by Jared Guichard, MD

Comparing Different Types of Dermal Fillers: Which One is Right for You?

May 17, 2024 | Injectables & Fillers

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In medical aesthetics, dermal fillers have surged in popularity due to their ability to provide youthful, rejuvenated appearances without invasive surgery. With various types of dermal fillers available, it's essential to understand their unique properties and benefits to make an informed decision about which is best suited for your needs. This comprehensive guide will explain some of the different types of dermal fillers, focusing on the ones offered at JAG Medical Spa to help you determine which one is right for you.

Overview of Dermal Fillers

Let's first cover dermal fillers. They are injectable treatments designed to restore lost volume, smooth out wrinkles, and enhance facial contours. They are typically used to address signs of aging, such as sagging skin, fine lines, and volume loss. The effectiveness and longevity of the results depend on the type of filler used, the area treated, and the individual's skin type and lifestyle.

Types of Dermal Fillers

There are several primary types of dermal fillers, each formulated with different ingredients that cater to various cosmetic needs. Here's a detailed look at the most commonly used dermal fillers:

  1. Hyaluronic Acid (HA) Fillers: Hyaluronic acid is a naturally occurring substance in the skin that plays a crucial role in retaining moisture and adding volume. HA fillers are among the most popular types of dermal fillers due to their versatility, safety, and immediate results. These fillers are gel-like and can be used to smooth wrinkles, enhance lips, and add volume to the cheeks. A significant advantage of HA fillers is their reversibility; if the results are not satisfactory, an enzyme called hyaluronidase can dissolve the filler.
  2. Calcium Hydroxylapatite (CaHA): Calcium hydroxylapatite is a mineral-like compound found naturally in human bones. CaHA fillers are thicker than HA fillers and are typically used for deeper lines and wrinkles. They also stimulate natural collagen production, providing longer-lasting results. CaHA is ideal for enhancing facial contours and adding volume to sunken areas.
  3. Poly-L-lactic Acid: Poly-L-lactic acid is a synthetic filler that works by stimulating the body's own collagen production. Unlike other fillers, the results of Poly-L-lactic acid are not immediate but develop gradually over several months as new collagen forms. This filler is best suited for treating deeper facial wrinkles and providing a subtle, natural-looking improvement over time.
  4. Polymethylmethacrylate (PMMA): Polymethylmethacrylate is a semi-permanent filler that consists of tiny microspheres suspended in a collagen gel. PMMA is used to treat medium-to-deep wrinkles, folds, and furrows, as well as to augment thin lips. The effects of PMMA are long-lasting, but because it is not absorbed by the body, there is a higher risk of complications compared to temporary fillers.
  5. Autologous Fat Injections (Fat Grafting): Fat grafting involves harvesting fat from another part of the patient's body, purifying it, and injecting it into the face. This method can treat deep wrinkles, folds, and facial fat loss. The results of fat grafting can last several years, but the procedure is more invasive and requires downtime. Additionally, not all the transferred fat will survive, so multiple sessions may be necessary.
  6. Polycaprolactone (PCL) Fillers: PCL fillers stimulate collagen production and provide long-lasting results. They are used to treat volume loss, wrinkles, and facial contours. Ellansé is a commonly used PCL filler.

Why JAG Medical Spa Uses HA and CaHA Fillers

At JAG Medical Spa, we prioritize safety, effectiveness, and patient satisfaction, which is why we primarily offer hyaluronic acid-based and calcium hydroxylapatite fillers. Here's why these types of dermal fillers are our top choices:

  • Safety and Compatibility: Both HA and CaHA are substances that occur naturally in the body, reducing the risk of allergic reactions and making them some of the safest fillers available. Their natural composition ensures they are well-tolerated by most patients.
  • Effectiveness and Results: HA fillers provide immediate, noticeable results, making them ideal for patients seeking quick enhancements. They are excellent for adding volume to the lips, cheeks, and under-eye areas and smoothing fine lines. CaHA fillers, on the other hand, are perfect for treating deeper wrinkles and adding structure to the face. They offer longer-lasting results by stimulating the body's natural collagen production.
  • Reversibility and Adjustability: One of the unique advantages of HA fillers is their reversibility. If a patient is unhappy with the results or experiences complications, the filler can be dissolved using hyaluronidase. This feature provides an extra layer of safety and peace of mind for both the patient and the practitioner.
  • Longevity: Both types of fillers offer lasting effects. HA fillers typically last six months to over a year, depending on the area treated and the specific product used. CaHA fillers can last up to 15 months or longer, making them a cost-effective option for long-term facial rejuvenation.

