When fillers are performed correctly, they can shape a patient's cheekbones, giving them more structure and definition. However, when executed wrongly, they can create cheekbones that overly protrude resulting in a face that looks somewhat distorted or out of proportion.
As well as stretching of the skin, excessive use of fillers can result in longer term damage including wrinkling of the lip and disturbance of the attachment of the facial fat pads and some degree of irregularity and ageing of the skin, he explains.
March 22, 2018 -- Dermal fillers such as Juvederm, Radiesse, and Sculptra can smooth ''laugh lines" and other wrinkles and restore a youthful appearance. They can also make you look worse, as Cristino Estinal of Paterson, NJ, knows all too well.
In some ways, adding volume can correct bony features and make you look 'fatter,' but this is the desired effect in this case. However, 'overfilled' faces or wrong placement of fillers can lead to unnatural appearance and make you look fat.
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.
Fillers are a great option for patients seeking a softer, more youthful look. However, if used improperly or over used, fillers can have negative long term consequences. In fact, patients who do not properly use filler could actually speed up their skin's aging process, resulting in older looking skin.
While the filler itself doesn't stay in your system, its effects last a lifetime. Hyaluronic acid, on the other hand, is non-permanent. Composed of a sugar molecule which is also produced naturally in the body, it generally dissolves and is excreted by the body in six to nine months.
When wrinkles begin to appear
When fillers become overused, the minimally invasive procedures that once worked stop producing results. As a result, patients may start to see heavy wrinkles in the form of laugh lines, marionette lines, and other wrinkles around the face.
Filler fatigue is a term associated with the repeated use of filler injections over an extended period. With time, patients feel the filler is no longer giving them the results they had previously.
This use of fillers corrects some of the age related changes of the face in the ageing face. When this same filler is used on a face that has not yet aged it will distort normal anatomy and create unusual morphing of the face and cause you to look older!
"If the filler is not permanent, such as Restylane Silk or Juvederm, the lips will return to their original shape," says Dr. Howard Sobel, founder of DDF Skincare. "If the filler is permanent, such as Silicon 1000, they'll stay the same." Dr.
Many times we have new patients coming into our practice who has had filler elsewhere and is not satisfied, if the problem is asymmetry, this is usually corrected either by adding filler or dissolving a hyaluronic acid filler with the enzyme hyaluronidase, which can be used even months after initial injection.
“Pillow face” is a direct play on the puffy, unattractive result of using too much facial filler or transferred fat. Another term often used to describe this overfilled look is “chipmunky.”
How is filler reversed? Hyaluronic acid-based fillers, including Juvéderm and Restylane, once injected, can be reversed with injections of an enzyme called hyaluronidase. Injecting this enzyme works to dissolve hyaluronic acid particles.
Can your face go back to normal after fillers? Many patients fear that when the filler wears off, they will look worse than before. Though fillers may stretch your skin, it is elastic enough to revert to its original form before your treatment.
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.
Paraesthesia : usually nerve damage does not happen during filler injections, but rarely a needle may pierce a nerve, also causing intraneural filler injection or compress a nerve branch. Excessive molding of filler may also squeeze filler into a foramen leading to compression of a nerve causing paresthesia.
Hyaluronic acid fillers such as Juvederm can be dissolved with the hyaluronidase enzyme, which begins to work almost immediately. Many patients experience slight swelling or bruising after these injections, so you may not see most of the settled effect until 2-3 days after injection.
AVOID: Alcohol, caffeine, niacin supplement, high-sodium foods, high sugar foods, refined carbohydrates (you may eat fruit), spicy foods, and cigarettes 24-48 hours after your treatment. AVOID: Vigorous exercise and sun and heat exposure for 3 days after treatment.
Compared to Botox, dermal fillers are just as effective. More importantly, the results last longer. However, the duration of the effects of dermal fillers still varies mostly on the type of filler. Some may last as long as Botox, while other types of fillers can last for more than a year.
There is no definite age when you should start BOTOX®—it's more about the state of your skin, and everyone's timeline is different. For wrinkle treatments, it's best to start when you notice forehead lines, frown lines, or crow's feet even when your expression is neutral.
The Russian lip technique uses smaller volumes of a dermal filler, placed in more parts of the lips. Instead of injecting into the lips a larger volume of a dermal filler and then massaging and spreading it out, the Russian technique injects more areas of the lips with a lesser volume of product.
The best option however is to not keep continually filling the lips or face with more product to smooth out the migrated filler. The migration will not be removed this way, so therefore the option in this case is just to start over. Filler within the lips or other areas can be dissolved using a product called Hyalase.
Chin fillers can create a stronger jawline, making the face appear more youthful. These injections can also add more definition between the face and neck.