Sunday, January 30, 2011

Which Dermal Filler is Best For Me?

Which Dermal Filler is Best for Me?

"Which dermal filler is best for me?" is a common question asked by patients who are interested in non-surgical facial rejuvenation. So what are the best dermal fillers? Which give the best and most natural results? Which last the longest? Which one should you choose? These are just some of the questions that one should ask your plastic surgeon.  

Which dermal filler last the longest?
  • Radiesse has been shown to be the dermal filler that last the longest (typically1 to 2 years).

Which dermal filler has the most natural looking?
  • These dermal fillers produce a natural look after injection and reduce the fine lines or unwanted creases.
  • After a dermal filler injection, one may be able to feel the filler after the procedure for several weeks.  Although you may not see it, but you may feel the filler with your fingers.  
  • Juvederm is reportedly has the smoothest feel.
Which dermal filler has the least bruising and least pain?
  • The smoothest material to inject is Juvederm, and thus the least painful
  • Radiesse is somewhat more painful when injected since the material requires a larger needle, and the injection technique is a little bit more traumatic 
So which dermal filler is the right one for you?
  • If you desire the longest correction possible with an FDA-approved filler, and if you don't mind more bruising with each procedure, then Radiesse may be a better choice since you will have to do the procedure less often.
    • If you are new to fillers, desires less downtime, less bruising and less pain with the procedure, then a hyaluronic acid derivative (Restylane or Juvederm) may be a better choice.
    Are there any other dermal fillers?
    • Sculptra is another dermal filler made of poly-L-lactic acid that is FDA-approved for the use of facial lipodystrophy (facial fat loss) in HIV patients.
    • There are other dermal fillers, such as Cosmoplast & Cosmoderm (collagen dermal fillers), that are no longer available in the US.

    I recommend consulting one of your Woodlands Plastic Surgeons regarding which dermal filler would be best for your individual needs.

    Emmanuel De La Cruz M.D.


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