Experienced injectors know that certain fillers are particularly suited for specific areas of the face. Through extensive experience with thousands of treatments, Dr. Greene learned the unique handling characteristics of all of the facial fillers. This led to an understanding that patients are often best treated using a combination of different fillers in order to achieve the best result. Dr. Greene evaluates each patient’s anatomy and their concerns in order to determine the areas to treat and the best fillers to utilize.
For each anatomic area of the face, there are specific fillers that can be used. However, the particular filler to choose varies depending on the patient and other factors, that may include skin quality and thickness, volume deficit, and aesthetic goals. Below is a fairly generalized list that includes most of the fillers that are currently available in the U.S.
To learn more about each filler, you can click on the filler to learn more.
There are a number of fillers available, each with its own strengths and unique characteristics.
To understand these fillers, it is best to group them according to the portfolio.
Also known as the Hylacross fillers, which refers to their manufacturing and cross-linking.
Also known as the Vycross fillers, which refers to their tighter cross-linking than the Hylacross fillers. It is believed that this is what may lead to more longevity, though a comparison has not been made with the Hylacross fillers.
Revanesse Versa: This filler is one of the ideal choices for lip augmentation, as it creates excellent definition while keeping the lips soft and natural. Some patients report less swelling with Versa compared to other hyaluronic acid fillers. Versa is also an excellent choice for nasolabial folds and marionette lines. Versa comes in both 1.0cc and 1.2cc syringes. The 1.2cc syringe is ideal for patients who desire lip augmentation in conjugation with treatment of the nasolabial folds. Learn More about Revanesse Versa Lips
Sculptra: Comprised of poly-L-lactic acid, Sculptra is actually not a filler. Instead, it is considered to be a volumizer, as it creates the formation of new collagen in the skin and soft tissue. Many patients find Sculptra to be an attractive option, since it is very long-lasting (many patients report improvement that lasts over two years). Treatment with Sculptra does require patience, as the results gradually appear over 4-6 weeks. Multiple treatments are also usually necessary. While Sculptra can be used in most areas of the face, it seems to work particularly well in the temples, midface, and jawline.