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Is it safe to dilute dermal filler before injecting?

R
rjedwards2022Dec 11, 2022

A provider plans to dilute dermal filler before injecting the filler into my lateral cheeks. Is this safe? Does it diminish the length of time the filler will last?

Answers (3)

From board-certified doctors and trusted medical professionals
Dr. Hung William Song, MD
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Dr. Hung William Song, MD
Physician
5.0 | 23 Reviews
Answered on Oct 11, 2025
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Dr. Anshul Gambhir, MD
Dr. Anshul Gambhir, MD
Physician
Answered on Jun 8, 2023
Answer
Dr. David M. Kowalczyk, MD, MBA, FACS
Dr. David M. Kowalczyk, MD, MBA, FACS
Board Certified Facial Plastic Surgeon
Answered on Dec 15, 2022
Answer

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Jason Emer, MD

"I suggest reaching out to an expert for a formal consultation. I like to recommend my patients start a combination of facial rejuvenation treatments. 1) Skincare with products and microneedling/PRP 2) PDT Light Therapy a few times per month with growth factors 3) Laser treatments like Clear +...

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Jason Emer, MD

I recommend fillers to soften the nasolabial folds themselves and also lift around the mouth and cheeks to build underlying anatomical support. In our practice we combine Sculptra with other fillers "layered" on top and lasers, skin tightening treatments such as Thermage, Fractora, and Renuvion...

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Jason Emer, MD

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...

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Jason Emer, MD

Facial sculpting and contouring can be created with well-placed fillers (Voluma, Countour, Radiesse, Bellafill) and Sculptra, which would give improvement in facial balance. Fat or implants are alternatives. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

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Jason Emer, MD

I recommend fillers to soften the nasolabial folds themselves and also lift around the mouth and cheeks to build underlying anatomical support. In our practice we combine Sculptra with other fillers "layered" on top and lasers, skin tightening treatments such as Thermage, Fractora, and Renuvion...

+1 answers
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Jason Emer, MD

​Fillers such as Restylane Silk, Belotero, or Juvederm can work well to treat lines around the mouth, but the best first option is laser resurfacing or deep peels to induce collagen production. Superficial radiofrequency devices and microneedling can help as well and are less invasive. I s...

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