Injectable fillers can often be a great option for women and men seeking non-surgical alternatives to procedures such as facelift surgery or a brow lift. These minimally invasive treatment options can easily enhance your facial appearance, yet still allow you to look like yourself. Dermal fillers work by filling in and smoothing out wrinkles and folds such as nasolabial folds (the parentheses creases along the side of your nose and mouth), marionette lines, and other facial creases. There are several new techniques available today using fillers to lift the brow, lift the corners of the mouth, rejuvenate the hands, smooth scars, or even provide a so-called “liquid facelift.” At M Spa, we will work with you to develop a treatment plan to target specific areas that bother you. Some of these options may include JUVÉDERM, JUVÉDERM VOLUMA®, JUVÉDERM VOLLURE®, JUVÉDERM VOLBELLA®, BELOTERO® BALANCE, RADIESSE®, Revance®, and Sculptra® Aesthetic.

What are the Different Types of Dermal Fillers?

Cosmetic fillers come in a variety of categories and each formulation has its own unique benefits and purposes of rejuvenation. Whether your goals include softening the appearance of wrinkles or augmenting facial features that lack volume, the effects of dermal fillers often overlap to address a broad spectrum of concerns.

Hyaluronic Acid (HA)

Hyaluronic acid-based fillers are among the most commonly used dermal fillers on the market. As a protein produced naturally in the body, hyaluronic acid is a firm, flexible substance that supports the skin’s collagen layer. It is widely favored as a filler by plastic surgeons around the world for its smooth composition and low likelihood of causing an allergic reaction. Offering multi-dimensional enhancement, HA has the ability to smooth lines and wrinkles, replace lost volume, and provide subtle augmentation to the lips, cheeks, and poorly defined facial contours. HA injectables are utilized aesthetically in the form of products like the JUVÉDERM collection—including VOLLURE, VOLUMA®, and VOLBELLA®—to rejuvenate an aging facial appearance, plump up the hands, and add volume to the temples, among other uses.

Poly-L-Lactic Acid

Fillers made of poly-L-lactic acid (PLLA) are known as bio-stimulatory, meaning they work to stimulate your body’s natural collagen production. Poly-L-lactic acid is often used as an injectable filler due to its ability to increase cell turnover and remodel the skin’s supportive collagen structure. Cosmetically, poly-L-lactic acid is injected in the form of Sculptra® or Sculptra® Aesthetic. This treatment is designed to reverse the effects of thinning facial fat and volume, allowing long-lasting results that appear gradually over time.

What are My Dermal Filler Options?


JUVÉDERM encompasses a family of dermal fillers that all consist of hyaluronic acid. In the human body, natural hyaluronic acid provides volume and fullness to the skin and these dermal fillers have been modified slightly to last longer than the body’s own natural production. As discussed previously, these products do not contain animal proteins. This limits any risk of animal-based disease transmission or allergic reaction and, therefore, no skin test is required prior to treatment.


JUVÉDERM VOLUMA XC is currently the only injectable filler of its kind to have received FDA approval for volume enhancement in the cheeks and midface for patients 21 and older. Composed of a hyaluronic acid-based solution, this revolutionary treatment is intended to correct age-related volume loss and restore a more youthful-looking fullness to the midfacial region. Additionally, it can often help smooth moderate lines and wrinkles in the targeted treatment area.

JUVÉDERM VOLUMA XC does not require allergy testing prior to injection, and a local anesthetic contained within the filler’s solution can help diminish any discomfort that may potentially be experienced during treatment. Once injected, the filler’s volumizing effects generally appear immediately, and results have been clinically proven to last up to two years in many instances.


Non-surgical lip enhancement can be achieved with JUVÉDERM VOLBELLA® XC, a filler that is tailored to add strategic amounts of volume to thin or undefined lips. If you wish to achieve a softer pout, or if you would like to smooth vertical lip lines, JUVÉDERM VOLBELLA® XC offers effective results that can last up to one year.


Specially designed to target wrinkles and facial folds, JUVÉDERM VOLLURE XC can smooth creases like marionette lines, nasolabial folds (parentheses wrinkles), and other fine lines around the nose and mouth. This smooth-consistency gel can provide a softer expression in areas affected by pronounced wrinkling by lifting the skin and adding natural-looking volume. Results can appear subtle, yet noticeable, and have been proven to last up to 18 months.


As another injectable used to treat the lips, JUVÉDERM® Ultra XC can plump areas that lack volume or simply add fullness to thin lips. The natural-looking augmentation provided by JUVÉDERM® Ultra XC can offer long-lasting results, and most patients report continued satisfaction as long as one year after their initial treatment.

Sculptra® Aesthetic

Sculptra® Aesthetic is an injectable dermal filler made of poly-L-lactic acid that is primarily used to restore lost volume in the face associated with the natural aging process. Sculptra® Aesthetic works by gradually increasing the thickness of the skin, resulting in the filling in and correction of facial wrinkles and folds. The effects of the treatment are noticed gradually over time, and many of our patients will receive a series of injections over the course of a few months to achieve optimal results. Clinical studies have shown that Sculptra® Aesthetic results can last up to two years, which is significantly longer than other types of dermal fillers available today.


