If you’re reading this blog, you are likely interested in one of the fastest growing trends in aesthetic medicine, facial fillers. Just in 2017, over 2.6 million soft tissue filler injections were performed in the U.S. and the number is increasing year over year. This comprehensive list of hyaluronic acid, collagen and synthetic dermal fillers will help you navigate the muddy waters of aesthetic medicine.
For clarification, Botox® and Dermal Fillers are completely different and are easily confused. Botox is used to inhibit muscle receptors, which stops wrinkles from forming when making facial features. Wrinkle fillers, on the other hand are used to enhance or smooth facial features. Fillers are used to “fill” in areas where fat pads have separated in the face, due to aging or to simply give a “lift” in desired areas.
The most popular dermal fillers are naturally derived and fall into the hyaluronic acid and collagen categories.
- Hyaluronic acid is a naturally occurring substance in the body, and over time is re-absorbed or metabolized back into the body. It is found in the dermis of the skin and retains water, allowing the skin to look healthy and smooth.
- Collagen fillers are slightly tougher and thicker than hylauronic wrinkle fillers and are either human or bovine derived and are found in the joints and connective tissue.
- Synthetic dermal fillers are created in a laboratory and therefore typically last longer, due to the inability of the body to naturally metabolize the substance. This can be both a positive and a negative, because if an injection is misplaced, the results are semi-permanent and not easily dissolved.
Below is are lists of available dermal fillers in the United States, along with their RealSelf rating score. The higher the score, the higher the satisfaction rating of those who have tried the fillers. RealSelf is a non-biased aesthetic review company that compiles the reviews of thousands of users to give a comprehensive overview of common aesthetic procedures.
A Comprehensive List of Facial Fillers and Uses
Hyaluronic Acid Fillers Available in the U.S.
| Name | Use | Anesthetic | Price (average) | Permanence | RealSelf |
| Belotero Balance | Smooths and fills moderate to severe nasolabial folds | No | $625 | Up to 6 months | 88% |
| Captique | Smooths and fills in moderate to deep wrinkles. Adds volume. | – | $700 | Up to 3 months | NA |
| Esthelis | Crow’s feet, lip lines, glabellar lines, lip lines and more | – | $500 | Up to 12 months | – |
| Hydrelle (Elvess) | Nasolabial folds | Yes | $475 | 30% | |
| HylaForm | Nasolabial Folds & Lip Plumping | No | $300-$500 | Up to 6 months | NA |
| Juvederm Voluma XC | Adds volume to lift and contour cheeks | Yes | $1,475
DHI $799/syringe |
Up to 2 years | 83% |
| Juvederm XC | Smooths moderate to severe parenthesis lines and wrinkles around your nose and mouth. | Yes | $750
DHI – $475 |
Up to 1 year | 92% |
| Juvederm Ultra XC | Adds fullness to the lips | Yes | $1,000
DHI |
Up to 1 year | NA |
| Juvederm Volbella XC | Adds fullness to the lips and softens the appearance of “Smoker’s Lines” around the mouth. | Yes | $525
DHI $399/syringe |
Up to 1 year | 89% |
| Juvederm Vollure XC | Softens moderate to severe parentheses lines and wrinkles by adding volume. | Yes | $750
DHI |
Up to 18 months | 83% |
| Restylane | Facial wrinkles, marionette lines, lip plumping | Varies | $750
DHI $525/syringe |
Up to 1 year | 89% |
| Restylane-L | Same as above – ‘L’ stands for Lidocaine | Yes | |||
| Restylane-Lift | Smooths smile lines and increases volume in the cheeks | Yes | $1000 | Up to 18 months | 96% |
| Restylane Silk | Plumps the lips and fills fine lines around the mouth | Yes | $675 | Up to 6 months | 85% |
| Restylane Refyne | Marionette or “laugh” lines | Yes | $725 | Up to 12 months | 95% |
| Restylane Defyne | Moderate to severe laugh lines around the mouth | Yes | $575 | Up to 12 months | 100% |
Collagen Facial Fillers
| Name | Use | Anesthetic | Price | Permanence | RealSelf |
| Autologen | Frown lines and 11s | – | $1,200 – $1,500 | Up to 9 months | – |
| CosmoDerm / CosmoPlast | Frown lines, vermilion lines, depressed scars | Yes | – | Up to 3 months | – |
| Evolence | No longer available in U.S. | – | – | – | 31% |
| Zyderm / Zyplast | Fine lines and scars | – | $300-$400 | Up to 6 months | – |
Synthetic Facial Fillers
| Name | Use | Anesthetic | Price | Permanence | RealSelf |
| Bellafill | Smile lines, acne scars, nasolabial | – | $2,525 | Up to 12 months | 91% |
| Radiesse | Moderate to severe facial wrinkles. Also used to correct volume loss in hands |
– | $975
DHI $750/syringe |
Up to 18 months | 79% |
| Sculptra | Marionette lines, chin, depressed temples, jowls | Yes | $1,925 | Up to 24 months | 90% |
Which Dermal Filler is Right for Me?
Talk with your expert aesthetic medical provider about your concerns and goals for your wrinkle filler effects. Just because someone is “qualified” to perform these injections does not mean they are aesthetically suited for longest lasting and best case results. We have compiled a list of questions to ask your injector before your filler appointment to maximize your confidence in your provider.
At Derma Health, we aspire to be a resource for all of those interested in skin health, lasers and injectables. Whether you are our client or not, we want to be a valuable resource for you. Please contact us with any questions or concerns, we are here to help!
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