Understand Botox & Dermal Fillers in Detail

Understanding The Dermal Fillers

Dermal Fillers

With the expanding understanding of anatomical conditions of the aging skin, has invigorated the spheres of aesthetic technology. Restorative cosmetic treatments are taking advantage of enhanced discerning biotechnology, which is metamorphosing at a rapid speed.

Whereas surgical rectification of skin laxity and volume was the convention in past years, there are now several non-surgical topical options available for healthy, supple and youthful skin. A progressively evolving process of barely invasive, dermal volumizers, injectables and bio-stimulators as a whole are known as the dermal fillers.

The growth of this non-surgical cosmetology market is as startling as the science itself. However, the use of dermal fillers is not only an important part and characterizes the “science” resulting to better biocompatibility, but it is also an “art” of filler application. Even the “perfect” filler is an essence to eccentric connections between both the practitioner and the patient. The safety and efficiency of the most widely used dermal fillers has been evident with its prominence on approved facial aesthetics techniques. The precision of enhanced filler methods that affect tissue acceptance and response, estimation of effectiveness and a comparison of wrinkle-minimization results, the characteristics and prevalence of chronic and acute tissue reaction makes the evolving dermal fillers a viable methodology for skin laxity correction.

Dermal fillers offer a safe and optimal means for soft tissue augmentation aesthetically and has achieved a vast increase in recognition during the past few years. Great emphasis has been laid upon the filler methods and maximizing client aesthetic outcomes with safety.


Proper understanding of the chemical layouts of Hydraulic acid based fillers supports the physicians in selecting the appropriate Hydraulic acid (HA) dermal fillers for improving facial skin. This along with proper practitioner experiences and injection training leads to outcomes that ultimately benefits the patients.

Can Skin Fillers Be Used for Wrinkles?

Skin fillers for wrinkles

For marionette lines, the lines that go from mouth area upto the chin are known as labio-mental rhytides. And some professional cosmetologists prefer Juvederm Ultra Plus or Perlane. These fillers provide a considerably good amount of support to the bulky skin tissues in the marionette area. The skin here is relatively thicker and the muscle working on it is very powerful, so these fillers act as the most supportive fillers are appropriate for wrinkle reduction.

Juvederm Ultra Plus is very magnificent in its 3-dimensional process and it is just articulate about how it instantly takes off years of wrinkles off from your face! Majorly, the marionette lines smooth out to the inner cheek area. An aesthetically natural outcome can be derived by driving these fillers throughout these areas, instead of just simply “filling” in the cracks.

The fine lip lines can be filled with fine, thin and slim fillers, which vary according to the thickness of the skin of lips, and also the depth and the degree of the lip wrinkles. Juvederm Ultra is perfect for the thicker skin and evolence for the thinner skin.

Juvederm Ultra produces considerable outcome not just to “fill lip lines” but to also re-shape the lips with a natural contour including the reshaped beautiful cupids bow of the lip, the philtral columns and the philtrum. The lower lip also reaps benefits from this filler in the center since it contributes to give volume and fullness to the overall look. The filler is employed almost like a “highlighter” or “makeup” or “gloss” on the lips, making them fuller and mixed to it’s natural contour. Selecting the right kind of fillers is very essential to avoid the overdone, hideous lips of many people that were just plumped up and not treated as works of beauty enhancement.

Honestly, Some people actually dread of having the lip fillers done, because they particularly fear of looking like a duck, or having an obvious lip filling result.

Also, The Juvederm Ultra filler is also helpful to make this superbly sensitive area as pain-free as possible and we have created this technique to be executed as painfree as possible with extensive care taken for patients with any type of skin, sex, origin etc.

What’s the Difference between Dermal Fillers and Botox?

Dermal Fillers & Botox

Dermal fillers

Dermal facial fillers are injected to add volume and firmness to the skin. They are injected into the facial skin to add volume, youthfulness, laxity and feathering out the wrinkles and folds. It is done on the facial wrinkles that start from the nose and go up to the corner of the mouth, sunken cheeks and chin area that are caused by the loss of the volume in the skin. Around the mouth region, too much Botox cannot be used or else excess usage can cause the loss of ability to eat, kiss, laugh or open mouth wide open, so usually dermal fillers are a favorable option here.

Dermal fillers also treat facial wrinkles. They are mainly used to treat smile lines, frown lines, though these fillers can also contribute to pump up the cheeks or lips. At times, they are also used to minimize the appearance of scars and for hand treatments. Dermal fillers though are not meant for plumping and firming other areas of the body, such as the breasts or thighs.

