Facial Fillers For Over 65: Enhancing Mature Skin

Medically Reviewed
Medically Reviewed by Dr. Aurora Kalmanson on
Written by Fillers Editorial Team, plastic surgery specialists.

Facial fillers offer a non-surgical solution to combat the signs of aging, particularly for individuals over 65. These injectable treatments can restore lost volume, smooth out wrinkles, and enhance facial contours.

While there’s no set age limit for fillers, they are most effective for those with mild to moderate signs of aging and good skin elasticity. Alternatives like Botox, laser treatments, and facelifts are also available for those with more advanced aging signs or different aesthetic goals. Ultimately, fillers can provide a refreshed, more youthful appearance, adapted to the unique needs of mature skin.

Specific Concerns and Treatments for Over 65

As individuals over 65 seek facial rejuvenation, it’s essential to address their specific concerns with adapted treatments that consider the unique characteristics of mature skin.

Dermal Fillers for Different Age-Related Issues

Hollow Cheeks and Temples: The restoration of volume in hollow cheeks and temples is a transformative procedure for those over 65. Dermal fillers can provide a subtle lift and add fullness, counteracting the very thin appearance that often accompanies aging. By carefully injecting fillers into these areas, practitioners can recreate the natural contours of a younger face. This not only improves the aesthetic balance of the face but also contributes to a more alert and engaged appearance. The strategic use of fillers in the cheeks and temples is a key of facial rejuvenation, offering a minimally invasive solution with immediate results.

Marionette and Nasolabial Folds: Marionette and nasolabial folds are among the most common concerns for individuals over 65, as they can impart a downturned or solemn expression. Dermal fillers can be expertly placed along these folds to soften their appearance and restore a more neutral or positive facial expression. The goal is not to erase these lines entirely, which can result in an overdone look, but to diminish their depth and shadowing effect. This nuanced approach helps maintain the character and natural expression of the face while providing a refreshed and rejuvenated look.

Jawline and Chin Enhancement: Enhancing the jawline and chin with dermal fillers can significantly impact the overall appearance of individuals over 65. A well-defined jawline and a proportionate chin contribute to a balanced and attractive facial profile. As we age, the jawline may become less distinct due to the loss of bone density and soft tissue support, while the chin can recede or appear less prominent. Fillers can be used to sculpt the jawline, reduce the appearance of jowls, and strengthen the chin, resulting in a more youthful and structured facial silhouette. These enhancements can also improve the balance between facial features, offering a non-surgical alternative to more invasive procedures.

Full Face Rejuvenation Techniques

Combination with Anti-Wrinkle Injections: Full face rejuvenation often involves a combination of dermal fillers and anti-wrinkle injections, such as Botox. While fillers add volume and smooth out static lines, anti-wrinkle injections target dynamic wrinkles caused by muscle movements. This approach allows for a comprehensive treatment of various signs of aging. Anti-wrinkle injections can relax the muscles responsible for expression lines, resulting in a smoother forehead, softened crow’s feet, and a reduction in frown lines. When used together, these treatments can create a more rested and youthful appearance while preserving natural facial expressions.

Collagen Stimulating Injections and Non-Invasive Treatment Synergy: Collagen stimulating injections, such as Sculptra, work by triggering the body’s natural collagen production, offering a gradual and natural-looking enhancement. When combined with non-invasive treatments like laser therapy or microneedling, there is a synergistic effect that can lead to more pronounced and lasting results. These combinations can improve skin texture, tone, and firmness, addressing the underlying causes of aging skin. By integrating various modalities, practitioners can adapt a full-face rejuvenation plan that maximizes the benefits of each treatment, leading to an  all-inclusive improvement in skin health and appearance.

Popular Dermal Filler Options and Alternatives for Over 65

Navigating the line-up of dermal filler options and alternatives can be daunting for those over 65. Understanding the nuances of each treatment allows for a personalized approach to facial rejuvenation.

Hyaluronic Acid-Based Fillers

Juvéderm, Restylane, and Effects on Mature Skin: Hyaluronic acid-based fillers like Juvéderm and Restylane are particularly well-suited for mature skin due to their hydrating properties and ability to create natural-looking volume. These fillers can attract and retain moisture, which helps to plump the skin from within, reducing the appearance of fine lines and wrinkles. They are flexible enough to address a range of concerns, from deep folds to subtle lines, and can be used in various facial areas, including around the eyes, mouth, and jawline. The effects of these fillers on mature skin can be quite rejuvenating, providing a refreshed look that is both noticeable and subtle, enhancing the individual’s natural beauty without a drastic change in appearance.

