Fillers can look so good in the short term, but long term do they start becoming problematic, making you look worse later?

Question

I don't know many ppl that have been getting fillers for 10-20+ yrs. My hair dresser swears the chronic filler ladies generally look horrible, & if not horrible, like something isn't right. She says they end up having to get more & more trying to counter problems, bc the tissue is stretched & gravity pulls the filler into the wrong places, also says the chronic inflammation ages you worse. Asking for opinions/observations of long term filler effects.

Sacha Obaid, MD · Answer

Thank you for your question!  Filler placement is important. Typically filler is used to volumize and create a lifted appearance.  However, if it is not placed correctly it can leave an unnatural and undesirable appearance. I would recommend having dermal filler injected by an experienced provider. Best of luck to you.

Hung William Song, MD · Answer

Fillers can make you look horrible if they are not injected correctly. Just like restoring an aging work of art, the skill of the experts performing a restoration can mean the difference between ruining a masterpiece and restoring it as closely as possible to the original. That's how I see facial rejuvenation. Little teaks over the years if started early enough and not overdone, can keep you looking great at any age.

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Mitesh Kapadia, MD, PhD · Answer

In most people, filler gets slowly absorbed into the body and the injected areas start trending back to how they were before injections. A small percentage of people develop edema as the filler goes away. This problem is easily solved by using hyaluronidase to dissolve the old filler if this happens. I see patients all the time that I injected 10+ years ago and they are doing great.

Gordon Andan, MD · Answer

Great question, thanks for asking. The key is to choose an experienced provider with an aesthetic eye and knowledge of the proper placement techniques in order to achieve smooth, natural-looking results. Improper filler placement can look very “done” and may cause unsightly lumps and bumps. Fillers gradually dissolve and are metabolized and eliminated by your body, so the product does not stay in place long-term.
That said, fillers cannot stop the aging process altogether, nor can they make a 60-year-old look like they’re 20 again. Like all cosmetic treatments, fillers have their limitations. The bottom line is to work with a knowledgeable provider and understand when nonsurgical treatments may no longer be enough to get the results you’re looking for.

Robert L. Kraft, MD, FACS · Answer

First,  fillers haven’t been around for 20 years.  At that point, we were using collagen and then Botox.  Filler dissipates so it doesn’t create long term usage issues.  People age and fillers cannot stop the aging process.  Please tell your hairdresser to stick to hair and rely on board certified plastic surgeons and dermatologists for advice on injectables. Best wishes.

Onir Spiegel, DDS, PhD · Answer

The sooner you start the less you'll need over time and the better you'll age. Look up Radiesse collagen rejuvenation as an example. There is so much going on in the industry to make us age better and natural. My recommendation is to look at before and after pictures on websites of doctors you are considering and judge for yourself. All the best from Boston, Dr. Onir

Jean M. Casello, MD · Answer

I do not agree with your hairdresser.  If someone is looking horrible it is because of the injector.  There is an art as well as skill needed when using fillers to rejuvenate a face.  It is important to keep in mind the patients age, ethnicity, skin type etc. with any type of procedure.   Placement of the filler is important. Filler is used to lift and volumize the tissue  if not placed appropriately it can result in a not so natural look. Some fillers actually stimulate collagen which is a good thing as we age.  A good and experienced injector should be able to avoid these problems that you describe.

Fillers can look so good in the short term, but long term do they start becoming problematic, making you look worse later?

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