There are various classes of fillers that may be used to smooth out fine lines, wrinkles and creases on the face. Depending on the depth of the lines, your dermatologist will recommend a particular filler for your needs. For overall rejuvenation, filler may also be used in the cheeks and temple area to restore volume that is lost with age and gravity.

The main classes of filler include:

  1. Collagen: rarely used these days, given that it lasts only approximately 3 months
  1.  Hyaluronic Acid (HA): Restylane, Perlane and Juvederm are the main fillers used.  These fillers can last 6- 12 months. HA fillers are very versatile and may be used under the eyes, in the cheeks, the nasolabial fold and even in saggy earlobes or belly buttons to restore their perkiness.
  1. Calcium Hydroylappetite: Radiesse. This type of filler lasts 12- 18 months. Because it is a stronger, firmer product Radiesse, is recommended for deep lines and for giving volume and a youthful appearance to the skin. It may also be used in the hands.
  1. Poly-L-Lactic Acid: Sculptra. Sculptra is not really a filler. It is an injection of crystals dissolved in water. The crystals are placed deep in the skin which then stimulate your own skin cells to make new collagen.  It takes 2-4 months after Sculptra treatment to see the new collagen. Sculptra gives the face a very nice, natural appearance.  

Fillers in Ethnic Skin: Individuals with ethnic skin have unique needs with fillers. Compared to people with light skin, we tend to develop less fine lines and wrinkles.  Gravity and the passage of time, however, lead to significant sagging in ethnic skin. These areas of sagging and volume loss are particularly noticeable under the eye, cheeks, nasolabial folds, and along the jaw line.  In addition, ethnic skin appears “thicker” due to its ability to hold more water.  This “thickness” allows your dermatologist or plastic surgeon to inject a thicker filler.  These heavier substances (i.e. Perlane, Radiesse) tend to last longer.