Depending on the injection site and amount of dermal filler, most HA fillers last from 6 – 12 months on average. Regardless of which dermal filler you use, two or three syringes are almost always recommended in order to achieve the most gorgeous outcomes.
In general, the amount of filler you will need for your treatment will depend on the severity of skin laxity in your cheeks and your aesthetic goals. Voluma syringes are typically one cc and many patients need between two and four syringes to complete the treatment, which can be one to two syringes per cheek.
Overfilling results when too much filler is placed and the area look unnatural or artificial. To avoid this, it is helpful to evaluate each area in a mirror as it is filled. If it is estimated that 1.0cc of filler would be needed, check the area after 0.5cc is placed before adding additional filler to that area.
To give you an answer to "How much is too much?" for cheek fillers, our answer is: anything more than 2ml (1ml per cheek) in 1 session is too much. You can build up the amount of filler in your cheeks, but this has to be done gradually over several visits.
When you have had too much filler, then you may appear to have a bulging forehead, an overly pointy and sharp chin, and overly protruding cheekbones. Furthermore, the filler can stretch and weigh down your skin over time, which is known as filler fatigue.
The Results Improve Over Time
Because these injections stimulate your body's production of collagen and elastin, the final results of treatment won't be seen for several weeks. Even as the hyaluronic acid is processed by your body, healthy collagen and elastin grow at a more significant rate.
“The short answer is no,” says Dr. Miriam Hanson, board certified dermatologist and cosmetic expert in Austin, Texas. “Wrinkles do not become worse after having dermal fillers.” Dermal fillers comprise a family of injectable medications that restore volume in areas of the skin where it has been lost.
That said, these injectable treatments take some time to integrate into your tissues, and it's normal for your dermal filler to take up to two weeks to fully settle into your face.
Unlike other dermal fillers such as Sculptra, Juvederm does not significantly expand after injection. This allows Juvederm to create a smooth result and for the patient to immediately get an idea after treatment of the result that they will live with.
Treating with 1ml at a time is certainly appropriate for some areas, such as volumising lips or having smaller tweakments into other areas of the face. Sometimes, however, more than 1ml may be required – in the cheeks, for example – as 1ml may not make a discernible difference.
Dermal filler will not cause the skin to stretch and sag, once the filler naturally breaks down. The only case where this would happen is if the face were to be grossly overfilled with extreme amounts of dermal fillers, which is something we most certainly do not do at Cityskin.
There is a very common misconception that dermal fillers can make skin sag, however we can safely say that this is FALSE. People assume that once they have been fully absorbed by your body you will be left with loose, hanging skin leaving you looking even older than you did previously.
Cheek fillers will restore volume to the correct area of the cheek, leading to optimal light reflection and the appearance of a slimmer, more oval face. Neuromodulators can be used to decrease the size of the masseter muscles, reducing the squareness of the jaw and creating a slimmer face.
Depending on the extent of volume loss, the anterior cheek and lateral cheek can be 3mls of filler (for both sides) and, again, depending on how much volume is lost, I 'typically' inject anywhere from 0.5ml-1ml of filler per side of the preauricular area for hollow cheeks (total 1-2mls).
One syringe may be enough for a mild bilateral cheek correction. However, if deep hollows or marked flattening of the cheeks are present, additional syringes may be required. I recommend patients new to JUVÉDERM VOLUMA® XC start with a minimal treatm ent of one syringe.
Dermal fillers are great for anyone looking to restore the smooth and youthful shape of their face. Although some last for two years, others need to be repeated every 4-6 months for best effects.
The use of fillers in the face to achieve a liquid facelift or to increase the size of your cheek bones will leave some damage behind to your face and in the young patient under the age of 35 it will make you look older.
“Proper placement of mid-face and lower face filler should not significantly affect the smile,” he shares. With that said, “if an overly firm filler is used or if the region is overfilled, an unnatural appearance can result as the lips push against stiff surrounding tissues,” he adds.
The effects of the fillers will wear off after months or years, but the treated area is likely to return to its original state. The benefits of both Botox and fillers will be gone and you'll notice that those lines and volume loss will come back.
Lumpiness is very common to feel in your skin in the days after injection of dermal filler into the face, including the upper lip body and the cheeks and the chin area and along wrinkles and folds when injected to lift these. It will usually resolve within a couple of weeks.
When injected, the filler can feel firm or harden. This can be alarming for patients since most want their fillers to feel soft. Cheek fillers are one that can be somewhat firm, but not hard.
These include redness, bruising and tenderness at the injection sites. Discomfort or tenderness lasts only a few days and can generally be managed with over-the-counter pain relievers such as acetaminophen. Hypersensitivity and numbness are also common for the first few days after treatment.
Dermal fillers can be used to restore mid-face (cheek) volume and sculpt the jawline, in order to reduce the appearance of sagging jowls. The procedure is not painful, does not require any significant down-time and is excellent at lifting and sculpting the skin, where volume needs to be replaced.
Using Fillers for Slimming and Contouring a Round Face
This minimally invasive procedure can also be used for facial slimming and cheek enhancement by plumping sagging cheeks and lifting them to create a slimmer and narrower appearance.
Avoid itching, or picking around the injection site. Avoid applying intense heat to the treated area, that includes hot tubs, saunas, sunbathing or tanning. Don't drink alcohol the day of treatment, and try to avoid it for 2 days after. Avoid exercising for 2 days or until swelling subsides.