Dermal Fillers


Dermal Fillers in Beverly Hills, CA | Juvéderm®, Restylane® | Shanghai

The increasing popularity of injectable fillers has placed high demands for beautiful, natural-looking results to refresh and reshape the face. As a leading expert in aesthetic rejuvenation, specifically around the eyes and mid-face, Dr. Raymond Douglas provides his patients with a careful selection of fillers so he can meet each patient’s unique needs. Our motto is “Be You Again” and artistically placed filler by Dr. Douglas can help you achieve just that.

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What are dermal fillers?

Dermal fillers are injectable products that are used to enhance or replenish volume, restore youthful contours, and smooth lines and creases on the skin. Where wrinkle reducers like BOTOX are often appropriate for creases around the eyes and on the forehead, where muscle contractions are common, dermal fillers are often introduced to the lower two-thirds of the face. There are several formulas and different families of dermal filler products available today, including the Restylane and Juvederm family of products. The extensiveness of product choices allows us to achieve optimal aesthetic outcomes for each person. While most dermal fillers are made with the same base ingredient, hyaluronic acid, each product differs in the thickness and consistency of the fluid injected. A thicker, more viscous filler adds structure and is commonly inserted deeper beneath the skin. Thinner, softer formulas are ideal for delicate areas such as the lips.

How long do dermal fillers last?

Dermal Fillers in Beverly Hills, CA | Juvéderm®, Restylane® | Shanghai

Dermal fillers break down over time. The results of treatment vary based on various factors. These include the type of filler used, the placement of filler, and the number of injections administered. Once a patient achieves their desired results, touch-up treatments may be needed to maintain youthful-looking skin. Dr. Douglas carefully selects each dermal filler used based on the desired outcome discussed during the initial consultation. Some patients will benefit from more than one type of dermal filler to achieve the extent of rejuvenation they would like. For example, a lighter, softer filler may be used to reduce lip lines or add volume to deflated lips while a second product is administered into the cheeks to enhance contouring in the mid-face. Even when two products are administered in the same visit, their results will diminish differently due to the unique viscosity of each chosen filler.

Generally speaking, fillers with a thicker consistency will last longer. A product such as Voluma may last as long as two years. Most other fillers break down within 9 to 12 months. During your consultation in our Beverly Hills practice, we can estimate how long a filler will last based on your skin assessment.

Am I a candidate for dermal fillers?

Adults of all ages may be good candidates for dermal fillers to reduce the appearance of moderate to severe lines and creases around the nose, mouth, or eyes. The best candidates for fillers are nonsmokers who are in good general health. Smokers can receive treatment, but may not achieve the full extent of beneficial results due to a lack of tissue oxygenation and the squinting and sucking motions made when smoking. Patients with extreme allergies may not be suited to certain types of dermal fillers. Fillers are also not approved for use in pregnant or nursing women.

What are the benefits of dermal fillers?

Dermal Fillers in Beverly Hills, CA | Juvéderm®, Restylane® | Shanghai

While we often think of wrinkles and creases as the signs of facial aging, but volume loss is actually more telling. This makes our cheeks flatten and the area around our mouth loosens and develops more lines. Volume loss can mainly be blamed on our declining production of collagen. Every year after we turn 20 our bodies produce one additional percentage point less collagen. Do the math and at 50 that’s a 30 percent decline. Since collagen provides the structural latticework that supports our skin and keeps it firm, this decline creates the volume loss that allows much of our facial aging. Throw in sun damage, personal habits, and environmental factors and our facial skin can really show our age, and then some. Dermal fillers return some of that lost volume. When injected beneath a wrinkle, crease, or area of volume loss the dermal filler instantly fills the space and pushes the skin back upward. This erases the crease and adds volume.

Dermal fillers are an excellent non-invasive option for rejuvenating the face.

What areas can dermal fillers be used?

