Hyaluronic acid serum vs injection fillers?

Hyaluronic acid serums are great for adding hydration and mildly plumping your skin. However, the hyaluronic acid will not penetrate beneath the skin and add volume in the way that dermal fillers do. Serums will make your skin look brighter and smoother but will not fill in lines or folds. Dermal fillers are precisely placed with a cannula or needle and last 1-2 years in the tissue. With regard to your hands, Voluma and Radiesse both work very well for covering up skeletal or very thin hands. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

Topical hyaluronic acid serums doesn't have the same effect as injectable, if it did, nobody would get the injectable fillers.  Apply both topically and with injection give an improved apperance of wrinkles and fine lines.  Best, Dr. Emer.

Topical products will NOT produce any long term (actually more than few hours) effect.  The dark circles around eyes are usually due to hollowness. For that, direct filler injection the hollow area will be effective. See an oculoplastic specialist.

Sirius leave the only way to add volume is by injection not by placing filler on top of the skin. Whatever you call it serum makes no difference. It may slightly improve the appearance of the skin. Best augmentation for Hands is fat. it lasts forever and if you do not have enough then filler is your only other option.

Hi LA.  The serum may make the surface of your skin look good, but it will not add volume.  If you are interested in hand injections, we prefer Radiesse, and under the eyes, we use Restylane.  To see examples of these injections for our Los Angeles patients, click on the link below.

Very interesting and good question.  At the current time there is no real substitute to add volume the face without injecting it.  Whether its a HA filler such as restylane or juvederm or fillers like Radiesse or Sculptra, they all have to be injected.  Topical serums are a nice adjunct but dont do a whole lot on their own.  The longest lasting and most organic method of adding volume is with your own fat.  Fillers last between 6 months and 2 years and your own fat normally lasts between 3 and 5 years.  Good Luck