Cosmetic fillers are used to diminish the look of lines and wrinkles on the face. Cosmetic fillers create a subtle difference and can take years off of your appearance. Cosmetic fillers are injected. Fillers also address the problem of volume loss. Fillers augment the soft tissue instead of pulling it smooth through surgery to create a natural look. A combination of fillers can be used by your doctor to achieve the desired result. There is always the risk of side effects with any medical procedure.

Volume Loss

Wrinkles and volume loss in aging skin is caused by the loss of collagen, elastin and hyaluronic acid in the skin. The goal of cosmetic fillers is to replenish what time has taken away. Fillers on the market can replace collagen and hylauronic acid for skin rejuvenation. Collagen is the main protein of the skin’s connective tissue. Hyaluronic acid supports and lubricates the skin. Hyaluronic acid is found naturally in foods like broccoli, red and green peppers, brussel sprouts, strawberries, oranges and soy. Hyaluronic acid is added to many wrinkle creams.

Hyaluronic Acid Fillers

Hyaluronic acid is a natural sugar substance that gives volume to the skin. It is injected to treat lip lines, nasolabial folds, crow’s feet and for lip augmentation. Because this is a natural substance, no skin testing is needed for cosmetic fillers made with hyaluronic acid. Complications for this injection can include swelling at the site, allergic reactions, lumpiness and overcorrection.

Collagen Fillers

Collagen is naturally found in the skin and supports elasticity and volume. Most collagen cosmetic fillers are made of purified bovine collagen, so there is a risk of allergic reaction to this type of filler. Skin testing is advised. New generation collagen fillers have been approved by the FDA that closely mimic natural collagen and require no skin testing and do not cause swelling or bruising. Allergic reaction is the most common side effect to most collagen fillers. Bruising is common and complications such as lumpiness, scarring, abscess and peeling are rare.

Natural Fat Filler

Fat transfer is also an option for treating volume loss. The transfer of fat involves taking fat from one area and injecting it into another. Your doctor may choose this method if the volume loss is significant and in deeper tissue layers. The amount of fat absorbed by the body in the treatment area varies. There are fewer side effects to this type of filler because the fat is transferred from one part of your body to another. The biggest risk is infection, pain at the injection sites, swelling and abscesses.

Botox Cosmetic

Botox is a purified protein, which when injected into the skin, reduces the contractions of muscles that make you frown, giving your face a fresh, relaxed appearance It is indicated for lines between the brows, on the forehead and around the eyes. It is a simple treatment that takes only minutes in your doctor’s office. Complications are rare and usually include some injection site swelling. Results of Botox Cosmetic last about 4 months.

The Procedure

Consult with your doctor to decide what areas you are concerned with and how they can best be treated. Ask questions and have realistic expectations for your treatment. Your skin will first be cleansed and a topical anesthetic may be applied. The doctor may mark the injection sites. Cosmetic filler injections take very little time. There may be pain at the site of the injections and your doctor may massage the area. After your treatment, ice may be applied to reduce swelling. Take your doctor’s advice about after care and return visits.


Cosmetic fillers should only be injected by a doctor or designated professional. Check your state’s regulations about who can inject. Cosmetic fillers can cost between $1,000 to $3,000, depending on the amount of correction that you need and which filler you choose. Take your doctor’s advice on after care and the use of skin care to maintain your results.