What is the Best Facial Filler for Me? A No-Nonsense Guide


Does the thought behind reverse aging in only a few minutes sound too good to be true? Throughout human history, the search for eternal youth stimulated wars and introduced deadly concoctions. For millennia, it seemed no matter how hard we tried, Father Time refused to release us from his youth-draining grasp.

However, we humans are notoriously stubborn. In the unceasing desire to retain our physical vitality, science accomplished the unimaginable. While the solution for permanent age reversal remains trapped in an unknown location, dermal fillers temporarily pause the visible signs of aging.

Within a rather unassuming syringe, cosmetic surgeons transform your face that’s been flattened by the ravages of time. In a matter of minutes, wrinkles smooth and hollow spaces instantly plump with the fullness of youthful vitality.


Since the introduction of facial fillers, the concept of cosmetic surgery transformed from invasive operations to relatively painless outpatient procedures. However, there’s a problem. As our understanding of dermal fillers grew, so did the number of options. Seemingly overnight, what started as a limited offering flourished into a crowded menu of volumizers, plumping agents and relaxers.

With so many options, patients can become overwhelmed. While there are many considerations you and your doctor must consider, choosing the right filler isn’t as complex as you may think. All you need is a solid understanding of what you wish to correct. From here, it’s up to you and your physician to isolate the best filler.

First Issue: Fine Lines

Want to eliminate fine lines around your eyes or along your forehead? If so, hyaluronic acid filler may be exactly what you’ve been searching for. Because of its low viscosity, the solution is evenly distributed in superficial tissue directly underneath fine lines. Although used specifically for this purpose, it doesn’t last as long as deeper fillers. Typically, you’ll require a touch-up every three to four months.

Second Issue: Thin Lips

Are you tired of overdrawing your lips? Do you dream of plump, kissable lips? If so, then it’s time to transform your dream into reality. Injectable lip fillers offer a quick solution with instant results. Instead of reaching for your lip liner, reach for your phone and discuss hyaluronic acid fillers with your cosmetic surgeon.

Not only does hyaluronic acid safely plump lips, but it does so without looking or feeling fake. The type of hyaluronic acid varies based on the look you wish to achieve.

Third Issue: Hollow Cheeks, Reduction in Face Volume

If you’ve noticed your face has lost its plumpness, there’s a variety of facial fillers capable of restoring youthful volume. While your cosmetic physician will navigate you to the best option, Sculptra Aesthetic is a popular choice. The biggest difference between this filler and others, such as Restylane Lyft or Juvederm Ultra Plus, is its collagen stimulation properties.

Unlike traditional fillers, this injectable is classified as a biostimulator agent. Essentially, this means it actually promotes new collagen growth and supports thicker epidermis at injection sites. Its unique biological action results in natural-looking correction. However, final results take anywhere from several weeks to several months to appear.

Fourth Issue: Sagging Skin

Think the only solution for sagging skin is an invasive surgical procedure? While face lifts produce powerful results, dermal fillers can lift skin while enhancing volume. If this is your goal, make sure to ask about fillers designed to lift treated areas. Juvederm Voluma, for example, is formulated to reverse sagging skin while enhancing fullness and volume. The result? Skin that’s lifted and restored to a fuller resting state. It’s not uncommon for facial fillers and skin tightening treatments be combined for dramatic results.

Fifth Issue: Allergic to Standard Facial Fillers

Do you want the age-reversal results of dermal fillers, but aren’t a candidate due to allergies? Until recently, there weren’t many options available. However, thanks to autologous wrinkle fillers, even those with serious allergies to traditional filler ingredients may experience the restoration of fillers.

Autologous wrinkle fillers use fat from your own body to treat deep wrinkles and plump hollow cheeks. This dermal filler requires two procedures, which can be completed in a single office visit. The first procedure involves harvesting fat from your body followed by preparing fat cells for injection.

The next procedure is where the magic happens. Your cosmetic surgeon carefully injects the prepared fat in treatment areas. Results are often semi-permanent, which ultimately reduces the cost of frequent injections. However, it may be necessary to perform several procedures to achieve your desired results.

Sixth Issue: Hollow Area Under Your Eyes

No amount of makeup or specialty serums can refill hollow under areas under your eyes. Whether from age or genetics, this cosmetic issue is notoriously difficult to treat. While most dermal fillers add volume to this area, there’s one major drawback. Because the area under your eyes is so thin, you can actually see facial fillers. This often results in a light blue hue.

Avoid this situation by using low viscosity fillers, such as Restylane Silk and Belotero. Because they’re so thin, it’s less likely to show through your skin.

Injecting Beauty, Confidence and Vitality

As one of the only dual surgeon collaborative cosmetic practices in the United States, Dr. Andrea Garcia, MD and Dr. Josh Surowitz, MD offer unparalleled experience and expertise. Board certified and fellowship-trained, patients receive the highest level of care and professionalism. As members of the American Board of Facial Plastic and Reconstructive Surgery and the American Academy of Facial Plastic and Reconstructive Surgery, Inc., Dilworth Facial Plastic Surgery delivers innovative and personalized care to restore your vitality and confidence.

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