The Ultimate Guide to Dermal Fillers: Which Type is Right for You?
Monaco MedSpa
The Ultimate Guide to Dermal Fillers: Which Type is Right for You?

Unlocking Your Youthful Glow: The Ultimate Guide to Dermal Fillers
We all notice them over time—the fine lines that frame our smiles, the subtle loss of volume in our cheeks, or the thinning of our lips. The desire to look as young and vibrant as we feel is universal. That's where dermal fillers come in, offering one of the most effective non-surgical ways to restore volume, smooth lines, and enhance your natural beauty.
But with names like Juvéderm®, Restylane®, Sculptra®, and Radiesse®, navigating the world of fillers can feel overwhelming. What's the difference? Which one is right for you?
As your trusted partners in aesthetics, we've created this definitive guide to break down the different types of dermal fillers, what they do, and how they work.
What Are Dermal Fillers, Anyway?
Before we dive into the types, let's clarify what dermal fillers are.
Dermal fillers are gel-like substances that are skillfully injected beneath the skin to restore lost volume, smooth lines, soften creases, or enhance facial contours. Unlike neuromodulators (like Botox®), which "weaken" muscles to reduce wrinkles caused by expression,
fillers
work by adding volume and structure.
Think of them as "liquid-lifts" that can:
- Plump thin lips
- Enhance shallow contours, like cheeks and temples
- Soften facial creases, like nasolabial folds ("smile lines")
- Diminish marionette lines
- Improve the appearance of recessed scars
- Rejuvenate the hands
- Contour the jawline and chin
The key is that not all fillers are created equal. The right filler for you depends entirely on your unique anatomy and aesthetic goals.
The Three Main Types of Dermal Fillers
Fillers are categorized by the substance they are made from. Here are the most common types you'll find at our med spa.
1. Hyaluronic Acid (HA) Fillers
Popular Brands:
Juvéderm® (e.g., Volux, Voluma, Vollure, Volbella), Restylane® (e.g., Kysse, Lyft, Defyne), RHA® Collection, Belotero Balance®
This is by far the most popular and versatile category of filler. Hyaluronic acid (HA) is a sugar molecule that is naturally found in your body, primarily in the skin, joints, and connective tissue. Its main job is to fill in lost volume and attract and bind water, which keeps your skin hydrated, plump, and supple.
How They Work:
HA fillers are a smooth, crystal-clear gel that, when injected, integrates with your own tissue to add volume and hydration precisely where you need it.
Best For:
- Lip augmentation (Juvéderm® Volbella™ and Ultra XC™, Restylane® Kysse™)
- Cheek volume and lift (Juvéderm® Voluma™, Restylane® Lyft™)
- Smoothing smile lines (Juvéderm® Vollure™, Restylane® Defyne™)
- Softening fine lines around the mouth (Juvéderm® Volbella™ and Belotero Balance™)
- Filling under-eye hollows (tear troughs) (Restylane® Plain™and Belotero Balance™)
- Jaw Contouring (Juvéderm® Voluma™ and Volux™)
Longevity:
6 to 24 months, depending on the specific product and treatment area and depending on your activity level, your genetics, and your rate of metabolism and degredation of these products.
Key Feature:
HA fillers are reversible! If you're unhappy with the result (or in the rare case of a complication), they can be dissolved with an enzyme called hyaluronidase. This makes them an excellent, safe choice for first-time patients.
2. Calcium Hydroxylapatite (CaHA) Fillers
Popular Brand:
Radiesse®
Calcium hydroxylapatite (CaHA) is another biocompatible substance, meaning it's safely used in the body. It's made of tiny microspheres suspended in a smooth gel, with a thicker, more robust consistency than HA fillers.
How They Work:
Radiesse® has a powerful dual-action: it lifts and it stimulates your body to create collagen, elastin, and other dermal skin youthful molecules, which is why it is also called a biostimulating filler.
Immediate Lift:
The gel provides instant volume and correction to fill deep folds.
Collagen Stimulation:
Over time, the Radiesse® CaHA microspheres act as a scaffold, stimulating your body to produce its own new, healthy collagen.
Best For:
- Restoring volume in the cheeks
- Correcting deep nasolabial folds and marionette lines
- Jawline contouring and enhancing a "weak" chin
- Rejuvenating the backs of hands
- Neck Rejuvenation
Longevity:
Typically 9 to 12 months.
Key Feature:
CaHA fillers are not reversible, so choosing a skilled, experienced injector is crucial. They are fantastic for building structure and support.
3. Poly-L-Lactic Acid (PLLA) Fillers
Popular Brand:
Sculptra® Aesthetic
Sculptra® is in a class of its own. It is not a traditional "filler" that provides instant volume. Instead, it is a collagen biostimulator. It's made from Poly-L-Lactic Acid, a material that has been used for decades in dissolvable stitches.
How It Works: Sculptra® is injected into the deep dermis, where it works gradually to replace lost collagen. It addresses the underlying cause of facial aging—not just the symptoms. You won't see the full results immediately; they appear subtly over several months as your skin's structure is rebuilt.
Best For:
- Treating widespread volume loss in the cheeks and temples
- Thickening skin in the Face and Neck to reduce the appearance of deep folds and wrinkles
- Creating a gradual, natural-looking, full-face rejuvenation
Key Feature:
This is the ideal treatment for someone seeking gradual, incredibly natural results. It is often called a "liquid facelift" and typically requires a series of 2 to 3 treatment sessions, 4 to 6 weeks apart.
Beauty, Your Choice
The most important step in your filler journey is the consultation. There is no "best" filler—only the best filler for you.
During your personalized consultation at our med spa, our expert doctor will listen to your concerns, analyze your facial structure, and create a custom treatment plan designed to deliver beautiful, natural-looking results that make you feel like the best version of yourself. We believe in enhancing your unique beauty, not changing it.
Ready to Start Your Rejuvenation Journey?
Don't let lines and volume loss define how you feel. Let's create a plan together.
Call us today at Monaco MedSpa or click here
to book your complimentary dermal filler consultation!




















