Types of Injectable Fillers and What They’re Used For

Cosmetic dermatology is a widely used procedure which can help you to have a more youthful and beautiful appearance. To help with treating wrinkles and rejuvenating your face, many people ask for injectable fillers. This treatment will help treat facial scars and wrinkles, including laugh lines and forehead creases. The best part about this treatment is that it’s minimally invasive. Since practically on surgery is required, it can cost much less than other types of cosmetic treatments.

Injectable fillers can help make your face look more youthful. It can also plump your lips to give you a fuller pout and soften the wrinkles in your face. However, fillers can’t help with any sagging skin. While this procedure is commonly referred to as a “liquid facelift,” it can’t replace certain types of cosmetic surgery, like neck lifts for excess skin.

 If you are currently researching different types of facial treatments from Spalding Plastic Surgery, you may be overwhelmed and confused by your options. Injectable fillers have several different brand names, and the ingredients may be different from brand to brand. While there’s no “bad” ingredients, there are certain types of fillers that are best for your specific skin type and goals.

Fat fillers are often made from either human-based or cow-based ingredients. The ingredient in fillers will play a large role in their effectiveness, and different patients will respond in different ways to ingredients. One of the most popular brands of injectable fillers is Radiesse, which contains calcium hydroxylapatite.

Other varieties of injectable fillers include human-based or bovine-based collagen fillers, “vampire” injections, skin cell-based injectable fillers, fat fillers and Botox. Each type of filler has its own unique function, and it’s important to discuss the type of filler that’s right for you with your plastic surgeon.

This procedure isn’t a permanent fix and it must be repeated in order to maintain a youthful appearance. Sometimes injectable fillers are used in conjunction with other invasive or non-invasive treatments. Your plastic surgeon will discuss all of the possibilities and suggestions with you.

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Blepharoplasty Table

FAT REPOSITIONING
Figure 1 Frontal of a female patient following traditional transconjunctival removal of lower eyelid herniated orbital fat with resultant tear-trough deformity (nasojugal fold). Figure 2a Frontal of a patient with midface decent and a double-convexity contour deformity (lower eyelid herniated orbital fat convexity followed by the cheek/malar mound convexity).
Figure 2b One year post operative photograph demonstrating improvement in lower eyelid contour following lower eyelid transconjunctival fat repositioning and an endoscopic sub-periosteal midface lift. An endoscopic brow lift and upper blepharoplasty were also performed. Figure 3 Transconjunctival incision at the inferior edge of the tarsus using a Colorado needle – right eye.
Figure 4 A preseptal dissection is performed bluntly keeping the septum intact – right eye.  Figure 5 Sharp dissection between the medial fat pad and the inferior oblique muscle using scissors – right eye.
Figure 6 The medial and central fat pads are grasped with forceps and a “see-saw” movement is made allowing free movement of the fat pads from the inferior oblique muscle – left eye. Figure 7 A retractor is used to retract the lower eyelid and the orbicularis oculi muscle exposing the inferior orbital rim and arcus marginalis – left eye.
Figure 8 A suture and needle is passed through the skin and orbicularis oculi muscle medial to the nasojugal groove and retrieved in the subperiosteal pocket – right eye.  Figure 9 The medial fat pad pedicle is splayed-out prior to placement of suture – left eye.
Figure 10 The central fat pad is repositioned inferolateral to the medial fat pad – left eye.  Figure 11 Fat granuloma of the right lower eyelid following fat repositioning.
RESULTS
Figure 12a Before Figure 12a After
A, Frontal of before (left) and after (right).
Figure 12b Before Figure 12b After
B, Right (oblique), before (left) and after (right). A 55-year-old-woman with dermatochalasis and herniated lower eyelid fat. Before (left) and 1 year post-operatively (right) following lower eyelid transconjunctival fat repositioning, endoscopic brow lift and bilateral upper blepharoplasty. Notice the improvement of the lower eyelid contour and tear-trough deformity.
Figure 13a Before Figure 13a After
A, Frontal of before (left) and after (right).
Figure 13b Before Figure 13b After
B, Left (oblique), before (left) and after (right). A middle-aged woman with brow and midface ptosis, dermatochalasis and herniated lower eyelid fat. Before (left) and 20 months post-operatively (right) following lower eyelid transconjunctival fat repositioning, endoscopic brow and midface lift and bilateral upper blepharoplasty.
Figure 14 Before Figure 14 After
Frontal of before (left) and after (right). A 38-year-old female complaining of “a deep groove under her eyes and heavy upper eyelids.” The before photo on the left reveals minimal herniated lower eyelid fat with a moderate tear-trough deformity. Following lower eyelid transconjunctival fat repositioning and an upper blepharoplasty, the after photo on the right shows improvement of the tear-trough deformity.
Figure 15a Before Figure 15a After
Frontal of before (left) and after (right).
Figure 15b Before Figure 15b After
Right Frontal Close Up, before (left) and after (right). A 35-year-old male complaining of “deep groove below my eyes.” The before photo on the left demonstrates minimal to no visible herniated lower eyelid fat with a moderate tear-trough deformity, especially of the right eye. Following lower eyelid transconjunctival fat repositioning, the hollowness is improved.

