Dermal Fillers: An overview – What you need to know.

We ask Dr. Pinkhasik of Medical Spa Club common questions he gets from his patients about dermal fillers.

What types of Dermal Fillers are there?

Most broadly, dermal fillers can be divided into temporary and permanent, with temporary fillers being much safer to use.

Temporary dermal fillers can be further divided into 3 groups: Hyaluronic Acid (HA) gel based fillers, Calcium Hydroxyapatite (CaHA) containing fillers (Radiesse), and Poly-L-lactic acid(Sculptra). All these dermal fillers, besides their immediate volumizing effect, nourish skin and stimulate collagen production to various degrees.

HA dermal fillers, such as Juvederm, Restylane, and Revanesse, are gels made from polymerized sugar molecules and last anywhere from 3-9 months, depending on the product and on how your body metabolizes it. Some people metabolize HA slower than usual, and in those cases we had seen HA fillers last for up to 2 years.

CaHA dermal filler(Radiesse)is a suspension of Calcium microspheres in a gel carrier. It is designed to stimulate collagen production in addition to its’ immediate volume restoring effect. As it gets metabolized away, new collagen remains, accounting for a longer duration of effect than HA fillers anda residual benefit which with repeated use may decrease the amount of filler required for future corrections.

Poly-L-lactic acid (Sculptra) is a pure collagen stimulator rather than a filler. It stimulates collagen production resulting in volume effect over 4-6 weeks. It requires 2 to 4 sessions spaced 4 to 6 weeks apart to produce the desired volume correction. The effect of Sculpta, which takes several months to reach, usually lasts longer than either Radiesse or any of the HA fillers.

The only place you can’t use Radiese and Sculpta is the lips because collagen stimulation in lips can produce a lumpy effect. So in lips we have to use one of the HA dermal fillers,

What are dermal fillers good for?

Besides enhancing facial features such as small lips and weak chins, and correcting defects, fillers are good for producing a lifting effect by restoring facial volume which we start to lose in our 30’s. As the cheek bones shrink, the facial skin draped over them will sag with the downward pull of gravity, creating hallows under the eyes, Naso-labial folds, Marionette Lines, and Jowls. The chin also retracts as it shrinks, exacerbating the Marionette lines and Jowls. These changes and more can be reversed or diminished with skillful use of dermal fillers.

Where can I use dermal fillers?


Which filler should I use?

All dermal fillers nourish skin and stimulate collagen to some degree, thus slowing down the aging processes in the skin. The choice of filler depends on individual preference, age, and the area to be injected. If you are younger than 60 your collagen production is likely to be strong and Radiesse may be a good choice.However, after the age of 60 the collagen production slows down and Radiesse offers less advantages over HA fillers.

Who is a Good Candidate for Dermal Fillers?

These products work well and are safe for nearly anyone who is interested in erasing wrinkles around the face or adding volume to the lips, cheeks, or under-eye hollows.

Can I have an Allergic Reaction?

Most of the fillers we use are made from ingredients that are found naturally in the body. Hence, allergic reactions to dermal fillers are uncommon. However, there are some exceptions, so it is best to speak to your cosmetic doctor.

Dermal Fillers and facial rejuvenation

Case Study 1

Here, Radiesse was injected into Zygomatic (cheekbone) areas, Maxillary areas (under eyes), Nasolabial folds, Marionette lines (at corners of mouth), and chin. Radiesse Dermal Filler Augmentation of Mid-Face and Chin

Results may very from person to person

Results may very from person to person

Case Study 2

Here, a soft tissue filler had been injected into nasolabial folds and into lips, restoring volume lost due to aging, and resulting in a smoother, rejuvenated appearance.

Non-Surgical Facelift


Results may very from person to person