Choosing the Best Dermal Fillers for Smile Lines, Under Eyes, Nose & More - The Cosmetic Surgery Clinic

Choosing the Best Dermal Fillers for Smile Lines, Under Eyes, Nose & More

The Cosmetic Surgery Clinic reviews your filler options for the best results.

Majid Memand sitting on chair

As we age, and as a result of sun exposure, hormonal changes, and other lifestyle factors, our skin begins to lose hyaluronic acid and collagen, resulting in fine lines, hollows, wrinkles, folds, and a loss of fullness and elasticity. Luckily, dermal fillers restore lost volume and minimize these telltale signs of aging non-surgically and usually with almost no downtime. Treatments are quick and easy. The dermal filler solution is gently injected into target areas to lift and plump the skin, providing a lasting and natural-looking solution to many of our most common aging and facial contouring woes.

How Do I Choose the Best Dermal Fillers for Me?

If you’ve been considering a dermal filler treatment, you likely know that there are several fillers to choose from; so many in fact, that one of the most common questions we’re asked about this treatment is “how do I choose the best dermal fillers?”

At The Cosmetic Surgery Clinic, we offer many of the best dermal fillers on the North American market, each with different characteristics, to treat a wide array of concerns. The truth is the aesthetic eye, technical skill, and experience level of your injector are more important than the brand of filler used. Our Beauty Nurses are experts; they’ll review your facial anatomy, the area(s) to be treated, and your goals before making a dermal filler recommendation.

With that said, we understand if you’re still curious about each filler’s unique properties, so we’ve created a handy overview.

Hyaluronic Acid Fillers

Hyaluronic acid (HA) is a complex sugar found in all living cells and an important component of the skin, along with collagen and elastin. Produced naturally by the body, HA retains water like a sponge, absorbing more than 1000 times its weight. This helps to attract and maintain water, hydrate your skin, and increase its volume and density. Because HA production slows as we age, dermal fillers are meant to restore or ‘fill the void’ that the loss of this naturally produced HA presents. Many dermal fillers are composed of this ingredient in gel form, which slowly dissolves over time, and eventually is absorbed by the body.

  • Teosoyal®: The purest dermal filler available on the market, Teosoyal® contains a high concentration of HA and minimal amounts of protein and bacterial endotoxins (less than 0.2 EU/mL). This purity of ingredients ensures a limited risk of inflammation, redness and swelling, and the high concentration of HA results in a durable, long-lasting effect; results last a year or more in many patients.
  • JUVÉDERM®: The JUVÉDERM® line of dermal fillers are soft, replenishing injectable gels made from HA. They work by combining with the water in your skin, and their smooth consistency allows them to be administered easily and evenly to provide results that look and feel very natural. Results typically last 1-2 years depending on the product recommended and the area being treated.
  • BELOTERO®: The BELOTERO® range of hyaluronic acid dermal fillers are specially formulated to easily integrate into your skin for long-lasting and natural-looking results. In addition to filling out wrinkles, Belotero hydrates the surface of the skin to keep it looking fresh and youthful. Belotero dermal fillers are ideal for smoothing and filling wrinkles as well as for lip augmentation, skin rehydration and for restoring facial volume. To enhance your comfort, the Belotero products we offer are available with lidocaine, and results typically last 6-8 months depending on the product recommended, and the area being treated.
  • Restylane®: The Restylane® line of hyaluronic acid dermal fillers are formulated with two patented technologies: NASHA™ technology—which creates a precise, firmer gel texture intended for a more pronounced lift—and Optimal Balance Technology™—which creates a softer gel texture, allowing for smoother integration into the tissue for natural-looking results. This allows your Restylane treatment to be customized for your unique goals.

Non-HA Fillers

  • RADIESSE®: RADIESSE® dermal filler is made of calcium-based microspheres suspended in a water-based gel. Unlike other dermal fillers, it also stimulates the body to produce new collagen, so even after your body has processed the filler, results will continue to develop over time. The soft, natural-looking results appear immediately and last up to a year or more.

