How to Choose the Right Filler

November 9, 2017
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With so many fillers on the market it can be tough to know which might be a good fit for you, and more importantly, whether you’d make a good candidate for each. Not all fillers and injectables are the same. There a handful of different ones out there, and all of them serve a different purpose. Some fillers can only be used on select areas of the face, others only I n specific areas. Some are thicker than others, some last longer and some fillers are even preventative. With so many small, but important, differences between them, knowing which filler – or a combination of them – is right for you can be daunting. Luckily, Dr Usmani has outlined this easy guide to help you decide!

  1. If you want to treat wrinkles on the upper half of your face. 

Some people assume Botox® is an all-encompassing wrinkle reducing filler than should be used all over the face. Generally speaking, this is not true. Botox® is an injectable that relaxes the muscles that cause. At TruDerm we use both Botox® and Dysport, which are largely considered to be interchangeable. Both Botox® and Dysport are a type of botulinum type A used to relax the muscles. We use them treat wrinkles that are caused by muscle movements that fold lines into the skin, including:

  • Frown line between your eyebrows;
  • Forehead lines; and
  • “Crow’s feet” around the eyes.

Fun Fact: The longer you use Botox®, the longer it lasts! As you continue to use it your muscles ‘learn’ not to make the wrinkle (even for a time after it has ‘worn off’). To maintain the effects, however, we recommend three treatments a year.

  1. If you want to treat wrinkles on the lower half of your face, restore lost volume.

Like Botox®, Restylane and Juvederm are both fillers that will treat and smooth wrinkles and folds that are caused by gravity and loss of volume. We use both products to replaces lost volume by filling in the wrinkle, which helps to plump the area up, often resulting in a lifting effect. Generally considered to be thicker fillers, both Restylane and Juvederm can be effective in treating volume-related issues. Unlike Botox®, neither will prevent wrinkles and in general, both products are excellent fillers for lips and wrinkles in the lower half of the face. We use them treat:

  • Wrinkles in the jowls area;
  • Fine lines in the lower half of the face; and
  • To plump lips.

Fun Fact: Both of these excellent products are also great if you want more definition in your cheeks! We can also use Restylane Silk to help you eliminate the hollows under your eyes.

  1. If you have some sagging skin but aren’t ready for surgery, opt for a filler that’s designed to lift.

Sagging skin can somewhat be corrected with filler if there isn’t too much lax skin. “When you have sagging skin and you want to lift it, you want to use something like Radiesse of Juvéderm Voluma,” says Dr. Foster. “These fillers are designed for this purpose and they add back volume, giving the illusion of some lift.” Dr. Grossman adds that she often combines revolumizing fillers with skin-tightening procedures to get the best result.

We hope this guide is helpful in determining which filler might be right for you. The process of applying injectable fillers is almost as much art as it is science. The most important thing to consider when getting any fillers done is who is administering the dosages. Dr Usmani is a board-certified dermatologist with more than 20 year’s experience with injectable fillers. At TruDerm, you know you’re in great hands.