Dermal fillers come in different forms that include:-

  1. Hyaluronic acid (perlane, Restylane, Juvederm) , a temporary substance that loses its impact within 1-2 years, based on various factors.
  2. Calcium hydroxylapatite based (Radiesse dermal filler), a temporary gel solution that lasts for up to 1.5 years
  3. Poly-L-lactic acid (Sculptra, Sculptra Aesthetic), a man-made substance that creates its impacts for about two years
  4. Collagen, a temporary substance that leaves its effects for up to four months
  5. Polymethylmethacrylate beads, a prominent permanent kind of dermal filler available.



Botox is an injectable topical medication that is used to relax muscles on the face. The wrinkles and creases on the face that are in between 2 eyebrows are developed by facial movements. As we do any facial activity, lines get formed and then get intense and deeper with passing time. Botox injections are infused into muscles that cause wrinkles. The Botox injection relieves the muscles that help in improving the appearance of face by reducing the wrinkles.

Botox is made from bacteria which functions as a muscle relaxer. It has been ongoing in the market for over past 20 years, and has also been implemented to treat neurological problems that cause muscle weakness. A kind of Botox is also used for treating migraines and some other medical ailments.

For wrinkle-reduction treatment, Botox is used to treat those wrinkles that mainly occur naturally around the mouth and eyes, or in between the eyebrows. Botox is neurotoxin which blocks the movement of nerves on the muscles become that more prominent with age. Botox is not used for fine lines triggered by collagen breakdown. The process of wrinkle reduction via Botox is such that the Botox injection relaxes the muscles surrounding these wrinkles, thus preventing the muscles to move, minimize the appearance of dynamic wrinkles.

Choosing Between the Two

The essential element to consider while choosing between Botox and dermal fillers is to first know what kind of wrinkles you want to get rid of and how.

Botox is a great option for dynamic wrinkles since it decreases the visibility and motion. These kinds of wrinkles develop when the face is making expressions or is in motion. They are generally located in the forehead and area encircling the eyebrows.  Facial dermal fillers are perfect for static wrinkles, which are prominent even when your face is relaxed, not moving or making any expression. These parts are sunken and exhausted and will be advantageous from the volume that facial fillers provide them, recapturing and sustaining a youthful appearance.

Wrinkle treatment techniques are increasingly in plenty. There are abundant of over-the-counter products, and people are also approaching to their beauty care providers for deep-seated and resilient options. Each procedure is also delivered through an injection, however, each procedural treatment can be used for wrinkles, but there are various differences between the two to take into account prior to plunging in any of them.

Can skin fillers be used for scars?

There are several options available in dermal fillers when it comes to filling in scars.

Fillers are a good way to fill in depressed scars, but they are a temporary means. Restylane filler can last up to 6-9 months, and Radiesse can last for 1-2 years.

Bellafill is currently the only FDA approved dermal filler for acne scars. The scars should be comparatively shallow and be able to feather out when pulled manually. Other available dermal fillers can be implemented off-label to treat particular types of acne scars, but the effects would not be permanent. Dermal Skin Fillers are primarily used when scars are too deep to sensibly be treated with laser or other. Usually, a conjunction treatment personalized to a patient’s specific need is ideal for treating acne scars, as there are distinctively multiple forms of acne scars as well as, blotches and blemishes that can fade along with them.

Based upon what kind of acne scars you have will evaluate which filler you need to get. Fillers like Restylane and Juvederm can last for about 1-2 years or so a little up or down.

Pros of Hyaluronic Acid Gel Fillers

  • No pre test needed
  • If you are not satisfied with the ultimate results, Hyaluronic acid gel can be removed
  • Different filler densities can be selected

Are There any Effective Dermal Filler for Acne Scars?

Dermal fillers for acne scars

There are a series of fillers available in market that are used to treat acne scars that vary in composition, viscosity, price, longevity etc. which makes it a tedious task to choose the correct treatment. While your specialized dermatologist is the best person to take advice from regarding fillers for acne scars, educating yourself before seeing your doctor certainly will make you more confident and comfortable about finding the best option.

Here is a checklist of the most widely used hyaluronic acid dermal fillers for treating acne scars.

How Much Do Dermal Fillers Cost?

Cost of dermal filler starts from 1999 per unit (approx.)

We can require up-to 2 ml to 5 ml for patient, depending upon their skin condition and amount of area to be treated.

Dermal Fillers for Cheeks

Dermal Fillers for Cheeks

Cheek lifting treatment is repeatable to make sure ongoing improvement, and suitable alterations can be made with each session. Cheek dermal filler injections such as JUVÉDERM, JUVÉDERM VOLUMA XC, Restylane offers very natural-appearing improvement. The results remain from several months to over a year or 2, depending upon the particular filler used.

