Dermal Fillers

Dr. Brooke R. Seckel – Treating Those Seeking Dermal Fillers in Boston

What is dermal filler, also referred to as a face filler or wrinkle filler?

A dermal filler is an FDA approved injectable temporary facial implant used to plump or add volume to the aging face and remove wrinkles and deep facial lines.

Why do people have dermal filler injection?

People have dermal filler injections to look younger and for:

  • Lip augmentation or enhancement
  • Restore apple cheeks
  • Wrinkle filler
  • Deep facial lines
  • Non-surgical facelift or liquid facelift
  • Chin filler
  • Cheek filler
  • Under eye filler
  • Nonsurgical nose job

What does a dermal filler injection do? What are the benefits?

Dermal fillers are injected into and underneath the skin to fill or plump wrinkles, sunken cheeks and deep lines to make the face look younger.

Before and after lip enhancement or augmentation and correction of nasolabial folds with Restylane® dermal filler injection

Before and after lip enhancement or augmentation and correction of nasolabial folds with Restylane® dermal filler injection (Individual Results May Vary)

What is a liquid facelift?

The liquid facelift as a non-surgical facial skin rejuvenation technique that uses a combination of Botox® or Dysport® and dermal fillers to remove wrinkles, plump and rejuvenate the face.

Before and after liquid facelift with Radiesse®, Restylane® and Botox® to remove nasolabial fold lines, marionette lines, lip augmentation and remove lip lines

Before and after liquid facelift with Radiesse®, Restylane® and Botox® to remove nasolabial fold lines, marionette lines, lip augmentation and remove lip lines (Individual Results May Vary)

What is the dermal filler injection treatment like?

Your face is cleansed with antiseptic and numbing cream applied. Cold is applied for numbing and the filler which contains numbing medicine is injected. Boston Plastic Surgery Specialists then massages the filler.

How long does a dermal filler injection treatment take?

The injection takes only a few minutes.

Does dermal filler injection hurt?

Dermal filler injection can cause discomfort. The combination of numbing cream and cold make it much more comfortable.

What will my face look like after dermal filler injection? Can I go back to work?

You see the result right away. The area may be pink or slightly swollen but most people can return to work. I rare cases, there can be bruising.

Before and after Sculptra® dermal filler injection for facial rejuvenation and bio stimulation

Before and after Sculptra® dermal filler injection for facial rejuvenation and bio stimulation (Individual Results May Vary)

Face before and after Sculptra® dermal filler injection for facial rejuvenation

Face before and after Sculptra® dermal filler injection for facial rejuvenation (Individual Results May Vary)

Will people know that I have had a dermal filler injection?

No, people should not be able to tell.

What do dermal filler injections cost?

On average one syringe can cost $500-$750. If you choose to have multiple syringes cost can be higher.

Are dermal filler injections safe?

Yes dermal fillers are safe when FDA approved fillers are injected by an experienced, trained physician.

What are the possible side effects of dermal filler injections?

Possible side effects are swelling, pinkness, tenderness, temporary numbness, bruising, discomfort or allergic reaction.

Who should not have a dermal filler injection?

Patients with compromised immune systems should not have a dermal filler injection. You should not have filler injections if you are allergic to any ingredient in the filler, have a skin infection or inflammation, or a history of hypertrophic or keloids scars.

Who should do my dermal filler injection?

Board certified plastic surgeons.

What is the best dermal filler, face filler or wrinkle filler?

The best dermal filler is the one that best fits your anti-aging skin care goal. A combination of different fillers is frequently used. Common fillers are:

Lips before and after lip augmentation with Restylane®

Lips before and after lip augmentation with Restylane® (Individual Results May Vary)

  • Restylane® – Restylane® was the first hyaluronic acid filler and is the most widely used
  • Perlane® – Perlane® is a thicker hyaluronic acid filler, a longer lasting form of Restylane® that can last 9-12 months
  • Prevelle® Silk – Prevelle® silk is a thin Hyaluronic acid filler called a starter dermal filler.
  • Belotero® – Bellatero® is another thin HA filler that is used in fine lines.
  • Juvederm® – Juvederm® is a longer-lasting hyaluronic acid filler up to 9-12 months. Juvederm® XC is mixed with an anesthetic.  Juvederm® Ultra lasts longer. Juvederm® Ultra XC and Juvederm® Ultra Plus XC have numbing medicine.
  • Radiesse® – Radiesse® is a firmer, stronger long-lasting facial filler made of calcium hydroxyapatite. Radiesse® is not used in the lip.
  • Sculptra® – Sculptra® often mispronounced as Sculptura is Poly-L–lactic acid. Sculptra® acts both as a filler and bio stimulant to regenerate new collagen. Sculptra® requires a series of 3-4 injections 3 weeks apart.
  • Collagen injection – collagen injections were the first dermal filler but have been replaced by the HA fillers.
Before and after lip augmentation with Juvederm® dermal filler injection upper and lower lip

Before and after lip augmentation with Juvederm® dermal filler injection upper and lower lip (Individual Results May Vary)

Comparison of best dermal fillers

Dermal Filler Type Filler Cross Linked How Long Lasts Contains numbing medicine Lidocaine® Used for
Prevelle® Silk HA (hyaluronic Acid) no 3-4 months Can be added Starter Filler Fine lines, wrinkles
Restylane® HA (Hyaluronic Acid no 6 months yes Lips, eyes, ear lobule, NL fold
Perlane® HA yes 9-12 months yes Cheeks, NL fold temple, around mouth, jaw line
Beletero® HA no 4-6 month no Lips, tear trough, fine lines
Juvederm®Ultra HA yes 9-12 months no Lips, eyes, ear lobule, NL fold
Juvederm® Ultra Plus HA yes 9-12 months no Cheeks, NL fold, temple, around mouth, jaw line
Juvederm®XC HA yes 9-12 months yes Same as Juvederm® with numbing medicine
Radiesse® Calcium Hydroxy Apetite yes 9-12 months Can be mixed in NL fold, cheeks, temple, nose
Sculptra® Poly-L-lactic acid no 9-12 months some permanent new collagen no Full face volumization, temples, NL fold, cheeks, jaw line

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