Ranking of the best fillers for 2024

At all times, people have tried to preserve youth, using reasonable and unreasonable means. With the development of medicine, plastic surgery came to the rescue. However, she was unable to help everyone. At the present time, when cosmetology has become an independent direction of science, there is a relevant and popular alternative to visiting a plastic surgeon - contour plastic using fillers. What are fillers, and how they work, we will understand below.

Filler types by purpose of use

Before embarking on a rejuvenating procedure with fillers, let's figure out what it is. So, fillers are special formulations that, with the help of injections, are injected into various layers of the skin for cosmetic purposes to prevent and correct age-related changes, to increase the volume of individual zones (for example, lips, cheekbones, etc.).

Initially, fillers were used only to smooth wrinkles. To this end, they are used around the lips, in the outer corners of the eyes (the so-called "crow's feet"), fill the nasolabial fold and lacrimal groove. Now fillers are also used for face contouring, becoming a popular alternative to going to a plastic surgeon.

Based on the fact that the skin in all of the above areas differs both in thickness and in its properties, a logical conclusion suggests itself: fillers differ not only in purpose, but also in composition and consistency.

Types of fillers by composition

All currently existing fillers are divided into 3 large groups:

• biodegradable;

These include products that are made up of synthetic components, such as silicone. They give the longest lasting effect. But a number of their shortcomings: they are not excreted independently from the body, the formation of seals or depressions under the skin or the migration of the filler to an unnecessary place, allergic reactions, forced many cosmetologists (but not all) to abandon their use. The most famous synthetic drugs: Sculptra, Radiesse, Silicone, Bellafill.

• biosynthetic;

When creating drugs in this group, all the disadvantages of synthetic fillers were taken into account. Now they are formulations of synthetic components that are maximally compatible with the human body. The most commonly used fillers of this group are based on calcium hydroxyapatite (Radiesse), poly-L-lactic acid (Sculptra), polycaprolactone (Cosmoderm, Ellanse). Despite all the efforts of scientists, some drawbacks still remained: allergic manifestations, filler migration over time, and uneven skin.

• biodegradable;

The most modern and popular type of cosmetic products for this purpose. The main active ingredient in them is hyaluronic acid. It is a natural component that is already present in the human body, thus does not cause allergies and does not conflict with the human immune system.An important point is that hyaluronic acid is absorbed in the body over time without external interference. It does not form insoluble irregularities or grains under the skin, practically has no side effects. Examples of such drugs include Restylane, Juvederm, Teosyal, Surgiderm, etc.

Autologous fillers should be singled out separately. This type of drug is created from human adipose tissue. They are the safest of all.

In this article, we will pay special attention to biosynthetic and biodegradable drugs, because they are most in demand.

Best biosynthetic fillers

Ellance

Ellance is a biosynthetic compound, the main component of which is polycaprolactone. Separate series are produced on the basis of hyaluronic and polylactic acids. The filler is biodegradable and maximally compatible with the human body. The risk of rejection of the injected filler or an allergic reaction to it is minimized. The filler is produced in the Netherlands and has been used for several decades in both surgery and cosmetology.

Ellance is a universal drug, it can be used to correct age-related changes (after 30 years), as well as to correct imperfections in the shape of certain zones or facial symmetry. Gives a visible positive result in the elimination of mimic wrinkles, nasolabial folds, correction of scars and scars, with an increase in the volume of lips, cheekbones, correction of asymmetry, nose shape.

Ellance has several release options, which are designated by the letters of the Latin alphabet S, M, L and E. They do not differ in composition, the only thing they differ in is the duration of the effect from a year in S to 4 years in E.

Release form - 2 syringes, 1 ml each.

Cost from 18,000 to 44,000 rubles.

• long-term action;
• the effect is visible immediately;
• universal;
• the ability to choose the duration of the action (from 1 to 4 years);
• the introduction of the drug activates the production of collagen;
• can be combined with other cosmetic procedures;
• suitable for people with hyaluronic acid intolerance;
• it is used to correct aesthetic imperfections of the face.

• the introduction of the drug requires a highly qualified specialist, otherwise side effects are guaranteed;
• expensive.

Sculptra

Sculptra (or New Fill) is a French preparation for skin rejuvenation based on polylactic acid. Sculptra not only acts as a filler, but also promotes the production of its own collagen. Being a synthetic filler, Sculptra does not cause a negative reaction from the immune system, while it is self-absorbed after the period of action. The drug was originally developed for medical purposes, which increases confidence in its quality.

Sculptra is used in the following cases: smoothing wrinkles of various depths, correcting the shape of the nose, chin, facial contours, filling the lack of tissue volume in various areas (lips, cheekbones, cheeks), masking scars and scars. All of these actions are carried out only with patients who are over 35 years old.

