Deciding which filler to use these days has become more complicated. We have many more FDA approved fillers now on the market, and experienced doctors must decide what works best for each individual patient.
Several factors come into play when deciding which filler to use.
- Where do you need filler? Some fillers are thick and long lasting and they provide good lift; these are often used to highlight cheekbones and pull up the face. Some are thin and shorter acting: these are useful for filling fine lines. Some are honey-like in consistency: these can be useful for filling the tear troughs or chin hollows.
- How deep are your lines and/or hollows and how much movement does that area of the face have? This depends often on your age, how much sun exposure you have had, and if you smoke.
- Your age and budget are always important factors to consider when making the decision about which filler to use.
The best way to make this decision is to consult an experienced and trained cosmetic doctor who can guide you through the process and inject your filler safely. Looking natural is important to almost everyone, and knowing how to inject is critical to having a natural result.
Here is a list of the fillers I commonly use in my practice, and what areas of the face where I generally use them.
- Juvéderm ultra plus: Lips and chin hollows
- Volbella: lips, fine lines around the lips, tear troughs
- Vollure: chin hollows, tear troughs, temples, hands (lasts 2 years)
- Voluma: cheeks and cheekbones (lasts 2 years)
- Restylane: tear troughs
- Belotero: fine lines around the lips
- Bellafill: cheeks, temples, acne scar (lasts 5 years)
- Radiesse: cheekbones, cheeks, hands