Dermal Fillers: Good, Bad, and Dangerous

Dermal fillers have become increasingly popular in recent years for their ability to reverse signs of aging on the face. These injectable substances are used to fill wrinkles, plump up the skin, and add volume where it has been lost. The use of dermal fillers dates back to the 1800s when physicians used paraffin as a filler substance. However, in the modern age, there have been substantial advancements in research and development, resulting in safer and more effective filler substances. In the United States, hyaluronic acid fillers like Juvederm and Restylane are the most commonly used. Dermal fillers have become a widespread treatment option for individuals looking to rejuvenate and enhance their appearance without undergoing surgery. In this article, we will discuss the benefits, risks, and dangers of using dermal fillers, as well as the importance of selecting a qualified provider.

The Benefits and Risks of Using Dermal Fillers

When it comes to getting dermal fillers, there are many benefits that people should be aware of. Some of these benefits include volume enhancement and wrinkle reduction, which make them a popular choice among those looking to restore a more youthful appearance. However, along with the benefits, come certain risks and side effects that users should be aware of before getting dermal fillers.

One of the most common risks associated with dermal fillers is bruising, which can occur immediately after the injection but usually fades over time. Another risk is bleeding, which can occur if the needle accidentally penetrates a blood vessel. In rare cases, infections have also been reported, which can be serious and difficult to treat.

It is important to note that dermal fillers are not suitable for everyone, especially those with certain medical conditions or allergies. It is always recommended to consult with a skilled and experienced provider before getting these treatments.

While those looking to level out their skin or enhance certain features may benefit from dermal fillers, it is vital to weigh the potential advantages against the potential risks and consult with a professional who can help guide you in the process.

Choosing the Right Provider

When choosing to undergo dermal filler treatment, choosing the right provider is crucial. The provider should be a licensed healthcare professional with the necessary experience and skill set to perform the procedure safely. It's important to avoid choosing a provider solely based on price, as cheap providers may not always be qualified or experienced.

Here are some criteria to consider when choosing a trustworthy provider:

  • Check for certification and licensing: Make sure the provider is properly certified and licensed to perform the procedure. This shows that they have undergone the necessary training and education to perform the treatment safely.
  • Check for experience: Look for providers who have extensive experience performing the treatment.
  • Ask for referrals: Ask friends, family, or healthcare providers for recommendations of trustworthy providers in your area.
  • Check online reviews: Research online reviews of providers in your area to get an idea of their reputation and past patient experiences.
  • Ask about their technique: Ask the provider about their technique and what kind of products they use. It's important to find a provider who is transparent about their methods and can explain their process in detail.

Choosing the right provider is an essential part of receiving safe and effective dermal filler treatment. Keep these criteria in mind when selecting a provider to ensure the best possible outcome.

The Good: Safe and Effective Dermal Filler Options

Dermal fillers have come a long way since their inception. These days, most fillers are carefully formulated with safe ingredients. Two excellent and popular options are Juvederm and Restylane.

Juvederm uses hyaluronic acid, a molecule that naturally occurs in the body and provides volume and hydration to the skin. It can last up to a year and is safe and well-tolerated by most people. Juvederm can be used to address common concerns like laugh lines around the mouth, cheeks, and under-eyes.

Restylane is another top player in the filler market. It works in a similar way to Juvederm but is made of a slightly different formulation of hyaluronic acid. This gives Restylane a heavier, thicker quality that can achieve more dramatic plumping and lifting results. Restylane can last up to 18 months in some cases.

Both Juvederm and Restylane are versatile and offer a range of different formulations, each tailored to a specific area of concern. They can both provide a youthful, refreshed appearance by smoothing out wrinkles and folds, enhancing volume, and lifting sagging skin.

It's important to remember, however, that even safe products have potential risks. It's crucial to only receive injections from a qualified and experienced medical professional who can consult, advise, and administer the best filler options for you. With the right care, these fillers can be a safe and effective way to achieve a more youthful appearance.

The Risks of Dermal Fillers

Dermal fillers have become increasingly popular in recent years as a way to enhance one's appearance. However, not all dermal fillers are created equal. In fact, some can be downright dangerous. It is important to be aware of the risks associated with using certain fillers to avoid complications and unwanted results.

