HomeHealth articlescosmetic procedureDermal Fillers - a Revolutionized Treatment for Aging Face

Dermal Fillers - A Revolutionized Treatment for Aging Face

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Dermal Fillers - A Revolutionized Treatment for Aging Face

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In this article, I have discussed the use of dermal fillers and the excellent results given by dermal fillers in correcting skin cosmetic problems.

Written by

Dr. Suvash Sahu

Medically reviewed by

iCliniq medical review team

Published At January 27, 2017
Reviewed AtJanuary 18, 2024

What Are Dermal Fillers?

Dermal fillers are natural or synthetic collagen injected into 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, silicone, etc.

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

How Are Dermal Fillers Classified?

Dermal fillers can be classified based on the following:

  • Origin - natural or synthetic.

  • Source - autograft or allograft, or heterograft.

  • Content - collagen or fat or hyaluronic acid or silicon or peptides.

  • Duration of effect - temporary or permanent.

What Are the Substances Used in Dermal Fillers?

It is also called soft tissue fillers, which consist of substances that can be injected below the skin's surface to add volume and fullness. The substances that are used in dermal fillers are:

  • Calcium hydroxylapatite - A mineral-like compound found in bones.

  • Hyaluronic acid - A fluid found in the tissues of the body that adds plumpness and glow to the skin.

  • Polyalkylimide - It is a transparent gel that is compatible with the body.

  • Polylactic acid - It stimulates the skin to produce more collagen.

  • Polymethyl-methacrylate microspheres (PMMA) - It is a semi-permanent filler

They are designed to treat cosmetic problems and help with different signs of aging. The time and long-lasting nature of each substance varies because some fillers can last for 6 months, while others can last up to more than 2 years.

So, the people who are planning to undergo this treatment should tell the doctor their individual needs and expectations to obtain the best choice for them.

What Are the Indications of Dermal Fillers?

  • Depressed scars, post-surgical or traumatic scars, or scars resulting from acne.

  • Wrinkles and creases are caused by facial expression and aging.

  • Dermal atrophy or thinning of the skin is caused by the 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 a history of severe anaphylactic episodes in the past, active local skin diseases like acne and keloid tendency.

What Is the Procedure to Use Dermal Fillers?

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 a 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.

What Are the 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.

Dermal fillers are widely used worldwide because of their amazing benefits. They are,

1. Immediate Visible Results:

A filler injection helps with the improvement of the facial contours immediately after the injection. People do not want to wait for the benefits of the treatment as other invasive procedures. When the dermal filler is injected into the area which needs transformation, it immediately gains volume and smooths out the wrinkles in the skin. Also, the filler settles under the skin and adds the full effect in a matter of days. When you need a last-minute boost to the appearance, dermal fillers are the one and only choice.

2. No Recovery Time:

The number of injections you are taking determines the treatment of dermal fillers, where the results could be as quick as 10 minutes. It is like getting a procedure done within the lunch break and getting back to the regular routine because it is a noninvasive procedure that does not require much of your time. It is a non-surgical procedure that does not cause post-operative scarring to deal with. But there might be slight swelling after the injection, but it subsides in a couple of days as the gel starts to settle under the skin.

3. Minimal Involvement of Risk:

Dermal fillers carry minimal risks such as swelling, mild bruising, and redness at the site of injection. These side effects gradually subside over a few days. Also, facial asymmetry can occur where one side of the face appears to be slightly different from the other. But this risk depends on the experienced doctor and skill level of the person performing the procedure.

This procedure is not associated with severe complications, and the outcomes are highly satisfied when the procedure is carried by a board-certified aesthetic practitioner who can understand the risks and complications that may occur.

4. The Long-Lasting Results:

The long-lasting effects of this procedure depend on the,

  • Types of dermal filler used.

  • The area of treatment.

  • The complaint of the patient.

Natural fillers last for 6 to 18 months, and some synthetic fillers last up to several years.

When you are going to experience this procedure for the first time, get a shorter duration option so that you can see the difference, can come to know whether you liked the new look, and can make a decision whether to stick with it or can think about getting injections in different areas during the next visit.

The longer duration option helps when you have settled on the look you prefer.

5. Boosts Confidence:

Dermal fillers improve the way of your appearance in a fine manner. It makes the facial contours sharper and also makes the skin smoother.