Cheek lift dermal filler is a method used to regain the lost volume on face. The number of fillers needed differ from individual to individual, based upon the mass of loss of volume to start with, and the degree of augmentation desired. With dermal fillers such as RADIESSE®, Restylane®, JUVÉDERM® Injectable Gel, , JUVÉDERM VOLUMA™ XC, no matter what the reason for sunken cheek are, pleasing results can be expected.

How Dermal Cheek Fillers Work?

Dermal Fillers are injected in the areas under the skin with the help of a very fine needle. Once the filler material has been infused, it plumps the skin from very bottom, smoothens out the wrinkles and enhances the facial features. Cheeks augmentation with dermal fillers is completely non-surgical and must be performed at a dermatologist’s clinic. During the cheek augmentation session, the filler substance is injected in distinct ways, such as:

  • Slightly above the cheekbones to obtain a chiseled look
  • Within the soft tissue of the cheeks, augmenting the area to repair a sagging or sunken appearance
  • Cheek enhancement by dermal fillers can be done for both older and younger patients looking to fulfill their anti-ageing purposes as well as for improving cheek proportions and facial structural balance respectively.

Some dermal cheek filler related reactions may occur like minute pain, swelling, bruising, itching, and tenderness at the injection site which is completely normal and temporary.

What Is Your Ideal cheek structure

Ideal Cheek Structure

Cheeks are known to be the most important feature for a person’s beauty enhancement and needs to have a proper shape and size. The dermal cheek fillers also help to identify the exact point of convexity point on the cheek, and make it highlight too.

Use of Dermal Fillers Under The Eyes for Dark Circles and Bags

Use of derma fillers under dark eye

Hyaluronic acid facial fillers for dark circles

Injectable fillers consisting hyaluronic acid are often used to repair the dark circles developed by thinning under the eye skin or loss of fat and tissue under eyes or upper cheeks.

Hyaluronic acid fillers are commonly recommended filler for correcting the dark circles and eye bags, restoring volume to the upper cheek area or tear trough. A person for lower eyelid rejuvenation with Injectable Fillers is also an excellent candidate.

Hyaluronic acid fillers are soaked up by the body within a few months to 1 year, so results remain up to 1 year to 2 years. The only permanent filler commonly suggested for the dark under eye area treatment is a patient’s own fat. With dermal dark eye fillers such as Restylane®, RADIESSE® and JUVÉDERM® can minimize the appearance of dark circles and bags.

Restylane as a filler product is fully safe if injected properly by or under the guidance of specialized dermatologists. It produces long term results specifically for dark circles and eye bags caused by the auto-reboot of local tissue stem cells. It works by tissue regeneration.

Teosyal Redensity II is a common and most favorable filler for the tear trough/under eye area. By just blending a little quantity of filler to the area, the depleted skin and emptiness in the region improves and it also helps to conceal the dark circles. Redensity II also has nutrients that aids in reduction of the darkness.

This filler booster is injected into the eyelid skin to hydrate and chunk up the skin and improve collagen formation.

These same skin repair filler can be injected over the entire face, neck, hands and low cut neck lines to achieve glowing, healthy skin too. The dermal filler for under the eyes, Tear Troughs and Dark Circles last for about 12-18 months and in some cases they even last beyond 2 years.

How Dermal Fillers help in Dark Under Eyes and Bags?

The process for Under Eye Dark Circle reduction uses a very fine needle and we make sure to have the least incision of your arteries and veins, resulting in considerably less pain, swelling and bruising after-treatment. We inject little quantity of the dermal filler substance below the eyes or along the cheek bone will allow restoring volume and eradicating puffiness from even the highly delicate under-eye area in a way that seems natural.

The type, quantity and location of the filler is determined depending on each person’s distinct anatomy and the conditions being confronted.

Skin Fillers and Side Effects: What You Need to Know

The possible cosmetic side effects of dermal fillers may be swelling that may last up to 1-3 days, particularly with injections in the lips. For those, attempting skin fillers for the first time, avoid visiting social meets for 2 days post-treatment.

After the skin filler procedure, some normal filler-related reactions may occur, such as soreness, redness, pain, discoloration, itching, swelling, and tenderness at the filling site. These typically dissolve voluntarily within 2 to 10 days.

Little bruising or a mild blush may occur at the injection site spontaneously following treatment and may end within 2-10 days.

The use of anti-inflammatory drugs or intake of aspirin will definitely always cause bleeding or enlarged bruising at the injection site.

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