Fillers for Smile Lines & Marionette Lines

Smile lines, also known as nasolabial folds, form under the apple of your cheeks and run from the outer edges of your nose to your mouth. Similarly, marionette lines run vertically from the outer corners of the lips to the jawline. Many different fillers might be used to treat parentheses lines and marionette creases, including:

  • JUVÉDERM® VOLIFT®: used to gently restore natural-looking fullness to smile lines.
  • Teosyal®: fills in facial creases, including nasolabial folds and marionette lines.
  • Restylane® Refyne: fills moderate wrinkles and folds
  • Restylane® Defyne: smooths pronounced wrinkles and folds, such as those around your mouth.
  • Radiesse adds volume and smooths folds in the lower face, including smile and marionette lines.
  • BELOTERO® BALANCE: for the smooth correction of your moderate to deeper etched-in lines.
  • BELOTERO® INTENSE: fills and lifts deeper folds and wrinkles.

Fillers for Under Eyes

Some options to rejuvenate the under-eye area include:

  • BELOTERO® BALANCE: for smoothing sunken-looking or shadowed tear troughs.
  • Restylane® Refyne: rejuvenates the area under the eyes.

Fillers for the Nose

The best fillers for a liquid rhinoplasty are hyaluronic acid fillers, including JUVÉDERM® and Restylane®. They are soft, versatile gels that create natural-looking results and can be reversed with hyaluronidase if necessary.

Chin & Cheek Fillers

Many fillers can add definition and contour to the chin and cheeks, whether you’ve always wanted them to be more prominent or you’ve experienced age-related volume loss. Some options include:

  • Teosoyal®: an excellent choice for facial contouring of the cheeks, chin, and mental crease (the horizontal groove between your chin and lower lip).
  • JUVÉDERM® ULTRA™ XC & ULTRA™ PLUS: smooth-consistency injectable gels with pain-reducing lidocaine to instantly smooth away wrinkles and enhance and define the cheeks and jawline.
  • JUVÉDERM® VOLUMA®: ideal for restoring lost fullness and enhancing the cheeks and chin for a more youthful look.
  • BELOTERO® VOLUME: for natural volume enhancement.
  • Restylane® Volyme: restores age-related volume loss in the cheeks.
  • Restylane® Defyne: provides lift to enhance facial contours.
  • Restylane® Lyft: shapes facial contours, improving the definition of features like the cheeks and chin.
  • Radiesse is an ideal choice for adding volume to the cheeks because it can be used to treat large surface areas in one procedure.

Lip Fillers

Both men and women want smoother, fuller, and more defined lips. Many fillers are available to create natural-looking fullness in the lips and smooth lines around the mouth. Some of these fillers include:

  • JUVÉDERM® VOLBELLA®: designed specifically to restore natural-looking lip volume, define lip contours, treat oral commissures, and to smooth fine lines around the lips with built-in lidocaine anaesthetic.
  • Restylane® Kysse: enhances the lips by adding volume for a balanced and natural look.
  • JUVÉDERM® ULTRA™ XC & ULTRA™ PLUS: These facial fillers work to enhance and define lips and other facial features.
  • BELOTERO® INTENSE corrects lip lines and other wrinkles around the mouth.
  • Restylane® Lyft: in addition to facial contouring and wrinkle smoothing, Lyft enhances the lips.

We offer more tips for choosing the right lip filler in our related blog post.

If you’re looking for more information about the best dermal filler options, schedule a consultation with The Cosmetic Surgery Clinic Beauty Nurses today. We’re happy to assess your goals and needs and recommend a filler that is best suited to achieving your desired look.

Meet Our Surgeons

The talented, experienced plastic surgeons at our Kitchener-Waterloo clinic have the advanced training to create exceptional, natural-looking results that meet the individual needs of our patients. The collaborative nature of our practice benefits patients in many ways.

Dr. Robert Shenker Dr. Stephanie Ma
The Cosmetic Surgery Clinic