Skip to main content

Dermal Fillers

What is it used for?

Dermal fillers help to diminish facial lines and restore volume and fullness in the face.

As we age, our faces naturally lose subcutaneous fat. The facial muscles are then working closer to the skin surface, so smile lines and crow's feet become more apparent. The facial skin also stretches a bit, adding to this loss of facial volume. Other factors that affect the facial skin include sun exposure, heredity and lifestyle. While dermal fillers are casually known as “wrinkle fillers,” they can do much more than just smooth out wrinkles, although they are excellent at this too! Here are a few of the common issues dermal fillers can help address: Smooth out lines around the nose and mouth (a.k.a. marionette lines, smile lines, and parentheses), Enhance & restore volume to sunken cheeks or temples, Diminish vertical lip lines, Plump & enhance the lips,Smooth out a chin crease, Improve symmetry among facial features.

How long does it last for?

How long the effects of dermal fillers will last depends on the product, the area of treatment, and the patient. Generally speaking, the denser the product is and the more deeply it is injected, the longer it will last, although this is not a hard and fast rule. To maintain your results, your cosmetic surgeon will simply repeat treatment, adjusting the amount and techniques as necessary to ensure optimal results. Hyaluronic acid fillers tend to be the most temporary option, and therefore are often recommended for first-time filler patients. These will typically last from 6 to 18 months. Injections to the lips will wear out a little faster than those to the nasolabial folds. Certain HA fillers, such as VOLUMA, are formulated to last longer, but are usually limited to certain areas, such as the cheeks. Synthetic fillers tend to last longer, as they are not absorbed by the body. They can be a great option for the right patient, but you’ll want to be ready to commit to results that will be there for several years—and choose an experienced, qualified provider whose aesthetic style you like.

What are the different injectables?

Polymethylmethacrylate (PMMA)
Polymethylmethacrylate (PMMA) is a synthetic, biocompatible substance that has been used in medicine for much of the last century. In dermal fillers, PMMA takes the form of a “microsphere” or tiny ball, that remains beneath the skin indefinitely to provide continued support. PMMA fillers will also contain collagen, a naturally occurring substance in the skin that provides structure and firmness. FDA approved PMMA fillers include Bellafill® (formerly known as Artefill).

Poly-L-lactic Acid
Poly-L-lactic acid is a biocompatible (meaning it is safe to use in the body), biodegradable synthetic substance. It has been used for many years in medical devices, such as dissolvable stitches. Poly-L-lactic acid products are technically classified as “collagen stimulators,” as their main mechanism to smooth fine lines is by helping your skin rebuild natural collagen—the filler gel itself dissipates a few days after treatment. Poly-L-lactic acid is typically used to treat deeper facial wrinkles, and results can last more than 2 years. FDA approved Poly-L-lactic acid fillers include Sculptra® Aesthetic.

Calcium Hydroxylapatite (CaHA)
Calcium hydroxylapatite is also a naturally occurring substance, found primarily in our bones. When used in the filler, the calcium particles are nearly microscopic and suspended in a smooth gel. The consistency of a CaHA filler is typically thicker than that of a hyaluronic acid filler and typically last longer as well, about 12 months for most patients. Calcium hydroxylapatite is also reported to help stimulate natural collagen production, and it is typically used for deeper lines and wrinkles. FDA approved CaHA fillers include Radiesse®.

Hyaluronic acid is a naturally occurring substance that is already found in your skin. It helps keep skin plump and hydrated. HA fillers are typically soft and gel-like. The results are temporary, lasting 6 to 12 months or longer before the body gradually and naturally absorbs the particles. Most HA fillers are infused with lidocaine to help minimize discomfort during and after treatment. FDA approved HA fillers include:

  • Juvéderm products: Juvéderm XC, VOLUMA, VOLBELLA, VOLLURE
  • Restylane products: Restylane, Restylane Silk, Restylane Lyft, Restylane Refyne, and Restylane Defyne
  • Belotero Balance

What each injectables is used for?

JUVÉDERM Injectable Gel works well for men and women from a variety of ethnic backgrounds. The effects last up to about a year. Wrinkle filler injection treatments are performed in our Southern California offices. Local anesthesia or topical creams are used to numb the treatment area. Very thin needles are used to gently inject the filler beneath the surface of your skin. Results are typically seen immediately, and you can return to your regular activities the next day.

PREVELLE is a biocompatible dermal filler made from hyaluronic acid, a substance that is naturally produced by the body and adds volume to the skin. The benefits, which last about 3 to 4 months, include:

  • Effectively enhances the eye area by smoothing frown lines between the eyes and crow’s feet, around the eyes
  • Restores a youthful look to delicate areas, such as vertical lip lines
  • Corrects smile lines along the sides of the mouth, and marionette lines that run vertically from the corners of the mouth to the chin
  • Treatments are quick, minimally invasive, and virtually painless

RADIESSE initially acts as a dermal filler, adding volume beneath the skin. After about 3 months, the microspheres in RADIESSE act as a framework for new collagen as its production increases. It is long lasting and does not require a skin test because it is made from the same mineral component found in our bones and teeth. By supplementing your skin’s own depleted collagen, RADIESSE is a safe, effective, time-tested, non-surgical wrinkle treatment that provides immediate results. Our Los Angeles and Beverly Hills patients choose these treatments for variety of reasons, including improving:

  • Creases that run from the nose to the corners of the mouth (nasolabial folds)
  • Vertical lip lines (perioral lines)
  • Thin lips
  • Depressed scars
  • Marionette lines (oral commissures)

RADIESSE initially acts as a dermal filler, adding volume beneath the skin. After about 3 months, the microspheres in RADIESSE act as a framework for new collagen as its production increases. It is long lasting and does not require a skin test because it is made from the same mineral component found in our bones and teeth.

