Also known as “fillers”

Sculpt your cheeks, minimize the hollowing and wrinkles around your eyes, reshape your lips and watch the parenthesis lines fade away.

These off the shelf injections are safe, relatively predictable and will enhance your look. They are very commonly used to minimize lines and wrinkles in the face and other body areas. The body slowly breaks down the filler, therefore you may require future treatments in order to maintain your results. All fillers have their own particular advantages and drawbacks. During your consultation, our plastic surgeons will determine what filler or combination of filler is right for you.

When or Should I Get Injectables for My Face? How Do They Work?

Injectables for facial rejuvenation has become mainstream. While not everyone is ready for a facelift or want one, Dr. Sarraga can speak to you about our nonsurgical options for facial rejuvenation. We offer a comprehensive menu of injectables for your face, neck, body and hands to help you achieve a natural and more youthful appearance. Injectables is a type of minimally invasive cosmetic treatments that are extremely popular with our patients!

It’s easy to become overwhelmed when choosing what facial filler to use, especially if it’s your first time, as your filler options may seem endless.  To begin, it’s important to understand why dermal filler is so useful for addressing age-related changes.

The aging process results in reduction of your facial fat pads, causing “sinking in” of areas of the face or drooping, shrinking of your skull secondary to bone loss, and loss of skin elasticity (mostly from collagen loss); this combination leaves you with static (age-related) fine lines and volume loss.  Facial fillers, just as the name describes, are used to fill in a space where there is a volume loss secondary to aging.  The mechanism of action is entirely different from using Botox or other toxins, which are neuromodulators that work by relaxing facial muscles. Instead, facial fillers work by filling-in the “valleys” that can accentuate the folds or crevices that are characteristic of wrinkles. By doing so, it softens age-related fine lines and restores volume and fullness to the face.

At  Sarraga Plastic Surgery, we take a very organic approach to filler-based facial rejuvenation.  When you come in for consultation, we will take pictures and Dr. Sarraga will do a thorough evaluation of your facial features to create a custom plan; you will also be given a mirror so that you can point out your areas of concern.  Together, we work on a dermal-filler treatment plan that’s right for you.

There are 2 main types of dermal fillers

1) Hyaluronic Acid Dermal Fillers:

Hyaluronic acid naturally exists in our tissues. It mainly works by attracting water into the area. As we age we see a natural decline in collagen production, a decrease in the amount of natural hyaluronic acid content in our skin, as well as of fat in some areas of the face that keep us looking young. Adding volume to the face can help restore a youthful look and is most easily done by artfully injecting hyaluronic acid fillers (such as the ones listed below).

Restylane Family products:

Restylane – is excellent for lip enhancement, augmentation and for filling fine to moderate lines and delicate areas

Restylane Lyft- is a thicker filler that works great for medium to deep wrinkles, and for volumizing the face

Restylane Silk – is a smooth and silky filler that provides a natural fill into the lips and around the mouth.

Restylane Kysse – a specific formulation made specifically for lips, that are plump, yet soft and defined.

Restylane Refyne – tailored to fine lines and wrinkles in areas of a lot of movement (lips, around the mouth, etc.)

Restylane Defyne – a volumizing filler that is tailored for areas of movement (nasolabial folds, brows)


The only present HA-based filler designed to last up to 2 years.

Vollure – a filler that demonstrates good elasticity and memory, excellent for medium folds and for enhancement of the midface

Volbella – Juvederm filler for the lips, par excellence. This filler shows great volumization and structure for lip enhancement.

Juvederm XC and Ultra Plus – these fillers also work very well for fine to moderate wrinkles, and volumizing

Belotero – is a new hyaluronic acid filler, cross-linked in a way that allows it to infiltrate very superficial and thin fine lines and wrinkles thereby minimizing them

The RHA® Collection is intentionally designed for facial dynamics. It’s made to mimic the natural hyaluronic acid that’s found in your skin and adapt to the dynamic demands of your face.

2) Biostimulatory Fillers 

A) Calcium Based Products

is a calcium-based filler that works very well as a volumizer and for moderate to deep wrinkles. The benefit of this filler is dual as it is the most volumizing and lifting filler in all classes; it also works as a potent biostimulant , promoting new collagen formation and thereby improving tissue quality. Radiesse truly is one of a kind and is the only one of its kind approved in the US.

B)  Lactic Acid Fillers (PLLA or Poly-L Lactic Acid) or SCULPTRA

This dermal filler specifically works to volumize the areas where it is injected. it is a gradual process whereby the body’s interaction with this filler creates a scaffold for the formation of new collagen. Thereby the areas injected are not only filled but also the quality of the overlying skin and dermis is improved. This type of filler is known as a BIOSTIMULATOR and is the only one in its class (PLLA).

Usually, at least 2-3 treatments are needed, the results are gradual. Treatments can be done every 6 weeks.  Even though the process is longer, once optimal treatment is done the results typically last 2 and a half to 3 years.


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