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 & muscle relaxants she chooses to use.

Injectable Product Summary Pros & Cons


Name


What it does:


Best for:


Average Duration


Pros


Cons


Comments


Botox Cosmetic


Muscle Relaxant


Relaxing specific muscles that cause
skin creasing (wrinkles)


 3-4 months


Predictable & specific results


None


Tried & true standard


Dysport


Muscle Relaxant


Same as Botox


 3-4 months


Relaxation often starts a day or 2
sooner than with Botox


None


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

None


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


Radiesse



Calcium Hydroxyapatite Dermal Filler


Good for deep lines, back of 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


Restylane


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


Dermal 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

Good choice for lip lines when skin is thin

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

None

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 & 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

Bellafill


Immediate dermal filler &
persistent dermal stimulator


Used for deep volume replacement or
deep wrinkles


 


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


Particles in the collagen probably
remain in treated area permanently although continued volume loss may hide
the results


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 known
immune 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


Sculptra


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
treatment


 


More bruising & swelling than with
fillers


 


Can't dissolve (& can last 10
years)


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
results