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Dermal Fillers

Pier Medical Aesthetics

Aesthetics located in Hermosa Beach, CA

Dermal fillers are one of the most popular cosmetic treatments because they immediately smooth away wrinkles, lift your cheeks, and give you fuller lips. Douglas Mest, MD, at Pier Medical Aesthetics is an expert in the artistic use of dermal fillers and a pioneer in the use of Sculptra®. Dr. Mest offers a large variety of dermal fillers so each patient’s treatment is customized to produce exceptional results. To schedule an appointment, call the office in Hermosa Beach, California, or book an appointment online.

Dermal Fillers Q & A

How do dermal fillers diminish wrinkles?

As you get older, your face loses volume and gradually becomes dehydrated. It also produces less collagen and hyaluronic acid, substances that form the foundation of healthy skin by providing strength, moisture, and volume.

Dermal fillers contain natural ingredients that reverse these problems, temporarily diminishing wrinkles for six months to two years, depending on the product.* A few products produce longer-lasting results by stimulating collagen production.

What primary ingredient is found in dermal fillers?

Many of today’s dermal fillers contain hyaluronic acid as their main ingredient. When they’re injected, these fillers replace your natural hyaluronic acid, so they increase volume, plump up the targeted area, and smooth away wrinkles.

Each hyaluronic acid product is formulated to target specific areas. For example, some are thicker than others so they add more volume. Additionally, some are injected close to the surface while others go deeper.

As a group, hyaluronic acid fillers are used to diminish:

  • Nasolabial folds (wrinkles that run from your nose to the corners of your mouth)
  • Marionette lines (wrinkles that run from the corners of your mouth down)
  • Perioral wrinkles (lines around your lips)

Some of the dermal fillers available also:

  • Lift cheeks
  • Restore cheek volume
  • Plump up lips
  • Rebuild volume on the back of your hands
  • Reduce under-eye hollows and dark circles

At Pier Medical Aesthetics, you can regain a youthful appearance with these hyaluronic acid-based dermal fillers:

  • Restylane® including Restylane under eye treatment
  • Restylane Silk®
  • Restylane Lift®
  • Restylane Refyne®
  • Restylane Defyne®
  • Juvéderm Ultra® XC
  • Juvéderm Ultra Plus® XC
  • Juvéderm Volbella®
  • Juvéderm Vollure®
  • Juvéderm Voluma®

Although Restylane and Juvéderm are similar, the two products differ in the way they’re produced, which affects the amount of moisture that binds with the hyaluronic acid.

Restylane products are also produced with various-sized particles of hyaluronic acid so they can treat fine lines and moderate to severe wrinkles.

Can dermal fillers treat other cosmetic problems?

Several dermal fillers contain specially formulated hyaluronic acid or other substances that impart unique qualities:


Sculptra contains poly-L-lactic acid, which stimulates new collagen production to add volume and diminish wrinkles. Dr. Mest also uses Sculptra to rebuild facial contours, treat your back and chest, and add lift and volume to your buttocks.


Bellafill contains bovine collagen to produce immediate results and nonresorbable microspheres of surgical-grade plastic, which restore natural architecture and trigger collagen production. As collagen fills in around the microspheres, permanent results are produced. Bellafill treats wrinkles, restores cheek volume, and is used to correct acne scars.


Radiesse consists of microparticles of natural calcium and phosphate (calcium hydroxylapatite) in a thick gel. The gel adds volume like other dermal fillers while the microparticles stimulate collagen production for long-lasting wrinkle correction.

Revanesse® Versa

This is a hyaluronic acid filler that contains perfectly spherical and uniform particles that balance smoothness and volume and break down slowly.


Belotero is a line of hyaluronic acid products formulated to integrate into your tissues to produce subtle results. It’s used for all the same problems as other hyaluronic acid products, but it also treats:

  • Frown lines
  • Periorbital lines (crow’s feet)
  • Bridge of your nose
  • Décolletage
  • Vermillion border (rejuvenates lip borders)

If you’re ready to restore a more youthful appearance with dermal fillers, call Pier Medical Aesthetics or book an appointment online.

*Individual results may vary.

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