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Here Are The Do’s and Dont’s When It Comes To Fillers For Wrinkles, Wrinkles, Volume and Shaping


People are looking for treatments to get rid of their crow’s feet and smile lines, as well as treatments to make their lips, cheeks, and hands look fuller.

The appearance of wrinkles and volume loss in the face that might be caused by aging or certain medical disorders can be improved by injecting dermal fillers into the face and hands. People generally say that they are pleased with the results of their therapy when it comes to dermal fillers that have been approved by the Food and Drug Administration in the United States.

However, dermal fillers are not for everyone. People who have specific illnesses, such as blood disorders or certain allergies, should not use dermal fillers since they may not be suitable for them. If your primary care physician verifies that dermal fillers are a choice for you, you should be aware that all medical items offer potential advantages in addition to potential side effects. The Food and Drug Administration (FDA) suggests that before undergoing treatment, a patient consult with a licensed medical professional who has experience injecting dermal fillers, is knowledgeable about fillers, anatomy, and the management of complications, and most importantly, informs the patient of the potential risks and benefits of the treatment.

What exactly are facial fillers called?

Dermal fillers are chemicals that are injected under the skin and have a gel-like consistency. The purpose of dermal fillers is to provide an appearance that is either smoother or fuller, or both.

As medical devices, dermal fillers are subject to regulation by the FDA. The majority of dermal fillers that have been approved by the FDA have benefits that are only temporary since they are constructed from components that the body will eventually break down and absorb. This was discovered through clinical testing. It is possible that the injection process will need to be repeated in order to keep the intended result.


Do’s and Dont’s of Fillers – Kinds of Fillers

The following types of materials can be used as short-term fillers:


  • Hyaluronic acid, which is a sugar that can be found in the body in its natural state


  • Calcium hydroxylapatite, a type of mineral that is a primary constituent of bone


  • Poly-L-lactic acid, or PLLA for short, which is a synthetic substance that degrades naturally


There is just one dermal filler that has been approved by the FDA that does not get absorbed by the body. Beads made of polymethylmethacrylate (PMMA) are suspended in a solution containing bovine (cow) collagen in the manufacturing process for this product. PMMA beads are a type of bead that is very small, round, and smooth.


Do’s and Dont’s of Fillers – Applications of dermal fillers that have been authorized by the FDA


People above the age of 22 can utilize dermal fillers that have been approved for specific applications. These uses include the following:


  • Improving the appearance of moderate to severe face wrinkles and folds in the skin


  • A fuller appearance of the lips, cheeks, chin, jawline, and hollows under the eyes, as well as the back of the hand


  • Reversing the loss of subcutaneous fat in the face seen in persons infected with the human immunodeficiency virus (HIV)


  • Improving the appearance of acne scars on the cheek


Do’s and Dont’s of Fillers – Here are some helpful hints for consumers regarding injectable dermal fillers:


  1. Collaborate with a qualified medical professional who is licensed to practice, has previous expertise in the fields of dermatology or cosmetic surgery, and has received training to inject dermal fillers. The practitioner needs to utilize FDA-approved filler that is included in properly labeled and sealed vials or syringes that have already been pre-filled.


  1. Ask your qualified health care practitioner for the patient labeling information on the injectable dermal fillers that have been approved by the FDA, and make sure you read it.


  1. You should be aware of the sort of product that will be injected as well as the potential dangers. Find out where the injection of each product you will be receiving is going to take place. If you have any questions, you should discuss them with a qualified medical professional.


  1. Avoid purchasing dermal fillers that are offered for sale to the general public. It is possible that they are counterfeit, tainted, or not authorized for use in the United States. Dermal fillers that have been approved by the FDA are only available with a doctor’s prescription.


  1. Do not inject dermal fillers or “pens” that do not require a needle into your own skin.


  1. If you want to change the shape of your body, you should not have any form of filler or liquid silicone injected.


Products Containing Botulinum Toxin and Dermal Fillers

Botox, Dysport, Xeomin, and Jeuveau are some of the botulinum toxin medications that have been approved by the FDA for use in the treatment of wrinkles on the face. These products are not dermal fillers like others on the market. They are medications that are administered via injection, and their mechanism of action involves preventing the muscles from contracting in order to reduce the appearance of wrinkles. Clinical studies have not been conducted to investigate whether or not it is safe to use dermal fillers in conjunction with Botox or any other treatment.

Botulinum toxin products are generated from the same bacteria that cause botulism; however, the quantities utilized for aesthetic purposes are purified and many orders of magnitude smaller than the original bacterium.

The use of these injectable medications to temporarily enhance the appearance of one or maybe several different types of facial lines, such as frown lines, forehead lines, and crow’s feet, has been given the go-ahead by the Food and Drug Administration (FDA).

Facial weakness, drooping eyelids, and drooping brows are some of the side effects that have been observed from clinical trials. At the injection site, some patients had localized discomfort, swelling, reddening, and bruising in addition to other side effects. In extremely rare instances, patients who had injections experienced double vision, dry eyes, difficulties swallowing, or difficulty breathing. It is not suggested that women who are pregnant or breastfeeding get injections of cosmetic botulinum toxin products because of the potential for adverse effects.


Click below to learn more about non-surgical facial rejuvenation and other aesthetic procedures.

Botox Guide

Dermal Fillers Guide

Non-Surgical Face Lift Guide


Chemical Peels

Back to Skin Care Products


Whether you are thinking about the Do’s and Dont’s of fillers, an aesthetic treatment, a non-surgical procedure or have had prior surgery and are seeking additional touch-ups, it is critical to work with a skilled plastic surgeon who specializes in facial procedures. Dr. Robert Sheffield is a board-certified facial plastic surgeon at SB Aesthetics offering aesthetic and cosmetic services to those in Santa Barbara, Santa Maria, San Luis Obispo, Oxnard and Ventura, CA, and the surrounding communities.  Dr. Sheffield offers patients a customized treatment plan and is available to answer your questions. To schedule a consultation, call 805.318.3280 today.

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