People often ask: what's your favorite filler to use?
The simple answer: all of them.
What filler I use depends on a few things: whether the person has had fillers injected before, how much volume the person has lost, what area we are injecting, and how quickly the person wants to see results.
To start, the three main types of fillers I use are the hyaluronic acid fillers (juvederm, restylane, and perlane); calcium hydroxylapatite (radiesse), and poly-L-lactic acid (sculptra).
The hyaluronic acid fillers usually last 9 months- 1 year. They are my filler of choice for lip augmentation and tear troughs (undereye hollows). They are also a great option for people that have never done any fillers before. This group of fillers can be dissolved by an injection of an enzyme called hyaluronidase. Hyaluronic acid can also be used for cheek rejuvination, nasolabial folds, marionette lines, and chin improvement. Care must be taken not to inject too superficially, because they will look blue under the skin.
Calcium hydroxylapatite tends to last about 18 months. This filler is more "substantial" than the hyaluronic acids and tends to give a little more lift. It's a great choice for those who have had fillers injected previously and want something more volumizing and longer lasting. It needs to be injected deeper than the hyaluronic acid fillers. Cheeks and lower face (marionette lines, jawline, chin) can all be reshaped with calcium hydroxylapatite. Results are instantaneous.
Poly-L-lactic acid works differently than the other fillers. It stimulates collagen formation over a series of treatments about 4-6 weeks apart. This treatment works well for hollowed areas, such as the temples, cheeks, and lower face. Because the changes come about slowly, results are gradual and natural. Results can last for 2 years.
Talk to your dermatologist about what filler (or combination of fillers) is right for you. In the right hands, a natural, more youthful look can be easily achieved.
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