Best Wrinkle Filler

+10

Correcting marionette lines and plumping lips with dermal fillers

I am a board-certified plastic surgeon practicing in the Los Angeles area for 20 years. I have a vast experience with dermal fillers. For "marionette lines" (medically-termed labio-mental rhytides), I prefer Juvederm Ultra Plus or Perlane. These fillers give substantial and lasting support to the heavier tissues in the marionette area. The skin here is thicker and the muscle activity is quite powerful, so a more supportive filler is required. Also, many of the marionette... more

Christine A. Petti, MD
Torrance Plastic Surgeon

+7

Juvederm is my favorite wrinkle filler

When we graduated medical school, our professors told us "primum non nocere", first don't harm people. I interpret this as meaning that the treatments we give our patients should be safe. I am proud now that the reports of granulomas with Artecoll and Radiance are surfacing that not one single patient of ours has ever been injected with that substance. Now that silicone horror stories are well-known, not one patient has ever been injected with silicone in our office. While... more

Brent Moelleken, MD
Beverly Hills Plastic Surgeon

+6

I.P. The "best filler" will depend on many factors including: 1. The length of time the filler will last. 2. The area on the face that needs to be filled. 3. Your skin type, thick or thin, if you have sun damage or acne scarring. 4. The amount of "fill" that is required (fine wrinkles, etched wrinkles, troughs and major volume - cheeks and mid-face). Hyaluronic acid fillers have become the "gold standard" these days. I believe the other fillers still have... more

Daniel Reichner, MD
Newport Beach Plastic Surgeon

+6

The Best Wrinkle Filler

A number of 'soft tissue fillers' are available for temporarily improving facial areas that have lost volume or have developed deep lines and creases. Probably the most popular fillers currently are hyaluronic acid products like Restylane, Perlane or Juvederm Plus or Juvederm Ultra Plus, which can be used to plump up thin lips and to fill out nasolabial folds (lines that run from beside the nostrils to the area beside the corners of the mouth) and marionette lines (lines that run... more

Michael Law, MD
Raleigh-Durham Plastic Surgeon

+5

Smiling is the best wrinkle filler

Smiling is the best non-invasive wrinkle filler. Of the temporary fillers mentioned by others (Restylane, Juvederm, and Radiesse, etc.), I believe that a patient's own fat is the best "wrinkle filler." Fat transfer returns volume to the face, and has the advantage of being a permanent filler. The stem cells in the fat also work over time to improve the tone and texture of the overlying skin. I do not use Sculptra in my practice because of some extremely mutilating granuloma... more

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon

+4

A variety of wrinkle fillers work for different facial wrinkles

In my experience, hyaluronic acid fillers such as Juvederm and Restylane (Perlane) have given consistent results lasting 8-12 months. Radiesse, which is calcium-based, also gives long-lasting results in deeper lines. All of these are fairly thick fillers. I am starting to use more of the lasting collagen Evolence on thinner more superficial lines, as well as along the lip border because I feel I can be a little more precise in these areas. I liked the results I was getting from... more

Joseph M. Perlman, MD
Houston Plastic Surgeon

+4

Overall, the most versatile, long lasting, and effective...

Overall, the most versatile, long lasting, and effective filler currently is Juvederm. I like it because it comes in two concentrations, Ultra and Ultra Plus, that can be used for finer or deeper lines. After injection, this product has excellent longevity (upwards of 6 months), is soft and supple, and causes minimal skin reaction. It can be used anywhere, including the lips, and, worst case scenario, it can be dissolved with hyaluronidase. Radiesse is an excellent choice for deep... more

John M. Roesler, MD
Los Angeles Facial Plastic Surgeon

+3

Restylane is the best wrinkle filler for fine lines

To I.P., Hi! I don't think you want another lecture on fillers. So, reading your question very carefully, I conclude that your marionette lines, lip lines, and wrinkles are NOT very deep. For more superficial lines, Restylane is the most forgiving (least likely to give you bumps), and so it is the one I use. And it lasts 5-6 months. Injection technique is very important. Also bear in mind that there are other non-invasive treatments for lines and wrinkles besides fillers which might... more

George J. Beraka, MD
Manhattan Plastic Surgeon

+3

Juvederm wrinkle filler can achieve beautiful results

There are many fillers on the market today. Many of them work fine. I prefer to use Juvederm for most of my patients. I will use Radiesse as well, but not in the lips. Juvederm is a hyaluronic acid sugar and can be used in many places. It is soft and forgiving. Additionally, it will last 6-8 months in many areas, perhaps less in the lips. The nice thing about this is that it will not persist for years as the rest of the face ages, and if someone does not like having a filler, it will... more

Sanjay Grover MD
Orange County Plastic Surgeon

+3

Finding the Best Wrinkle Fillers: The best facial fillers for wrinkles

Although the market is flooded with facial fillers, my plastic surgery practice in Santa Monica strictly limits facial filler use to Juvederm for the lips and Radiesse for the mid face and lower face, including the nasolabial folds and marionette lines. Meticulous care is crucial to injecting into the deep dermal plane or intradermal plane. This expertise makes the difference between a great result and an average result.