One of the biggest concerns with dermal fillers is the possibility of using counterfeit or unsafe products. Counterfeit fillers can contain harmful substances that can lead to serious health complications. Additionally, even legally obtained fillers can have serious side effects if not administered properly.

Complications and risks associated with unsafe fillers include:

- Infection: If the procedure is not done in a sterile environment, the injection site can become infected.
- Allergic reactions: Some people may have an allergic reaction to the filler, causing inflammation, itching, or even difficulty breathing.
- Nerve damage: If the filler is injected incorrectly, it can damage nerves and muscles, leading to pain, numbness, or drooping.
- Disfigurement: In some cases, the filler can migrate from the site of injection, causing lumps, bumps, or asymmetry.

It is essential to thoroughly research the product and provider before deciding to undergo any dermal filler procedure. Choose only a trained and licensed professional to administer the filler and opt for reputable brands like Juvederm or Restylane.

Do not take risks with your health and appearance. Always be cautious and informed when it comes to dermal fillers.

Dermal Fillers: The Dangerous

Dermal fillers have gained popularity in recent years due to how convenient they are for reducing the appearance of wrinkles, enhancing lips, and contouring facial features. However, not all fillers are safe and effective. Some substances used for fillers have negative side effects that outweigh the benefits. It is crucial to understand the dangerous filler substances and avoid them at all costs.

One example of a dangerous filler is liquid silicone. Its use in cosmetic procedures is illegal in the US due to its high risk of complications. Liquid silicone can cause severe scarring, permanent disfigurement, and infection. Another dangerous filler is hydrogel, which can cause allergic reactions, inflammation, and lumps under the skin. Many individuals who received hydrogel injections have had terrible experiences and needed to undergo additional surgery to remove the unwanted filler.

It is also crucial to understand the potential risks and side effects of any type of filler, even those that may not be considered dangerous. Some approved fillers can cause bruising, swelling, and redness. In some situations, there may be a chance of injury to blood vessels or nerves. Therefore, it is essential to talk to an experienced provider and take precautions when using such fillers.

Remember, the key to using dermal fillers safely and effectively is to work with an experienced provider and conduct your research on the fillers utilized. Know that not all fillers are equal. By avoiding dangerous filler substances and understanding potential risks, you can make an informed decision to achieve the safe and desired outcome you seek.


In conclusion, dermal fillers are a popular cosmetic treatment that can improve the appearance of fine lines, wrinkles, and volume loss. However, it is important to make informed decisions regarding the type of filler used and the qualifications of the provider.

As we have discussed in this article, choosing a qualified and experienced provider is crucial to ensure a safe and effective treatment outcome. Dermal fillers can offer significant aesthetic benefits, but they also come with risks and potential side effects.

It is essential to recognize the importance of selecting the right dermal filler product and avoiding counterfeit or dangerous fillers. We cannot stress enough the importance of thoroughly researching potential providers and their credentials.

Ultimately, the decision to receive dermal fillers is a personal one that should be made with careful consideration and consultation with a qualified professional. We hope this article has provided valuable information and insights to help you make an informed decision about this treatment option.


1. What are some advantages of using dermal fillers?

Dermal fillers can enhance volume and reduce the appearance of wrinkles on the face.

2. What are common side effects of dermal fillers?

Bruising, bleeding and infection are common side effects of dermal fillers.

3. How can I choose a qualified and experienced provider for dermal fillers?

Look for a provider with extensive experience and proper qualifications. Research their credentials and read reviews.

4. What are some safe and effective dermal filler options?

Juvederm and Restylane are two popular and safe dermal filler options that give positive results.

5. What are some potential dangers associated with dermal fillers?

Dangers include counterfeit or dangerous fillers, as well as potential complications and negative effects from unsafe fillers.

William H. McDaniel, MD

Dr. Robert H. Shmerling is the former clinical chief of the division of rheumatology at Beth Israel Deaconess Medical Center (BIDMC), and is a current member of the corresponding faculty in medicine at Harvard Medical School.

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