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The Ultimate Guide to Dermal Fillers: Everything You Need to Know Before Getting Injected

Dermal fillers have become one of the most popular non-surgical cosmetic treatments for facial rejuvenation, volume restoration, and contour enhancement. Whether you’re considering dermal fillers under eyes, lip fillers, cheek fillers, or smile line correction, it’s essential to understand how they work, how long they last, their safety profile, and expected results.

This comprehensive guide covers every detail about dermal fillers, including before and after comparisons, safety concerns, costs, and expert advice.

What Are Dermal Fillers?

Dermal fillers are injectable substances designed to add volume, smooth wrinkles, and enhance facial contours. They can be used for both aesthetic and medical purposes, including scar correction, facial symmetry improvement, and anti-aging treatments.

Types of Dermal Fillers:

There are several types of fillers, each with unique properties:

Hyaluronic Acid Fillers (HA) – The most common and safest fillers, known for their hydrating and plumping effects. Brands include Juvederm, Restylane, and Belotero.
Calcium Hydroxylapatite (CaHA) Fillers – Thicker than HA fillers, offering longer-lasting results for deeper wrinkles and volume loss (e.g., Radiesse).
Poly-L-Lactic Acid Fillers – Stimulates collagen production, leading to gradual volume restoration (e.g., Sculptra).
Polymethyl Methacrylate (PMMA) Fillers – A semi-permanent filler with microscopic beads that support long-term collagen formation (e.g., Bellafill).

What Can Dermal Fillers Treat?

Fine lines and wrinkles (nasolabial folds, marionette lines)
Under-eye hollows (tear troughs)
Thin or asymmetrical lips
Cheek augmentation & contouring
Jawline enhancement & chin projection
Hand rejuvenation (reducing signs of aging on the hands)

Dermal Fillers Under Eyes: Tear Trough Fillers Before and After

Under-eye fillers (tear trough fillers) are used to treat dark circles, hollowness, and sunken eyes.

Tear Trough Filler Before and After: What to Expect?

Before: Deep hollows, tired appearance, visible dark circles.
After: Immediate improvement in volume, youthful & refreshed look.
Final Results: Fully settled results within 2-4 weeks.

Best Fillers for Under-Eyes:

Restylane-L
Juvederm Volbella
Belotero Balance

How Many Syringes Are Needed for Under-Eye Filler?

Mild hollowing → 0.5-1 ml
Moderate hollowing → 1-2 ml
Severe hollowing → 2+ ml

Pro Tip: Under-eye fillers should only be performed by an expert injector to avoid complications such as swelling, lumpiness, or blue discoloration (Tyndall effect).

How Long Do Dermal Fillers Last?

The longevity of dermal fillers depends on:

Type of filler (HA vs. CaHA vs. PMMA)
Treatment area
Metabolism & lifestyle factors

Estimated Longevity by Filler Type:

Filler Type	Longevity
Hyaluronic Acid Fillers (Juvederm, Restylane)	6-18 months
Calcium Hydroxylapatite (Radiesse)	12-24 months
Poly-L-Lactic Acid (Sculptra)	Up to 2 years
PMMA Fillers (Bellafill)	5+ years

How Long Does It Take for Dermal Fillers to Settle?

Immediate volume increase after injection.
Mild swelling & bruising for 2-5 days.
Final results appear in 2-4 weeks.

Post-Treatment Tips for Faster Settling:

Avoid alcohol, smoking, or excessive salt for 48 hours.
Sleep on your back with your head elevated.
Avoid strenuous workouts for at least 48 hours.
Hydrate and use cold compresses to reduce swelling.

Are Dermal Fillers Safe?

Dermal fillers are FDA-approved and considered safe when performed by a licensed professional. However, risks include:

Temporary swelling, redness, or bruising (common & mild).
Lumps or uneven texture (correctable with massage or hyaluronidase for HA fillers).
Vascular occlusion (rare but serious) – If filler enters a blood vessel, it can block circulation, requiring immediate attention.

Who Should Avoid Fillers?

🚫 Pregnant or breastfeeding women.
🚫 People with autoimmune diseases or severe allergies.
🚫 Those taking blood thinners (unless cleared by a doctor).

Do Dermal Fillers Cause Cancer?

No, dermal fillers do not cause cancer.

Hyaluronic acid and other filler materials are biodegradable, meaning the body naturally breaks them down over time. However, counterfeit or low-quality fillers may contain unsafe substances, increasing health risks.

Always choose a board-certified injector to ensure safety.