All About Dermal Fillers

Looking for subtle changes that make significant improvements in your look? Meet JUVÉDERM®, Restylane®, and other dermal fillers available at our facial plastic surgery practice serving Winter Park, Orlando, Tampa, Melbourne, Daytona Beach, and surrounding central Florida cities.  

Board-certified facial plastic surgeon Dr. Edward J. Gross and his experienced injector team use fillers to rejuvenate and contour without the invasiveness of surgery. Here, you’ll find all the info you need about how these products work, what to expect, and more.  

What Are Dermal Fillers?

Dermal fillers are injectable gels that add volume just below the skin to rejuvenate and contour the face and hands. They provide a nonsurgical alternative to facial rejuvenation and contouring.  

What Do Dermal Fillers Do? 

Dermal fillers both revitalize and contour the face in several different ways: 

  • Lifting the cheeks and restoring midface volume 
  • Defining the jawline and minimizing the appearance of jowls  
  • Volumizing thin lips and smoothing away lip lines
  • Filling in hollow tear troughs and disguising under-eye bags 
  • Adding height and projection to the chin to balance facial harmony 
  • Minimizing deep folds, such as nasolabial folds or marionette lines 
  • Smoothing away various lines and wrinkles 

Every filler treatment is fully customized to address your specific aesthetic goals.  

How Do Dermal Fillers Work? 

Different types of fillers work in different ways, depending on the ingredients in each product.  

Hyaluronic Acid (HA) Fillers 

HA fillers contain a gel form of a sugar found naturally in your body. These products add structure and attract water to give the treated areas a fuller and more voluminous look.  

Calcium Hydroxylapatite (CaHA) 

CaHA fillers contain tiny calcium microspheres that add volume and encourage ongoing collagen production in the treated area.  

Poly-L-Lactic Acid (PLLA) 

Rather than providing an immediate volume boost, PLLA fillers work gradually over time by stimulating your body’s own collagen production to create natural volume.  

How Long Do Dermal Fillers Last? 

Fillers typically last between 9 and 24 months, depending on the formulation used and the area injected.  

How long do fillers last

Which Brands of Fillers Do You Offer? 

We offer various FDA-approved* fillers in the JUVÉDERM and Restylane families, along with RADIESSE and Sculptra.


We offer 5 JUVÉDERM HA filler formulations, including Ultra XC, Ultra Plus XC, and VOLLURE®, for facial rejuvenation targeting the nasolabial folds, marionette lines, and lips.


This thicker HA filler is most often used to replace volume lost in the cheeks, temples, and chin during the aging process.


This is a subtle, softer HA filler that is often used for vertical lip lines or under the eyes to fill in hollow tear troughs.


HA filler Restylane combats facial volume loss, fills in hollow tear troughs, and smooths away various lines and wrinkles such as nasolabial folds and marionette lines.

Restylane KYSSE™

Formulated specifically for the lips, this HA filler adds natural-looking plumpness and minimizes vertical lip lines.

Restylane Lyft

This filler’s larger HA molecule structure makes it ideal for treating deeper lines and areas with more significant volume loss like cheeks and temples.


RADIESSE’s CaHA microspheres form a scaffolding for collagen to build around, providing both an immediate boost of volumeand ongoing rejuvenation, especially for the cheeks and jawline.


Highly effective for volume loss, Sculptra’s PLLA formula creates subtle results over time, gradually creating fuller and younger-looking contours to the face by stimulating your own natural collagen.

5 Fast Filler Facts 

  • Safety: Fillers are generally considered low-risk treatments. All the fillers we use are FDA-approved* and have track records for safety and satisfaction. 
  • Allergies: All the fillers we use are biocompatible, so you don’t need to do any allergy testing before your injection.  
  • Comfort: A topical anesthetic with triple numbing agents (betacaine, tetracaine, and lidocaine) is applied prior to treatment to numb the area. Ice compresses and a VAD (vibrating anesthesia device) can be used during treatment. Plus, lidocaine is contained in many fillers. All of these factors help to keep your discomfort to a minimum.   
  • Side Effects: The most common side effects are swelling, bruising, and redness around the injection sites, all of which typically subside within a few days.  
  • Recovery: You can return to work and your usual activities right after having fillers injected.  

What Is the Difference Between BOTOX® & Fillers? 

Both BOTOX and dermal fillers address facial lines and wrinkles, but they do so in different ways. Fillers treat wrinkles and folds caused by volume loss, such as lip lines and nasolabial folds. BOTOX treats “dynamic wrinkles” caused by repeated muscle movements over time. These expression wrinkles include crow’s feet, frown lines, and forehead lines.  

A full-face rejuvenation treatment will often include both dermal fillers and BOTOX to address both kinds of wrinkles.  

Fillers vs. Botox What's The Difference?

Can Fillers Be Reversed? 

What happens if you don’t love your filler results or experience an unwanted side effect? First, it’s important to note both of these scenarios are rare, especially in the hands of a facial plastic surgeon or master trained injector. If this does occur, we can dissolve HA fillers with a product called Hylenex, which contains the enzyme hyaluronidase. This enzyme breaks down the filler and dissolves the product within a week or two. You can have this done at any time. The non-HA fillers (and the HA fillers) all metabolize over a minimal time frame, so none of them are permanent. 

Next Steps 

If you would like to discuss your Orlando options for dermal fillers at our Lake Mary, FL, location, please request a consultation online, book online now, or call (407) 333-3040

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