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The Dermal Filler Dilemma: Which one is right for you?

dermal fillers in laguna beach, ca header image of woman preparing to have facial injections.

Dermal fillers aren’t created equal. There is no one-size-fits-all solution to address all your anti-aging concerns, as each filler will have a unique formula and will work in a different way to rejuvenate your appearance.

This quick guide will provide basic knowledge of the most popular dermal fillers today.

Fillers for Wrinkle Reduction

Hyaluronic acid (HA) is a naturally occurring substance in the body that absorbs water, acting as a natural moisturizer that keeps skin hydrated and plump. As we age, HA production decreases, resulting in less radiant skin and the formation of facial wrinkles and folds.

Dermal fillers from the Juvéderm® and Restylane® family of HA-based injectables are designed to replace the natural hyaluronic acid that has diminished in your skin. When delivered into the dermal tissue, fillers add subtle volume and correct fine lines and folds to restore a more youthful appearance.

Examples of wrinkle-smoothing fillers we provide at our Laguna Beach, CA, office are:

Juvéderm® Vollure XC and Juvéderm® XC

Juvéderm Vollure XC and Juvéderm XC work to correct moderate to severe facial wrinkles, such as nasolabial folds. Vollure XC’s thick consistency can smooth away creases and folds from deep in the skin.

Restylane® Refyne

Restylane Refyne has a softer, more flexible formula that softens laugh lines and marionette lines while maintaining your natural expressions.

Restylane® Defyne

Restylane Defyne has a firmer formula with unique cross-linking technology, allowing for additional support while maintaining the natural movement of the face. Restylane Defyne can effectively smooth out deeper laugh lines and marionette lines to restore a more youthful appearance while maintaining your natural facial movements.

Volumizing Fillers

Collagen and elastin production also declines with age. As a result, the support structure of the face loses volume and support. Facial features begin to change, and wrinkles, skin folds, and creases start to appear.

Dermal fillers can be injected into areas such as temples, under the eyes, cheeks, and chin, where the loss of volume is most apparent. Examples of volumizing fillers we use at Coast Dermatology & Laser Surgery Center are:

Restylane® Lyft

Restylane Lyft adds definition and fullness to the cheeks and smooths nasolabial folds. It is designed to treat the cheeks, midface area, and the back of the hands.

Juvéderm® Volbella

Juvéderm Volbella can treat the delicate under-eye area and reduce dark circles, hollows, and under-eye bags.

Lip Plumping and Jawline Contouring

Some dermal fillers are designed to enhance the lips and treat fine lines around the mouth. They augment the lips by restoring volume, enhancing the shape, and correcting asymmetries.

Examples of lip fillers we offer at Laguna Beach, CA, are:

Juvéderm® Volbella

Juvéderm Volbella is designed for restoring volume to the lips and correcting perioral lines (vertical lines that extend from the upper lip). They can also treat the delicate under-eye area, reducing dark circles, hollows, and under-eye bags.

Juvéderm® Ultra XC

Juvéderm Ultra XC is primarily used for lip augmentation and correcting the perioral area. It can also be used to treat some types of wrinkles.

Restylane® Kysse

Restylane Kysse is designed to create softer, more natural-looking lips. It adds volume to the lips and improves the appearance of upper perioral rhytids. This filler creates natural-looking lip definition and fullness while maintaining natural expressions and movement.

Injectables may also be injected around the jawline to help change the shape of your jaw, address a sagging jawline, and strengthen a weak chin.

Thicker fillers work best for jawline contouring. Voluma and Radiesse® are frequently used in this treatment area. The hyaluronic acid and calcium hydroxylapatite in these different formulations restore volume and sculpt facial contours. Other fillers used for the jawline include:

  • Restylane
  • Restylane Lyft
  • Sculptra®

The New Option for Dynamic Wrinkles

Neuromodulators like Botox Cosmetic have historically been the treatment of choice for dynamic wrinkles and lines caused by facial movement. But a new line of dermal fillers from TEOXANE Laboratories can now adapt to your face’s natural movements while helping you achieve a naturally youthful look at rest and in motion.

The RHA (Resilient Hyaluronic Acid) dermal fillers (RHA® 2, RHA® 3, and RHA® 4) are the first and only FDA-approved HA fillers dedicated to lines and wrinkles caused by facial movement.

These fillers smooth lines, wrinkles, and folds. The resilience of these fillers comes from their gentle manufacturing process that preserves the natural structure of HA. Because these fillers closely mimic the natural HA found in your skin, the formula accommodates the dynamic areas of the face, resulting in a more natural look.

What is a Collagen Stimulator?

While most dermal fillers work to add volume to the face and reduce the appearance of lines and wrinkles, other facial fillers work by stimulating the body’s collagen production, resulting in a natural lifting effect that produces longer-lasting results.

Examples of collagen stimulators we offer are:


Radiesse is made of calcium-based microspheres and works by stimulating your body’s own collagen production, helping your body build its own natural filler for long-lasting correction and smoothing.

Dr. Glenn Goldberg will often recommend Radiesse for the following treatment areas:

  • Cheek hollows
  • Cheek lifting
  • Chin wrinkles
  • Smile lines
  • Marionette lines
  • Corners of the mouth
  • Lines near the jawline
  • Back of hands


Sculptra is made from poly-L-lactic acid and is used to replace the volume loss that occurs naturally due to the aging process. It corrects mild to severe facial wrinkles and folds.

Dr. Goldberg typically uses Sculptra to treat the following areas:

  • Nasolabial folds
  • Facial hollowing
  • Depressed areas around the temples
  • Jowling
  • Chin wrinkles
  • Cheek hollows

With so many dermal fillers available, it can be difficult to know which injectable is best for you. Each product is uniquely designed to have a certain texture, density, injection depth, and other distinct features, which means that certain fillers will work better for certain facial areas and concerns.

Each patient will have different skin issues and goals. Your injector will also choose your treatment based on the severity of your concerns and the results you hope to achieve.

With the guidance of our board-certified dermatologists, you can find the best safe dermal filler option for achieving your aesthetic goals.

Why You Should Trust Coast Dermatology for All Your Injectable Treatments

Coast Dermatology & Laser Surgery Center in Laguna Beach, CA has been providing cosmetic and medical dermatology to patients in Laguna Beach and the surrounding areas since 1989.

With over 30 years of dermatology experience and a team of board-certified dermatologists, our patients can be confident that their skin care needs will be managed by experts.

Our team of board-certified dermatologists use the best dermal fillers and wrinkle relaxers, customizing treatments to produce beautiful and natural-looking results that will not migrate on your face.

For more information about choosing the right dermal filler, contact Coast Dermatology & Laser Surgery Center to schedule a consultation. Our board-certified dermatologists would be more than happy to provide a personalized treatment plan for you.


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