What are the best types of dermal fillers?

There are several different types of Dermal Fillers and choosing the right type for you will depend on your desired results.

A first general differentiation is between temporary (or resorbable) fillers – the vast majority of fillers used in the UK – and permanent/semi-permanent dermal fillers (or non-resorbable), used less commonly.

Temporary fillers will last approximately 6 to 9 months and are considered to be very safe, as the produce will gradually be absorbed by the body over a period of time, which lowers the possibility of long term side effects significantly.  There are different types of temporary fillers, which can be categorised based on their main component. The most common include:

  • Hyaluronic acid fillers

    Hyaluronic acid fillers are the most popular category of dermal fillers and come in different brand names, such as Juvederm and Restylane, with slight differences and varying results. As their main active ingredient, hyaluronic acid, is a natural substance in the human body, these fillers are highly safe and side effects are very rare.

    Different types of Hyaluronic acid fillers present diverse levels of thickness offering flexible solutions to treat different areas and skin conditions: thinner fillers are typically more suitable for the treatment of wrinkles and fine lines and for lip enhancement; thicker fillers are more suitable to treat deep wrinkles and loss of volume.

  • Calcium Hydroxylapatite fillers

    Calcium Hydroxylapatite is a substance found naturally in human bones and is the main element of brand products such as Radiesse. Dermal fillers based on Calcium Hydroxylapatite have longer lasting effects and are commonly used for facial sculpting, typically to treat deep lines and creases such as nasolabial folds and to enhance the volume of the cheeks and other facial contours. Calcium Hydroxylapatite is normally not applied to the lips.

  • Collagen Simulators based on Polylactic acid

    Collagen Stimulators – such as Sculptra – are used to add volume and improve skin texture and can be used in particular to treat facial fat loss.

This type of treatment produces more subtle, less immediate results, which will gradually improve over several months. This is thanks to the fact that, once injected, Collagen Stimulators encourage the body to form its own collagen over time.

The main element of collagen stimulators such as Sculptra is poly-l-lactic acid (PLLA), a synthetic material which helps to replace lost collagen.

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