injections. After getting these filler injections, you may experience discomfort, swelling, or bruises. In most cases, these side effects are mild and go away in a few days of post-treatment.

After receiving these injections, many people begin to see results immediately. However, every individual’s treatment outcomes are different. The kind of treatment you receive also impacts how long it takes to see results and how long they last.

Under Eye Dermal Filler

Filling hollowness under the eye is the primary goal of under-eye fillers. Dark circles or shadows under your eyes could result from hollowness or volume loss in that area.

It is essential to distinguish between under-eye wrinkles and dark circles caused by hyperpigmentation in the area and puffy eyes caused by loss of volume or basic anatomy, both of which can be inherited.

Clinical dermatology experts and board-certified dermatologists say the dermal filler won’t help a patient with true pigmentation. In other words, dermal fillers will not change the skin under your eyes if it is darker because of your natural complexion or previous sun damage. Don’t worry; a dermatologist can help you figure this out.

On the other hand, the filler may fill in the hollowness of the dark circles without adding puffiness if the dark circles are caused by skin laxity due to aging or genetics.

Also, if fat has accumulated in the area, which can happen as you get older, under-eye fillers won’t help much with larger bags under the eyes.

A doctor typically suggests blepharoplasty instead, a surgical procedure that tightens the area under the eyes by removing sagging skin, muscle, or fat.

So, the first thing you should do if you want to get rid of dark circles under your eyes is talk to a dermatologist who is board certified to figure out what is causing the problem.

In addition, remember that it may result from a combination of factors, such as hyperpigmentation in conjunction with anatomy and lifestyle factors (dehydration and lack of sleep, as was previously mentioned, for instance).

The best under-eye filler, a chemical peel (a Mesopeel is a popular option for under-eye circles because it fades hyperpigmentation without irritating), or any number of treatments may be suggested by your dermatologist in those instances.

Brightening of the skin and restoring volume under the eyes are two of the advantages of fillers for under-eye wrinkles or dark circles. Because they fill in the hollowness under the eyes, under-eye fillers can correct wrinkles and fine lines and even out the sunken appearance of the area.

Derma Fillers – FAQs

What is dermal filler

We need dermal fillers to reduce our facial lines and restore the lost facial volume. Derma fillers add volume to our faces and provide a plum-up appearance.

If fat has accumulated in the area, which can happen as you age, under-eye fillers won’t help much with larger bags under the eyes.

Our faces naturally lose subcutaneous fat with growing age. As the facial muscles move closer to the skin’s surface, smile lines and crow’s feet become more prominent.

This volume loss also slightly stretches the facial skin. Other factors like sun exposure, genetics, and lifestyle all affect the skin of our face.

Is botox a dermal filler

1. Under the skin, dermal fillers are injected to smooth lines or plum up face volume.
2. OnabotulinumtoxinA, or botox, is injected into particular muscles to relax them. It can be used to get rid of wrinkles and treat many other medical problems.
3. Botox and dermal fillers typically have mild side effects. However, if they are not used appropriately, they may cause significant problems.

How much is dermal filler

You may feel uncomfortable seeing the sagging skin in the mirror. Your hollow cheeks may give you a gaunt appearance. In such a situation, you should consider dermal fillers if you want to get rid of these aging signs.

Dermatologists and skin experts offer a wide range of high-quality dermal fillers that target the areas of your face that need the most hydration to give you a fuller, more youthful, and beautiful appearance while reducing the signs of aging.

According to the American Society of Plastic Surgeons, Dermal fillers are priced at the cost of a single syringe. The prices are also influenced by the type of filler and its contents. The majority of patients require multiple syringes to achieve their desired results.

Here below are the examples of fillers costs:

1. Calcium hydroxylapatite (Brand name – Radiesse): $717
2. Fat grafting: $2,508
3. Hyaluronic acid (Brand name – Juvederm Ultra, Juvederm Ultra Plus, Perlane, Restylane, Belotero): $684
4. Platelet-Rich Plasma (PRP): $981
5. Polylactic acid (Brand name – Sculptra): $853
6. Polymethyl-methacrylate microspheres (Brand name – Bellafill): $1,058

When you have your initial consultation with your healthcare expert, be sure to ask how much you have to pay for the total cost of your procedure.

How do I care for my cheeks after dermal fillers?

We recommend that you take the following steps to give your cheeks the best care after dermal fillers:

1. Try not to wear makeup after your cheek filler infusions. You can wear makeup again the next day.
2. You should avoid doing a lot of exercises. 
3. You should avoid going to a spa, sauna, or hot yoga class for at least a week after your dermal filler treatment. 
4. You should avoid using facial products with lactic or glycolic acid for at least 24 hours.

How do I reduce swelling after dermal fillers?

You should follow your doctor’s specific instructions after dermal fillers. The following are some general tips for reducing swelling:

1. You should drink plenty of water and prefer to eat a lot of fruits and vegetables. 
2. You should take Arnica or other herbal supplements. 
3. Apply an ice pack to the area that got treated.

What to avoid for minimizing swelling after dermal fillers?

You should avoid the following things immediately after dermal fillers treatments:

1. Excessive salt and processed foods
2. Smoking
3. Spicy foods
4. Blood thinners medicines such as aspirin and ibuprofen

What is dermal filler made of

Dermal fillers are made of the following substances or minerals to treat various types of complications:

1. Calcium hydroxylapatite (Brand name – Radiesse)
2. Body fat grafting
3. Hyaluronic acid (Brand name – Juvederm Ultra, Juvederm Ultra Plus, Perlane, Restylane, Belotero)
4. Platelet-Rich Plasma (PRP)
5. Polylactic acid (Brand name – Sculptra)
6. Polymethyl-methacrylate microspheres (Brand name – Bellafill)