Boston Plastic Surgery Specialists

Dermal Fillers

Dr. Brooke R. Seckel

Dermal Fillers in Boston

What are Dermal Fillers?

A dermal filler, also known as a facial filler or wrinkle 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.

Dermal Fillers Boston
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.

Facial Fillers Boston
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 is applied. Cold is applied to further numb the skin and injected filler also contains numbing medicine. The injected area is then gently massaged, and a cold compress is applied.

How long does a dermal filler injection treatment take?

The injection takes only a few minutes. The prep time is approximately 15-20 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.

Dermal Filler Injections Boston
Before and after Sculptra® dermal filler injection for facial rejuvenation and bio stimulation (Individual Results May Vary)
Facial Filler Injections Boston
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?

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:

Restylane Boston
Lips before and after lip augmentation with Restylane® (Individual Results May Vary)
  • Restylane®The first hyaluronic acid filler and is the most widely used
  • Perlane®A thicker hyaluronic acid filler, a longer lasting form of Restylane® that can last 9-12 months
  • Prevelle® Silk – A thin Hyaluronic Acid filler called a starter dermal filler.
  • Belotero®Another thin HA filler that is used in fine lines.
  • Juvéderm®A longer-lasting hyaluronic acid filler up to 9-12 months. Juvéderm® XC is mixed with an anesthetic.  Juvéderm® Ultra lasts longer. Juvéderm® Ultra XC and Juvéderm® Ultra Plus XC have numbing medicine.
  • Radiesse®A firmer, stronger long-lasting facial filler made of calcium hydroxyapatite. Radiesse® is not used in the lip.
  • 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 – The first dermal filler but have been replaced by the HA fillers.
Juvéderm Boston
Before and after lip augmentation with Juvéderm® dermal filler injection upper and lower lip (Individual Results May Vary)

Dermal Filler Gallery

Comparison of best dermal fillers

Key
HA: Hyaluronic Acid

Dermal Filler Type Filler Cross Linked How Long Lasts Contains numbing medicine Lidocaine® Used for
Prevelle® Silk HA No 3-4 months Can be added Starter Filler Fine lines, wrinkles
Restylane® HA 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
Juvéderm®Ultra HA Yes 9-12 months No Lips, eyes, ear lobule, NL fold
Juvéderm® Ultra Plus HA Yes 9-12 months No Cheeks, NL fold, temple, around mouth, jaw line
Juvéderm®XC HA Yes 9-12 months Yes Same as Juvéderm® 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

Meet The Doctor

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  • 35 Years Experience
  • Assistant Professor of Surgery Harvard Medical School
  • Chairman Emeritus Lahey Clinic Department of Plastic Surgery
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