• Tuscaloosa MedSpa

Dermal Fillers: How Do They Compare to Botox, according to Dr. Peramsetty


woman smiling and touching her face after having dermal fillers

A popular treatment among those who wish to defy aging, dermal fillers produce gorgeous, long-lasting results and enhance one’s natural beauty by eliminating wrinkles, restoring lost volume, adding hydration, and contouring the face.


Due to the incredible results they deliver, dermal fillers are a favorite amongst both patients and doctors. In this article, Dr. Ramesh Peramsetty, founder and Medical Director of Tuscaloosa Medspa, shares with us his vast knowledge of dermal fillers, and his experience on receiving the best results from fillers.


If you’re looking into this treatment to become the best possible version of yourself, keep reading to find out everything you should know about dermal fillers.


Everything You Should Know About Dermal Fillers


What are Dermal Fillers?


First thing’s first - let’s go over what dermal fillers actually are. Dermal fillers are soft, gel-like substances injected under the skin to address common skin concerns, such as wrinkles, under-eye circles, fine lines, sagging of the skin, lost volume, and more.


Though dermal fillers can consist of a multitude of FDA-approved substances, either natural or synthetic, most use a compound called hyaluronic acid (HA).


Dr. Peramsetty tells us, “This remarkable substance is naturally-occuring in the body and is crucial for keeping the skin plump and hydrated. When injected, an HA-based dermal filler helps replenish your body’s natural production of hyaluronic acid, which declines as we age.”


At Tuscaloosa Medspa, we offer 3 different dermal fillers:

  • Revanesse Versa - this newer dermal filler uses hyaluronic acid and is a great choice for moderate to severe wrinkles.

  • Belotero Balance - also uses hyaluronic acid but is a very lightweight dermal filler, making it a good choice to smooth out very fine lines around the mouth and chin.

  • Radiesse - made of calcium hydroxyapatite (CaHA) gel microspheres, Radiesse stimulates collagen to help your skin produce more of its own filler.


What are the Benefits of Dermal Fillers?


Dermal fillers are an effective tool when restoring a more youthful appearance or when one simply needs a bit of facial rejuvenation.


Benefits of dermal fillers include:

  • Smooth out facial wrinkles, fine lines, and deep folds.

  • Enhance contours.

  • Lift the skin and restore natural volume.

  • Improve skin texture, such as scarring.

  • Plump the skin to enhance certain areas of the face (jawline, lips, cheeks).

  • Hydrate the skin for a refreshed look.


Dermal Fillers Vs. Botox


A very common questions Dr. Peramsetty gets from patients is, "How do dermal fillers compare to Botox?" Though many get these two treatments confused, they are completely different in the way they approach facial rejuvenation.


  1. Dermal fillers plump the skin from below to eliminate wrinkles and smooth out fine lines for a more youthful appearance.

  2. Botox targets and freezes the muscles in your face to stop them from making movements that cause wrinkles.


Dr. Peramsetty says, “Think of it this way - Botox 'freezes' muscles to prevent wrinkles from forming, while dermal fillers 'fill in' wrinkles to smooth out skin.”


How Long to Dermal Fillers Last?


One of the top reasons dermal fillers are rising in popularity is their ability to deliver exceptional results in just one visit to the clinic. Depending on which substance a dermal filler uses, results typically last anywhere from 3 to 6 months, sometimes even longer.


With hyaluronic acid dermal fillers, results tend to last between 3 and 6 months before being gradually absorbed by the body. With calcium hydroxyapatite dermal fillers, such as Radiesse, volumization occurs over several months as it stimulates collagen production. Thus, these results gradually appear in the weeks and months following the procedure and can last up to 18 months.


Per Dr. Peramsetty, “Keep in mind that dermal fillers are temporary. If you love them (and you most likely will!), it’s key to continue going back to your dermatologist or provider for touch up treatments.”


Do Dermal Fillers Have Any Risks or Side Effects?


As with any injectable treatment, there are a few risks and side effects to consider:

  • Redness

  • Swelling

  • Itching

  • Tenderness

  • Bruising

  • Pain


However, when you opt to visit a licensed practitioner who has experience administering injectables, such as dermal fillers, these side effects are unlikely. Dermal fillers are a minimally-invasive cosmetic procedure and are incredibly safe when in the right hands, such as Dr. Ramesh Peramsetty!


How Much Do Dermal Fillers Cost?


The cost of dermal fillers depends entirely on how much work you’re having done and the filler substance used. Similar to any other cosmetic or aesthetic treatment, the cost will vary, but the general rule of thumb is that one dermal filler syringe starts at $500.


At Tuscaloosa Medspa, here are our dermal filler costs:


  • Versa (1 syringe) - $500

  • Belotero Balance (1 syringe) - $500

  • Radiesse (1 syringe) - $550


Experience Matters.


As with any aesthetic treatment, experience matters - especially with dermal fillers.


One major fear patients have regarding injectables is that they’re going to be noticeable. But injection is an art and the best providers, such as Dr. Peramsetty, know exactly how to administer dermal fillers to enhance your natural features and achieve the desirable results.


Before you go through with any dermal filler treatment, ask the clinic for Before and After photos to see real patient results! And don’t be afraid to ask about certifications and training, too.


You deserve top-notch results - it’s your face after all!


Ready to Turn Back the Clock?


At Tuscaloosa Medspa, Dr. Ramesh Peramsetty is an injectable artist and delivers exceptional, natural-looking results! If you’re ready to turn back the clock and restore a more youthful appearance with dermal fillers, make an appointment at Tuscaloosa Medspa today.



At Tuscaloosa MedSpa, we know dermal fillers and injectables better than anyone else in town. We are very transparent with our pricing and our stellar Google reviews will show we treat each customer like family and make you feel relaxed and beautiful! Book your appointment today at one of the top dermatology and aesthetics in Tuscaloosa, Alabama.

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