Are hyaluronic acid fillers worth it? A deep dive into safety and effectiveness

As we age, our skin and underlying tissue thins, and this loss of volume can lead to a sunken or sagging appearance of the face. Dermal fillers, gel–like substances injected under your skin, create a smoother and fuller appearance. Different types of dermal fillers are FDA-approved, and a very common one is a hyaluronic acid filler.

Hyaluronic acid fillers are safe and effective. Hyaluronic acid is a natural part of the skin’s connective tissue and attracts water, allowing the skin to become more hydrated.

Fillers are often used for lips to create more definition, reduce wrinkles around the mouth, correct asymmetries and produce fuller-looking lips. They’re also used for cheek augmentation, lifting jowls and reducing lines under the eyes and from nose to mouth. Results are seen at once, and hyaluronic fillers usually last for a minimum of six months with a maximum of 24 months.

The difference between hyaluronic acid fillers, such as the Juvéderm® line of fillers from Allergan, and other fillers, is there different sized molecules, what they are made of and whether or not they are absorbed by the body.

Side effects are minimal

FDA clinical trials show side effects from hyaluronic acid fillers are temporary because they're made of materials that the body eventually breaks down and absorbs. Common side effects include:

• Brusing
• Redness
• Swelling
• Soreness at the injection site

These side effects are typically resolved in a few days or weeks. Less common effects, which can be significantly decreased or even eliminated by a skilled injector, include:

• Infection
• Inflammation
• Allergic reaction
• Tissue damage (necrosis)

It is best to avoid dermal fillers within two weeks of an important event.

Five important tips about hyaluronic acid fillers

1. Make sure you work with a licensed health care provider who is clinically trained in dermatology or plastic surgery.
2. Confirm your provider is trained to inject hyaluronic fillers and uses properly labeled, sealed vials or pre-filled syringes of FDA-approved filler.
3. Ask your provider to read the patient labeling on the injection to ensure its FDA-approved.
4. Don't buy dermal fillers sold directly to the public. They may be fake, contaminated or not approved for use by the FDA.
5. The only FDA-approved dermal fillers are supplied by a prescription for injection by a licensed health care professional.

If you're ready to try hyaluronic acid fillers, make an appointment with our trained, licensed providers at MercyOne Plastic and Reconstructive Surgery to ensure you're getting the safest and most effective treatment.

This blog was medically reviewed by a MercyOne provider.