What are Dermal Fillers & Injectables?

What are the benefits? Which ones are available? Are any of the dermal fillers or injectables semi permanent or permanent?

Doctor Answers 2

Dermal fillers and injectables are non-surgical med spa treatments that can rejuvenate the face.

Dermal fillers are products that are injected into the skin to enhance facial volume and fill in wrinkles, and there are a wide variety of dermal fillers on the market. JUVÉDERM®, JUVÉDERM® VOLUMA XC, Restylane®, RADIESSE®, and Sculptra® are among the most popular of dermal fillers. Depending upon the location of your facial wrinkles and how deep they are, your cosmetic surgeon may recommend one of these fillers or a combination of them. Although not permanent, some fillers can last for up to 2 years or more. BOTOX® works differently from dermal fillers, as it is a neurotoxin that is injected into problem areas in the upper face. BOTOX® works to relax the muscles that cause wrinkles for a smoother expression.


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Dermal Fillers

I like to refer to all fillers as injectable fillers. Injectable fillers can be grouped according to the degree degradability. In general, these fillers can be further grouped as biodegradable and non-biodegradable (permanent). The dermis is the location that some of the injectables are placed, but in truth, injectable fillers are placed anywhere from the dermis (just beneath the outer layer of skin) to right above the periostium (just above the bone). The benefits of injectables are that they can help restore a more youthful appearance without the need for surgery, the results are immediate, the procedures are safe, and reversible (if a hyaluronic acid filler is used). Hyaluronic acid fillers like Juvederm, Restylane are commonly used because hyaluronic acid is a polysaccharide found in all living cells and no skin testing is required. With hyaluron acid injectables, the particle size and cross-linking help determine their durability. There are more permanent fillers avaiable, but in general, they are not reversible, and may require skin testing (animal derived product).

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.