Longer Lasting Fillers

Best Longer Lasting Fillers

We offer a variety of FDA-approved dermal filler products from which our expert injectors can choose depending upon each patient’s needs, treatment areas, expectations, and budget. Some newer fillers on the market are longer-lasting, and though they are more expensive, in the long run can be more cost effective due to fewer injections over time.

The first generation of fillers, typically soft and gel-like, and which are still very popular, often have Hyaluronic Acid (HA) as their main component. HA is a naturally occurring substance already found in your skin. There’s nothing better to keep your skin plump and hydrated. The results last six to twelve months before the body gradually and naturally absorbs the particles. This makes them ideal for first-time filler users, as the outcomes are temporary, and it gives the patient a chance to gauge the results delivered by the product and their injector without committing to a longer-term look.

Longer-lasting fillers are made with a synthetic product that is intentionally very slowly absorbed by the body. They can be a great option for the right patient, who is ready to commit to results that will be evident for several years. It’s also important to be comfortable with your practitioner and work with one whose aesthetic style you like.

The three longer-lasting fillers we use also stimulate collagen and can be noticeably effective for up to five years. Our expert injectors understand the expensive, long-term commitment they are making with you. You will consult carefully together to determine which filler option is best for you, your expectations, and your budget.

Our longer-lasting fillers:


Bellafill incorporates polymethyl methacrylate (PMMA) suspended within a base of smooth collagen gel. PMMA is a synthetic, biocompatible substance that has been used in medicine for much of the last century. These PMMA “microspheres” remain beneath the skin indefinitely to provide continued support. Bellafill’s formulation also stimulates collagen growth to help maintain a more youthful appearance for up to five years.

>>>Bellafill video


Radiesse gel is smooth and provides suspension for tiny, nearly microscopic, spheres of calcium hydroxylapatite (CaHA), which is naturally found in the bones and teeth. CaHA also helps stimulate natural collagen production, and it is typically used for deeper lines and wrinkles. For the first three months or so after the Radiesse treatment, it acts as a cosmetic filler, plumping up the skin and diminishing age lines. As time passes the microspheres stimulate natural collagen growth, causing new collagen development for longer-term results of up to two years.

>>>Radiesse info

Sculptra® Aesthetic

Poly-L-lactic acid, a biocompatible, biodegradable synthetic substance, is the primary component of Sculptra. It has been used for years in medical devices, such as dissolvable stitches. These lactic acid products are technically classified as “collagen stimulators,” and their main mechanism is to smooth fine lines by helping your skin rebuild natural collagen — the filler gel itself dissipates a few days after treatment. The true and lasting effects of Sculptra® treatment take weeks or months to become evident. The microscopic Sculptra crystals induce a mild inflammatory reaction which triggers the formation of new collagen. This collagen production gradually increases, making the volume-enhancing results of the treatment apparent in about four to six weeks.

>>>Sculptra info

More information on all our dermal fillers.


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Kirsten S.
Linda and staff are amazing. I am always very happy with my treatment results. It is apparent that she researches various technologies and techniques. The applications are always evolving with new and improved products. Highly recommended.
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Suzanne P.
Excellent service and an overall pleasant experience. Victoria was professional and knowledgeable. She proposed treatments addressing both my anesthetic and medical concerns.. I could not be happier with the results. Also, the Receptionist, Mattie, was pleasant and efficient. I look forward to future treatments.
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Lisa M.
Hayes Valley is the best! Kate did an incredible job with Dysport removing the wrinkles from my forehead, Sandra gave me great abs and glutes with Emsculpt, and Linda gave me my youthful facial structure back with Sculptra. These women are truly amazing. So glad that I found them!
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Gene V.
I love Hayes Valley Medical and Esthetics! I've been coming for a while now for Botox and filler treatments. Linda is AMAZING! She knows just the right amount of product needed in all the right places to bring out my best facial features. I feel more handsome every time!!

The front desk staff are super sweet and helpful. They always ask exactly what I want and I never feel like I'm being 'upsold' or encouraged to do anything other than what I came in for. I would highly recommend HVME to anybody that is on the unsure about trying some of the services they offer. You won't be disappointed. Thank you!!
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Julie S.
This was my first experience with any filler/injection treatment and it was very pleasant, professional and everyone there made me feel safe, welcome and I felt very knowledgeable coming out of my treatment about what to expect. I will absolutely be back!
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Tina B.
Diana at the front desk is so sweet, the medical assistant was amazing & personable and Kate who did my procedure is my favorite! As I walked out and met my husband, I told him how much I enjoy being there & what a good vibe Hayes has.
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Cher B.
Sheila and Linda took great care of me and I look younger and vibrant.  I do not trust anyone else for injectables.  Linda is careful, thoughtful, and respectful of one’s budget. I have followed her from Marin into SF and I will continue to follow her where ever she practices.
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Emily N.
I highly recommend Hayes Valley Medical & Esthetics!! All the front desk staff are warm, friendly and professional and Denise is the best for laser, she goes above to make you feel comfortable and at ease. Andrea is exceptional at explaining the services they offer. They are the best in SF in my opinion and I do my research!
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Kathleen F.
Excellent customer service, advice, and care. Botox and Microneedling. Melonie is a gem. She is extremely knowledgable, sincere and honest. Everyone here is helpful, They carry a fabulous array of skin products too. I am so pleased with my results!
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