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What type of dermal filler goes where?

What type of dermal filler goes where?
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In cosmetic dermatology, we use several types of dermal filler, each having its key role. We often use thicker, stronger dermal fillers around the chin, with the softest, most flexible filler used under the eyes. 

There are approved dermal filler products used in injections in Australia, each having a unique formulation and best use in our clinic as per individual patient needs. 

The substances used in dermal filler vary, from a moisture-locking molecule to mineral-based formulations. 

What is dermal filler?

Dermal filler is a non-toxic substance injected directly into the facial tissue to provide volume. The most common areas for dermal filler injections include the lips, wrinkles, facial creases, cheeks and nose. 

There are many types of dermal filler, each with its common uses and character. Your cosmetic dermatologist will choose the best kind of filler for your individual needs. 

types of dermal fillers

Types of dermal fillers and their uses

Hyaluronan-based dermal filler

Hyaluronan, found in abundance in the skin, is the golden child of modern dermal fillers. This substance can absorb 1,000 times its weight in water making it a dream substance in the skin.

Hyaluronan-based dermal filler is used for contouring, reducing any depressions in the facial skin caused by scarring or ageing, and softening wrinkles. We often use this filler in pitted acne scars, hollow or sagging cheeks, crow’s feet around the eyes, smile lines, frown lines, marionette lines, forehead lines, lip borders, increasing lip fullness, and scarring caused by injury or burns.

We also use hyaluronan-based cosmetic fillers for non-surgical rhinoplasty, which offers remarkable improvements to imbalances in the nose’s appearance. We can even make a large nose look smaller by evening out asymmetries. 

We find hyaluronan in soft tissue, connective tissue, cartilage, joints, and the skin. Research shows that synthetically-manufactured products are low risk when applied via injection by a qualified, experienced practitioner. Only doctors do injections at ENRICH Clinic in Melbourne, so you’re always in the best hands. 

There is an enzyme that breaks down the filler readily, so if for some reason the treatment needs to be reversed or modified, it is straightforward and quick to do. Hyaluronan-based cosmetic fillers are temporary, though they may last up to 18 months, depending on location. 

Mineral-based facial filler

Mineral-based facial filler products contain a form of calcium found naturally in bones. We often use this filler for moderate to severe creases, as seen in the nasolabial folds, marionette lines, and frown lines. We might also use this facial filler to add volume to cheeks and other contours. 

This filler offers natural-looking results, the substance doesn’t move around inside the tissue (migration), and adverse reactions are rare. Doctors first used mineral-based filler in dentistry and reconstructive surgery, so it has a long history and solid safety record. 

Calcium-based dermal filler is manufactured synthetically, so it is entirely animal-free (bone-free) and vegan friendly. While the use of animal products in skin injections and applications (mainly collagen) has been popular in the past, it’s not used much these days since safer formulations are made with high-quality synthetic ingredients. The risks of allergic or sensitivity reactions are much lower with synthetics, and no pre-application skin testing is required. 

facial fillers

Stimulating dermal fillers

Stimulating fillers stimulate collagen production rather than acting as a filling substance itself. The non-toxic, biodegradable substances have been used for many years to assist in the suturing of wounds since a doctor can add a little stimulating dermal filler to a wound to improve healing and sealing. 

Stimulating dermal fillers are most often used in the lower half of the face to fill out laugh lines, plump thin lips and soften nasolabial folds. 

Stimulating filler is different to other fillers because it takes some time to work, with collagen production a slow, natural biological response to the substance. Results start to show after a month, with peak effects after six weeks. Repeat treatments are likely for optimal results, and while this filler is considered semi-permanent, you may need to stop in for a top-up every now and again to maintain the effect. 

Longer-lasting types of facial fillers

Some facial fillers treat more severe wrinkles than collagen-stimulators or hyaluronan-based fillers, aiming for a longer-lasting effect. Usually, doctors use these fillers for scarring, nasolabial folds, and thin lips. 

Longer-lasting injectable fillers are most often used with permanent surgical implants, with the first treatment a lesser amount of filler so we can build up, rather than applying it all at once. That way, the effect can be monitored and adjusted slowly for optimal results. This type of filler does require multiple appointments and treatments across several months. We use these injectable fillers far less often than other types of fillers. 

Our doctors are dermal filler experts with a deep understanding of facial anatomy and a great eye for what looks good on a face. Get in touch! We can help. 

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