There are now more dermal fillers available in the U.S. than ever before so how do you know which one’s best for you? Luckily you don’t have to because Dr. Elliott & the staff at Skinspirations have experience with all of them. With the right choices & our skilled techniques you will have natural, flattering results. At Skinspirations, you can trust us to know the best options for your face.

The price of dermal filler treatments reflects not only the cost of the product but the skill and experience of the injector, as well as the time the treatment takes to perform. Our providers are recognized as being among the top 1% in the nation for skill and experience and you’ll find that we are competitively priced, despite being the most experienced in the area.

Below is a table listing Dr. Elliott’s personal opinions on the dermal fillers and muscle relaxants she chooses to use.

Injectable Product Summary Pros & Cons


What it does:

Best for:

Average Duration




Botox Cosmetic

Muscle Relaxant

Relaxing specific muscles that cause skin creasing (wrinkles)

 3-4 months

Predictable & specific results


Tried & true standard


Muscle Relaxant

Same as Botox

 3-4 months

Relaxation often starts a day or 2 sooner than with Botox


Some people feel Dysport relaxes lower
crow's feet better

Juvederm Ultra Plus XC

Hyaluronic Acid Dermal Filler

Any wrinkles, temples, & better for cheek hollows than lifting fillers like Voluma


12-18 months depending on area used

Swells less than Radiesse & reversible


If I was on a desert island & could
only have 1 filler. (I do not have stock in the company)

Juvederm Ultra XC

Hyaluronic Acid Dermal filler

Fine lines such as those around the lips & in the lips, when subtle volume is desired

12 months on average, but often 18 months & more, in lip lines

Lasts longer than most thinner fillers & also reversible

Ultra doesn't last as long as Ultra Plus when used in most areas so make sure you know which version you receive

The wholesale cost to me of Ultra is
less than for Ultra Plus, but treating the areas where Ultra is used takes me
longer to do, so the patient charge is the same for both

Juvederm Voluma XC

Hyaluronic Acid Dermal filler

When placed over bony areas like
cheekbones or jawline, lifts skin below, good for brow lift, nose and chin

About 2 years

Great lifting effect

Duration is the longest of the lifting fillers but also reversible

Can take more than you think if more than minimal volume loss. Most people start with 2 syringes.

Officially approved for cheeks but also
helps diminish jowling when used in back of jaw & on sides of chin


Calcium Hydroxyapatite Dermal Filler

Good for deep lines, hands, enhancing
cheeks, chin, & lifting brows

 9 - 12 months

Some lifting effect & best filler for hands

Can't dissolve and swells more than hyaluronic acid fillers

A good value for a nice lifting filler


Hyaluronic Acid Dermal Filler

Unless requested, I only use regular Restylane under the eyes

about 9 months

Reversible & less risk of swelling than Juvederm under eyes

Shorter duration

The only place I still use Restylane is
under the eyes or by request

Restylane Silk

Hyaluronic Acid Filler

Lip lines or in crow's feet

about 6 months

Thinner than Juvederm Ultra so less risk of producing ridges in lip lines

Short duration

Swells a lot in some people

Restylane Lyft (previously known as Perlane)

Hyaluronic Acid Filler

Stiff filler good for lifting lower face, enhancing cheeks, chin & jaw line

9 - 12 months

Costs less than Voluma but lifting effect may not last as long



Good choice for someone who wants to try chin or cheek augmentation or lifting lower face with less investment than Voluma

Restylane Defyne

Hyaluronic Acid Filler

Good for deep lines around the mouth and nose, back of hands, cheeks, chin, temples & for lifting brows

about 12 months

Flexibly moves with facial expressions

Restylane Refyne

Hyaluronic Acid Filler

Lips, lip lines, forehead lines,

about 12 months

Flexibly moves with facial expressions


Immediate dermal filler & persistent dermal stimulator

Used for deep volume replacement or deep wrinkles


Good for people who don’t want to
repeat fillers often or who need large amounts

particles probably
remain permanently

Results may be permanent


No higher incidence than with temporary
fillers for persistent bumps or granulomas


Results are cumulative since the
product doesn't break down

Results may be permanent


Can't dissolve


I won't use it in anyone with immunity problems or high anxiety

I've used it since 2007 &  have
never had a problem with it


I haven't used it on myself because I’m
a commitment-phobe


Dermal stimulator whose results show up
subtly over weeks following treatments

Good for overall thickening &
volumizing, especially in thin skin


Providing the foundation layers with a
thin face, thin skin, &/or moderate to severe volume loss, before
“topping off the details” with other fillers

2-3 years

Only overall skin plumper to volumize
entire face


Results are gradual so others don't
usually notice changes


Usually provides visible improvement in
skin texture of areas treated

Need several treatment sessions & at
least 4 weeks to see results


Bumps in treated areas occasionally
occur (but usually not visible)


Can't dissolve

Adds volume in layers vs. filling in
lines or building cheekbones, etc.


People who have had Sculptra remind me
of Apple fans

Fat Transfer

Your own tissue used for replacing
volume or shaping

Those who don't want anything
commercially available


Someone who needs a lot of volume

0 - 10 years

Results present 3 months after
treatment will probably last 10 years if no overall weight loss


Growth & healing factors in fat
help overlying skin texture

Unpredictable if results will persist 3
months & need to commit to at least 2 treatments if you decide on it


Requires mini-liposuction with each


More bruising & swelling than with


Can't dissolve (& can last 10

I don't use fat in depressions under
eyes or in lips



Most people I treat who don't need a
lot of volume elect to use the fillers above because of predictability of