Injectable Fillers FAQs

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Learn the answers to frequently asked questions about dermal fillers at Hillcrest Dermatology & Plastic Surgery in Orlando, such as Restylane®, RADIESSE®, JUVÉDERM®, PERLANE®, and Sculptra®.

These answers to commonly asked questions are not intended to be taken as medical advice; they are based on Dr. Kenrick Spence's many years of experience treating thousands of dermal fillers patients at his Medical Spa and facial plastic surgery practice.

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Dermal Fillers Questions Answered by Dr. Spence


At what age can I begin having dermal fillers such as JUVÉDERM or Restylane?
There is no specific age to start dermal fillers. It depends on when the need arises. We have very young patients at the Hillcrest Dermatology & Plastic Surgery that are using dermal fillers for enhancing facial features, such as their lips; treating acne scars and other facial scars; and minimizing signs of aging, such as loss of volume in the cheeks. Dermal fillers can also be used to enhance the results of facial plastic surgery.


What is the best dermal filler?
At the Hillcrest Dermatology & Plastic Surgery, we have vast experience with 8 different types of dermal fillers. The best filler for you will depend on these factors:

  • area being treated
  • skin type
  • how long you want the benefits to last
  • aesthetic goals

Each filler has its own advantages, and sometimes a combination may achieve the best results. For example, a possible combination of fillers might be Restylane to enhance the lips, JUVÉDERM to fill out hollows beneath the eyes, and RADIESSE to add volume to the cheeks.


I lost a lot of weight. As a result, even though the skin is tight, my face still looks old. Should I get dermal fillers or a facelift?
Many patients who have lost weight have an aged appearance because of loss of volume. A facelift may not be necessary. Fat, the most natural filler used for this procedure, can be harvested from another area of the body through liposuction and then injected into the targeted regions. Other options include injectable fillers such as Sculptra and RADIESSE.

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How does my body eliminate these fillers?
Fillers used in our Orlando med spa such as Sculptra, Restylane, and JUVÉDERM are biocompatible and biodegradable. These terms mean that these injectables can be broken down and naturally eliminated by your body's normal cleansing processes.


Can I have an allergic reaction to Sculptra?
Allergic reactions to Sculptra are uncommon. Sculptra is composed of the same material used in surgical suture material for years. Side-effects may include small, non-visible bumps beneath the skin which you may be able to feel but not see.


I heard that if I have a certain kind of scar, I can't have Sculptra?
Currently the manufacturer of Sculptra Aesthetic does not recommend the product for patients who have a tendency to form hypertrophic scars (thick, raised, pigmented scars).


Do these fillers show up on X-rays?
RADIESSE is the most likely filler to show up on X-rays due to its calcium content.

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What precautions can I take to prepare for my dermal filler?
Although not harmful, bruising can occur with the use of dermal fillers. At the Hillcrest Dermatology & Plastic Surgery, we follow and recommend the following precautions to decrease the risk of bruising:

  • Topical Arnica
  • Ice compresses
  • Meticulous injection technique
  • Local anesthetics combined with epinephrine

We also recommend that you stop all blood-thinning agents at least five days before your injection. Talk with your physician about any blood-thinning prescriptions prior to halting your medications.


How long does JUVÉDERM last?
It has been our experience that hyaluronic acid fillers such as JUVÉDERM last between 6 to 8 months, depending on the patient. In addition, the duration of the benefits varies, depending on the locations of the injection. Areas of the face that are less mobile tend to last longer.

Call the Hillcrest Dermatology & Plastic Surgery at (407) 999-2585 to learn more about how one of our highly skilled and qualified dermal filler specialists can achieve your aesthetic goals. Or, request a consultation online. Our knowledgeable staff will be happy to help you.

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