Also called
soft-tissue fillers
soft-tissue augmentation


What are dermal fillers?

Dermal fillers are soft, gel-like substances that are injected under the skin. These are made of biodegradable materials like hyaluronic acid when injected into the skin can address a number of common concerns including smoothing of deep under-eye circles, lifting of cheekbones, volumization of the lips, smoothing of lip lines and nasolabial folds  and rejuvenation of the hands. The present use of dermal fillers has travelled long way from the initial days with constant and continuous study and research. Fat was one of the first soft tissue fillers to be used and is still widely used today.

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Hyaluronic Acid (HA)

HA is the natural component of skin’s connective tissue. This is the most commonly used filler for wrinkles today, by the Dermatologists and Maxillofacial Surgeons. The results usually last for about 12-18 months. Common brands available are Restylane and Juvederm.

Calcium Hydroxylapatite 

This is another filler which is used in contouring the jaw line, restoring volume in the cheeks, and treating deeper wrinkles and skin folds. The results can last up to one year when used for contouring and three years when used to fill wrinkles. One of the popular brands is Radiesse.

Fat Grafting 

Fat from the lower abdomen or other areas is procured through liposuction and then can be injected into your cheek, temple, lips or forehead through small incisions. The procedure is more invasive and achieving the desired results may require more than one session of injections. Overfilling the site is mandatory to compensate for the body’s reabsorption of the fat. 

Permanent Soft Tissue fillers

They are used to smoothen deep wrinkles around the mouth. Body cannot absorb this type of fillers, reinjection is not needed. Permanent soft tissue fillers generally isn’t recommended as a first-time facial filler treatment. Artefill is a popular brand.

Poly-L-Lactic Acid

They are used to restore facial volume lost due to aging or illness. Two or three injections are usually required. The effects may last up to two years. Sculptra is a known brand. 

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Where all fillers can be done ?


a. Management of wrinkles and folds on the face
  • Crease between eyebrows

  • Naso labial folds

  • Marionette lines

  • Perioral rhytids

  • Chin wrinkles

b. Contour Deficiencies in the face
  • Droopy eyebrows

  • Hollow temples

  • Tear Troughs

  • Loss of volume on cheeks

  • Undefined jaw lines

  • Drooping corner of mouth

  • Lip augmentation

c. Dorsum of the hands d. Acne Scars
Precautions To be Taken Before doing Dermal Fillers
  • Avoid excessive exposure to the sun
  • Avoid taking a sunbath and using sunbeds
  • Use the relevant sunscreen while going out
  • Take the usual medications prescribed by the doctor
  • Discontinue supplements such as Vitamin-E and Fish Oil.
  • Discontinue blood-thinning medicines, with your physician’s consent


Injection of facial fillers are done as an outpatient procedure. Usually its performed under local / regional anesthesia.  Fillers are supplied as preloaded syringes, along with needles in the same package. 

Fillers are injected into the specific areas at different depths of the skin and connective tissue depending on the desired results using needle or cannula. Different gauge special cannulas are also used to deliver fillers through a procedure called Subcision.

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Best DERMAL FILLERS Treatment in India  @FMS

Dermal fillers are safe and effective in the right hands?

Like any other surgical procedure, getting dermal fillers also have minimalistic complications. So never forget, finding the experienced Dermatologist or Maxillofacial Surgeon to perform your dermal filler procedure is of utmost importance!!

Usually the patient will be able to resume normal routine activities next day after the treatment. Minor side effects  may be present after the procedure;
  • Minor pain
  • Slight uneasiness
  • Minor swelling and bruising
  • Irregular appearance of the treated area
  • Numbness and redness on the treated area
The side effects enlisted above are of temporary nature. Dermal Fillers Post-Treatment Care:
  • Avoid excessive sun exposure
  • Do not put pressure on the treatment area
  • Keep the treatment area clean and hygienic
  • Before getting the injections, you may need ice, an anesthetic applied to the skin, or a nerve block (an injection).
  • Your doctor will inject the filler into the area, often giving you several injections to produce the best results.
  • You may feel a stinging or burning sensation as the filler is injected.
  • Most filler treatments require one office visit.
You can return to your everyday activities after leaving the office.
  • No strenuous activity
  • Avoid touching the treated area
  • Do not massage for 48hrs
  • No facial massage, lasers for 2 weeks

Results are immediate — or close to immediate.

To get natural-looking results, Dermatologists recommend not to overdo fillers. You will look more natural with a conservative approach.

Dermal Fillers offer temporary results and require maintenance treatment. Temporary fillers may last anywhere between 6-18 months.

At the site of injection, one may have minor side effects like
  • Redness
  • Swelling
  • Tenderness
  • Bruising (occasionally)
They are temporary and tend to clear within 7 to 14 days. Few more serious side effects reported are
  • Allergic reaction
  • Skin discoloration
  • Vascular complications
Timely intervention helps prevent and treat these  complications.