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Dermal Fillers: What to Know Before You Try

As we age, we lose the subcutaneous fat beneath our skin and causing volume loss. Moreover, our cheeks start to sag, and more lines become apparent around the nose and mouth. Sun exposure and lifestyle can also leave their marks on our faces. This is where dermal fillers can step in and work their magic.



syringe inserted into youthful lower lips


What are dermal fillers?

Dermal fillers are one of the most effective weapons we have against wrinkles on our skin. Just like Botox, dermal fillers act fast against fine lines and wrinkles and require no surgical procedures. However, while Botox is a muscle relaxer made from the botulinum toxin type A that temporarily freezes facial muscles to reduce wrinkles, dermal fillers are an injectable treatment that can replace the lost volume and smooth the wrinkles.


Dermal filler treatments can help with the wrinkles around the nose and mouth to restore a more youthful appearance. Additionally, they can be used to add more volume to your lips, cheeks, and temples, and create a lifting effect. They also target chin creases and can be used to improve the symmetry of facial features.


The consistency of dermal fillers is similar to that of a gel. The FDA has approved four types of dermal fillers named after the substance they are made with:

  • Hyaluronic acid – naturally produced by our skin, it plumps and hydrates the skin; the results last between 6 to 12 months.

  • Calcium hydroxylapatite (CaHA) – naturally found in our bones, guarantees results that last up to 18 months and is mostly used for deep wrinkles.

  • Poly-L-lactic acid – a biodegradable and biocompatible synthetic material, it acts as a collagen stimulator that rebuilds natural collagen to smooth fine lines; the results can last more than 2 years.

  • Polymethylmethacrylate beads – a synthetic and biocompatible substance shaped like a tiny ball that can’t be absorbed by our body; it contains collagen and has permanent results.

What to expect during the dermal filler treatment?

If you have decided to try dermal fillers, you will be happy to know that the treatment is non-surgical and can be done during an office visit. However, even though the treatment doesn’t involve surgery, it should only be performed by an experienced and skilled professional. Here at Georgetown Wellness & Weight Loss Clinic, our elite team is the reason we have been voted the best med spa in Round Rock, Texas. Our team will listen to your goals and, based on your medical history, make the appropriate recommendations.


The risks associated with dermal fillers are minimal, but you need to be honest about everything in your medical condition that may trigger allergic reactions and jeopardize your health or the results. Patients need to mention if they’re taking NSAIDs like ibuprofen because this can contribute to the appearance of bruises.


The technique is based on the administration of an injectable filler in the area of concern. You may be given a topical anesthetic before the injection, but many fillers already contain lidocaine to help with the potential discomfort caused by the dermal filler injection. The substance is injected beneath the skin. You will likely notice results as soon as the treatment is completed.


What are the possible side effects of dermal fillers?

Whether you are opting for temporary fillers or you prefer permanent fillers, the risks associated are minimal. Mild bruising and swelling are to be expected with the dermal filler procedure, but these adverse effects will probably subside in two weeks or so. There also are patients who may feel a bit of pain or experience redness, itching, and numbness.


A few patients have reported raised bumps following the treatment with an injectable filler, which required medications, injections, or surgery. However, this is a very rare effect of dermal fillers. Nevertheless, it’s important to work with an experienced and licensed cosmetic surgeon who knows exactly how to perform the procedure.


Pregnant or breastfeeding women should also avoid dermal fillers. Some doctors recommend avoiding getting fillers before dental treatments. The dental procedure may stretch your face and affect the position of the fillers.


The treatment is non-invasive, so you can return to work or your normal activities as soon as the surgeon finishes the procedure. It is recommended though to take a few days off from exercising or other activities that require a lot of effort. We have many customers that visit Georgetown Wellness & Weight Loss Clinic from out of state and abroad for a quick dermal filler treatment. Because there is no downtime, they can leave our office and continue enjoying their vacation.



graphic of female face with dermal fillers explained

What type of filler do I need?

There are numerous dermal filler products on the market, so it’s understandable that it might be difficult to choose the best one for you. Talk to your doctor to find the best filler and establish the right treatment for you. Each product has a specific density and injection depth and may be used to target certain areas of your face. For example, Juvederm, a type of hyaluronic acid filler, should be used to smooth the wrinkles under the eyes, the marionette lines (the lines around the mouth), and plump the limps.


Radiesse, a dermal filler based on calcium hydroxylapatite, works best for the lines around the nose and chin wrinkles, but it can also be used to rejuvenate hands and fill acne scars. Belotero, a brand of hyaluronic filler, does wonder for the marionette lines, the lines around the nose, vertical lip lines, and chin wrinkles.


Most dermal fillers are temporary, so you will probably have to return to your doctor’s office for repeat treatments if you want to keep facial wrinkles away. After six months, your body will naturally break down fillers based on hyaluronic acid. This means you will probably schedule your hyaluronic acid fillers once or twice a year.


How long the results last depends on the product used, the area of treatment, and the patient. Denser products and products injected deeper into the skin tend to last longer but this is not a rule. The most temporary option is the hyaluronic acid filler. They can be a good choice if you have no experience with dermal fillers and you want to be able to have the effects fade faster. Synthetic fillers last longer because the body can’t absorb them, but you need to understand that they will be a part of your facial anatomy for years, so make sure you have them administered by a talented surgeon.


Georgetown Wellness & Weight Loss Clinic carries a variety of premium dermal fillers to ensure we always have the correct one for your needs. During the initial consultation, we’ll discuss your goals, as well as your medical history and lifestyle so that we can create a treatment that will deliver optimal results for you.



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