Turning back the clock with fillers to rejuvenate the face

As we age, the volume of our face diminishes, leading to the sinking of the face and sagging of the skin. The sagging is noted by emptiness to the cheeks, nasolabial folds, and increased heaviness of the jowls and neck.

As a board-certified plastic surgeon and fillers and injectables specialist, I am able to recommend the right filler for the right area and at what level of skin and under skin where these fillers will be placed.


Fillers help to restore the three dimensional appearance of the face that is suffering during aging. These fillers help to restore the triangular shape of the face rather than the rectangular look that occurs with aging. FDA-approved studies have proven the effectiveness of these fillers in improving the deepening folds and loss of volume in other parts of face.


1) Hyaluronic acid (HA) – Hyaluronic acid is a major material building up the content of the skin. Being common to humans and other species, one does not need to have a test before its use. It is very convenient to use in many parts of the face, including the lips.

Restylane became the first FDA-approved HA filler in the USA. It lasts about one year.

Perlane is another HA, similar concentration, but made slightly thicker with larger molecules. It lasts about a year and a half.

Juvederm is yet another HA, approved by FDA in 2006, made for moderate wrinkles. It is especially useful to fill empty cheeks, lips, nasolabial lines, and pre-jowls areas.

Belotero is a thinner HA filler for delicate areas like lips and tear trough areas.

Voluma is the latest approved HA filler and was made to last up to two years. It is especially good for empty cheek areas.

2) Sculptura – It is made of polylactic acid, approved in 2004 for facial wasting or emptiness, and is injected in several sessions. It is a volumizer, not just a filler, as it builds up new collagen fibers that were reduced in numbers because of aging. It is a good filler that can be used to rejuvenate most of the aging face

3) Radiesse – Radiesse is made of calcium hydroxyapatite spheres suspended in a special gel. The FDA approved it in 2006. It is commonly used filler for empty areas like temples, cheeks, and nasolabial folds and lasts about a year and a half.

4) Artefill – This is the only FDA-approved semi-permanent filler. It is made of 80 percent pure collagen and 20 percent PMMA (poly methyl methacrylate) microsphere beads that last and support the aging face for so many years. Its long life is very useful for supporting long-lasting emptiness and deep wrinkles such as cheeks and under eye areas (tear troughs). These injections help to provide a lasting correction to the aging face and have been used for many years in Europe and Canada. The current materials are made in the USA. Patients typically need about two treatment sessions.


If you are considering turning back the clock without undergoing surgical procedures by using fillers, I encourage you to call us today at Dr. Daniel Man to schedule a consultation.

During your consultation, Dr. Man will listen to your concerns and describe to you your different options, allowing you to meet your unique aesthetic needs.

Call us at: (561) 395-5508.