Detailed Comparison of HA and CaHA Fillers

To help you understand why JAG Medical Spa recommends HA and CaHA fillers, let's compare these two types of dermal fillers in more detail:

Hyaluronic Acid (HA) Fillers

  • Common Brands: Juvederm, Versa, Beloter
  • Uses: Smoothing fine lines, adding volume to lips and cheeks, contouring the jawline, filling under-eye hollows
  • Procedure: The treatment is quick and minimally invasive, often completed within 30 minutes. Results are visible immediately, and there is minimal downtime.
  • Side Effects: Possible side effects include redness, swelling, and bruising at the injection site. These are typically mild and resolve within a few days.
  • Longevity: HA fillers can last 6 to 18 months, depending on the product and area treated. Touch-up treatments are needed to maintain results.

Calcium Hydroxylapatite (CaHA) Filler

  • Common Brands: Radiuses
  • Uses: Treating deeper wrinkles and folds, adding volume to cheeks and jawline, hand rejuvenation
  • Procedure: The procedure takes about 30 to 45 minutes. Results are visible immediately, with continued improvement as collagen production is stimulated.
  • Side Effects: Similar to HA fillers, possible side effects include redness, swelling, and bruising. There may also be a slight risk of nodules forming under the skin, which can be managed by an experienced practitioner.
  • Longevity: CaHA fillers typically last up to 15 months or longer. The longevity makes them a preferred option for patients seeking durable results.

Choosing the Right Filler for You

When deciding between different types of dermal fillers, consider your specific aesthetic goals, skin type, and the areas you wish to treat. Here are some key factors to keep in mind:

  1. Desired Outcome: If you want immediate results for smoothing fine lines and adding subtle volume, HA fillers are an excellent choice. CaHA fillers may be more suitable for deeper wrinkles and more pronounced facial contouring. Of course, this will be discussed with you in an in-depth consultation, so you know why your provider is recommending the product/service they are offering to address your unique needs.
  2. Duration of Results: Consider how long you want the results to last. HA fillers are temporary and require regular touch-ups, while CaHA fillers offer longer-lasting results, reducing the frequency of treatments.
  3. Reversibility: If you are new to dermal fillers or are more comfortable with the option to reverse the treatment, HA fillers are the safest bet due to their reversibility with hyaluronidase.
  4. Area to be Treated: Different fillers are better suited for different areas of the face. HA fillers are versatile and can be used in various areas, while CaHA fillers are typically used for deeper lines and adding structure to the face.

Personalized Consultations to Determine What Is Right For You

Understanding the various types of dermal fillers and their unique benefits can help you make an informed decision about which is right for you. At JAG Medical Spa, we offer personalized consultations to discuss your aesthetic goals and recommend the best type of dermal filler for your needs. Whether you choose hyaluronic acid or calcium hydroxylapatite fillers, you can trust that you are receiving safe, effective, and scientifically backed treatments.

By focusing on HA and CaHA fillers, JAG Medical Spa ensures that our patients receive the highest quality care with the best possible outcomes. These fillers not only provide immediate and long-lasting results but also offer the flexibility and safety that our patients deserve.

If you're considering dermal fillers, contact JAG Medical Spa today to book your free consultation. Our experienced practitioners will work with you to create a customized plan that both enhances your natural beauty and meets your goals. Rejuvenate your appearance with the confidence that you're in expert hands.

Always remember: the ideal way to determine which of these types of dermal fillers is right for you is through a personalized consultation with a skilled practitioner who can assess your unique facial structure and aesthetic goals. Always seek a professional to give you the best and safest experience.

About the author, Jared Guichard, MD

Dr. Jared Guichard is owner and medical director of JAG Medical Spa. With over 10 years’ experience in anti-aging medicine, he is committed to providing clients with the best in Aesthetics care and Anti-Aging treatments. He has a passion for all areas of medicine and continues to practice as a medical doctor in local hospitals in the Charleston area.

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