What are Fillers?

Fillers are injectable treatments that help diminish the signs of aging. Fillers are composed of soft, gel-like substances that can either be synthetic or naturally occur in nature. They may also sometimes be referred to as soft tissue fillers, dermal fillers, wrinkle fillers, lip and facial fillers.

They work by smoothing the appearance of fine lines and wrinkles, plumping up the skin and restoring volume and fullness to the face.

What are the Uses of Fillers?

Fillers are used primarily to treat signs of aging. Typical uses of dermal fillers include:

  • Adding volume to your lips and areas of the face
  • Lifting of your cheekbones
  • Smoothing and filling out under-eye circles
  • Decreasing fine lines
  • Rejuvenation of the skin on the tops of your hands

What are the Different Types of Fillers?

Fillers can be temporary (absorbable) or permanent (non-absorbable).

Absorbable Materials:

  • Hyaluronic Acid (HA) is a naturally occurring substance in the body found in areas such as skin tissue, cartilage, and joint fluid.
  • Calcium hydroxylapatite is a naturally occurring mineral-like compound found typically in bone.
  • Poly-L-lactic acid (PLLA) is a synthetic, biodegradable substance. When injected into the skin, it causes your body to produce collagen.

Non-absorbable Materials:

  • Polymethylmethacrylate (PMMA) beads are currently the only FDA-approved dermal filler that is permanent and non-absorbable in nature. When used in fillers, the PMMA beads are contained in a gel-like substance and mixed with bovine (cow) collagen.

What to Expect During Your Appointment for Fillers

Before getting any treatment, you should have a consultation appointment with a qualified healthcare professional. During the appointment, your provider will review your medical history, medication list, and past treatments. Be prepared to discuss your treatment goals. Your provider will discuss treatment options, possible risks and side effects, and also the expected results.

Before starting the procedure, your provider may take photos of the treatment area and mark the site of injections. Your skin will be thoroughly cleansed before the injectables can be given. Depending on your treatment area, you may also be given a numbing cream, local injection of an anesthetic, or ice to help ease any discomfort or pain from the procedure. It's not uncommon for your dermatologist to inject the filler into multiple areas to produce the best, most natural-looking results. The process can take anywhere between 15 minutes to an hour.

For most patients, there is minimal to no downtime after receiving fillers. You most likely will be able to resume your daily activities after leaving the clinic. However, your dermatologist will ask you to avoid any strenuous activity and exercise for at least a day or two after your session.

Risks and Possible Side Effects

Like any other procedure, there are side effects and risks associated with filler injections.

Risks include

  • Redness
  • Swelling
  • Bruising
  • Nodule or lump
  • Asymmetry
  • Tenderness or Pain
  • Itching
  • Rash
  • Damage to the skin that results in a wound and possible scar
  • Infection at the injection site

Very rarely, injectable fillers can be accidentally injected into your blood vessels causing blockage of blood flow. When blood flow is interrupted, it can lead to skin damage and potentially even blindness.

To decrease the risk of complications arising from filler injections, it is important to select a qualified injector such as a board-certified dermatologist or plastic surgeon.

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Serving Patients in and around Palm Beach County

Palm Beach Dermatology has been serving patients in and around Palm Beach County for over twenty years, we are a full-service dermatology and dermatological surgery practice with special emphasis on the diagnosis and treatment of skin cancer. All physicians in our group are Board Certified by The American Board of Dermatology and are Fellows of the American Academy of Dermatology. We invite you to visit us at Palm Beach Dermatology to find out why you can trust our skin care team.

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  • "Dr. Muhart is truly a very caring and professional doctor. I have referred many friends, family members and co-workers to her office knowing they will get great care."
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  • "Dr. Lifshitz has an incredibly gentle bedside manner. He diagnoses issues with ease and offers possible ways to address them so the patient can make the best decision for him or herself. I know I am in great hands with Dr. Lifshitz."
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  • "Dr. Kowalczyk and his staff are awesome! The office staff is both efficient and friendly. His exam is thorough. I will definitely be back!"
    Jenna J.
  • "As a longtime skin cancer patient I’m impressed with Dr. Kelley’s professionalism and follow-ups. She and her staff are all about results and patient satisfaction. Quite different from the other “Mohs Mills”!"
    Woody B.
  • "Dr. Fayne saw my daughter for her acne. He was great with her and explained everything so she could understand. We love the office staff too!"
    Kristen B.
  • "I have been seeing Dr. DiBacco going on 10 years. Truly, a great dermatologist. He cares and is very personable. He is detailed with his assessments and treatments. What more could you ask for except a great personality? Oh, and he has that too!"
    Alex M.
  • "Dr. Cohen makes you feel like part of his family. He is very thorough in his exams and keeps you informed during your dermatological office visits and any telephone follow-ups."
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