Blepharoplasty HTML Table

FAT REPOSITIONING
Figure 1 Frontal of a female patient following traditional transconjunctival removal of lower eyelid herniated orbital fat with resultant tear-trough deformity (nasojugal fold). Figure 2a Frontal of a patient with midface decent and a double-convexity contour deformity (lower eyelid herniated orbital fat convexity followed by the cheek/malar mound convexity).
Figure 2b One year post operative photograph demonstrating improvement in lower eyelid contour following lower eyelid transconjunctival fat repositioning and an endoscopic sub-periosteal midface lift. An endoscopic brow lift and upper blepharoplasty were also performed. Figure 3 Transconjunctival incision at the inferior edge of the tarsus using a Colorado needle – right eye.
Figure 4 A preseptal dissection is performed bluntly keeping the septum intact – right eye.  Figure 5 Sharp dissection between the medial fat pad and the inferior oblique muscle using scissors – right eye.
Figure 6 The medial and central fat pads are grasped with forceps and a “see-saw” movement is made allowing free movement of the fat pads from the inferior oblique muscle – left eye. Figure 7 A retractor is used to retract the lower eyelid and the orbicularis oculi muscle exposing the inferior orbital rim and arcus marginalis – left eye.
Figure 8 A suture and needle is passed through the skin and orbicularis oculi muscle medial to the nasojugal groove and retrieved in the subperiosteal pocket – right eye.  Figure 9 The medial fat pad pedicle is splayed-out prior to placement of suture – left eye.
Figure 10 The central fat pad is repositioned inferolateral to the medial fat pad – left eye.  Figure 11 Fat granuloma of the right lower eyelid following fat repositioning.
RESULTS
Figure 12a Before Figure 12a After
A, Frontal of before (left) and after (right).
Figure 12b Before Figure 12b After
B, Right (oblique), before (left) and after (right). A 55-year-old-woman with dermatochalasis and herniated lower eyelid fat. Before (left) and 1 year post-operatively (right) following lower eyelid transconjunctival fat repositioning, endoscopic brow lift and bilateral upper blepharoplasty. Notice the improvement of the lower eyelid contour and tear-trough deformity.
Figure 13a Before Figure 13a After
A, Frontal of before (left) and after (right).
Figure 13b Before Figure 13b After
B, Left (oblique), before (left) and after (right). A middle-aged woman with brow and midface ptosis, dermatochalasis and herniated lower eyelid fat. Before (left) and 20 months post-operatively (right) following lower eyelid transconjunctival fat repositioning, endoscopic brow and midface lift and bilateral upper blepharoplasty.
Figure 14 Before Figure 14 After
Frontal of before (left) and after (right). A 38-year-old female complaining of “a deep groove under her eyes and heavy upper eyelids.” The before photo on the left reveals minimal herniated lower eyelid fat with a moderate tear-trough deformity. Following lower eyelid transconjunctival fat repositioning and an upper blepharoplasty, the after photo on the right shows improvement of the tear-trough deformity.
Figure 15a Before Figure 15a After
Frontal of before (left) and after (right).
Figure 15b Before Figure 15b After
Right Frontal Close Up, before (left) and after (right). A 35-year-old male complaining of “deep groove below my eyes.” The before photo on the left demonstrates minimal to no visible herniated lower eyelid fat with a moderate tear-trough deformity, especially of the right eye. Following lower eyelid transconjunctival fat repositioning, the hollowness is improved.