Release form - 1 or 2 bottles with a dry product. The concentrate is diluted with saline a few hours before use. From one bottle of dry matter, 5 ml of a ready-to-use preparation is obtained.

Cost from 16,000 rubles. (1 bottle).

• the use of Sculptra gives both an instant and a prolonged effect due to the production of its own collagen;
• ideal for older patients;
• effective in cases of correcting acquired defects in appearance - replenishing the volume of facial tissues;
• can be used both on the face and on the rest of the body;
• the drug is excreted from the body on its own, in a natural way;
• the duration of the drug is more than 2 years.

• use for smoothing fine wrinkles is not allowed;
• the kit does not include a syringe for injections, you need to buy it separately;
• can not be used simultaneously with other fillers;
• inconvenient packing (5 ml is a lot for use in any one area);
• side effects in the form of redness, swelling, in more difficult cases - seals, especially under the eyes.

Radiesse

Radiesse is a biosynthetic preparation based on calcium hydroxyapatite, which is not alien to the human body and is biocompatible. The main active drug is of artificial origin, which reduces the likelihood of allergies. Radiesse was developed to restore facial tissues, now it is successfully used not only in cosmetology, but also in dentistry and surgery.

In cosmetology, the drug is used to smooth nasolabial folds, improve the shape of the cheeks, chin, cheekbones, tighten the temporal region, décolleté area, correct the face oval, eliminate scars and scars. All of the above manipulations with the use of Radiesse are indicated for patients over 35 years old.

The release form - syringes with a volume of 0.8, 1.5, 3 ml, containing 30% of the active substance and 70% of the carrier gel based on distilled water.

Cost: from 8000 rubles.

• the effect of the drug is noticeable immediately after injection;
• after 2 weeks starts collagen production;
• the duration of the drug is from one and a half to two years;
• ideal for correcting the shape of the cheekbones;
• does not cause allergic manifestations.

• not advisable for people with thin and sensitive skin;
• not suitable for lip augmentation, smoothing of wrinkles under the eyes and correction of the shape of the nose;
• does not apply until 35 years old;
• if administered incorrectly, forms lumps and tubercles;
• the negative consequences of unprofessional administration of the drug are visible over a long period.

Best Biodegradable Fillers

Restylane

Restylane is a biodegradable filler based on 2% hyaluronic acid. The principle of action of the drug, produced in Sweden, lies in the ability of hyaluronic acid to attract water molecules, thereby replenishing the lost volume and making the skin smooth. Restylane is absolutely safe to use, it does not cause allergic reactions. In this case, the drug is independently absorbed by the body.

Restylane fillers are represented by a line of products, each of which is designed for a specific purpose:

• Restylane is a base formulation for moderate wrinkles and nasolabial folds. The duration of the drug is about six months. Available in 0.5 and 1 ml. The cost of 1 ml from 11,000 rubles.
• Perlane is the thickest and most viscous filler in the line. It is used to smooth deep wrinkles and pronounced folds, to correct the oval of the face, cheekbones, chin. The action can last up to one and a half years. Release form - 05, or 1 ml. Cost from 12,000 rubles.
• Restylane Perline Lidocaine is an analogue of the previous drug, but with lidocaine for a painless procedure. Release form, like the previous drug.
• Restylane Touch is a lightweight filler for smoothing fine wrinkles. Available in 0.5 ml. Cost from 9000 rubles. for 1 ml.
• Restylane Lipp is a tool for adding volume and shape to lips. Available in 0.5-1 ml volume. Cost from 10,000 rubles.
• Restylane SubQ is a preparation for correcting the shape of the chin, cheekbones, cheeks, face contour. It is injected into the deepest layers of the skin or periosteum. The action lasts up to a year. Available in 2 ml, costing from 12,000 rubles.
• Restylane Vital and Restylane Vital Light are preparations that are not complete fillers and are used for biorevitalization. Available in 1 ml. Cost from 10,000 rubles.
• Lip Volume and Lip Refresh - used to correct the shape of the lips and increase their volume. The drug is newer and resistant to active facial expressions in the area of ​​application. Release form - syringe 1 ml, cost from 12,000 rubles.

• lack of allergic reactions;
• a wide range of drugs allows you to choose the right one for each specific situation;
• can be used for hands, décolleté, neck;
• can be used for young skin.

• soreness of the procedure, the use of anesthetic creams is required;
• short-term effect of the drug (6-8 months);
• the drug is administered in a course of several sessions with an interval of 2 weeks to 1.5 months;
• it is not advisable to apply to people prone to swelling;
• lumps may form under the skin.

Surgiderm

Surgiderm is a line of non-animal hyaluronic acid fillers.

