Because there are so many "wrinkle fillers", as you state, it is important to have a thorough assessment and consultation with your provider.
Let me also answer your question by stating that fillers should be viewed as "volume restorers" as much as "wrinkle fillers." When used with this in mind, patient satisfaction may even be higher.
The choice of which filler to use will depend on the degree of volume loss and location. There are a few fillers which are better suited for superficial placement in order to "fill wrinkles" and other fillers that should be placed deeper to restore the lack of volume in that area. The choice of fillers should be made with those factors in mind.
For example, Radiesse is a very good volume restorer and is injected deeper into the dermis and even below the skin, such as when augmenting the cheekbone area. However we would not use Radiesse in the lips. Juvederm is a good choice for the lips because it injects smoothly and has a softer feeling. Juvederm is also a good choice to use for the lines and sunken area between the nose and the mouth corners and below the mouth corners. Those areas are referred to as nasolabial and marionette lines.
Both Radiesse and Juvederm are considered temporary fillers and have been shown to stimulate natural collagen formation. They do not require any allergy pre-testing. For these reasons they are good choices for first time users.
There are other fillers available for much longer-lasting results and are more often used for patients who have already used the more temporary fillers. Fillers such as ArteFill require a skin test at least 4 weeks prior to treatment, but it may be even more permanent than some of the other fillers. Sculptra, FDA-approved for treating the facial fat loss or lipoatrophy from HIV, is another long lasting filler that is good for deeper soft tissue filling.
The choice of filler is extremely important, but as important is your choice of provider. Check with the American Society for Aesthetic Plastic Surgery for a member provider near you, as a preponderance of what they do is aesthetic surgery.
A thorough and individualized consultation should provide you with all of the information that you need in order to make a well informed choice of filler best for you.