What Are the Disadvantages of Dermal Fillers?

It is expensive and needs repetition about once a year. The adverse reactions, though uncommon, may occur. After the procedure, induration of the treatment site may present for 3 to 14 days. Although dermal fillers are considered safe, they can cause some side effects. The most common problems associated are:

  • Skin rash.

  • Itching.

  • Pimple-like eruptions.

  • Redness.

  • Bruising.

  • Bleeding.

  • Swelling.

  • Undesirable appearance.

  • Asymmetry of the face.

  • The appearance of lumps.

  • Overcorrection of wrinkles.

  • Damage to the skin causes infection, wound, or scarring.

  • Feeling the filler substance underneath the skin.

  • Blindness or vision problems.

  • Death of skin cells.

Frequently Asked Questions


Can Fillers Help in Age-Related Issues?

Fillers can delay the formation of wrinkles and lines. They help to restore the lost volume of the face. Fillers usually last for about six to nine months.


Can Dermal Fillers Make the Person Look Younger?

Yes, derma fillers can make a person look younger because injectable fillers temporarily reduce the various sign of aging. They work by making the skin regenerate and rejuvenate. Some fillers are used as anti-aging agents to reduce age.


Are Fillers Good for Treating Deep Wrinkles?

Dermal fillers are injected beneath the skin. They effectively work against deep wrinkles. They often give a drastic change to the person’s face without any surgery.


Is 60 Considered Too Old for Fillers?

Fillers are effective for any age group. They are ideal for older patients who want to look young. Excessive use of fillers can harm the skin of an aged person.


What Age Is Preferred for Using Fillers?

The average age for using injectable fillers is between 40 to 50 years. Many people in their 20s and 30s even opt for fillers. Fillers are usually not recommended for teenagers as they already have activated skin growth cells.


What Happens to the Face When Fillers Are Discontinued?

When the effect of fillers wears off the skin, the treated area returns to its original form. Discontinuation of fillers does not worsen wrinkles. However, discontinuing filler treatment can affect the face, which is habitual of fillers.


Are Dermal Filler Considered Better Than Botox?

Dermal fillers are as effective as botox. Some of the fillers can last longer than botox, depending on the type of filler. Botox requires treatment for maintenance, whereas filler wears off with time.


Where Do Fillers Make the Skin Look Younger?

Fillers are more effective on lips. With age, the lips lose their volume and appear less attractive and thinner. The filler contains a compound known as hyaluronic acid that adds smoothness and volume to the face.


Till What Duration do the Fillers Remain on the Face?

Injectable fillers may last for about twelve months, while new fillers in the market last for about two years. A person can get a filler every three to six months for smoother and better skin. The presence of fillers depends upon the type of face.


How to Plump up Deep Wrinkles?

Deep wrinkles can be plumped by using dermal fillers. They can be made filled with hyaluronic acid. Smoking should be avoided to have better and glowing skin.


What Are Various Side-Effects of Fillers?

Common side-effects of fillers are redness, bruising, swelling, pain, tenderness, rash, and tenderness. Excessive use of fillers can lead to the long-term damage that includes wrinkling of lips and disturbance of attachment. The rare side effect often involves injury to the blood supply.


Does Filler Leads to Skin Sagging?

Excessive use of fillers often leads to skin sagging. Generally, it is not seen in normal cases. Dermal fillers used in appropriate quantities can improve the appearance of sagging skin.


How do Fillers Change the Shape?

Fillers can change the face by filling the decreased facial volume due to facial and aging expressions. They are safe and effective cosmetic treatments that can change the structure and shape of the face.


What Happens to Face After Years of Fillers?

The dermal fillers are not permanent, and their breakdown in the skin is common over time. Excessive use of filler can lead to damage and can cause wrinkles. The fine lines on the face reappear as soon as the filler disappears.


How Painful Can Fillers Be?

Dermal fillers are usually painless; mild discomfort can be felt while injecting the fillers. The region where the filler is applied may swell for a few hours after the procedure but usually is not painful. Mild pain can be experienced by a few people who are intolerant to the pain.
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Dr. Suvash Sahu
Dr. Suvash Sahu



cosmetic procedurefacial contouringagingdermal fillers
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