How do I choose a filler? Which filler is best for me? These are two questions we hear almost daily at our practice. The best dermal filler depends on what you want to achieve and where you’re treating. Some fillers add volume, others smooth wrinkles, and some restore hydration.
At LiveWell Medical Aesthetics, we offer a variety of FDA-approved dermal fillers and customize each treatment based on the concerns you’d like to address. Book a consultation to find the perfect filler for you. Here, we break down the different types of dermal fillers and the best filler options for your skin concerns.
What is a Dermal Filler?
Dermal fillers are injectable treatments that restore volume, smooth wrinkles, and enhance facial contours. There are many options, but the most popular fillers are made with hyaluronic acid (HA).
Fillers are a great way to soften smile lines, lift your cheeks, or brighten your under eyes and the results are usually instant. Every filler treatment can be customized depending on what you want to treat.
Types of Dermal Fillers
Fillers are categorized by their active ingredient. For your safety, make sure you’re receiving FDA-approved and brand-name fillers only.
Hyaluronic Acid (HA) Fillers
HA fillers are made with hyaluronic acid. It’s a natural substance in the body that keeps the skin hydrated and plump. HA fillers are popular for smoothing fine lines, adding volume, and restoring moisture.
They’re very versatile and are used to treat areas like the under eyes, cheeks, and lips. HA fillers typically last 6–24 months, depending on the brand. Popular options include:
Juvederm: Ultra, Voluma, Volbella, Vollure, Ultra, Ultra Plus, Skinvive
Restylane: Lyft, Silk, Contour, Refyne, Defyne, Kysse, Restylane-L
RHA: Redensity, RHA 2, 3, & 4
Calcium Hydroxylapatite (CaHA) Fillers
CaHA fillers contain tiny calcium particles suspended in a smooth gel. These fillers are thicker and provide structure, making them the preferred option for deeper wrinkles and restoring lost volume in areas like the cheeks or jawline. At LiveWell, Radiesse is typically injected in a hyperdilute form that helps with collagen and elastin stimulation. Treating thinning skin and crepeiness while also addressing volume loss in the face, neck, decollete and body. Radiesse is a popular example with results typically lasting 12–18 months.
Poly-L-Lactic Acid Fillers
Poly-L-lactic acid is a biodegradable synthetic material that works by stimulating your body’s collagen production. Unlike other fillers, these don’t provide instant results. Instead, they gradually restore volume and smooth deep folds over time.
A popular example of an FDA-approved Poly-L-Lactic acid filler is Sculptra, with effects lasting up to two years.
Polymethylmethacrylate (PMMA) Fillers
PMMA fillers use tiny, biocompatible beads suspended in collagen gel. They provide long-lasting support under the skin while also stimulating natural collagen production.
These fillers are commonly used for deep wrinkles and scars. Bellafill is a popular option in this category, with results that last up to five years.
Due to inability to dissolve and potential long term complications with these fillers, LiveWell does not offer PMMA fillers.
What is the Best Dermal Filler for Under Eyes?
The best dermal filler for the undereyes typically isn’t a dermal filler at all. At LiveWell, we recommend starting with regenerative options to the undereyes. The undereye is a delicate that can be prone to swelling and discoloration. Due to this, regenerative options can address aging in the area while mitigating some of the risks of filler in this area.
LiveWell offers treatments like Biogel (EZ gel), PRFM injections, and will soon be offering polynucleotides to regenerate the undereye tissue.
For those with true hollowing that have already addressed discoloration and laxity to the area, hyaluronic acid (HA) fillers are often considered the best option for under-eye treatments. They’re soft, safe, and reversible if needed. Popular HA fillers for under eyes include:
Restylane-L
Smooths under-eye hollows and adds subtle volume
Lightweight gel consistency for natural-looking results.
Go-to option for treating tear troughs
Results last up to 6–12 months
Belotero Balance
Lightweight formula ideal for fine lines and delicate under-eye areas
Blends well into the skin to reduce hollows
Prevents puffiness or bulk for a smooth finish
Results last up to 6 months
Juvederm Volbella
Thin, hydrating filler that smooths under-eye skin
Reduces fine lines and adds subtle volume
Great for a refreshed and youthful look
Results last up to 12 months
Restylane Silk
Soft, smooth formula designed for delicate under-eye hollows
Softens fine lines and enhances a well-rested appearance
Results last up to 6–10 months
What is the Best Dermal Filler for Cheeks?
Softer fillers don’t provide enough lift for cheeks, so the best options are more structural, longer-lasting fillers designed to lift and contour. Popular cheek fillers include:
Juvederm Voluma
Designed specifically for midface and cheek augmentation
Provides immediate lift and volume
Smooth, natural finish that enhances facial contours
Long-lasting results, up to 2 years
Restylane Lyft
Adds structure and definition to the cheeks
Versatile: also smooths wrinkles in the midface
Ideal for natural-looking enhancement
Results last up to 18 months
Radiesse
Composed of calcium hydroxylapatite for immediate volume
Stimulates natural collagen production for long-term benefits
Great for contouring and defining cheekbones
Results last up to 18 months
Sculptra
Gradually restores volume by stimulating collagen production
Perfect for subtle, long-term improvement
Results develop over several months and last more than 2 years
What is the Best Dermal Filler for Marionette Lines?
The best filler for marionette lines depends on how deep they are and your goals. Here are popular options:
Juvederm Ultra XC
Soft and versatile, ideal for smoothing moderate marionette lines
Provides hydration and volume for natural results
Results last up to 1 year
Restylane Defyne
Designed for deeper lines and folds while maintaining natural movement
Helps soften the appearance of marionette lines without stiffness
Results last up to 12 months
Radiesse
Provides immediate volume and collagen stimulation for deep lines
Great for long-lasting improvement in marionette areas
Results last up to 18 months
Sculptra
Stimulates collagen production over time to address deeper folds
Gradual improvement for long-term results, lasting over 2 years
Expert Dermal Filler Injectors in South Dakota
At LiveWell, we believe you deserve results that look as good as they feel—natural, balanced, and totally you. Our team includes licensed medical professionals with years of experience in aesthetics. We specialize in customizing every treatment to your unique features, so your results always look effortless and never overdone.
Call us at 605-545-9020 to book your appointment today. Find us at 811 Columbus St., Rapid City, SD 57701. We also serve nearby areas, including Box Elder, Sturgis, Spearfish, and Hot Springs.
Frequently Asked Questions
Are dermal fillers safe?
Yes, when injected by licensed professionals. FDA-approved fillers are made with safe, biocompatible ingredients.
What type of dermal filler is best for lips?
Hyaluronic acid lip fillers like Juvederm Ultra XC, Juvederm Volbella, and Restylane Kysse are ideal for lip enhancement. They’re easy to shape, reversible, and ideal for subtle or fuller enhancements.
How much does a dermal filler cost?
Prices range from $550-850 per syringe, depending on the filler and area treated. During your consultation, our providers will recommend the amount needed to achieve your desired results.
How long does dermal filler last?
Dermal fillers can last anywhere from 6 months to 2 years, depending on the filler and treatment area.
Is Botox a dermal filler?
No, Botox is not a dermal filler. It’s a neuromodulator that relaxes muscles to smooth wrinkles. Both can complement each other for a refreshed, youthful look. Check out our Botox transformations.
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