Is it true that the more lip filler you layer onto each other the longer your filler will last?

Question

is it true that the more lip filler you layer onto each other the longer your filler will last? Is this true for people who don’t metabolize fast or for people who don’t or both? By layering I mean go for your first ML then get the 2nd ML and the third some months later then the fourth until your desired volume then top up once or twice a year .

Anna Chacon, MD, FAAD · Answer

When it comes to lip fillers, the concept of layering or gradually building up filler over time can have some benefits, but it doesn't necessarily mean that the filler will last longer. Here are some key points to consider:

Gradual Build-Up: By layering fillers gradually (for example, starting with 1 mL and adding more in subsequent sessions), you can achieve a more natural look and allow your body to adjust to the changes. This approach can also help in fine-tuning the desired volume and shape.

Longevity: The longevity of lip fillers is influenced by several factors, including the type of filler used, your body's metabolism, and how well you maintain your results with follow-up treatments. While adding more filler can help maintain a fuller look, it doesn't inherently extend the life of the filler itself.

Metabolism: Individuals who metabolize fillers more slowly may notice that their results last longer, regardless of the amount of filler used. Conversely, those with a faster metabolism might find that their fillers dissolve more quickly.

Maintenance: Regular maintenance sessions, such as top-ups once or twice a year, can help in sustaining the desired volume and appearance. This is true for both individuals who metabolize fillers quickly and those who do not.

In summary, while layering fillers can help achieve and maintain the desired aesthetic, it does not necessarily prolong the filler’s lifespan. It's important to discuss your goals and treatment plan with a qualified dermatologist or cosmetic professional to tailor the approach to your needs.

Camille Cash, MD · Answer

One of the advantages of dermal fillers is that you can go slowly to build up to the look you are wanting.  Once you have achieved your desired look you can return to your injector once or twice a year depending of filler selection for a touch up to maintain your results.

Mats Hagstrom, MD (license on probation) · Answer

I think you’re making things overly complicated.
As with almost every single procedure, the outcome is based primarily on patient candidacy and provider skill.
Longevity seems to vary from person to person, but it’s also highly dependent on the product is being used.
For longevity in lips, I highly recommend using Voluma. A bit more expensive, but the longevity makes it a better value.
Once the filler has been injected, it starts dissipating. It dissipates based on volume rather than time in the lips so injecting every month has no advantage other than maintaining consistent size, but comes to the cost of having too many treatments.
For most people all the filler will be gone by six months and this means half of it will be gone by three months.
 if you don’t mind going all the way down to baseline injection twice a year should work but this includes spending half the time with less than half the volume
If you want to maintain fullness, then consider getting injected every 3 to 4 months.
For most people is 1 mL is sufficient.
For people who have large lips and want even bigger lips than sometimes slightly more volume is needed.
It’s really important to maintain a natural upper to lower lip ratio, and this should be kept the same as the patient was before treatment.
The upper lip is almost always smaller than the lower lip, and this ratio should be maintained.
The topic of how the injection should be done and what constitutes a really high-quality outcome is a bit beyond what can be covered here.
You can’t do much about your own candidacy so they only real variable that matters that patients have control over is provider selection.
Average providers deliver average results and this accounts for the great majority of providers.
Only exceptional providers deliver exceptional outcomes.
Finding an exceptional provider is more difficult than most people realize.
Being exceptional includes consistent, high-quality aesthetic results, injecting without significant discomfort, and never having significant bruising after. All of this is possible in the hands of the rightprovider. 
In regards to timing of injections, I recommend you have more filler when you feel that your lips are shrinking to the point where you want augmentation and are willing to have another treatment.
This is simply a balancing act between maintaining even results versus how often you want to go through the treatment. with more frequent treatments volume can potentially be reduced each time.
Because treatments can potentially be uncomfortable and cause bruising in the hands of most providers decreasing the number of treatments is desirable.
This is the main reason I recommend using Voluma in lips Because it maintains volume longer and can reduce the number of injections overtime.
When considering all the variables involved, I suggest focusing all the effort on provider selection.
In the hands of the right provider, all other variables will be taken care of and fall into place.
As I mentioned previously in the hands of the right provider patient should expect consistent flawless results With minimal discomfort and very low chance of bruising after. 
Best,
Mats Hagstrom MD

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