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 is:

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

Most wrinkles, temples, & cheek hollows

12-18 months depending on area used

Soft & reversible


In my opinion it's the most versatile filler

Juvederm Ultra XC

Hyaluronic Acid Dermal filler

Fine lines & in the lips, when subtle volume is desired

12 months on average but up to 18 months in lip lines

Soft & reversible

Ultra doesn't last as long as Ultra Plus

Juvederm Voluma XC

Hyaluronic Acid Dermal filler

Lifting mid and lower face, augmenting cheeks & chin, makes jawline look tighter

About 2 years

Best for lasting lifting effect & reversible

Most people get at least 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 & good filler for hands

Can't dissolve and swells more than hyaluronic acid fillers

A good value for a thicker filler


Hyaluronic Acid Dermal Filler

depressions or circles under the eyes

about 9 months

Reversible & less risk of swelling than Juvederm under eyes

Shorter duration

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, reversible


Good choice for trying chin or cheek augmentation or lifting lower face at lower cost than with 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

Moves smoothly with facial expressions & reversibleNone

Restylane Refyne

Hyaluronic Acid Filler

Lips, lip lines, forehead lines,

about 12 months

Moves smoothly with facial expressions & reversibleNone


Immediate dermal filler & persistent dermal stimulator

Volume replacement & deep wrinkles


particles probably
remain permanently

Results may be permanent

Results may be permanent & not dissolvable

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


Dermal stimulator that produces subtle general volume subtly over the weeks following treatment

Volumizing general areas & thickening skin


2-3 years

A fat-like skin plumper to add general volume slowly

Usually need several treatment sessions to get desired results


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


Adds volume in layers vs. filling wrinkles or enhancing features


Fat Transfer

General overall volume replacement without using dermal fillers

Those who don't want a commercial product injected or who need large amounts of fillers


0 - 10 years

Fat transfer results seen 3 months after a treatment will probably last 10 years if no overall weight loss


Growth factors in fat help overlying skin texture

May not get persisting results so may need to repeat treatments

normal">Requires mini-liposuction with each treatment

normal">Can't dissolve (& may last 10 years)

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