By supplementing your skin’s own depleted collagen, RADIESSE is a safe, effective, time-tested, non-surgical wrinkle treatment that provides immediate results. Our Los Angeles and Beverly Hills patients choose these treatments for variety of reasons, including improving:

  • Creases that run from the nose to the corners of the mouth (nasolabial folds)
  • Vertical lip lines (perioral lines)
  • Thin lips
  • Depressed scars
  • Marionette lines (oral commissures)

Sculptra is injectable filler made from a safe, synthetic injectable material known as “poly-L-lactic acid.” This filler is ideal for replacing facial fat loss, which occurs as a natural result of the aging process. It works by increasing collagen production, gradually and significantly increasing skin thickness, especially along the cheeks. Since poly-L-lactic acid is biocompatible (a material that does not harm the body), no skin test is required.

Voluma™ consists of hyaluronic acid which is a substance found naturally within the skin. Voluma™ is injected deep beneath the skin, to offer greater support and structure to the overlying skin. Injecting Voluma™ into these deep layers can create a noticeably smoother appearance to the skin; provide lift and more substantial definition to the facial structure. Voluma is the first and ONLY FDA-approved dermal filler formulated specifically to add volume to the mid-face/cheek area. It provides a subtle, natural enhancement to the mid-face that lasts up to 2 years. Voluma has very low hydrophilic properties, meaning it has a low rate of water absorption. Voluma’s low water absorbing properties are a critical feature to its success because the gel will not expand after injection, allowing for controlled, precise results.

How old do you have to be to get?

In order to receive dermal filler you have to be of legal age of 18 years for legal and safety reasons. Though it is not typically administered to clients of young age, your provider can help you determine the best course of action for your individualized care.

What are the benefits?

With filler injections, men and women have the convenient option to fight the signs of aging on a lunch break and then head back to the office to finish the work day. This noninvasive treatment allows you to get real results without being laid up for days or weeks at a time. You won’t need to cash in vacation hours or sick time; you won’t even need to miss your afternoon meetings. Filler injections may sometimes cause slight swelling barely noticeable to others and only lasting for up to three days. Following your filler injection treatment, you’ll walk out of the clinic on your own and be permitted to drive yourself home, run your errands, pick the kids up from school, or do whatever you need to get done for the day. Simply mark it off your to-do list and move on with the rest of your busy day..

What are the disadvantages?

The decision to use fillers is extremely personal. You will have to decide if the benefits will achieve your goals and if the risks and potential complications of dermal fillers are acceptable.

Your plastic surgeon and/or staff will explain, in detail, any risks. You will be asked to sign consent forms to ensure that you fully understand the procedure, as well as the risks and potential complications. Severe complications from dermal fillers are uncommon. Potential risks vary depending on the specific filler used and the relative permanence of the filler substance and include:

  • Acne-like skin eruptions
  • Asymmetry
  • Bruising, bleeding from the injection site, swelling
  • Damage to the skin that results in a wound and possible scarring
  • Infection at the injection site
  • Lumps
  • Palpability of the filler under the surface of the skin
  • Skin rash with itching
  • Skin redness
  • Under- or over-correction of wrinkles
  • Blindness
  • Skin necrosis (ulceration or loss of skin from disruption of blood flow)

These risks and others will be fully discussed prior to your consent.

It is important that you address all your questions directly with your plastic surgeon. Although good results are expected from your procedure, there is no guarantee that you will be satisfied with your results. Because significant complications can occur from dermal filler injections, it is important to be in the care of a board certified plastic surgeon who understands the risks and is trained and prepared to deal with any complications that may occur.

Who can not have an injectable?

People who should avoid getting fillers are clients who:

  • Patients who have an allergy to ingredients
  • Are pregnant or breastfeeding
  • If you have any viral, fungal or bacterial infection at the injection site

Who can inject patients? Do you have to be a doctor?

At Soma Plastics we have specialized and well trained physician who inject filler to our patients. Our physicians provide specialized care and attention to our patients to help them achieve the desired outcome.

Even though our unique facility has well trained physician to administer fillers , other medical providers can help administer fills as well, for example:

  • Physician Assistant will work under a medical director performing injectables, but may be able to practice independently without a physician being located on-site. The supervising medical director may not be required to provide direct supervision or to be located on-site which can increase the opportunity to practice injectables in a location of your choosing.
  • A Registered Nurse will need to work with a physician in order to practice injectable procedures. The physician is responsible to provide supervision to comply with state laws of medical and nursing practices. These regulations vary from state to state, and where in one state the physician may have to be on-site – another state may require the physician be located within a certain mile radius. In addition, the physician will need to have an account with the pharmaceutical companies in order to get the product.

Before & After Gallery