RHA Dermal Fillers

Since they were first developed, dermal fillers have been known for restoring volume and diminishing fine lines on the lower face, neck, lips, and hands, while neuromodulators have been used to treat dynamic wrinkles of the upper face. This separation is no more with the FDA approval of RHA Dermal Fillers. This family of fillers is now the only one to be FDA-approved for treating dynamic wrinkles. These fillers are designed with RHA—or Resilient Hyaluronic Acid—to keep up with the constant movement of the face.

Double-board certified facial plastic surgeon Dr. Philip Miller focuses exclusively on the rejuvenation of the face and neck, with both surgical and nonsurgical methods. His proprietary Miller Lift or liquid facelift uses the combination of dermal fillers and neuromodulator injections to achieve nonsurgical facelifts. Dr. Miller continues to remain at the forefront of facial rejuvenation techniques by offering the new RHA Dermal Fillers.

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RHA Dermal Filler Overview

RHA stands for “resilient hyaluronic acid,” which is the key ingredient in this filler. Most dermal fillers are made of hyaluronic acid (HA), but the way the HA is formulated for RHA fillers makes RHA fillers more adaptable to facial movements. RHA fillers moisturize, volumize, and give structure to your skin, without restricting your movements. RHA fillers allow you to maintain your natural appearance. 

RHA fillers treat dynamic wrinkles, which are wrinkles that appear when you make normal facial expressions like smiling or when you repeat actions like chewing or talking. When you are young, these wrinkles fade when your face is at rest, but as you age, they remain. Dr. Miller offers the complete family of RHA Dermal Fillers at our Manhattan office, injecting them into the mid-to-deep dermis or deep dermis to superficial subcutaneous tissue, to target dynamic wrinkles you’re seeking to minimize.


RHA 2 is intended for moderate dynamic wrinkles, so if your wrinkles are just beginning to appear, this might be the filler you need. It is injected into the mid-to-deep dermis to treat dynamic wrinkles of the upper face:

  • Forehead lines
  • Crow’s feet
  • Glabella lines

It can also be used as a lip filler as well as a treatment for wrinkles and lines around the mouth.


This RHA Dermal Filler is formulated to treat severe dynamic wrinkles:

  • Nasolabial folds (vertical lines extending from the nose to the mouth)
  • Perioral lines (vertical lines about the upper lip)

RHA 3 can also work well for lip and cheek augmentation, as it’s injected into the mid-to-deep dermis.


This final RHA filler is the most robust of the RHA family. RHA 4 can be injected the deepest, into the deep dermis to superficial subcutaneous tissue of the face, allowing it to correct deep skin depressions where volume has been lost or wrinkles have formed in the cheeks and midface.

RHA Dermal Filler Procedure

An RHA Dermal Filler appointment is similar to other dermal filler injection sessions. Dr. Miller will examine your skin and facial anatomy while discussing your concerns. He will guide you through the NatraLook process to help you better understand your facial anatomy and options for cosmetic treatment.

For your injections, Dr. Miller uses the smallest possible needles in our Manhattan office, ensuring the highest level of comfort possible. RHA fillers also contain a small amount of lidocaine, a local anesthetic, to minimize discomfort. We also offer topical numbing cream and ProNox (laughing gas) if you would like. You will most likely see the results of your treatment immediately. To learn more about RHA dermal fillers, please visit fda.gov


Am I a good candidate for an RHA Dermal Filler?

You could be a good candidate for RHA dermal filler injections if you are 22 years or older and would like to diminish aging symptoms with a quick, relatively comfortable treatment. Patients with moderate to severe wrinkles and volume loss can benefit from RHA fillers.

Are RHA Dermal Filler injections painful?

Most patients who have received RHA filler treatments say dermal filler injections are very tolerable, and some even say they didn’t feel anything during their treatment session. The low level of pain is due to the tiny needles Dr. Miller uses, the lidocaine that is part of the fillers, and Dr. Miller’s experience and skill in injecting them. You may request topical numbing cream, ice, or ProNox before your treatment.

What is recovery for an injection session like?

Most patients do not need to take time to recover after a treatment session. You will likely be able to return to regular activities immediately after your treatment. Mild redness, swelling, or bruising at the injection sites may occur, so consider scheduling your treatments at least two weeks prior to any special event.

