Are Injectables Right for Me?

Should I get Injectables for My Face? How do they Work?

Injectables for facial rejuvenation has become mainstream. When you aren’t ready for a facelift, Dr. Durkin can speak to you about our nonsurgical options for facial rejuvenation. We offer a comprehensive menu of injectables for your face, neck, and hands to help you achieve a natural and more youthful appearance. Injectable therapy is a type of minimally invasive cosmetic procedures that are very popular with our patients!

It’s easy to become overwhelmed when choosing the right face filler, especially if it’s your first time, as your filler options may seem endless.  To begin, it’s important to understand why dermal filler is so useful for addressing age-related changes.

The aging process results in diminishing of your facial fat pads, shrinking of your skull secondary to bone loss, and loss of skin elasticity – the combination of which leaves you with static (age-related) fine lines and volume loss.  Facial fillers, just as the name describes, are used to fill in a space where there is a volume loss secondary to aging.  This mechanism of action is entirely different than BOTOX®or XEOMIN®, which are neuromuscular blockades that work by relaxing facial muscles. Instead, facial fillers work by filling-in the “valleys” or crevices that are characteristic of a wrinkles. By doing so, it has the effect of softening age-related fine lines.

At Ocean Drive Plastic Surgery®, we take a very organic approach to filler-based facial rejuvenation.  When you come in for consultation, you will be given a mirror so that you can point out your areas of concern.  Together, we work on a dermal-filler treatment plan that’s right for you.

What Are the Different Types of Fillers?

There are two types of facial fillers that we commonly use:  hyaluronic acid fillers like Juvederm®, Restylane®, and Belotero®, and calcium microsphere fillers like Radiesse®.  Hyaluronic acid fillers tend to be less viscous (less thick) then microsphere fillers.  They are aesthetically appealing in softer areas of the face like the lips, fine lines around the mouth, and nasolabial folds.  Belotero®, a newer hyaluronic acid filler, works beautifully in delicate areas of the face like the tear trough or lower lid area because it can be used closer to the surface of the skin than traditional hyaluronic acid fillers.

Calcium microsphere fillers are more heavy duty than hyaluronic acid fillers.  They do a great job in areas of the face where there is a lot of volume loss.  They are commonly used in the cheek bone area where your natural malar fat pad lives.  Another advantage to calcium microsphere fillers, like Radiesse®, is that they may last almost twice as long as their hyaluronic counterparts.

Dermal fillers play a significant role in facial enhancement. Clinical effectiveness, facial aesthetics, and patient satisfaction are critical outcome measures. Successful outcomes can be measured by the chemical and physical attributes of the dermal filler selected. There are many different types of dermal fillers available. The major dermal fillers available described below. Side effects are usually mild to moderate, lasting 7 days or less, and include temporary injection-site reactions such as redness, pain, firmness, swelling, and bumps. Read below to learn more about some of our more popular dermal fillers or you can watch Dr. Durkin demonstrate injections in these Radiesse videos.

Dermal Filler Products are Not Interchangeable

However, many people share the perception that injectables are interchangeable, and that they “all do the same thing”. In reality, nothing could be further from the truth. Currently, there are a multitude of FDA approved injectables available on the market , and they each have specific characteristics and specific uses. We will review injectables including facial fillers and neurotoxins in detail. For additional information you may want to read where we focus specifically on the differences between popular dermal fillers.

Dermal Filler Products


Restylane® is a natural cosmetic dermal filler that restores fullness to the skin to correct facial wrinkles and folds, such as nasolabial folds. Restylane is sold by Medicis and comes as Restylane and Restylane-L. Restylane® is the most common injected filler used in aesthetic plastic surgery. Restylane® is a hyaluronic acid filler that is very effective in the lower eyelid, upper eyelid, nasolabial folds, cheeks, and lip areas. It is soft, non-nodular, and produces natural, predictable results.


This hyaluronic acid filler is a close cousin to Restylane®. It has a greater thickness (i.e., molecular viscosity), and as such is used in areas of large volume loss. We commonly use this filler in the nasolabial folds and cheek areas.


Juvederm®, made of natural dermal filler, helps to offer a natural look to facial lines and wrinkles and is also the fastest growing injectable in aesthetic plastic surgery. Juvederm® is also a hyaluronic acid filler that works in almost all areas of the face. It provides an outstanding result in the forehead, cheeks, lips, nasolabial folds, and the jawline. The company, Allergan, promotes three variations of Juvderm injectables including Juvderm® XC, Juvederm Ultra® XC, and Juvederm Ultra® XC Plus. Juvederm® XC is the first and only FDA approved Hyaluronic acid dermal filler that can last up to 1 year (results vary) with a single treatment. Juvederm injectable gels are indicated for the mid-to-deep dermis to correct moderate to severe facial wrinkles and nasolabial folds (laugh lines).

Radiesse® for Radiesse product information volumizing facial filler is based upon calcium microsphere injection. This is our preferred filling agent for large volume corrections in all areas of the face except the upper eyelids and lower eyelids. It lasts longer than the hyaluronic acid fillers, and provides a smooth, even result, especially in deeper wrinkles. Radiesse is more expensive than its hyaluronic acid counterparts, as it lasts well over a year, and can sustain volume in many cases up to two years. Watch Radiesse videos by Dr. Durkin.

Ocean Drive® Liquid Facelift

Dr. Durkin has developed a proprietary technique for nonsurgical combination therapy that provides superior natural-looking results without the need for surgery or laser therapy. He has combined his intrinsic artistic talent with his comprehensive understanding of facial anatomy with his remarkable experience with fillers and neuromodulators to develop the Ocean Drive Liquid Facelift®.

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