Skin and Beauty

Dermal Fillers - a Revolutionized Treatment for Aging Face

Written by Dr. Suvash Sahu and medically reviewed by iCliniq medical review team.

Image: Dermal Fillers - a Revolutionized Treatment for Aging Face


Dermal filler is a natural or synthetic collagen injected in the deeper layer of skin (dermis) for the augmentation of soft tissues. Dermal fillers are used very frequently for wrinkles, scars and creases due to aging. Various substances used as dermal fillers are collagen, fat, silicon, etc.

For better efficacy and good cosmetic results, dermal filler should be safe, effective, non-carcinogenic, non-teratogenic, inert and durable.

Classification of Dermal Fillers

Dermal fillers can be classified based on the following:

  1. Origin - natural or synthetic.
  2. Source - autograft or allograft or heterograft.
  3. Content - collagen or fat or hyaluronic acid or silicon or peptides.
  4. Duration of effect - temporary or permanent.

Indications of Dermal Fillers

  • Depressed scars, post surgical or traumatic scars or scars resulting from acne.
  • Wrinkles and creases caused by facial expression and aging.
  • Dermal atrophy or thinning of the skin caused by injection of steroids or diseases like morphea (painless discolored skin patch - rare disease).
  • Angular cheilitis.
  • Enhancement of facial contour and lip augmentation.

Dermal filler has to be avoided in individuals with autoimmune diseases, with a history of allergy to any of the components of fillers, with history of severe anaphylactic episode in the past, active local skin diseases like acne and keloid tendency.

Derma Filler Procedure

First of all, the doctor will anesthetize the affected area, which will be achieved by EMLA cream (topical anesthesia) around 1 or 2 hours prior to the procedure. Then, injection available as prefilled syringe will be injected in the deeper layer of the skin (superficial dermis) by different techniques like single puncture and pull out the needle slowly inside the skin, which is known as linear threading technique or inject by serial puncture or fan techniques. If required, the doctor will uniformly spread the implant material by gentle manipulation.

Adverse reactions that may occur following dermal filler injection are bruising, secondary bacterial infection, cyst or abscess formation, reactivation of herpes infection and local tissue necrosis.

Advantages of Dermal Fillers

It is an easy procedure, which shows immediate results. No recovery time is required with minimal risk. Also, no post procedure care is required.

Disadvantages of Dermal Fillers

  • It is expensive and needs repetition of about once a year.
  • The adverse reactions, though uncommon, may occur.
  • After the procedure, an induration of the treatment site may present for 3 to 14 days.

To know more about dermal fillers consult a cosmetologist online -->

Last reviewed at: 07.Sep.2018



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