Facial Filler Basics

Injectables are a growing area of the aesthetic world, as they enable people to address aging without surgery. Injectables are broken into two categories based on how they function and the type of wrinkles and lines they erase. Injectables provide different lengths of results; the body eventually absorbs them all at some point. When that happens, the wrinkles and lines will return, but another session with Dr. Stiller will keep those wrinkles at bay.

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They can be used on the following areas:

Facial fillers can also be used to plump the lips. At Stiller Aesthetics, we use several different kinds of dermal fillers, depending on the severity of the problem, your skin tone and elasticity, your medical history and other factors.

Come in for a FREE consultation; we’ll be happy to discuss your options and recommend which dermal filler procedure is right for you.

Facial Filler Benefits

What is the difference between dermal fillers and neuromodulators?

We have patients who lump dermal fillers and neuromodulators together, but they are completely different in how they work and where they work.

Dermal Fillers

Dermal fillers are true to their name. When injected beneath a wrinkle, crease, or area that has lost volume, they simply “fill” in the space, pushing the skin back upward and erasing or thoroughly diminishing the crease or area of volume loss. Juvéderm® and Restylane® are the original dermal fillers, first approved by the FDA in 2006. Since that time, each line has been expanded to target a specific area where volume loss has occurred.

Dermal fillers treat wrinkles known as “static wrinkles.” These wrinkles are caused by sun damage, declining collagen production, personal habits, and simple aging. Static wrinkles show themselves at all times and have nothing to do with muscle contractions. These are all static wrinkles: smile and laugh lines, marionette lines, parentheses lines, and barcode lines. These are areas of volume loss that dermal fillers treat: the cheeks, the under-eye areas, the lips, and the backs of the hands.

Dermal fillers are classified as either natural or synthetic. Natural fillers are made primarily from hyaluronic acid, a naturally occurring substance in the body whose job is to hydrate, plump, and firm the skin. Hyaluronic acid does this by binding with nearby water molecules. Synthetic fillers use man-made items such as calcium microspheres to add volume and structure under the skin.


Neuromodulators are made from the botulinum toxin type A. Back in the 1950s it was discovered that when a miniscule amount of the toxin was injected into a muscle, it temporarily stopped the muscle from contracting. Botox® was developed out of this research and was first approved by the FDA for the treatment of involuntary eyelid spasms. But it became famous in 2002, when the FDA approved Botox® for use on the upper third of the face for wrinkle treatment.

When we make expressions such as frowning, squinting, showing surprise, and others, muscles around our eyes, between our eyebrows, and on our forehead engage. Over time these contractions begin to create wrinkles on the surface skin above the muscle. These wrinkles are known as “dynamic wrinkles.” These are crow’s feet next to the eyes, the 11s between the eyebrows, and forehead lines. When a neuromodulator is injected into the muscles that create these wrinkles, they block the nerve messages from the muscle to the brain. Since the brain doesn’t receive the message to contract the muscle it stays relaxed and the wrinkle on the surface skin doesn’t form. This lasts for a period of around four months. At that point, the muscle will begin to contract again, and the wrinkle will return. Another injection session will maintain your results.

Interestingly, dermal fillers don’t work on dynamic wrinkles and neuromodulators don’t work on static wrinkles.

Best Candidates For Facial Fillers

The best candidates for Facial Fillers are healthy individuals who want to enhance areas of the face with a minimally invasive procedure.