Filler Options Explained: What We Use & Why


If you want to get rid of a wrinkle you just get it filled...Right? Maybe, but not necessarily. As much as we might want to simplify how a filler is used, proper, expert-level skin rejuvenation is as much a science as it is an art. The type of fillers we choose reflect careful decisions on how to maintain the natural shape and structure of the face by restoring volume and balance.  Thankfully, we’re much more advanced on how we can ‘fill’ the face to achieve natural, gorgeous results rather than simply filling in the lines.

This also means that not all fillers are used interchangeably to treat the same concerns. Instead, they differ in thickness, their ability to draw in water and use based on what we’re looking to achieve. Here are some of the ways we’re using fillers throughout the face and why choosing the proper expert for your treatments makes a difference:

For lip enhancement:  Our goals in filling the lips are typically to provide subtle plumping as well as to restore shape and definition.

Thin and medium thickness fillers work best for plumping (but not over plumping - even Kylie is over that!). Skillful placement of filler at the vermilion border, where the pink roll of the lip meets the skin, creates projection that enhances the pout in a beautiful way, without looking overdone. Also filling the lower face around the lips, rather than only just into the lips themselves, helps create a cohesive balanced frame to make the fuller lips look all the more natural.

What We Use: Often, the go to choices here are Juvederm Ultra XC, Volbella or Restylane Silk, depending on the patient’s lip shape and desired enhancement.

For treating tired eyes:  Hollows and dark circles below the eyes are treated best with a product that will not swell beneath the thin eyelid skin, so that the filler doesn’t create a puffy effect.

What We Use: Our favorites here are thin or medium thickness fillers such as Restylane or Belotero, which are injected sufficiently deep to avoid irregularities on the surface.

For restoring shape and structure to the face:  Injectable fillers are one of the best ways to restore volume to the face at the temples, cheeks, jawline and chin, which is a great evolution in technique. Placement of filler at the cheeks or jawline helps to correct facial sagging and redefine the ideal angles and shape of these areas. Filler to the chin can help address deficiencies, loss of volume, and help with overall proportionality and balance. Lastly, careful filling of the temples helps to restore balance by replacing lost volume and shape.  

What We Use: Thicker fillers, such as Juvederm Ultra Plus, Restylane Lyft, Voluma or Radiesse are best for adding shape and structure these areas.

For treating deeper folds: Fillers are definitely still used to treat wrinkles, often around the mouth (the laugh lines, aka the nasolabial folds as well as the marionette lines), however since we want to preserve natural movement and expression, we will usually use a Juvederm or Restylane product (which are more flexible than Restylane Lyft or Voluma).

What We Use: Juvederm or Restylane.

For smoothing fine lines:  Crows feet and fine lines around the mouth are areas where a thinner filler is preferred because it is injected more superficially under the skin.

What We Use: Here the thinner fillers such as Volbella, Restylane Silk or Belotero are best.

Choosing the Right Filler

The best way to choose the right filler for you is through consultation.  At Brooklyn Face & Eye, we’ve created a patient-focused, relaxed environment where you can feel at ease expressing your concerns and your goals.  We work with you to consider the nuances of your individual features in order to achieve your ideal aesthetic results.