Picking the Right Filler

How to Pick the Right Filler for You | Boca Raton, FL

There are many dermal or injectable fillers available on the market today, made of different materials and designed to treat different areas of the face. With the many options out there, it can be difficult to know which one's the one for you. Your plastic surgeon can help you decide, based on your specific needs. At his Boca Raton practice, Dr. Nachlas offers three different fillers: Juvederm, Restylane and Radiesse.

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Benefits of Fillers

Fillers offer a few benefits when compared to surgeries that reduce the signs of aging, such as facelift or eyelid surgery. One benefit is that the results are instant and the downtime is limited. Many patients need no time for recovery and are able to get back to their regular lives right away. Fillers can also be used on patients who are just beginning to show signs of aging, while many surgeries are limited to patients who have more advanced signs of aging.

Two more benefits of injectable fillers are that the treatment time is short and side effects are minimal and rare. If side effects do occur, they typically include redness and bruising at the sight of the injection. Most fade within a few days. In many cases, it takes less than 30 minutes for a surgeon to inject the fillers.

The fillers used by Dr. Nachlas are made from ingredients found naturally in the human body. That means that the risk for an allergic reaction is minimal and that the body knows how to respond to the fillers appropriately.


Juvederm is made from hyaluronic acid, a type of sugar that plays a role in keeping the skin plump. Naturally made by the body, the amount of a hyaluronic acid a person produces diminishes with age, leading to less full and less firm skin, as well as to the appearance of lines and wrinkles.

One area that Juvederm is most commonly used in is the smile lines, or nasolabial folds, that develop between the nose and corners of the mouth. Surgeons also use it to treat marionette lines, or the wrinkles that form from the lower corners of the mouth down the sides of the chin, and lines above the lips or on the chin. The filler is the only hyaluronic acid filler approved by the FDA to provide results for up to a year.


Like Juvederm, Restylane is made of hyaluronic acid and is used to reduce the appearance of wrinkles by the mouth, nose and chin. It can also be used to add volume to the lips and to conceal the appearance of scars. One major difference between Juvederm and Restylane is how long the results last. The results from an injection of Restalyne tend to last for less time than the results from Juvederm, about six months or so, which means you may have to go more often for treatments to maintain the look you want.


Radiesse is made of a completely different material than Juvederm and Restylane. Made of calcium hydroxyapatite, the filler is heavier than the others and is used to fill in deeper lines or to restore lost volume to certain areas. The ingredient in Radiesse is the same material produced by the body in the bones. It is bound to microspheres in a gel. When injected below the surface of the skin, Radiesse helps encourage the production of collagen, which provides more support to the skin and allows the results to last for longer. In many cases, the results from an injection of Radiesse can last a year.

Don't Forget Botox

Botox Cosmetic isn't a filler, but it is an injectable. While fillers treat non-dynamic wrinkles, Botox might be an option for you if you have wrinkles and lines that have developed due to facial movements. Botox is FDA approved to treat glabellar lines, or the vertical frown lines between the eyebrows, as well as crow's feet at the corners of the eyes. You may consider combining Botox with another filler to get the results you want.

In Boca Raton, Dr. Nathan Nachlas, a board certified facial plastic surgeon, offers Botox as well as three fillers to his patient.  For more information or to request a consult with Dr. Nachlas contact Sandy Friedman, Director of Patient Relations at 561-939-0909.

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