Where Is the Line When It Comes to Fillers?

Dermal fillers are versatile treatments that can be used to create cosmetic improvements in several ways that go beyond traditional options. Plastic surgeons and providers commonly use fillers for so-called “off-label” treatments and get great results without compromising safety. For example, I may use fillers such as JUVÉDERM® or Restylane® for my Baton Rouge-area patients for off-label treatments such as hand rejuvenation or chin augmentation.

Woman receiving filler injections.

Even though these types of treatments are common, it’s extremely important that they’re performed by licensed providers with the training to understand both the possible uses and limitations of fillers.

What is an “off-label” treatment?

An off-label treatment is any use of a filler that hasn’t been specifically approved by the FDA. Both fillers and BOTOX® Cosmetic are often used to improve the appearance of areas that aren’t included in the FDA’s approval. Plastic surgeons often discover that certain treatments are safe and effective even though they haven’t gone through what can be a lengthy approval process. For example, BOTOX was used for years to minimize crow’s feet before the FDA approved that specific use.

Some of the areas that injectors treat with fillers include:

  • Earlobes
  • Temples
  • Chin

BOTOX can even help patients concerned about receding gum lines that can create a “gummy” smile as we age.

Off-Label Uses for Fillers

Here are some other off-label uses that are fairly common:

Minimizing acne scars: Fillers such as JUVÉDERM or Restylane (or other fillers formulated with hyaluronic acid) can fill in pits and pockmarks to create a smoother complexion.

Nonsurgical rhinoplasty: Fillers can actually change the nose’s appearance, but only temporarily. A “liquid nose job” is actually a good trial run for patients who are thinking about surgical rhinoplasty.

Hand rejuvenation: The back of the hands are often overlooked when people think about signs of aging. But wrinkled, discolored hands can give away your age, and fillers are a great way to improve their appearance.

Chin augmentation: Contouring and reshaping the face with fillers is becoming increasingly popular, and the chin is a primary focus. Women and men who want more definition to their chin but don’t want surgery can add volume to the chin and jawline with fillers.

Other uses for fillers that were once off-label, such as lip augmentation, are now approved by the FDA. JUVÉDERM VOLBELLA and Restylane Silk, for example, are both approved specifically for that purpose. You can read about myths surrounding lip augmentation in 1 of my earlier blog posts.

If you’re interested in getting cosmetic injections and want to discuss possible off-label uses, contact us using the online form to request a consultation or call us at (225) 399-0001 (Baton Rouge), (985) 902-7770 (Hammond), or (225) 900-7002 (Denham Springs) to schedule an appointment.

2 Responses to Where Is the Line When It Comes to Fillers?

  • Danielle says:


    I’m interested in the chin augmentation with fillers but wanted more info. Like cost, recovery, is it temporary, and possible side effects.

    Thank you

    • Shared Account says:

      Hi Danielle, thank you for your question. Chin filler is amazing and done often to help contour the entire face and profile. We start with typically 1-2 syringes of Juvederm Voluma, priced at $800 per syringe. You can have bruising and swelling for approximately 48-72 hours after.

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