How to Choose the Right Dermal Fillers

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TABLE OF CONTENTS

It’s hard to remember a time when dermal fillers weren’t so common.

In the rapidly changing field of cosmetic dermatology, dermal fillers have emerged as the go-to solution for treating wrinkles, adding volume, and contouring virtually every part of the face.

With such a wide range of fillers on the market, we thought it would be worthwhile to compare and contrast different types, with a specific focus on the Juvéderm line.

Read on to learn how to choose the right dermal fillers for your specific goals.

Understanding Dermal Fillers

Before we dive into how to choose the right dermal fillers, we need to understand what dermal fillers actually are.

Broadly speaking, dermal fillers are injectable substances used to restore volume, smoothen wrinkles, and enhance facial contours. Dermal fillers have gained immense popularity due to their non-invasive nature and immediate, often remarkable, results.

Fillers are delivered by injecting hyaluronic gel into the skin to add volume, support underlying structures, and stimulate collagen production.

Types of Dermal Fillers

Hyaluronic Acid Fillers

JUVÉDERM®

Hyaluronic acid ( abbreviated as “HA”) is a natural substance found in the body.  Its role is maintaining skin hydration and tissue volume. Hyaluronic fillers are among the most widely used dermal fillers largely because of their safety and versatility.

The Juvéderm collection, developed by Allergan, includes a range of HA fillers designed for specific areas and concerns, including Juvéderm Voluma XC for adding volume to cheeks, Juvéderm Volbella XC for plumping lips, and Juvéderm Ultra XC for general facial volume restoration.

Calcium Hydroxylapatite Fillers

RADIESSE®

This type filler stimulates collagen production and provides longer-lasting results. The most recognizable brand of Calcium Hydroxylapatite (CaHA) filler is Radiesse. While not part of the Juvéderm collection, Radiesse offers its own unique advantages—it is suitable for deeper wrinkles and contouring.

Poly-L-Lactic Acid Fillers

SCULPTRA®

Poly-L-Lactic acid (PLLA) fillers, like Sculptra, stimulate collagen growth over time, resulting in gradual and natural-looking improvements. These fillers are often used for treating larger areas of volume loss and facial sagging.

Polymethyl Methacrylate (PMMA) Fillers

BELLAFILL®

PMMA fillers, such as Bellafill, contain microspheres that provide structural support and stimulate collagen production. They are often used for deep wrinkles and acne scars.

How to Choose Dermal Fillers: Weighing Your Options

With all the options out there, how do you choose the right dermal fillers? Use these categories to properly weigh your options.

Immediate vs. Gradual Results

JUVÉDERM®

Immediate Results. 
Hyaluronic Acid adds instant volume and hydration to target area.

RADIESSE®

Gradual Results. 
Calcium Hydroxylapatite stimulates natural collagen production in the skin, creating noticeable but gradual improvements.

SCULPTRA®

Gradual Results. 
The Poly-L-Lactic Acid injection stimulates collagen growth, creating volume over time.

BELLAFILL®

Both Immediate and Gradual Results. 
Polymethyl Methacrylate injection creates instant volume and stimulates collagen production over time.

How Long Do Fillers Last?

Many aesthetic treatments often come with a hefty price tag, so it’s worth asking the question. The answer is “it depends”— individual results vary, depending on location and desired outcomes. We also have to consider genetic factors and individual responsiveness to certain treatments. However, here are a few rough estimates.

JUVÉDERM®

6 to 18 months.
Hyaluronic acid fillers typically last several months, depending on the specific treatment area and desired results.

RADIESSE®

12-18 months.
On average, Radiesse typically lasts longer than some other types of dermal fillers.

SCULPTRA®

18-24 months.
Because collagen growth is gradual and sustained, results for PLLA fillers can last up to 2 years.

BELLAFILL®

5 years or more.
Of all the dermal fillers, PMMA fillers provide the longest-lasting effects.

Customization and Areas of Application

The Juvéderm collection offers a wide range of formulations designed for specific facial areas and concerns, allowing for precise customization. Other fillers like Radiesse and Sculptra are versatile but may require more expertise in application due to their unique mechanisms.

 

JUVÉDERM®

Targets most areas of face.
JUVEDERM’s versatility is what makes it so popular amongst aestheticians and patients alike. 

  • Undereyes
  • Cheeks
  • Lips
  • Nasolabial Folds
  • Jawline
  • Chin

 

 

RADIESSE®

Targets most areas of face.

