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Dermal Fillers Questions: Common Answers
Dr. Carlo Honrado, MD, FACS
Double board-certified facial plastic & reconstructive surgeon
What are dermal fillers?
Dermal fillers are gel-like substances injected under the skin to create a smoother or fuller appearance, or both (U.S. Food and Drug Administration).
The FDA describes dermal fillers as injectable implants, soft tissue fillers, lip and facial fillers, or wrinkle fillers, and classifies them as FDA-approved medical device implants (U.S. Food and Drug Administration).
The FDA regulates dermal fillers as medical devices, and clinical trials reported that most FDA-approved dermal fillers have temporary effects (U.S. Food and Drug Administration).
What are dermal fillers approved to do?
The FDA has approved dermal fillers for use in helping create a smoother and/or fuller facial appearance, including in nasolabial folds (U.S. Food and Drug Administration).
Injecting dermal fillers into the face and hands can improve the appearance of facial lines and volume loss caused by age or certain medical conditions (U.S. Food and Drug Administration).
The FDA has approved dermal fillers for specific uses in adults 22 years of age or older (U.S. Food and Drug Administration).
Dermal fillers are approved for specific uses in people aged 22 and older (U.S. Food and Drug Administration).
How do dermal fillers work?
Most FDA-approved dermal fillers are made from materials the body eventually breaks down and absorbs, so injections may need to be repeated to maintain the desired effect (U.S. Food and Drug Administration).
Only one FDA-approved dermal filler is not absorbed by the body, and it is made with polymethylmethacrylate beads (U.S. Food and Drug Administration).
Successful dermal filler results depend on the underlying tissue structure and the volume and type of filler used (U.S. Food and Drug Administration).
How long a dermal filler effect lasts depends on the filler material and the area where it is injected (U.S. Food and Drug Administration).
How long do dermal fillers last?
The FDA regulates dermal fillers as medical devices, and clinical trials reported that most FDA-approved dermal fillers have temporary effects (U.S. Food and Drug Administration).
How long a dermal filler effect lasts depends on the filler material and the area where it is injected (U.S. Food and Drug Administration).
Most FDA-approved dermal fillers are made from materials the body eventually breaks down and absorbs, so injections may need to be repeated to maintain the desired effect (U.S. Food and Drug Administration).
Dermal fillers are not permanent, and even semi-permanent fillers eventually require re-treatments (American Society of Plastic Surgeons).
What should be asked before dermal filler treatment?
Common consultation topics include:
- What material is being used, because how long a dermal filler effect lasts depends on the filler material and the area where it is injected (U.S. Food and Drug Administration).
- Whether any health condition may affect appropriateness, because dermal fillers may not be appropriate for people with certain conditions, such as bleeding disorders or some allergies (U.S. Food and Drug Administration).
All procedures should be discussed with a qualified physician.
What risks and side effects are commonly discussed?
As with any medical procedure, dermal fillers have risks, limits, and probable risks to understand (U.S. Food and Drug Administration).
Any dermal filler can cause temporary side effects, permanent side effects, or both (U.S. Food and Drug Administration).
Most dermal filler side effects, such as swelling and bruising, occur shortly after injection and many resolve in a few days to weeks (U.S. Food and Drug Administration).
In some cases, side effects from a dermal filler injection may appear weeks, months, or years after injection (U.S. Food and Drug Administration).
The most concerning risk associated with dermal fillers is unintentional injection into a blood vessel, which can block blood vessels and reduce blood supply to tissues (U.S. Food and Drug Administration).
Although unintentional injection into a blood vessel is unlikely, resulting complications can be serious and may be permanent if it happens (U.S. Food and Drug Administration).
Reported complications of dermal fillers include necrosis, vision abnormalities including blindness, and stroke (U.S. Food and Drug Administration).
Inflammation such as swelling or redness may develop near a dermal filler injection site after viral or bacterial illnesses or infections, vaccinations, or dental procedures (U.S. Food and Drug Administration).
Fillers that contain microscopic granular substances, particularly calcium hydroxylapatite, may clump because of facial movement or the natural aging process (American Society of Plastic Surgeons).
Antibodies or rejection of filler material may reduce the effectiveness of future filler injections (American Society of Plastic Surgeons).
What does recovery after dermal fillers generally involve?
