Overview of Deep Dermal Fillers

Area of Science:

• Dermatology
• Cosmetic Surgery
• Aesthetic Medicine

Background:

• Dermal fillers are integral to cosmetic dermatology, shifting focus to soft tissue augmentation for facial aging.
• Nine new dermal fillers approved by the U.S. Food and Drug Administration in the past 5 years highlight increased usage.
• Dermal fillers are categorized into temporary, semipermanent, and permanent types, with varying durations of effect.

Purpose of the Study:

• To review semipermanent and permanent injectable dermal fillers for soft tissue augmentation.
• To emphasize the importance of clinician understanding of these durable fillers for patient counseling and procedure execution.

Main Methods:

• Literature review focusing on semipermanent (poly-L-lactic acid, calcium hydroxylapatite) and permanent (polymethylmethacrylate, liquid silicone) dermal fillers.
• Analysis of dermal filler types, safety, efficacy, and adverse event potential.

Main Results:

• Temporary fillers (e.g., hyaluronic acid) offer limited duration (1-2 years).
• Semipermanent and permanent fillers provide durable correction for the aging face.
• Extended duration of semipermanent and permanent fillers necessitates awareness of potential adverse events.

Conclusions:

• Semipermanent and permanent dermal fillers are valuable tools for facial rejuvenation.
• Thorough clinician knowledge of these deep dermal fillers is essential for optimal patient outcomes and safety.
• Effective counseling and recommendation require a deep understanding of filler properties and risks.