What are Fillers?

“Beautiful young people are accidents of nature, but beautiful old people are works of art”
– Eleanor Roosevelt

As we age or lose weight, our faces lose volume, both fat and muscle. Our cheeks become less plump, and as they deflate, the skin falls and looks saggy, causing deep folds from your nose to your mouth (nasolabial folds) and mouth to chin (marionette lines) and jowls.  Loss of fat under the eyes causes shadows that make us look chronically tired. 

You get the idea!

Aging and gravity may be unavoidable but dermal fillers offer a strategy that works against these relentless forces of nature. Surgery used to be the only option for skin laxity, but dermal fillers provide safe non-surgical treatments that will volumize, lift and tighten sagging skin in the face and jaw.

Fillers can also be used to enhance or change certain facial features.  For example – a weak chin; small cheekbones; a bumpy nose; asymmetrical, ill-proportioned or small lips; a masculine or feminine jaw.  Just about everyone has some part of their face they would like to change. Both men and women deal with this issue.

Unbelievable, we know! 

Results from dermal fillers are immediate and then continue to improve over the next couple of weeks.  Fillers injected correctly by an experienced injector will look completely natural. Your friends and family will notice that you look refreshed and rejuvenated, but they will not be able to pinpoint the change or know that you have had fillers.

Fillers last varying amounts of time depending on the filler and the area injected.  For example, hyaluronic acid fillers can last 8 months in the lips, but 5 years in the tear troughs (shadows under the eyes).  Sculptra lasts on average 2 to 3 years, and Bellafill lasts forever! 

Restylane®, Juvederm®, Belotero®, Revanesse®

Hyaluronic Acid fillers are a popular choice for as they provide great uplifting results that can last from 6 months to years.  Hyaluronic Acid fillers are safer because since they are reversable if injected into the wrong area.

Hyaluronic acid fillers are a family of products comprised of the same sugar compounds found in human skin cells. This minimizes any reaction to the product as it gradually reabsorbs into your body’s tissues. 


Sculptra is a unique filler and is made of Poly-L-lactic acid.  It works by progressively restoring collagen. Unlike Hyaluronic Acid fillers, the results are gradual and subtle, often taking several weeks to evolve. The final result is a fuller, smoother, younger and natural-looking face with less pronounced lines, creases, wrinkles and folds. Results are longer lasting than hyaluronic acid fillers, typically 2+ years.

On average, 3 to 5 injection sessions are needed over a period of a few months. Each session builds on the last to produce a natural-looking appearance that doesn’t look like you’ve had work done. 


Bellafill is a permanent filler that is injected just like temporary fillers and provides an instant result, that improves over time.

Its uniform 30 to 50 micron polymethyl methacrylate (PMMA) microspheres are suspended within a base of smooth collagen gel. Once injected, it immediately adds volume below wrinkles or atrophic acne scars to lift them to the level of surrounding skin. As the body metabolizes the smooth collagen gel, it leaves behind the PMMA microspheres that form a scaffold to support the production of endogenous collagen to maintain volume and natural looking results long term.

Bellafill is permanent, it can be removed only by surgery, therefore a skilled and experienced injector is crucial. It should be used conservatively and should not be injected into areas of the face that are risky.

For more answers to our Injections check out our Frequently Asked Questions.

Let Dr. Marcia Hartt introduce you to the exciting treatment options that will take years off your appearance yet look so natural it will be hard for anyone to say exactly what’s different. Now that’s a strategy worth taking advantage of.   Call us today to book a free consultation!

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