How to Choose Between Options in Soft Tissue Fillers

The use of injectable fillers in facial plastic surgery started with injection of collagen and has seen the introduction of numerous fillers over the past few decades. These products are not only used to fill wrinkles, but also for soft tissue augmentation, reconstruction as well as to influence the aging process at a cellular level. It is imperative that the facial plastic and reconstructive surgeon be familiar with the different products available, their recommended uses, and injection techniques. Since these fillers are used predominantly for elective cosmetic procedures, there is an increased burden on the treating provider to ensure patient safety and minimize risk. We provide a review of the different classes of injectables and our recommended treatment algorithms for each.