How do I know what dermal filler treatment is best for me?

During your consultation, Dr. Miller will recommend the best options for you, according to your goals and budget.

Schedule Your Consultation in NYC Today

If you would like to treat your dynamic wrinkles with RHA Dermal Fillers, or if you would like to learn more about your options for treatment, contact our Manhattan office to schedule your consultation.

Plastic Surgery from Head to Toe

At Gotham Plastic Surgery, we create custom treatment plans that combine minimally-invasive techniques and advanced technology to help patients achieve the best version of themselves. Our unique NatraFace™ approach addresses both restorative and transformative changes.

Gotham’s expert physicians perform advanced surgical and non-surgical procedures that smooth the skin around the eyes to give patients a refreshed look. Our custom NatraEye™ technique combines the use of chemical peels, lasers, eyelash enhancement, and injectables with precision procedures, including:

Our esteemed surgeons utilize the NatraNose™ technique to bring together innovative artistry and unparalleled skill to deliver results that look natural, improve nasal function, and help achieve each patient’s aesthetic goals.

Regardless of your aesthetic goals, Gotham has the skill and technique required for the breast procedure that suits you. Whether adding symmetry or restoring the breast following a mastectomy, Gotham provides patients with enhanced feminine contours and improved body proportions.

Patients from all over the world have undergone amazing body transformation at Gotham, enjoying slimmer bodies with satisfying contours. Our advanced physicians apply their skill and expert technique to precisely sculpt other areas of the body, including the cheeks, chin, buttocks, hips, love handles, knees, upper arms, thighs, and even the neck.

Known for our flawless techniques and a range of skincare options, Gotham Plastic Surgery has all the tools necessary for complete, natural, and comprehensive rejuvenation. As part of a customized treatment plan, these procedures can be performed standalone or in combination with surgical procedures for even more impressive results.

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The Plastic Surgery Podcast with Dr. Philip Miller

Tune into The Plastic Surgery Podcast, hosted by facial plastic surgeon Dr. Philip Miller. Dr. Miller is here to answer your questions, de-mystify plastic surgery, and help you feel more knowledgeable and empowered about any procedure performed at our center.

  • Episode 44: My First Time

    8 min
  • Episode 43: Top 10 Reasons Not To Get A Rhinoplasty ( Plastic Surgery)

    20 min
  • Episode 42 : Osteomas & Lipomas

    11 min
  • Episode 41: All Ears Considered!

    8 min
  • Episode 40: Infrared Light Therapy

    9 min
  • Episode 39: Beauty, the Plateau

    6 min
  • Episode 38: Botox and Dermal Fillers

    3 min
  • Episode 37: Cost of Rhinoplasty

    1 min
  • Episode 36: Different Types of Nasal Surgeries

    3 min
  • Episode 35: Do You Have to Break the Nose for Rhinoplasty?

    2 min
  • Episode 34: Do You Have to Stay Overnight After Having a Rhinoplasty?

    2 min
  • Episode 33: Don't Have a Rhinoplasty!

    2 min
  • Episode 32: Endonasal or External

    1 min
  • Episode 31: Are You a Candidate?

    2 min
  • Episode 31: Asian Nose Job

    3 min
  • Episode 30: In The Office

    17 min
  • Episode 29: Can My Nose be Made Smaller?

    4 min
  • Episode 28: Can't Breath Through Nose

    3 min
  • Episode 27: Chin Implants - Mentoplasty

    2 min
  • Episode 26: Columellar Struts

    23 sec
  • Episode 25: Common Terms

    5 min
  • Episode 24: Connection Between Facial Resurfacing and Tattooing

    5 min
  • Episode 23: The Sooner, The Better?

    4 min
View all Podcasts
Plastic Surgery w/ Dr. Miller

Plastic Surgery w/ Dr. Miller

If you're thinking about getting a lift, nip, or tuck, this app is for you. It's the most comprehensive pocket encyclopedia of plastic surgery terms, before and after photos, and visualization tools to help you really know what to expect from a procedure, including seeing potential results on your own photo. This app is only available on the App Store for iOS devices.

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