Dermal Fillers

As we age, areas of the face can develop wrinkles due to loss of skin elasticity. The skin can begin to lose volume. Dermal fillers are a procedure that can help correct lost volume and wrinkles. Dermal fillers are injections that are used to plump the face in various areas. They can be used to increase the size of the lips, replenish volume in the cheeks, and fill in fine lines and wrinkles. They are commonly used around the mouth and cheeks to fill in smile lines. They are commonly used on the lines running from the corners of the mouth up to the nose, also known as the nasolabial folds.

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Before & After Dermal Fillers Gallery

What types of fillers are there?

Different brands of fillers contain different substances, such as hyaluronic acid. Dr. Hardaway will help find the fillers that are best for you. Hyaluronic acid based fillers are the most commonly chosen type of filler (Restylane, Juvaderm, Belotero). Hyaluronic acid is a substance that the body naturally produces that adds volume to the skin. Calcium hydroxylapatite (Radiesse) is another common type of filler. Many types of fillers include lidocaine in the injections, to help numb the area and increase the comfort of the procedure. Bellafill and Sculptra are other types of fillers that are commonly used.

How much do fillers cost?

The cost of fillers varies by the brand of filler and the amount needed for the specific procedure and patient and how long the filler lasts. Usually, they are priced by the syringe, from half a syringe and up. Anywhere from half a syringe to two syringes is typically used. The amount needed depends on the locations injected and the facial makeup of the patient. Dr. Hardaway’s staff will discuss pricing at your consultation.

Types of Fillers

There are many different brands of fillers. Most are made for use in all parts of the face, though some are specifically made for use in certain areas. Some fillers such as Juvaderm, Voluma, or Restylane Lyft are thicker and are suggested to be used mainly to increase cheek volume. Fillers also stimulate natural collagen production.

various fillers


Restylane is a hyaluronic acid based dermal filler. This used to treat wrinkles and volume loss on the face and hands. This can also be injected into the lips of those over the age of 21. There are different types of Restylane brand fillers, each with an intended use on a different area of the face.  

Refyne, Defyne, Restylane Silk, and Restylane Lyft are different types of Restylane that can be used in various areas of the face, depending on the location and depth of the wrinkles.

Restylane Silk is intended for use in the lips. Both the original Restylane and Restylane Silk can be used on the lips, but Restylane Silk was specifically crafted and FDA approved for use in the lips. The results will last for approximately six months.

Restylane Refyne was crafted specifically to soften the appearance of laugh lines and marionette lines on the face.

Restylane Defyne was crafted specifically for use on the nasolabial folds and to smooth out laugh lines and marionette lines on the face. Dr. Hardaway will evaluate you and suggest which filler would best meet your needs.


Juvederm is a hyaluronic acid based filler. Its main use is for the lips, cheeks, and areas around the mouth. There are several types of Juvederm, each meant for a specific area of the face.

Juvederm XC and Juvederm Vollure are designed for facial wrinkles, especially smile lines around the nose and mouth.

Juvederm XC, Vollure, Juvederm Ultra, Vobella, and Volluma are different types of Juvederm filler with indications for different areas of the face. The location and severity of the lines or wrinkes determine which types of Juvederm is used. The cost can vary depending on the longevity of the product and the number of syringes required to achieve optimal results. Dr. Hardaway will evaluate you to determine which filler will give you the best results.


Radiesse is a dermal filler that can be used on the face to smooth moderate to severe wrinkles. It can also be used to increase volume on the back of the hands, correcting volume loss that often appears due to age.

Radiesse lasts for twelve to eighteen months. The active ingredient in Radiesse has been shown to stimulate collagen production within the body, which causes it to last longer than hyaluronic acid based fillers.


Bellafill is a dermal filer that, long term, can stimulate collagen growth. This helps the results of the filler last longer. The results from the filler are instantaneous, but can last up to five years, much longer than that of other fillers. Bellafill is a collagen gel with polymethyl methacrylate (PMMA)  microspheres. These PMMA spheres give your own natural collagen production a base to develop on, resulting in longer lasting results.


Sculptra, also known as Sculptra Aesthetic, is a dermal filler that is primarily used on the lower half of the face, to correct smile lines, marionette lines, and chin wrinkles. Sculptra can help gradually replace lost collagen in the face

Frequently Asked Questions

What are the side effects of dermal fillers?

Temporary swelling, redness, and bruising around the injection sites are the most common side effects of dermal fillers. Slight movement of the filler is another side effect, but can be avoided by taking proper care of the injection areas. Following the doctor’s instructions closely for procedural aftercare will yield the best results.

How are dermal filler injections performed?

A topical numbing cream is applied to the skin to numb the procedure area. Sometimes, numbing injections are used as well. Filler injections feel similar to a flu shot you would receive at the doctor’s office. After the procedure is complete, you will need to ice the procedure area. Over the counter pain medication such as Tylenol or Advil is recommended after the numbness from the procedure wears off if needed.

Who is a good candidate for fillers?

You may not be eligible for fillers if you have any skin allergies or allergies to mediations, or bleeding disorders. You may not be eligible for certain fillers if you have any allergies to the ingredients of the filler. Let Dr. Hardaway and her staff know if you have any allergies to any medications or numbing agents such as lidocaine during your consultation.  If you are pregnant or breastfeeding, it is best to wait until you are done to receive any cosmetic procedures.