BELOTERO® BALANCE can be ideal for smoothing etched-in wrinkles around the nose and mouth, such as “smoker’s lines” and nasolabial folds. This filler stands out from other injectables because the gel is flexible enough to integrate into the skin tissue rather than simply sit atop the dermis. As a result, BELOTERO® BALANCE moves naturally with one’s facial expressions, allowing patients to reduce wrinkles without sacrificing a natural look. Results are often visible almost immediately, and the outcome can last six months or longer.


Unlike other types of injectables, RADIESSE® is a collagen stimulator as well as a volume enhancer. This filler option is made of calcium microspheres suspended in an aqueous gel carrier, which are gradually absorbed by the body over time. The result can be noticeable rejuvenation in the face or hands, depending on where you experience signs of aging. RADIESSE® can typically restore youthful volume in the area(s) of injection for up to one year, and results are often visible right away.


The fillers by Revance® Aesthetics are specially designed to correct expression lines and other dynamic wrinkles, such as nasolabial folds. Also known as “RHA® fillers” — short for Resilient Hyaluronic Acid — these injectables are designed to mimic the natural hyaluronic acid in your skin as closely as possible. This can produce a very natural-looking and refined rejuvenation in the area(s) of injection. The products in the RHA® collection are the first and only fillers FDA-approved to treat dynamic wrinkles and facial folds.

How are Dermal Filler Injections Performed?

All dermal filler treatments are performed by our certified aesthetic nurse injectors and take place at M Spa, our state-of-the-art medi spa. During treatment, small amounts of the chosen dermal filler will be meticulously injected into your areas of concern, allowing a noticeable improvement while still maintaining the natural character of your face. While some fillers can produce immediate results, the outcome of others may appear over time. A topical anesthetic can be applied to the targeted regions before injection to allow a more comfortable treatment experience, although certain products—such as JUVÉDERM VOLUMA XC—already include a numbing agent in the formulation. Depending on the extent of your aesthetic goals, the whole process typically takes less than 30 minutes. There is usually no downtime associated with injectable treatment and you may return to your normal routine right away.

Dermal Fillers vs. BOTOX® Cosmetic

While both act as highly effective treatments to reduce signs of facial aging, fillers and BOTOX® Cosmetic are designed to address different concerns. Dermal fillers are injected to add volume to the face, thereby filling in creases, smoothing facial folds, and plumping features that may lack fullness. Typically made of substances like hyaluronic acid and/or a collagen stimulator, fillers can enhance the lips, cheeks, temples, hands, and other features that look thin or sunken.

BOTOX® Cosmetic, on the other hand, is a neuromodulator that temporarily prevents the overuse of facial muscles. This relaxes overactive facial muscles and, in turn, softens wrinkles that develop due to facial expressions, such as frown lines and brow creases. Just as BOTOX® Cosmetic cannot add volume to the face, dermal fillers are not usually capable of erasing frown lines and other fine wrinkles — the exception is Revance® injectables, which are the only fillers FDA-approved to treat dynamic wrinkles around the mouth.

How Long Do Dermal Fillers Last?

The lifespan of the results achieved from dermal fillers depends on which product was utilized and the area(s) of concern. The outcome of Sculptra Aesthetic® typically outlasts those of other fillers due to its ability to remodel the collagen framework, often providing results that are still evident after two years. JUVÉDERM, Restylane®, and Perlane® fillers can offer improvement that lasts anywhere from 6 to 18 months. Your aesthetic nurse injector will fully inform you of what to expect with regard to the longevity of your results at the time of treatment. If necessary, we are happy to perform touch-up injections to help you preserve the aesthetic achieved.

How Much Do Dermal Fillers Cost?

Dermal fillers are generally priced according to the number of syringes used and the total cost will vary from patient to patient. A number of details unique to your treatment plan will inform your cost estimate, including:

  • The type of dermal filler
  • The amount of product used
  • The number of treatment sites

Although no minimally invasive treatment can exactly mirror the results of cosmetic surgery, fillers can be an excellent option for patients seeking a more economical solution to their aesthetic concerns than a surgical procedure. A member of our team will be able to provide you with a personalized quote of treatment once you visit our practice. At M Spa, we accept plastic surgery financing plans from an array of trusted healthcare lending companies, including CareCredit®, Prosper® Healthcare Lending, and Alphaeon Credit. Simply complete the easy application process and, once approved, you will be able to select from a variety of low- to no-interest payment plans to find the most ideal option for your budgetary concerns.

Are Dermal Fillers Safe?

Yes, dermal filler injections are considered a very safe and predictable cosmetic treatment when patients are under the care of a qualified provider. The science of facial fillers has been heavily explored in academic research and clinical trials, which both support dermal fillers’ effectiveness in rejuvenating the face and restoring lost facial volume. The key to protecting your health and appearance during treatment is to ensure you’re under the care of someone who is well-equipped to achieve your goals safely and accurately. At our physician-led medical spa, our experienced injectors take every measure to confirm that you are a good candidate for treatment and can benefit from a given dermal filler. With a board-certified plastic surgeon available on-site in the extremely rare event of complications, patients at M Spa can feel confident that they’re receiving the safest, highest quality of treatment.

For more information about our injectable dermal fillers, or if you would like to schedule a consultation at our office, please contact us today.

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