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Dermal Fillers

Dermal Fillers

Dermal fillers, or facial injectables, are an excellent treatment option to eliminate facial lines and wrinkles, as they are administered under topical anesthesia with no downtime. Dermal fillers are designed to fill in facial depressions, such as subtle lines and wrinkles, and restore facial volume that uncontrollably diminishes with age.

As we age, our skin becomes thinner and less hydrated, losing elasticity. This leads to unwanted fine lines, wrinkles and deep skin folds. We often see the appearance of lines around the lips and eyes. Hyaluronic fillers such as Restylane®, Juvéderm®, Belotero® and hydroxyapatite fillers such as Radiesse® are naturally occurring substances that are used to smooth out lines and folds, plump or add volume to the skin and give the face a more refreshed, youthful appearance.

Our elite team of doctors performs non-surgical wrinkle and line fillers in-office. Filler is gently injected into the treated area with a very fine needle. Minimal, if any, discomfort is experienced. In some cases, mild bruising and swelling occurs and tends to subside within one to two days. Cosmetic products, such as makeup, may be used to conceal any redness. There is no downtime, and patients may return to work or social activities on the same day as treatment. Results are immediately visible and may last from several months to several years, depending on the product used.

Our physicians are expertly trained, board-certified facial plastic surgeons with extensive experience with soft tissue dermal fillers. Your surgeon will help you choose the appropriate dermal filler for your personalized needs.


Radiesse® is composed of calcium-based microspheres suspended in a water-based gel. Calcium is a naturally occurring mineral found in our bones, so the risks of an allergic reaction, or similar adverse side effects, is minimal. The body slowly absorbs the mineral over several months from the site of injection. In addition to filling in facial lines and wrinkles, Radiesse® stimulates the body’s natural collagen production. Collagen is an essential structure in the skin but the body slows down production with age.

Radiesse® is most commonly used to treat smile lines around the outer portion of the lips, marionette lines that extend from the corners of the mouth and the area on either side of the chin. It may also be used to restore volume in the cheeks and face, in particular the temple region.

Radiesse® results are immediately visible and may last up to two years. In some cases, repeat injections are recommended for maintenance.


Restylane® is a hyaluronic acid-based soft tissue dermal filler. It restores volume and fills in facial depressions, including scars, on the face. Hyaluronic acid is a naturally occurring substance found in the soft tissue of our bodies. Thus, the risk of an allergic reaction for patients is greatly minimized.

Restylane® is commonly used to plump the lips, eyebrows and other areas of the face. It is an excellent treatment for facial volume restoration and fills in lines or depressions of the face. Restylane® results are visible within one week and may last up to six months.


Like Restylane®, Juvéderm® is also a hyaluronic acid-based dermal filler. Juvéderm® comes in several different formulas, including Juvéderm® Ultra and Juvéderm® Ultra Plus, which vary in strength for treatment of mild, moderate and severe facial wrinkles. Juvéderm® delivers the best results when it is used to treat nasolabial folds, smile lines and vertical lip lines.

Juvéderm® results are visible immediately. How long the results last depends on the formula used and varies with each individual.


Belotero® is the newest FDA-approved hyaluronic acid-based dermal filler for the treatment of superficial lines and moderate to severe wrinkles on the face. Belotero® differs in its properties from other hyaluronic acid fillers by the way the molecules are cross-linked. Belotero® is thinner and more lightweight than its counterparts. It has natural properties that allow it to be injected more superficially. Thus, it is ideal for fine lines of the face, specifically vertical lip lines and the fine lines around the eyes.

As with any dermal filler, possible side effects include mild irritation, swelling, itching, redness or bruising at the injection site. Other more serious side effects such as anaphylaxis, accidental injection into a blood vessel or tissue necrosis are rare and should be discussed with your doctor. If you are using substances that reduce coagulation, such as aspirin, ibuprofen, warfarin, fish oil, vitamin E and other herbal vitamins, you should discontinue use at least one week before injections to decrease the risk of bruising.

Related to Dermal Fillers

Keck Medicine of USC
Univeristy of Southern California
Keck Medicine of USC
Keck Medicine of USC
Keck Medicine of USC is the University of Southern California’s medical enterprise, one of only two university-owned academic medical centers in the Los Angeles area.