Facial fillers

80% of what your cosmetic plastic surgeon will tell you at your plastic surgery consultation will be forgotten before you leave the office. Studies show that this is true for any physician consultation.

 Even though I tell all patients who come to see me for injection of facial fillers into lines on the face the same thing, many forget 80% of what I tell them!

What I tell all facial filler patients

  • Start off with the minimum amount of injections—the minimum volume. It is easier to add materials than to take them away once they are in your skin.
  • One syringe will only fill the line so much; if you need more injections/volume to fill the lines more, you will need a second procedure—with additional cost!
  • You must allow time for the swelling to subside before seeing your results; two weeks is usually enough.
  • Your cosmetic plastic surgeon will inject the same amount of material on each side unless you have agreed prior to the procedure for more or less to be injected into one side. The differences in the two sides that are seen after injection are due to swelling and will subside.
  • If you need more injections, the above surgical rules apply again!
  • Facial fillers are at times simply not up to the job; you may need a surgical procedure to lift the skin that is causing the line, or Botox to stop muscle movements.
  • Fillers are temporary in their effects. Some, like Juvederm, will work for nine months, and others, like Radiesse, will work for up to a year and a half.
  • Different facial fillers are good for different uses. To plump up the lips, I use Juvederm or other hyaluronic acids. To fill in the nasolabial lines, I prefer Radiesse. To give volume to an area, I like Sculptra for its greater ease of spread of material and greater volume for injection.
  • Facial fillers come in different volumes in syringes and cost different amounts. Juvederm is provided in a 0.8 cc syringe, Radiesse in a 1.5 cc syringe. They cost different amounts!
  • The facial filler has to be injected into the correct area of the skin—just under the dermis in most cases. If injected elsewhere, it may be absorbed faster and “not work as well.”
  • The facial filler injected into your skin may be reabsorbed at a faster or slower rate than in the next person. We are all different in the way our bodies deal with injected fillers.

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