While Botox and Dysport are effective choices to relax muscles and soften lines and wrinkles caused by muscle movements, dermal fillers offer complimentary effects in deeper lines and/or to help reshape and contour the face. Depending upon the needs of the patient, there are several choices in dermal fillers.

Hyaluronic acid (HA) is a naturally occurring and abundant substance in our skin that draws in water to help hydrate the skin. Age, sun exposure and other factors cause the amount of HA in our skin to diminish over time, contributing to a loss of volume and the appearance of wrinkles and folds. HA fillers are composed mainly of hyaluronic acid; thus, they help restore lost volume in the face and minimize lines and wrinkles. Some different types are: Juvederm, Restylane and Perlane.
For more significant volume loss Radiesse may be an appropriate option. Radiesse is different from HA fillers in that it contains calcium hydroxylapetite microspheres that, when implanted, help stimulate natural collagen growth.

Sculptra Aesthetic is a different type of facial injectable in that it works to replace lost collagen, over a series of injection sessions. Sculptra Aesthetic is made from poly-L-lactic acid particles, a biocompatible, biodegradable synthetic material that has been used by physicians for decades. When injected into the deep dermis, collagen fibroblasts form around the particles to gradually replace lost collagen in the skin. It works to correct shallow to deep facial wrinkles and folds as well as volumize hollow areas of the face such as cheeks and temples.