Longevity of HA Fillers in Older Adults: The longevity of hyaluronic acid (HA) fillers in older adults can vary based on several factors, including the type of filler used, the area treated, and the individual’s metabolism. Generally, HA fillers last between six months to two years, with many patients noticing that their results tend to diminish more quickly in areas of frequent movement, such as around the mouth. Older adults may experience slightly longer-lasting results due to slower metabolic rates, which can reduce the speed at which the filler is broken down. Maintenance treatments are often recommended to sustain the desired effects, and a personalized treatment plan can help manage expectations regarding the duration of filler results in mature skin.

Alternatives and Complementary Treatments

Non-Surgical Options (Botox, Laser Resurfacing, Microchanneling, IPL): For those seeking alternatives or complements to dermal fillers, a variety of non-surgical options are available. Botox can reduce the appearance of dynamic wrinkles by temporarily paralyzing the underlying muscles. Laser resurfacing techniques can improve skin texture and tone, while microchanneling stimulates collagen production to enhance skin firmness. Intense Pulsed Light (IPL) therapy targets pigmentation issues, such as age spots and sun damage, contributing to a more even skin complexion. These treatments can be used alone or in combination with fillers to achieve a more comprehensive facial rejuvenation.

Surgical Options (Facelift Considerations for Advanced Aging Signs): For individuals with advanced signs of aging, surgical options like a facelift may provide more significant and lasting results. A facelift can address severe skin laxity, deep folds, and jowls by repositioning and tightening the underlying tissues. It is a more invasive procedure with a longer recovery time but can offer a dramatic improvement that non-surgical treatments cannot achieve. When considering a facelift, it’s essential to have a thorough consultation with a board-certified plastic surgeon to discuss the potential outcomes, risks, and the recovery process.

Frequently Asked Questions

Can dermal fillers be effective for those over 70 years old?

Yes, dermal fillers can be effective for individuals over 70, particularly for those with mild to moderate signs of aging and good skin elasticity.

What are the best treatments for perioral lines in seniors?

The best treatments for perioral lines in seniors include dermal fillers for volume restoration and laser treatments or chemical peels to improve skin texture.

How long do dermal fillers last in older adults?

Dermal fillers can last anywhere from 6 months to 2 years in older adults, depending on the type of filler used and the individual's metabolism.

Are there any long-lasting fillers suitable for those over 65?

Yes, there are long-lasting fillers such as calcium hydroxylapatite and poly-L-lactic acid fillers that are suitable for those over 65 and can last up to 2 years.

Can dermal fillers address smoker's lines and thin lips in the elderly?

Dermal fillers can effectively address smoker's lines and plump thin lips in the elderly, offering a more youthful appearance.

What are the risks of fillers for seniors?

Risks for seniors include bruising, swelling, infection, and the rare possibility of filler migration or vascular complications.

Should cosmetic dental work be done before or after facial fillers?

Cosmetic dental work should generally be done before facial fillers to ensure that the fillers complement the new dental contours and achieve a harmonious result.


Facial fillers provide a versatile and minimally invasive option for seniors seeking to rejuvenate their appearance. With a range of products tailored to address specific aging concerns, fillers can offer significant improvements in facial volume, wrinkle reduction, and overall skin quality. It's important for seniors to have realistic expectations, understand the potential risks, and work with experienced practitioners to achieve the best possible outcomes. Whether used alone or in combination with other treatments, facial fillers can help seniors look as vibrant and youthful as they feel.

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Kapoor, K. M., Saputra, D. I., Porter, C. E., Colucci, L., Stone, C., Brenninkmeijer, E. E. A., Sloane, J., Sayed, K., Winaya, K. K., & Bertossi, D. (2021).

Li, K., Meng, F., Li, Y. R., Tian, Y., Chen, H., Jia, Q., Cai, H., & Jiang, H. B. (2022). Application of Nonsurgical Modalities in Improving Facial Aging.

Dr. Aurora Kalmanson

Always Consult a Medical Specialist

The information provided in this blog is for informational and educational purposes only and should not be interpreted as personalized medical advice. It's crucial to understand that while we are medical professionals, the insights and advice we provide are based on general research and studies. They are not tailored to individual health needs or conditions. Thus, it is essential to consult directly with a healthcare provider who can offer personalized medical advice relevant to your specific situation.