I'm trying to wrap my head around HA fillers placement as it relates to muscle vs. connective tissue.

Question

I've often wondered if HA filler is designed to bind "under the muscle", "above muscle" and/or could it actually be injected "within muscle"? While off label certainly, say someone wanted to improve the symmetry of a body deformity in an area around a very prominent/large muscle, like a bicep or calf. Would you be limited to injecting "around/behind/under" such an important muscle like the two examples, or is the product so natural that it will bind to any tissue - connective and/or muscle?

Stephen Giordano, DO · Answer

I don't recommend you inject any filler into the muscle itself.  Depending on the type of filler, it should be injected in the dermis, or supraperiosteal (meaning right on top of the bone).  I agree the Autologous Fat Transfer would be a good option for fixing your particular issue.  Best, Dr Giordano

Jean M. Casello, MD · Answer

Dermal fillers are meant to be injected into the skin.Depending on the type of filler we  are injecting the depth within the skin varies. The skin sits on top of the muscle. Dermal fillers are not injected into the muscle. Therefore the injection would be in the skin "on top of the muscle". Hope this helps.

Joseph Greco III, MD · Answer

The HA fillers can be placed above or below muscles depending on the area of the body. In the cheek for example the muscles, connective tissue and fat are very inter-related and thin layers that often the filler goes where it needs to create the result. The HA in the filler increases HA production in the tissue itself for longer effect in the tissue. As far as making areas that need significant contour correction like the calf example you give, the number of syringes you would need to acquire the result would be ridiculously expensive. A better option would be fat grafting to the area. Hope this helps.

P. Alexander Ataii, MD- Account Suspended · Answer

Depending on the type of filler being used the depth of penetration varies.  Many dermal fillers are injected more superficially, "above the muscles", to fill in fine lines and wrinkles.  An example of a filler that is injected deeper is Juvederm Voluma which is designed to lift and augment the cheek area.  There are also fillers which can be injected into the tissue and will promote the production of your own collagen.  My advice is to meet with an experienced injector for a full evaluation to see what fillers are best for your needs.  I hope this helps!

I'm trying to wrap my head around HA fillers placement as it relates to muscle vs. connective tissue.

Answers (4)

Answer: Dermal Fillers

Answer: Dermal Fillers

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Everything you need to know about Dermal Fillers

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I'm trying to wrap my head around HA fillers placement as it relates to muscle vs. connective tissue.

Answers (4)

Answer: Dermal Fillers

Answer: Dermal Fillers

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Recommended reading

Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.