Dermal Fillers: Types, Uses, and Side Effects

Dermal Fillers are injectables. They are injected in various parts of the skin to restore volume, to smoothen out the wrinkles and to enhance certain facial contours (e.g. Nose Fillers for nonsurgical rhinoplasty, chin fillers for genioplasty). Dermal filler are commonly called as fillers. While Botox injections act by relaxing muscles and thereby reducing pull on skin, filler act by filling up the areas of face which lost the volume due to aging or any other factor. 

Fillers are made up of various substances like Hyaluronic Acid (HA), Calcium Hydroxylapatite (CaHA), Poly-L-lactic Acid, Polymethylmethacrylate (PMMA) etc. Hyaluronic Acid is most commonly used as filler as it is a natural component of the skin and it helps in retaining the moisture in skin and thus plumps up the face.

How Does Dermal Fillers Work?

Fillers are injected under the skin. They smoothen out the lines and wrinkles, enhance the facial structures and add the volume to the areas which are sunken. Filler is available in gel form. It integrates with the skin to give fuller and youthful appearance.

Injecting filler is a quick procedure requiring about 20 to 30 minutes. There is no or little downtime and results are seen immediately. This is the reason why fillers are called as a lunchtime procedure. You can visit the clinic during your office lunchtime and join back within half an hour.  

Common Types of Fillers

HA Fillers/ Hyluronic Acid Filler: HA Filler are the most common type of filler used. It provides the most natural looking results. They can also be dissolved very easily if required. They are most commonly used for lips, for lines around the mouth and for the cheek areas to add volume. Examples are Juvederm and Restylane.

CaHA Fillers/ Calcium Hydrxyapatite Filler: Calcium Hydrxyapatite is a naturally occurring substance in bones. They are thicker than HA Fillers. They are used typically for deep wrinkles and for cheeks specially for the volume loss. Example is Rediesse.

Poly-L-lactic Acid: this filler stimulates the collagen production over a time. It is mainly used for facial contouring and to reduce the signs of aging. Example is Sculptra

PMMA Filler/ Polymethylmethacrylate: PMMA is a more permanent solution. They provide long lasting results. They are used for acne scars and deeper wrinkles.

Uses of Fillers

  1. Lip Enhancement like lip shape, lip definition or lip volume.
  2. Cheen and Jawline Countouring
  3. Nasolabial Folds smoothening and evening it out for more youthful appearance
  4. Under-eye Hollows and dark circles. Removes undereye bags by adding volume.
  5. Nose Fillers for Non-surgical rhinoplasty
  6. Hand Rejuvenation for restoring volume and smoothening the skin of aging hands

Benefits of Fillers

Instant Results: Results are typically visible right after the procedure.

Non-Surgical: Fillers provide an alternative to invasive surgeries like facelifts.

Customizable: Different fillers can be used in various areas of the face to achieve a personalized result.

Long-Lasting but Temporary: Depending on the type of filler, results can last from 6 months to 2 years, allowing for adjustments over time as needs change.

Side Effects and Risks

Swelling or Bruising: These are common but typically subside within a few days.

Asymmetry: If not administered correctly, there may be unevenness in the treated area.

Lumps or Bumps: These can occur but are often resolved with gentle massage or, in the case of HA fillers, by dissolving the filler.

Infection or Allergic Reactions: Though rare, it’s important to have fillers administered by a licensed professional to minimize these risks.

Conclusion

Dermal fillers offer a quick, effective way to enhance facial features, smooth wrinkles, and restore lost volume. With a range of filler types available, treatments can be customized to address specific concerns, providing natural-looking results with minimal downtime. It’s crucial to consult with a qualified practitioner to ensure the correct type of filler is used for your individual needs and that the procedure is performed safely.

Dr. Sulochana S. Khogare is a renowned Head, Neck, and Face Surgeon with 16+ years of experience in hair transplants, facial aesthetics, and advanced skin treatments.

She has successfully performed 3,800+ hair transplants and 8,000+ cosmetic procedures, earning a reputation for precision and natural results. As the first surgeon to introduce Biofiber Hair Transplant in Mumbai, she combines science with artistry to transform appearances and boost confidence.