With so many Dermal Filler Options, Which one is Right for me?

Old City MedSpa offers Juvederm, Restylane, Radiesse and Sculptra dermal fillers to meet a range of treatment concerns including:

  • Plumping thin lips
  • Enhancing shallow contours
  • Softening facial creases and wrinkles
  • Improving the appearance of recessed scars
  • Reconstructing contour deformities in the face
  • Decreasing or removing the shadow of the lower lids

Why grow old gracefully when there’s no need to?! Over time what was once healthy young skin begins to lose its elasticity and volume. With age, skin becomes more susceptible to wrinkles and sagging. Exposure to damaging sun rays and years of muscle movement (squinting, chewing, smiling) contribute to the breakdown of tissue and loss of volume in the skin. The skin’s natural collagen starts to break down, facial volume diminishes, wrinkles and facial lines appear.

The reality is there are ways to slow down or reverse the effects of aging. Trained professional clinicians carefully introduce fillers into the mid to deep dermis (the subsurface skin layer that includes nerve endings, blood vessels, sweat, oil glands, and connective tissue) to temporarily smooth wrinkles and fine lines; replenishing volume in the skin almost instantly.

There are a range of dermal fillers with a variety of properties that are suited to different concerns and treatment areas. This list includes some of the more popular brands and products on the market.



Juvéderm is a soft but stable injectable gel made of hyaluronic acid. Hyaluronic acid is a natural substance found in the skin that assists in adding hydration and volume. Variations of Juvederm include Juvederm Ultra and Juvederm Ultra Plus. There are subtle differences between these variations with qualities that offer different effects.

Juvederm Ultra Plus is much thicker and viscous than Juvederm or Juvederm Ultra. Therefore, Juvederm Ultra Plus can provide a much more dramatic result than the other treatments. Juvederm Ultra Plus is typically best suited for applying to deeper lines and hollows in the skin.

Juvederm Ultra is thinner than Juvederm Ultra Plus and is usually better suited for finer lines and wrinkles. All of the Juvederm products consist of hyaluronic acid, but the strengths and consistency differ.

The Juvéderm dermal filler treatment process is very quick (about 15 minutes) with immediate results. Downtime is minimal and you can get back to your normal routine right away. The Food and Drug Administration approved Juvéderm in 2006 as the only hyaluronic acid filler that will last up to one year.

Juvéderm is a robust formula designed to correct moderate to severe facial wrinkles and folds  providing versatility while restoring the contours of your face to a smooth and natural look.

The Juvéderm advantage is that its supple gel consistency provides a more natural-looking appearance than other products. Juvéderm is also long lasting so you can keep your improved appearance from six to nine months. If you have a follow-up enhancement within a few weeks after the first dermal filler treatment, the benefits could last even longer. Side effects are rare, but may include tenderness, bruising, mild pain, swelling and redness at the injection site and generally resolve within a few days.



Restylane is a non-animal, biodegradable filler gel composed of hyaluronic acid approved by the Food and Drug Administration for cosmetic injection into subdermal facial tissues. Restylanea soft tissue filler, adds volume to the skin via tiny injections while smoothing facial folds and wrinkles in areas around the mouth and eyes.

The average treatment is 15 to 30 minutes per session, depending on the individual and areas being treated. Restylane injections require minimal downtime, allowing patients to return to work and normal activities following treatment. Side effects are rare but include; an allergic reaction, bruising/swelling/redness at injection site, numbness, and temporary redness, swelling, pain/tenderness, or discoloration. Treatment results are temporary; typically lasting a few months to a year. To achieve optimal results, additional treatment sessions may be needed. A qualified dental or medical professional will help you determine which facial filler injections will provide optimal results.



You can bring back that youthful look and replenish your natural collagen by restoring lost volume with Radiesse. The Radiesse facial injection treatment has a unique formula that stimulates the production of new collagen helping to correct lines and wrinkles for up to a year.

Radiesse consists of calcium-based microspheres in a water-based gel with lidocaine for nearly pain-free injections. Areas of the face that are treatable include:

• Facial wrinkles
• Smile lines
• Frown lines
• Marionette lines

Radiesse can actually help restore new skin beneath the surface – restoring fullness and an overall youthful look without the need for invasive surgery.

Voluma XC is the first and only FDA-approved injectable gel filler to correct age-related volume loss in the midface. Made of hyaluronic acid (a natural occurring substance found in skin), this soft, pliable gel is indicated for deep (subcutaneous and/or supraperiosteal) injections for check augmentation.

As aging progresses, facial structures begin to sag – fat pads diminish and we are left with hollow faces, temples and jowlsVoluma XC works to reverse the signs of aging by instantly lifting, sculpting, and contouring the midface region. The injections are nearly painless as the product contains lidocaine and is injected deeper into the skin where there are fewer nerves. Side effects are moderate and generally last 2 to 4 weeks. Common side effects include temporary reactions at the treatment site such as tenderness, swelling, firmness, lumps/bumps, bruising, pain, redness, discoloration, and itching.

Voluma XC is an optimal treatment for natural-looking, youthful results that last up to 2 years.

If you’re interested in dermal fillers and whether they are right for you, make an appointment for a consultation to discuss your options with our nurse injector. The consultation is free.

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This website is for information purposes only. By providing the information contained herein we are not diagnosing, treating, curing, mitigating, or preventing any type of disease or medical condition. Before beginning any type of natural, integrative or conventional treatment regimen, it is advisable to seek the advice of a licensed healthcare professional.

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104 W Summit Hill Dr. SW, Knoxville, TN 37902

Medical Director Mark Davenport, MD

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