People confuse dermal fillers such as Restylane® with neuromodulators such as Botox®. But they are completely different in how they erase wrinkles. Neuromodulators work on the upper third of the face, the expressive area of the face. When we make certain expressions these involve muscle contractions. Over time these contractions create wrinkles on thinning surface skin. These wrinkles are known as “dynamic wrinkles.” Neuromodulators block these muscles from contracting, so the wrinkles don’t form. Dermal fillers have no effect on dynamic wrinkles caused by muscle contractions. Dermal fillers only work on the other type of wrinkle, known as “static wrinkles.” Static wrinkles don’t have anything to do with muscle contractions; they are due to sun damage, declining collagen production, environmental factors, and personal habits such as smoking. Static wrinkles form on the mid to lower portions of the face.

Dermal fillers work on these lines and areas of volume loss:

  • Smile lines (from the nose to the corners of the mouth)
  • Parentheses lines (framing each side of the mouth)
  • Marionette lines (running from the corners of the mouth downward)
  • Barcode lines (vertical lines on the lips)
  • Volume loss in the cheeks
  • Volume loss in the lips
  • Undereye lines and hollows
  • Backs of the hands

What are some of the dermal fillers you use and where are they intended?

Dermal Fillers in Beverly Hills, CA | Juvéderm®, Restylane® | Shanghai

Dr. Douglas offers the entire Juvéderm® and Restylane® lines:


  • Juvéderm® (smile lines, marionette lines, parentheses lines)
  • Juvéderm® Voluma (cheeks)
  • Juvéderm® Ultra (visible volume to the lips)
  • Juvéderm® Volbella (subtle lip volume and barcode lip lines)
  • Juvéderm® Vollure (moderate to deep creases and wrinkles mouth area)
  • Restylane® (smile lines, marionette lines, parentheses lines)
  • Restylane® Lyft (cheek volume, smile lines)
  • Restylane® Refyne (mild to moderate smile lines and marionette lines)
  • Restylane® Defyne (moderate to severe smile lines and marionette lines)
  • Restylane® Silk (lip volume, barcode lines)

How often do you need dermal filler injections?

Different dermal fillers have different lifespans. On average, Restylane fillers last a little less time than Juvéderm®, but again there is variance within the line. You can estimate that Restylane® fillers will provide results from 6 to 9 months. Juvéderm® fillers usually last from 9 to 12 months. Juvéderm® Voluma is the longer-lasting hyaluronic acid filler, restoring cheek volume for up to two years. The difference in metabolism in different patients affects how long a filler lasts before it is absorbed by the body. Generally, areas with more movement break down the filler faster. This is especially true of the lips.

How soon do I see results with dermal fillers?

Dermal Fillers in Beverly Hills, CA | Juvéderm®, Restylane® | Shanghai

When a dermal filler is injected your results are immediate. For the Restylane® and Juvéderm® lines, all the fillers are made with hyaluronic acid. When injected beneath a crease or an area of volume loss, the hyaluronic acid binds with nearby water molecules and provides instant volume. This pushes the skin back upward and erases the crease/line and returns volume. The lifespans of these fillers are detailed above, but Restylane® fillers last from 6 to 9 months, while Juvéderm® fillers last 9 to 12 months for most of the line.

What are the potential side effects with dermal fillers

Because hyaluronic acid is a substance that occurs naturally in the human body, reactions to Juvéderm® and Restylane® products are very rare. Plus, if the patient isn’t happy with the look of an injected area, an enzyme (hyaluronidase) can be injected in the area and it instantly breaks down the hyaluronic acid and returns the skin to its former appearance. Occasionally, lumps can develop, but these can also be neutralized with hyaluronidase. Otherwise, there can be a little redness and slight swelling at the injection sites, but that passes very quickly. The results are immediate.

What results should I expect with dermal filler injections?

As their name implies, dermal fillers simply “fill” in depressed areas of skin underlines and wrinkles and in areas of volume loss. Their job is to return the volume that is being lost due to declining collagen production and damage to the skin from the sun and other factors. At Dr. Douglas’s practice, our patients find our dermal filler offerings to be very effective for erasing or dramatically reducing the appearance of lines, creases, wrinkles, and areas of volume loss.

Are dermal injections painful?

We apply topical numbing cream prior to your dermal filler injections, so they are not painful.

Schedule an Appointment Today!

For more information on dermal fillers or to schedule a consultation in our Beverly Hills office, call (310) 657-4302. We look forward to meeting you and providing you with beautiful filler treatment results so you can be you again!

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