Dermal fillers: Different types

There are many different dermal fillers brands currently on the market, all varying in price and quality: quality dictating the price.

Different areas of the face require different types of filler. A variety of products discussed below are indicated for use in those different areas.

Lip Fillers

Lip fillers need to be flexible and smooth. The lips are softer than the cheeks, so cheek fillers require a more robust filler on the bone.

Dermal fillers need to give a stable structure with enough mobility to move naturally with your facial expressions, a soft and smooth result – not solid and unmoving like a robot.

You can probably guess that not all dermal fillers are made the same, and there is not one single dermal filler that can be used for every area of the face.

Lip fillers are often the first type of filler a practitioner learns to use and as we progress into our training, we gain further knowledge about the various types of fillers.

It is imperative that, as your practitioner, I have that knowledge to ensure you are receiving the best filler for your needs.

Volume and projection using traditional lip technique using Kysense Define.

Thicker fillers will create a fuller, more volumized result. In contrast, a thinner filler would be chosen for a more mature lip, for those with thinner lips.

Thinner filler is also used when using techniques such as the Russian Lip Technique; this is where the filler is placed in a more superficial layer to create a lift to the lip, with minimal projection.

As practitioners: the more experience we gain using the variety of fillers and different techniques, we find our favourite fillers.

Lifting using the Russian Lip Technique using Kysense Precise

So, what makes the fillers different?

Dermal fillers in the UK are Hyaluronic Acid (HA) based.

The Hyaluronic Acid is crossed-linked using a chemical called 4-butanediol diglycidyl ether of BDDE. The BDDE acts as a binding agent which holds the HA together. The more crosslinking means, the thicker the filler and generally the longer it will last, although other factors can affect this.

Kysense filler thinnest and thickest video

The video shows the difference between the thickest Kysense filler, Extreme, and the thinnest filler, Precise.

The top dermal fillers brands will have excellent guides available showing how much BDDE modification is in their filler. As practitioners, we can use these charts as guides. The one below is from Teoxane, which is one of the leading dermal fillers brands.


Teoxane and Kysense Dermal fillers Indication/information Chart

Seems simple, eh? Well, that’s not all we need to consider when choosing a filler.

There’s also something called G Prime, which provides lift; the amount of hyaluronic acid content, which attracts water to the area, must be considered to ascertain the coercivity and elasticity of the product too.

Please make sure you are confident that your practitioner knows how to choose the correct filler to give you the results you are expecting.

Not all fillers are universal, and the correct product must be chosen for the right area of your face.

Suppose filler, with a high hyaluronic acid content, is used to correct the tear trough. In this instance, this filler, high in HA, will inevitably attract water to the site and cause puffiness.

If the filler used in the tear troughs is too thick, the area will be lumpy.

If a heavy filler is used in the lips to try and achieve volume, the lips will not move naturally on animation and will give a strange, unnatural look.

If you would like to know more about what filler goes where and how we can achieve your goals, why not book in for a Dermal fillers’ consultation:


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