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Smile makeovers

Dermal Fillers

What Are Dermal Fillers?

Dermal fillers have growth rather popular in recent years, mostly because they help restore your skin to a more youthful state and they can look more natural than a surgical face lift.  Dermal fillers are used on everything from eliminating wrinkles, raising scar depressions, enhancing lips and restoring soft tissue volume loss. 

Your skin has three main components that help it keep its youthful look, sadly each of these slowly diminishes within our body as we age. 

  1. Collagen, a protein that helps keep your skin supported and taught, works along with Elastin.  
  2. Elastina is a protein that helps your skin stay firm and resist wrinkles. 
  3. Hyaluronic acid is also important because it traps water present within the skin, keeping your skin looking plump and full of volume. 

By using dermal fillers that contain these, your skin can once again function, or at least appear, as if it is youthful. 


There are two classes of dermal fillers. 

  1. Permanent fillers - done with silicone are growing less popular as more long term side effects and bumpy scars have proven to occur, even decades after use
  2. Temporary fillers - are the more common choice, some of which you have probably heard of.  Hydroxyappetite (Radiesse), hyaluronic acid fillers (Restylane and Hylaform),sculpta, collagen and fat are the most recognized of them.   Because your body slowly absorbs these ingredients over time, the effect is temporary, but should last months and some even years. 

Certain fillers work better in certain areas than others, meaning one filler may work better around the lips than on the forehead.  For this reason, it is strongly suggested that you talk to dr. Puljić prior to making this decision, and be sure to choose the one that has proven to work the best in the area of concern for you. 

Most Popular Dermal Fillers

Choosing a dermal filler that is right for you, can be a bit more daunting than you may imagine.  There are different options to choose from, each do different things and treat certain symptoms more effectively than others.  So in order for you to decide which dermal filler is right for you, it requires you take a little bit of time researching which ones do what, and are best for particular skin types.  In order to reduce some of the searching on your behalf, we have compiled a list of the most popular dermal filler choices, and a breakdown of what they do best.

Botox – Not a true dermal filler, Botox aims to inject a paralyzing agent into the muscles that can cause wrinkles due to repetitive motion.  So by paralyzing the surrounding muscles, consumers are see a relaxed or smoothed tone to the skin where wrinkles once were.  Botox is popular and many people think that it is a dermal filler, however by definition it is not.  A great choice if this is the results you desire, however if you are looking for a true filler, this may not be the option for you.

Juvederm XC – the most commonly used manufacturer in our Clinic. Juvederm XC is a smooth gel filler that is applied by doctor to smooth wrinkles and creases on the face, forehead and around the nose.  This gel contains lidocaine so that it soothes the pain of the injections as the product enters your skin.  This is a nice advancement for the Juvederm family who adapted a less painful injection option for consumers.  While generally used on all wrinkles, juvederm functions best around the mouth and nose areas for treatment. 

Restylane – Restylane is a dermal filler that can be used to fill wrinkles, fine lines and deep creases within the skin, used primarily on the face and forehead.  The results are instant and can be seen immediately following the procedure.  The results can last as long as 18 months in some cases, however usually a follow up treatment is needed to do so.  There are some concerns about allergies for some consumers so you should speak with your specialists about any existing allergies you may have during your consultation with them. 

Metahylate Complex – Metahylate Complex is one of the most recent advancements in the dermal filler industry.  Used in topical or cream based dermal fillers, consumers can avoid the injections and expensive trips to the specialist by using Metahylate.  Instant filling of wrinkles, fine lines and creases are as easy as a quick application, and consumers like the flexibility of its use.  By far the only true topical dermal filler option on the market, Metahylate grows in popularity with each passing day. 

While there are certainly many other dermal fillers out there to choose from, and many with recognizable names, we have found that these are not only the most selected by consumers, they are some of the best that the industry has to offer. 

Dermal Filler FAQ’s

Are Dermal Fillers Safe For Cosmetic Use?

FDA approved injectable dermal fillers are safe, provided they are performed in a appropriate medical setting and prescribed by a qualified specialist.

What Are the Risks of Dermal Filler Injections?

The largest and most common risk occurs when injections are administered by someone who is not properly trained and qualified to give injections.  Some of the risks can be pooling of the blood beneath the skin, or hematoma.  Infections can occur and in some severe case lead to tissue death.

Here in Dental Prime we are very well equipped and have experience with Dermal Filers. Numerous TV stars, TV reporters, actors, models, and numerous others who are seeking for further facial refreshment.

Unsatisfactory results is the most common of the problems that consumers face.  This issue is compounded with some of the newer self administer injections.  While cosmetic dermal fillers are temporary, it can take as long as a year for the results to fade.  The more qualified the specialist the lower the chances you will be unsatisfied with the results.

Can I Use Dermal Fillers If My Skin is of Colour?

In Dental Prime Clinic we are using the latest Hyaluronic Acid, Restylane, and Juvederm which are appropriate for skin of colour as is effective topical dermal filler.  They are formulated clear and are not visible beneath the skin nor alter the skin colour.

Will I Be Able To Feel My Dermal Fillers After Injected Into the Skin?

Only in the first few days following the injections should you feel firmness to the skin.  That should diminish rapidly.  There is a concern however of particles clumping together, called granulomas, that can form under the skin and be unsightly to the eye.