Augmentation of the deeper layers of the facial skin (dermis) has become a popular method of diminishing contour defects that result from aging, photo-damage, trauma, scarification or disease. By an injection of a filler, we are able to reduce fine lines and wrinkles, smooth surfaces, and replace soft-tissue volume. There are a variety of dermal fillers available. A recommended option is a clear hyaluronic acid based gel that once injected in the dermis increases in volume. It is a natural substance in the skin, which has been artificially synthesised, and is well tolerated with a low risk of allergic reaction.