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Dermal Fillers Treatment for Skin Care

Dermal fillers smooth wrinkles, restore volume and enhance facial features, providing youthful, natural-looking results with minimal downtime.

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Composition, Structure and Classification of Dermal Fillers

Dermal fillers are injectable substances used to restore volume, smooth out wrinkles, and enhance facial contours. The most widely used fillers are biocompatible materials designed to mimic substances naturally found in the skin. They are hyaluronic acid-based, given their reversible nature, hydrating properties, and safety profile.

Structurally, dermal fillers are composed of a gel-like matrix that varies in viscosity, elasticity (G’), cohesivity and particle size. These properties are carefully adjusted during the manufacturing process to suit different clinical indications. For example, fillers with a higher G’ provide better structural support, making them suitable for areas requiring lift, such as the cheeks or jawline. In contrast, softer, more spreadable fillers are ideal for delicate areas like the tear troughs or lips.

Dermal Fillers Treatment

The origin and availability of fillers differ depending on the country. For instance, in South Korea, brands like saypha, Dermalax, Neuramis, and Revolax are popular for their affordability and quality. In Europe and America regulatory norms under CE marking are stringent, and many high-end fillers originate here. In India, both imported and locally approved fillers are available, often dictated by clinic preferences, brand trust, and economic considerations. The variation in the consumer cost is due to the same reason.

Types of Dermal Fillers

Dermal fillers are classified based on two main parameters: the anatomical area of injection and the depth or level of injection.

Dermal Fillers

Area of Injection

  • Upper Face: Fillers for temples, forehead, and tear troughs are typically soft and moldable to avoid lumpiness.
  • Mid-Face: Cheek augmentation requires denser fillers with higher G’ to lift and project the malar area.
  • Lower Face: Chin and jawline fillers must offer high structural support and integration to reshape facial contours effectively.
  • Perioral Area and Lips: These require soft, flexible fillers to maintain natural expressions and avoid migration.
  • Hands, Neck and Decolletage: Thinner fillers with a strong hydrating effect are used for rejuvenation without bulk.

Level of Injection

  • Superficial Dermis: Used for fine lines or superficial acne scars; requires low-viscosity fillers.
  • Mid to Deep Dermis: For moderate wrinkles or volume loss.
  • Subcutaneous Layer: For contouring and deeper volumization.
  • Supraperiosteal Plane: Injected just above the bone for structural support, especially in areas like the chin and cheek.
Dermal Fillers Treatment

Superficial dermal Fillers are often called skin boosters. They help plump up and stretch the skin giving a smoother appearance with minimized pores.

Body Fillers

Body fillers are dermal fillers specifically formulated for use in larger body areas such as the buttocks, hips, thighs, and hands. Unlike facial fillers, body fillers are denser, more voluminous, and designed to provide structural support and long-lasting results in areas that undergo more mechanical stress. Common materials used include cross-linked hyaluronic acid or biostimulatory agents like poly-L-lactic acid. These fillers help enhance contours, correct asymmetry, and restore volume loss due to aging or weight fluctuations. Safety, technique, and product selection are crucial in body filler procedures due to the larger volume injected.

Dermal Fillers in Acne Scar Treatment

Injectables for Acne Scars Treatment

Dermal fillers have revolutionized the management of atrophic acne scars, especially rolling and boxcar types. By elevating the base of the scar, fillers help level the skin surface, improving texture and appearance. HA fillers are most commonly used in acne scars due to their safety, ease of application, and reversibility with hyaluronidase. For more persistent defects, semi-permanent fillers like CaHA or PMMA may be used.

In some protocols, subcision is performed prior to filler injection to break fibrotic strands and create a subdermal space that enhances filler placement and outcome. Over time, the collagen-stimulating properties of certain fillers also contribute to dermal remodeling and scar softening, making fillers both an immediate and long-term solution in acne scar treatment.

Dermal Fillers for Anti-Aging Treatment

Dermal fillers have revolutionized the management of atrophic acne scars, especially rolling and boxcar types. By elevating the base of the scar, fillers help level the skin surface, improving texture and appearance. HA fillers are most commonly used in acne scars due to their safety, ease of application, and reversibility with hyaluronidase. For more persistent defects, semi-permanent fillers like CaHA or PMMA may be used.

In some protocols, subcision is performed prior to filler injection to break fibrotic strands and create a subdermal space that enhances filler placement and outcome. Over time, the collagen-stimulating properties of certain fillers also contribute to dermal remodeling and scar softening, making fillers both an immediate and long-term solution in acne scar treatment.

Injectables for Anti Aging Treatment

Combination Treatments at Arna Clinic

At Arna Dermatology & Aesthetics, we enhance filler outcomes using energy-based devices like HIFU (High-Intensity Focused Ultrasound) or RF (Radiofrequency). This synergistic approach maximizes rejuvenation and ensures long-lasting, natural-looking results.