Raffy Karamanoukian, MD
Los Angeles Plastic Surgeon

+3

One size doesn't fit all when it comes to wrinkle fillers

There are several options to take care of wrinkles. Botox will paralyze the underlying muscles and help to reduct wrinkles, especially those see with muscle motion. Fillers will help to plump out the skin. Ablative laser and chemical peels will help to tighten collagen and permanently remove wrinkles. Unfortunately one size doesn't fit all, and not every filler is made the same. As with anything, treatments should be personalized so consultation with an experienced and qualified surgeon is... more

D.J. Verret, MD
Dallas Facial Plastic Surgeon

+3

Facial fillers vs Botox cosmetic

Often times, patients question which ancillary procedure is best for improving facial wrinkles/lines. The answer depends on the nature of the facial wrinkle that is in question. Broadly speaking, facial lines either are static or dynamic. Static lines would include those that are present in complete rest, i.e. - without any animation. Examples of these would include, nasolabial folds, marionette lines, prior acne scars, as well as some deep frown furrows, forehead wrinkles, and crows feet... more

Christopher Chung, MD
Corona Plastic Surgeon

+3

I prefer the more "forgiving" non-permanent fillers that...

I prefer the more “forgiving” non-permanent fillers that are made of hyaluronic acid, or HA. Examples of HA fillers include Juvederm and Restlyane. They fill in the deep furrows and wrinkles of the face very nicely and are not permanent, so if you don’t like the look that you have gotten with them, you are not stuck with it. They tend to fade away by about 6-8 months, and provide a soft correction of wrinkles, as opposed to some of the permanent ones that can incite scar... more

Jennifer Walden, MD
Austin Plastic Surgeon

+2

Wrinkle fillers: There is no one clear winner, nor do we want one

In Europe, it has been reported that there are 128 soft tissue fillers available to physicians. Obviously, this speaks volumes to the point that there is no one filler that stands out so above the others that it is capable of quashing the competition. In the United States, we have nowhere close to the numbers of soft tissue fillers that are found overseas due to the FDA‘s stringent process of approval. However, we can expect more to eventually make it into our marketplace. Of the... more

Stephen A. Goldstein, MD
Englewood Plastic Surgeon

+1

Best filler- it depends

There are many factors which account for the best facial filler for you including your skin thickness, area intended to be injected, etc. Each filler has its risks and benefits. Generally speaking the safest fillers on the market are the hyaluronic acid derivatives and radiesse. They have an extensive history of use and when used properly by an experienced injector have little to no problems. Be cautious with the latest and greatest filler until its safety profile has been examined. A... more

Anil R. Shah, MD
Chicago Facial Plastic Surgeon

+1

Many options for wrinkle fillers

There are so many good line fillers available today, that no one specific filler is the best choice. Autologous fat, Radiesse, Juvederm, Restylane all can fill the nasolabial folds. The lips can be treated with all of the above except for Radiesse.

Steven Wallach, MD
Manhattan Plastic Surgeon

+1

There is no perfect wrinkle filler for all areas

A good injector (whether nurse or physician) is knowledgeable about all of the various wrinkle fillers currently available and is able to recommend a specific product for a specific area. In addition, more and more injectors are using multiple products and layering them to create a more comprehensive result. Deep volumization can be addressed using products such as Sculptra or Radiesse, while more superficial contouring can be achieved using Juvederm (Ultra vs. Ultra Plus), Restylane, or... more

Gregory A. Buford, MD
Denver Plastic Surgeon

+1

Silikon-1000 may be used by experienced physicians for permanent, natural-looking facial rejuvenation.

Injectable Filler procedures continue to gain in popularity as safe procedures for eliminating facial wrinkles, and reducing the effects of facial aging. Nearly all of the FDA approved wrinkle fillers like Juvederm®, Restylane®, and Radiesse® provide only temporary improvement, and procedures with these products will need to be repeated to maintain a desired result. I have been using Silikon®-1000 (purified polydimethyl siloxane, Alcon Labs.,Ft. Worth Tx.) as an... more

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

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Best Wrinkle Filler

Correcting marionette lines and plumping lips with dermal fillers

Juvederm is my favorite wrinkle filler