Dermal Fillers

As you age, your skin--particularly on the face--changes; laugh lines or other wrinkles can form, and your lips can also thin. Over time, this can cause you to look increasingly tired and older than you really are. Dermal fillers, also called soft tissue fillers, can smooth laugh lines, correct tear troughs, or plump up lips and cheeks to make you look more youthful and vibrant.

These FDA-approved products can be made of hyaluronic acid, calcium hydroxylapatite, poly-L-lactic acid, or the patient's own cells. Non-surgical dermal fillers are minimally invasive and, depending on the filler, can last up to 18 months. To schedule a consultation to discuss dermal fillers with the experts at Asim Medical in Orlando, FL, call (407) 692-1965 or contact us.

Types of Dermal Fillers

A wide variety of dermal filler treatments are available. Many dermal fillers are specialized for particular areas of the face, such as the lips or cheeks, and they may use any of several ingredients.

Juvederm Volbella, Voluma, and Vollure

Juvederm has created three injectable dermal fillers made from hyaluronic acid, a sugar that naturally occurs in the body. The key to differentiating between the three fillers involves understanding both the unique properties of each gel, and knowing which gel is ideal for a given cosmetic procedure.

  • Volbella gel is the most thin and spreadable of Juvederm's dermal filler gels, lasting for about a year. This gel is able to make your lips feel soft, easily able to spread and fill fine lip lines, and smooth the delicate areas under the eyes.
  • Vollure is not as thick as Voluma, but thicker than Volbella. It is excellent for smoothing the nasolabial folds (commonly called laugh lines or smile lines), and may last a year and a half.
  • Voluma is a thicker and stronger gel that's perfect for adding volume to the cheeks, and may last for about two years.


Radiesse is a dermal filler used to treat moderate to severe wrinkles and folds. It is made of tiny calcium hydroxylapatite spheres suspended in a water-based gel, and can also be mixed with lidocaine. Once injected, the spheres provide volume, but also stimulate the body to produce more of its own collagen. The spheres are absorbed over time, leaving behind only natural collagen. Results of Radiesse usually last between 9 and 15 months.


Sculptra dermal filler injections contain a synthetic substance called poly-L-lactic acid, which stimulates the body's natural production of collagen. It is used to treat nasolabial folds and other wrinkles, and usually lasts for about 2 years.

Restylane Refyne, Defyne, Lyft, and Silk

Restylane offers four hyaluronic acid dermal filler gels. All are made with lidocaine to make injections more comfortable, and are FDA approved for patients over the age of 21.

  • Refyne is used to treat moderate to severe facial wrinkles and folds, specifically nasolabial folds (laugh lines) and marionette lines. It ordinarily lasts about 12 months, but can last up to 2 years.
  • Defyne is a slightly firmer gel than Refyne that treats deep nasolabial and marionette lines. It ordinarily lasts about 12 months, but can last up to 18 months.
  • Lyft is designed to treat moderate to severe facials folds and wrinkles, and to correct age-related midface contour deficiencies. It is the only FDA-approved facial filler that restores fullness to the cheeks and midface areas. It ordinarily lasts about 12 months, but can last up to 18 months.
  • Silk is primarily a lip filler, but it can also treat wrinkles around the mouth. It can last anywhere between 6 months to a year.


Compared to other fillers, LaViv is unique in that it is made from the patient's own fibroblast cells, which produce collagen and elastin, two proteins that contribute to skin health. During the LaViv process, a skin sample is taken from the patient, sent to a lab, and cultivated into millions of fibroblasts. Three months after the skin sample is taken, the new fibroblasts are injected into the area to be treated. The results can last between 6 months and a year.

Dermal Filler Procedure

To begin your treatment, your specialist will ask you what your desired results are, as to determine how much of the gel you will need. With any dermal filler, your healthcare specialist will begin by cleaning the injection site, unless you are receiving a filler that contains lidocaine, a topical anesthetic will also be applied to numb the area and prevent discomfort.

Most dermal filler procedures last between 15 minutes and an hour, depending on how many injections you need. Depending on the treatment you are receiving, you may need to make multiple visits to your healthcare provider for injections.

Dermal Filler Results

Depending on the treatment, results of the dermal filler injections may be seen right away or up to a month later. Dermal fillers can smooth wrinkles and folds, add volume to the cheeks or lips, and make the face look more healthy and youthful. Most dermal fillers require no downtime, but strenuous exercise and sun exposure should be avoided for 24 hours after the injections. Some fillers last for 9 months, but others can last for up to 2 years.

Request Your Appointment Today

While wrinkles and thinning lips are a normal part of the aging process, there is no reason for you to look older than you feel. With dermal filler injections, you can return your face to a younger and smoother look. To schedule your first appointment at Asim Medical in Orlando, FL, call (407) 692-1965 or contact us.

Frequently Asked Questions

How Long Do Dermal Fillers Last?

The results of dermal fillers depend on the treatment used. Some fillers last for 6 months, but others can last for up to 2 years.

Are Dermal Fillers Safe?

Hyaluronic acid, poly-L-lactic acid, calcium hydroxylapatite, and autologous (derived from the patient) fibroblasts have all been approved by the FDA for use as dermal fillers.

Are Dermal Fillers Permanent?

Dermal fillers are temporary, but fairly long-lasting. Some last 6 months, while others can last up to 2 years.

What Are Dermal Fillers Made Of?

Though it depends on the dermal filler, a common ingredient is hyaluronic acid, which is used in the Restylane and Juvederm series. Other dermal fillers are made of poly-L-lactic acid (Sculptra) or calcium hydroxylapatite (Radiesse), and one filler, LaViv, is made of the patient's own cells.

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