Valentine's Special

How to Choose the Right Dermal Filler

You have likely read about dermal fillers, done your research, and decided you want to try them. With so many on the market, it can be hard to know which product works best for you. If you are unsure how to choose the right dermal filler, let us help you. Our talented and licensed medical professionals will listen to your needs and ensure you receive the right kind of care in order to meet your goals.

The Centre has a quality selection of fillers, coupled with licensed experts who are trained in the nuances of each one and can form a customized treatment plan just for you. From deep wrinkles to thin earlobes, and hollow cheeks to a recessed chin, dermal fillers can improve physical appearances for both men and women of all ages. Whether you want less hollow cheeks or fuller lips, we have a dermal filler that fits your situation.

A Variety of Dermal Fillers Are Available

Dermal fillers have been providing safe, consistent, and predictable results for many years—each formula working in a slightly different way with varying degrees of longevity and softness. Different chemical makeups mean different uses for different results, and choosing the right dermal filler depends on what your end goals are.

Hyaluronic Acid (HA)

Hyaluronic acid is the main component in many dermal fillers. It is a natural substance found in connective tissue, fluid around the eyes, cartilage, joint fluid, and skin. It delivers nutrients to the skin, helps to retain moisture, and adds volume. Juvederm, and Ravenesse Versa use hyaluronic acid as their main ingredient.


Juvederm comes in several different formulations and consistencies to better serve patients with a variety of needs. It is often the dermal filler of choice for patients undergoing brow lifts or chin augmentation. In addition, it is also effective at volumizing cheeks or lips, and smoothing wrinkles, including the nasolabial folds.

Ravenesse Versa

Ravenesse Versa also uses a hyaluronic acid base but with a higher molecular weight than other fillers, which may produce longer results. It can treat moderate to severe wrinkles, including nasolabial folds. In one study, the product appeared to cause less swelling than some of its competitors.

Calcium Hydroxylapatite (CaHA)

Calcium Hydroxylapatite is another type of injectable filler base. CaHA consists of a uniform suspension of microspheres in an aqueous gel solution and is considered highly biocompatible for use in cosmetics. Dermal fillers using CaHA provide similar results as their HA counterparts but additional formulations give patients more blends to choose from to find the right fit. Radiesse is one of the dermal fillers that use CaHA.


Radiesse can improve wrinkles and folds in the face, and is the first dermal filler approved by the FDA for use on hands. The CaHa microspheres stimulate collagen production, which can enhance wrinkle reduction and extend results for a longer period.

Schedule a Consultation to Find the Right Dermal Filler for You

There are many dermal fillers available these days, which is great for consumers but can be overwhelming for someone who is just getting started with cosmetic enhancements. Our medical practitioners can consult with you, and provide concise and accurate information to help you choose the right product. Schedule a consultation with one of our licensed professionals today and learn what you need to look for when choosing the right dermal filler.

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Meet the Doctors
Dr. Downs
Dr. Downs

Ronald K. Downs, M.D., F.A.C.S. founded The Centre, P.C. in Elkhart, Indiana in 1992. He is an active member in the American Society of Plastic Surgeons. Dr. Downs is also a member of The American Society for Aesthetic Plastic Surgery, The American Medical Association, The Ohio Valley Plastic Surgery Society, The Rush Surgical Society, and The Indiana State Medical Association where he serves on the board of directors and has served as the president from 2003 to 2004.

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Dr. Downs
Dr. Macias

Dr. Macias completed her plastic and reconstructive surgery residency training at Spectrum Health/Michigan State University in Grand Rapids, Michigan. She is Board Certified with the American Board of Plastic Surgery.

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Dr. Viscardi
Dr. Viscardi

Patrick J. Viscardi, M.D. has been part of the surgical team at The Centre, P.C. since 1998. Dr. Viscardi graduated from Dartmouth College in Hanover, New Hampshire, as a summa cum laude. He received his Doctor of Medicine Degree from the University of Rochester in New York. Dr. Viscardi completed his internship and general surgery residency at the University of Louisville, where he served as chief resident from 1994 to 1995.

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