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What are Dermal Fillers?

Heidi White
Heidi White

A dermal filler, or derma filler, is a procedure in which collagen material is injected into the skin to remove fine lines and wrinkles. These injections are minimally invasive and require little or no recovery time. Depending on the type of filler that is used, the price for the procedure is still typically less expensive than more-invasive surgical procedures.

In the past, the only way to remove the signs of aging was to have a facelift. This surgical procedure was extensive, followed by weeks of pain and healing. People looking to reverse the signs of aging now have other options. Dermal fillers have become an increasingly popular alternative to facelifts.

A diagram of younger and older skin showing the decrease in collagen in older skin. Dermal fillers are used to help smooth the skin by strengthening the dermis.
A diagram of younger and older skin showing the decrease in collagen in older skin. Dermal fillers are used to help smooth the skin by strengthening the dermis.

Dermal fillers are not a permanent cure for the aging process. The injections provide only temporary results. There are many different types of dermal fillers and the results may vary from one person to the next. After an injection has been administered, there may be side effects such as bleeding or bruising. There typically is a degree of pain during the injection, and patients may experience redness up to 36 hours after the procedure.

In a dermal filler procedure, collagen is injected into the skin.
In a dermal filler procedure, collagen is injected into the skin.

Generally, dermal fillers are made from different types of products such as human collagen, hyaluronic acid, and donor-tissue fat. Each filler has different strengths and weaknesses. Based on a patient’s needs, certain fillers may work better than others. It can be important for a person to work closely with a physician who understands his or her needs.

Dermal fillers are used to reduce the appearance of fine lines and wrinkles on the skin.
Dermal fillers are used to reduce the appearance of fine lines and wrinkles on the skin.

The first legally approved dermal filler injection in the United States was bovine collagen that was derived from domestic cattle. A main concern with this injection is that some people develop allergies to it. Skin testing usually is required before this injection can be used. Because of the problems with allergies, the use of bovine collagen has fallen out of favor.

Although fillers have become a common way to reduce minor skin imperfections, they do not completely remove the need for more invasive procedures. Since fillers are temporary and only used on minor concerns such as wrinkles and lines, there are situations where more invasive procedures are chosen. In some cases, patients still chose facelifts or other surgical procedures for a longer-lasting benefit.

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    • A diagram of younger and older skin showing the decrease in collagen in older skin. Dermal fillers are used to help smooth the skin by strengthening the dermis.
      By: Alila
      A diagram of younger and older skin showing the decrease in collagen in older skin. Dermal fillers are used to help smooth the skin by strengthening the dermis.
    • In a dermal filler procedure, collagen is injected into the skin.
      By: jedi-master
      In a dermal filler procedure, collagen is injected into the skin.
    • Dermal fillers are used to reduce the appearance of fine lines and wrinkles on the skin.
      By: Deyan Georgiev
      Dermal fillers are used to reduce the appearance of fine lines and wrinkles on the skin.