Radiesse has a unique composition that also stimulates collagen production, contributing to longer-lasting results. It is FDA-approved for various cosmetic purposes and can be used to treat several areas of the face and hands. Here are the areas that Radiesse can effectively treat:

  • Nasolabial Folds
  • Marionette Lines
  • Acne Scars
  • Cheeks
  • Temples
 
 

SCULPTRA®

Targets most areas of face.

Unlike traditional fillers that provide immediate results, Sculptra works by stimulating the body’s natural collagen production over time. This makes it particularly effective for addressing larger areas of volume loss and facial sagging. Sculptra is commonly used to treat the following areas:

  • Cheeks
  • Temples
  • Jawline
  • Chin
  • Nasolabial Folds
 
 

BELLAFILL®

Targets most areas of face.

Bellafill is FDA-approved for specific areas and has unique characteristics that make it suitable for certain types of corrections. Here are the areas that Bellafill can target:

  • Nasolabial Folds
  • Marionette Lines
  • Acne Scars
  • Cheeks
  • Temples

Safety and Reversibility

It’s important to understand that while some fillers can be”reversed” by dissolving, others cannot due to the nature of the chemicals used.

HA fillers are considered safe and reversible, since it can be partially or completely reversed using hyaluronidase injections that dissolve the hyaluronic acid. On the other hand, fillers like Radiesse and Sculptra have a longer-lasting impact and may require more caution during application.

With all fillers, it’s always recommended to have a consultation with dermatologist to go over the potential long-term effects.

Immediate vs. Gradual Results

JUVÉDERM and BELLAFILL® provide immediate results, making them ideal for individuals seeking quick, noticeable results. CaHA and PLLA fillers offer gradual improvements, suitable for those who prefer subtler changes.

JUVÉDERM®

6-18 MONTHS

✓ IMMEDIATE RESULTS
✓ CAN BE DISSOLVED

  • Undereyes
  • Cheeks
  • Lips
  • Nasolabial Folds
  • Jawline
  • Chin

RADIESSE®

12-18 MONTHS

✓ GRADUAL RESULTS
𐄂 CAN'T BE DISSOLVED

  • Nasolabial Folds
  • Marionette Lines
  • Acne Scars
  • Cheeks
  • Temples

SCULPTRA®

2-4 YEARS

✓ GRADUAL RESULTS
𐄂 CAN'T BE DISSOLVED

  • Cheeks
  • Temples
  • Jawline
  • Chin
  • Nasolabial Folds

BELLAFILL®

UP TO 5 YEARS

✓ IMMEDIATE RESULTS
𐄂 CAN'T BE DISSOLVED

  • Nasolabial Folds
  • Marionette Lines
  • Acne Scars
  • Cheeks
  • Temples

The Juvéderm Collection: A Closer Look

The Juvéderm collection has gained significant popularity due to its comprehensive range of HA fillers tailored to specific concerns. Let’s explore some key formulations within the collection:

JUVÉDERM® VOLUMA® XC
Designed for cheek augmentation and mid-face rejuvenation, Voluma® XC restores lost volume, lifts sagging skin, and enhances facial contours. Its cross-linked HA particles provide a sturdy structure for long-lasting results.

JUVÉDERM® VOLBELLA® XC
Focusing on lip enhancement and perioral lines, Volbella XC offers subtle volume to the lips and smoothens vertical lip lines. Its softer texture ensures natural-looking results in delicate areas.

JUVÉDERM® ULTRA® XC
Ultra XC addresses general volume loss and moderate facial wrinkles. Its versatility makes it suitable for various facial areas, such as nasolabial folds and marionette lines.

JUVÉDERM® VOLLURE® XC
Vollure XC targets moderate to severe facial wrinkles and folds, providing a balance between flexibility and durability. This filler is often used for nasolabial folds and marionette lines.

Schedule a Filler Consultation with a DermaBlue Provider

We’re here to help you choose the right filler! 

In the realm of dermal fillers it all comes down to individual preferences and aesthetic goals. Consulting with a qualified and experienced DermaBlue provider is required to help you determine the most suitable filler for your specific needs, and ensure a safe and satisfying journey towards your aesthetic goals.
Schedule a FREE consultation with us today!

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AUTHOR OF THE ARTICLE
Dr. David LaMond, D.O.

Dr. LaMond is a nutrition, hormone and prevention expert. Drawing from his foundation and board certification in Family Medicine, he has created the core medical principles behind the blue sky concept of total patient care…

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