restylane is a popular dermal filler

Dermal Fillers: how Juvederm, Restylane and other fillers are used

the drop in recent years in numbers of surgical facial procedures - facelifts - is due in part to the growing use of dermal fillers that offer semi-permanent results, softening lines and wrinkles with hyaluronic acids and microspheric gels

Women and men are flocking to plastic surgeons, medispas and other skincare specialists in search of dermal fillers - a safe, temporary and affordable facelift alternative/delay.

Dermal fillers are semi-permanent, lasting 3 to 9 months. Although manufacturers recommend against anyone with a history of anaphylaxis or severe allergies, and state that its effects on those who are pregnant or is breastfeeding has not been studied, there are few other red flags.

Depending on local and state guidelines, you can get Juvederm at a dermatologist of plastic surgeon's office at a maxillofacial surgeon, at a medi-spa. Don't buy it out of the back of a van - you'll have only yourself to blame for bad results.

Botox can give the appearance of youth because it relaxes facial muscles that "hold" wrinkles and lines.

Dermal fillers
take a few years off by adding volume through the bio-engineered gels and suspensions. Dermal fillers are injected into the mid-dermal layer beneath folds, scars or pits in the skin's surface. As the fillers fill the sub-dermal layer beneath the problem area, they push outward, to give the appearance of smoother, plumped up skin.

The primary ingredient of most fillers, including Restylane and Juvederm, is hyaluronic acid, which is naturally occurring in the body. They have a gel consistency and dissipate naturally over the course of a few months. Results vary from person to person.

New fillers that promise longer lasting results are being introduced to the market. Several are now undergoing testing and trials.

Some of these fillers are more permanent (like Radiesse and Perlane) and include microspheres of synthetic bone. The injection of these fillers is usually prescribed for areas that require restoration of facial volume and contours.

Radiesse and others like it are less often used to combat the appearance of aging than they are to restore tissue loss associated with chronic disease (for instance, wasting seen in long-time survivors of HIV/AIDS.).

Injected by a trained, qualified professional (not all states require an MD or RN - become familiar with your state's own guidelines), dermal fillers can fill laugh lines and ease skin folds and wrinkles.

Manufacturers of these products claim results for as long as nine months. That could be true, or it could be data stretched thin.

How long lasting the results are can depend upon several factors. These include variances in personal chemistry, the point of application, and the the skill of the person administering the dermal filler. An acceptable range would be 3-10 months.

In most practices, dermal fillers have replaced Collagen. This is because they can be used to achieve the same results - plumped lips, wrinkle diminishment - without the allergen testing that was required of Collagen, and with better, longer lasting results. A recent study cited in Aesthetic Dermatology News notes that both can cause a mild local reaction at the injection site - redness and irritation.

Hyaluronic acids are produced in biotech labs. A sugar, dermal fillers aren't animal based. They partner well with Botox's denervating effects to minimize signs of aging, and where money's no object, your esthetic surgeon could recommend strategic use of both.

    your provider should know how to apply dermal fillers to these areas
  • lip augmentation (vermillion border and vermillion)
  • nasolabial folds
  • mandibular grooves (jowls)
  • marrionette lines/oral commissures
  • chin augmentation
  • cheek augmentation
  • tear trough deformity
  • brow lift/augmentation
  • for Radiesse - lipoatrophy due to HIV


want to know more about the safety of injectables including radiesse, restylane and juvederm? Visit, an information site presented by the physicians coalition for injectable safety.

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