Cosmetic Fillers for Wrinkles: When Serums are Not Enough

Cosmetic Fillers for Wrinkles: When Serums are Not Enough


Melanie Schwarz is a registered nurse who works closely with each of our patients to provide the quality treatment they deserve for optimal results.

One of the biggest trends in skin care and anti-aging regimens right now are serums. Vitamin C, Retinol, rose hip oil…you name it, there’s a serum out there with a pharmacy or Instagram influencer shouting it’s praises from the rooftops.

While these serums and oils can be helpful in moisturizing and supplementing nutrients in your skin, most of the time they are not very effective when combatting things like wrinkles, creases, skin discoloration, or texture issues. Severe acne scarring, sun or age spots, and other skin issues often need bigger guns to truly rejuvenate and restore that smooth and youthful volume. This is where cosmetic fillers come in. They are able to truly make an impact that treats not just the symptoms of aging skin, but the root causes beneath the surface.

How Do Cosmetic Fillers Work?

There are multiple options out there when considering cosmetic wrinkle fillers, and knowing how they work and what they do can help you move forward in your decision-making process. Most cosmetic fillers for faces work in one of two ways: they freeze the muscle that is causing the creation of the wrinkle (Botox), or they add volume which removes the loose skin and adds a defining plumpness (injectables like Juvederm, Radiesse, Sculptra, Belotero Balance, and more).

What are Cosmetic Fillers That Add Volume?

These are some of the cosmetic fillers being offered that add volume, reduce wrinkles and fine lines with assistance from different ingredients:

  • Juvederm: a combination of synthetic hyaluronic acid fillers that is able to address many areas including the lips, cheeks, and nose (Voluma is variation of Juvederm used to boost the cheeks and face for a more youthful aesthetic)
  • Belotero Balance: uses hyaluronic acid to diminish wrinkles and fine lines
  • Radiesse: this cosmetic wrinkle fillers contains calcium hydroxyapatite which assists in restoring volume around the mouth and chin areas
  • Sculptra: a poly-L-lactic acid dermal filler that is able to impact moderate to severe wrinkles in the nose, mouth, and cheeks to improve and smooth skin texture.

There are multiple options out there when considering cosmetic wrinkle fillers, and knowing how they work and what they do can help you move forward in your decision-making process.

Different Wrinkles Require Different Fillers

Did you know there are several different types of wrinkles? Knowing the type of wrinkles you are wanting to address is essential when choosing your treatment plan.

Gravity Induced Wrinkles

These wrinkles are caused by the affect years of gravity has upon the skin:
they contribute to the sagging skin that seen in nasolabial folds and smile
lines. These wrinkles are caused by the skin tissues “deflating” and then
sagging into the wrinkle. Volumizing fillers are the best cure for these

Atrophic and Expressive Wrinkles

These are wrinkles caused by the movements your skin makes, such as crow’s feet, frown lines, and forehead wrinkles. As the skin ages, the muscles beneath the skin contract more and more, causing wrinkles to form. This is where Botox is a helpful solution. Depending on where the wrinkles are located, a decrease in collagen production may be a contributing factor – in which case laser treatment may be the ticket to getting those collagen numbers back up!

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Elastotic Wrinkles

Too much sun exposure during someone’s lifetime can actually damage the elastic structures within the skin tissues that compose the face, which becomes evident in creases in the cheeks, upper lip, and base of the neck. Obviously, applying sunscreen and moisturizing regularly are good things to preventatively address this kind of wrinkle. But if they have already begun to appear, some laser resurfacing or a cosmetic filler may be something to look into.

A Unique Cosmetic Filler for Any Wrinkle Situation

Who knew there were so many different types of wrinkles? Thank goodness there are cosmetic fillers for the face designed to address the individual issues and areas affected by these wrinkles. If you find yourself overwhelmed trying to discern the best option for your skin, schedule an initial consultation with a qualified plastic surgeon who offers these cosmetic fillers near you.


For those which cosmetic wrinkle filler might be the best solution for you, we invite you to simply come in for a complimentary consultation with Dr. Chang or one of the cosmetic laser and injection nurses to explore whether you would make a good candidate. To find out more whether Aesthetica can help you, contact us online or at 703-729-5553 to arrange an appointment. Dr. Phillip Chang is a board-certified plastic surgeon in Northern Virginia near Leesburg, Virginia and an expert in a wide variety of cosmetic treatments.

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Our office can provide you with helpful information, schedule a free consultation, and walk you through the many services and procedures we provide.

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