There is no downtime with dermal fillers, and most activities can be resumed right away (American Society of Plastic Surgeons).
After dermal filler treatment, the treated area should not be rubbed so the filler material remains undisturbed (American Society of Plastic Surgeons).
Swelling or a bit of bruising is likely after dermal fillers and should fade within a few days (American Society of Plastic Surgeons).
Most dermal filler side effects, such as swelling and bruising, occur shortly after injection and many resolve in a few days to weeks (U.S. Food and Drug Administration).
Human fat used as a filler can cause an over-filled appearance at first (American Society of Plastic Surgeons).
An initial over-filled appearance after human fat filler should resolve within a few hours or, in some cases, a few days (American Society of Plastic Surgeons).
Individual results vary.
What filler safety warnings are important?
The risks of unapproved dermal filler uses or unapproved dermal filler products are not known (U.S. Food and Drug Administration).
The FDA recommends against using dermal fillers or any injectable filler for body contouring and enhancement (U.S. Food and Drug Administration).
Needle-free devices are not approved by the FDA for injecting dermal fillers (U.S. Food and Drug Administration).
The safety and effectiveness of needle-free devices for injecting dermal fillers is not known (U.S. Food and Drug Administration).
Needle-free injectors use high pressure and do not provide enough control over where filler will be placed (U.S. Food and Drug Administration).
Serious injuries and, in some cases, permanent harm to the skin, lips, or eyes have occurred with needle-free dermal filler devices (U.S. Food and Drug Administration).
The FDA warns against buying or using lip or facial fillers sold directly to the public (U.S. Food and Drug Administration).
Lip or facial fillers sold directly to the public are not FDA approved and may be contaminated with chemicals and infectious organisms (U.S. Food and Drug Administration).
The only FDA-approved dermal fillers are supplied by prescription for injection by a licensed health care professional using a syringe with a needle or cannula (U.S. Food and Drug Administration).
What do studies report about satisfaction?
In studies of FDA-approved dermal fillers, people generally reported being satisfied with their treatment results (U.S. Food and Drug Administration).
FAQ
Are dermal filler effects temporary?
The FDA regulates dermal fillers as medical devices, and clinical trials reported that most FDA-approved dermal fillers have temporary effects (U.S. Food and Drug Administration). Most FDA-approved dermal fillers are made from materials the body eventually breaks down and absorbs, so injections may need to be repeated to maintain the desired effect (U.S. Food and Drug Administration).
Can dermal fillers be used with needle-free devices?
Needle-free devices are not approved by the FDA for injecting dermal fillers (U.S. Food and Drug Administration). Needle-free injectors use high pressure and do not provide enough control over where filler will be placed (U.S. Food and Drug Administration).
What side effects can happen after dermal fillers?
Most dermal filler side effects, such as swelling and bruising, occur shortly after injection and many resolve in a few days to weeks (U.S. Food and Drug Administration). In some cases, side effects from a dermal filler injection may appear weeks, months, or years after injection (U.S. Food and Drug Administration).
Are fillers sold directly to the public FDA approved?
The FDA warns against buying or using lip or facial fillers sold directly to the public (U.S. Food and Drug Administration). Lip or facial fillers sold directly to the public are not FDA approved and may be contaminated with chemicals and infectious organisms (U.S. Food and Drug Administration).
This article was produced by Mentis Intelligence for educational purposes only and does not constitute medical advice, diagnosis, or treatment recommendations. Individual results vary. All procedures should be discussed with a qualified physician. For a consultation with Dr. Carlo Honrado MD, FACS, contact (310) 286-0043 or visit drhonrado.com/contact. Content generated by AI (Mentis Intelligence) per California AB 3030 disclosure requirement.
For a consultation with Dr. Carlo Honrado MD, FACS in Beverly Hills & Century City CA, visit drhonrado.com/contact.
Sources
- U.S. Food and Drug Administration: Dermal Fillers (Soft Tissue Fillers) | FDA
- U.S. Food and Drug Administration: Dermal Filler Do's and Don'ts for Wrinkles, Lips and More | FDA
- American Society of Plastic Surgeons: Special Considerations, Risks and Recovery | ASPS
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All content published on drhonrado.com is for educational purposes only and does not constitute medical advice. Please consult Dr. Honrado directly for a personalized evaluation.
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