What are the different types of filler? And which is right for you?
3 February 2025
By Dr Sophie Shotter

Best fillers, Marylebone, London
As an aesthetic doctor passionate about creating natural, harmonious results, I understand that navigating the world of dermal fillers can feel a little overwhelming. With so many options available, it’s important to demystify the various types of fillers and help you understand which might be best suited to your goals. Let’s explore what fillers are, the differences between the products, and why seeing an experienced, qualified practitioner who prioritises quality and safety is essential.
Understanding dermal fillers
Dermal fillers are injectable treatments used to restore lost volume, soften lines, and refine facial contours. They’re a cornerstone of non-surgical aesthetic medicine, offering transformative results without the need for invasive procedures.
However, not all fillers are created equal. The quality of the product and the expertise of the practitioner make a profound difference to both the outcome and the overall experience. It’s crucial to select a product that is clinically backed and approved, and to trust your treatment to a professional who understands facial anatomy and takes a bespoke approach.
The importance of quality and expertise
In my clinic, I use only premium fillers with robust clinical evidence supporting their safety and effectiveness. This commitment ensures not only the quality of the results but also the safety and comfort of my patients. Equally important is selecting a practitioner who has an expert understanding of the face and an eye for balance and proportion. It’s all about enhancing and balancing, without ever looking “done.”
The different types of fillers
Let’s break down the types of fillers and how they work, as well as discuss why certain options might be better suited for different concerns.
Hyaluronic Acid (HA) Fillers
Hyaluronic acid is a naturally occurring substance in our skin that helps it stay hydrated and plump. HA fillers, such as Juvederm, are versatile and can be used to address everything from fine lines and wrinkles to volume loss in areas like the cheeks, lips, and jawline.
One of the key benefits of HA fillers is that they are reversible. If necessary, they can be dissolved using an enzyme called hyaluronidase. The presence of a safety measure, combined with their adaptability, makes them a popular choice for many patients.
Biostimulators
Biostimulators take a different approach to rejuvenation. Rather than simply adding volume, they stimulate your skin’s natural production of collagen, leading to long-term improvements in skin structure and firmness. While these treatments don’t provide instant results, they can create a gradual, natural enhancement over time.
HArmonyCa
This innovative product is a filler which combines HA with calcium hydroxyapatite (CaHA). The HA delivers immediate volumisation, while the CaHA particles stimulate collagen production, providing longer-lasting firmness and lift. It’s particularly effective for improving skin laxity in the lower face.
Sculptra
Composed of poly-L-lactic acid, Sculptra works by stimulating collagen to rebuild facial volume gradually. It’s ideal for those seeking a subtle but long-lasting rejuvenation, particularly in areas like the cheeks and temples.
Lenisna and Juvelook
These products pair poly-D,L-lactic acid (PDLLA) with HA to deliver both immediate volume and collagen stimulation. It’s an excellent choice for early signs of ageing, such as mild sagging or loss of volume in the cheeks and jawline.
Permanent fillers
Permanent fillers are designed to remain in the body indefinitely. While this might sound appealing at first glance, I strongly advise against their use. As we age, our faces naturally change, and permanent fillers don’t adapt to these shifts. This can lead to unnatural results over time. Additionally, complications with permanent fillers can be difficult, if not impossible, to correct. Temporary options are far safer, offering the flexibility to evolve with you.
Choosing the right filler for you
The best filler for you depends on your unique facial structure, your goals, and how you’d like your face to age over time. This is why a comprehensive consultation with a qualified practitioner is so important. During this process, we can discuss your concerns, assess your features, and create a personalised treatment plan designed to achieve subtle, natural-looking enhancements.
Understanding the different types of fillers and the role they play in facial aesthetics is key to making an informed decision. By choosing high-quality products and entrusting your care to an experienced, skilled practitioner, you can achieve results that are not only beautiful but also tailored to your individuality. Whether you’re seeking a subtle refresh or a more noticeable rejuvenation, the right filler—delivered by the right hands—can make all the difference.
If you’d like to explore the options, or to establish what’s right for you, click here to enquire or to book a consultation.
