Be aware of Who injects you and Why they are injecting you!!

Carlos Wolf, MD

Article by
Miami Facial Plastic Surgeon


Q. I just got back from a party, and what I saw there horrified me. I could not recognize some of my friends and some others just looked scary. If I get facial fillers, do I have to look swollen or distorted? And what's up with everyone having a fat face? I never had one growing up and I don't want to have one, but I don't want to look old. Is there any help for an aging skinny-faced person?

A. Absolutely there is. I have practiced for more than 20 years under the theory that less is better, but now the new philosophy seems to be more is more -- cash that is!

Fillers -- including Restylane, Perlane, Juvederm, Radiesse and Sculptra -- are priced in such a way that the more you use, the more you pay. Over the years, the philosophy in facial plastic surgery has changed from pulling the face tighter to filling in the face.

As is usual, what started as a good idea got distorted into a moneymaking proposition for a few doctors that take this theory to new levels for financial gains. While there are many ethical physicians out there, some others have created ``filler junkies'' and made them feel that unless they look like a chipmunk they are not nearing their ideal beauty. Fillers are a big part of my practice, as they help people who do not need or want surgery.

So how do you pick a physician to inject you with these fillers? First, your physician should be a board-certified facial plastic surgeon, plastic surgeon or dermatologist experienced with fillers. Look on company websites such as Allergan and Medicis to see if your doctor is listed (frequent users of their products will be listed). And finally, ask the friends whose looks you like which doctor they are using. Also ask the friends with the too-puffy faces -- so you can avoid their physician like the plague!