Surgiderm 18 is a low density drug. Used to combat shallow wrinkles around the eyes, mouth. Can be used in the neck area. Injected into the surface layers of the skin. Recommended for use after 30 years. The effect of the drug lasts up to 9 months. Release form - 2 syringes, 0.8 ml each. Cost from 9000 rubles.

Surgiderm 24XP is a dense filler that is injected into the deep layers of the skin. It is used to fill nasolabial folds, wrinkles between the eyebrows, on the forehead, to correct the shape of the cheekbones, to increase the volume of the lips. It is advisable to use this drug no earlier than 40 years. The action lasts a year. Release form - 2 syringes, 0.8 ml each. Cost from 12,000 rubles.

Surgiderm 30 is a dense gel for smoothing deep wrinkles and pronounced folds. It can be used for modeling the oval of the face. Recommended for patients aged 35-40 years. The effect lasts for 1 year. It is produced in the form of 2 syringes, each containing 0.8 ml of the drug. Cost from 12,000 rubles.

Surgiderm XP30 is a viscous filler injected into the middle layers of the skin and used to replenish the missing volume. It is used to smooth out wrinkles on the forehead, chin. It is used for injection plastics in patients over 40 years old. The effect of the introduction of the drug is noticeable for one and a half years. The release form is similar to the previous drugs. Cost from 14,000 rubles.

• can be combined with other fillers (e.g. botox);
• longer effect in comparison with other drugs of similar composition;
• the drug does not migrate under the skin;
• effectively copes with nasolabial folds;
• makes lips plump with a clear, beautiful contour;
• noticeable effect immediately after the procedure.

• painful procedure;
• significant swelling after drug administration;
• hematomas at puncture sites;
• age restrictions.

Teosyal

Teosyal - a wide range of products for contouring. The main component is hyaluronic acid. All Teosyal products are combined into two groups: classic fillers and dynamic fillers (for mimically active areas of the face). The PureSense line contains lidocaine.

Classic line:

Teosyal PureSense Redensity 2 is a preparation for smoothing crow's feet and correcting the nasolacrimal groove. The concentration of the main component is 15mg / g. The effect of the injection lasts about 1 year. Available in 2 syringes of 1 ml. Cost from 10,000 rubles.

Teosyal Kiss (Teosyal PureSense Kiss) is a composition for increasing the volume of the lips, correcting their contour. The content of hyaluronic acid is 25 mg / g. The duration of the effect is 6-9 months. 2 syringes, 1 ml each. Cost from 16,000 rubles.

Teosyal Ultra Deep (Teosyal PureSense Ultra Deep) is a filler for smoothing deep wrinkles and folds. Can be used for lip plastics. Release form - 2 syringes of 1 or 1.2 ml. Cost from 12,000 rubles.

Teosyal Ultimate (Teosyal PureSense Ultimate) is a product for restoring facial contours, creating the required volume. The content of hyaluronic acid is 22 mg / g. Visible effect up to one and a half years. Release form - 1 syringe 3 ml. Cost from 30,000 rubles.

Teosyal Deep Lines (Teosyal PureSense Deep Lines) is a filler to correct deep wrinkles and folds. The content of the active substance is 25 mg / g. The observed effect is up to 9 months. 2 syringes, 1 ml each. Cost from 14,000 rubles.

Teosyal Global Action (Teosyal PureSense Global Action) is a broad-spectrum drug. Suitable for smoothing out wrinkles of medium depth in various areas of the face. Available in the form of 2 syringes of 1 ml. Cost from 14,000 rubles.

Teosyal Touch Up is a product similar to the previous one. It is used for repeated injections. Release form - 2 syringes, 0.5 ml each. Cost from 7000 rubles.

The dynamic line is represented by 4 innovative preparations based on elastic hyaluronic acid: Teosyal RHA 1-4. Each of them is used to smooth out wrinkles of varying severity and a specific area. The dynamic line products guarantee natural results and long-lasting effects, especially in areas with active facial expressions. Cost: from 11,000 rubles.

• high degree of purification of hyaluronic acid minimizes the appearance of side effects and complications;
• a wide range of products with a division of areas of application and the severity of age signs;
• a separate line of PureSense with lidocaine;
• the RHA line retains the most natural facial expressions.

• slight redness and swelling in the injection area.

Conclusion

Summing up the rating of the best fillers, I must say that there is no product that is perfect for everyone. The quality of the procedure performed and the subsequent result is influenced not only by the quality of the drug, but also by the condition of the patient's skin, the presence of diseases, previous cosmetic procedures and even the state of health at the time of the injection. It should be said that the result of injections largely depends on the qualifications of a specialist. After all, fillers are used in most cases on the face, where the skin is rather thin and sensitive. Only a professional cosmetologist will be able to carry out the procedure with high quality and without negative consequences. Therefore, it is important not only to choose a drug, but also not to save on a specialist, and to carry out the procedure in specialized clinics or centers.