Can dermal filler be used in the buccal area as well as above and below the lips? (photo)

Question

I have had somewhat extreme volume loss from a traumatic period of time in my life. I want to eventually get fat grafting, but want to start with filler. Can filler be put in places like the buccal area, above the lip, and below the lip?

Nelson Lee Novick, MD · Answer

HA fillers are natural fillers that have been used safely and effectively all over the face and neck for nonsurgical filling and augmentation, and its use has the additional tremendous advantages of engendering little to no significant post-treatment downtime, as well as that of being able to be dissolved farily easily with a natural enzyme, hyaluronidase--should the need ever arise. Now, fat injections, also employ a natural substance, one's own fat, which of course leads one to be enticed by the idea of its safety and its permanence. Well, unfortunately, the story is a bit more complicated for this relatively expensive, two-step minimally invasive approach. First of all, since fat is a bulky substance, it requires the use of large bore cannulas to withdraw it from the buttocks, belly or thighs--the usual donor sites. and it also requires large bore cannulas to reinject the processed fat back into the recipient sites. Both miminally invasive procedures then are followed by a real period of downtime. Unfortunately, once the donor fat is separated from its original blood supply, much of it does not take in the recipient site--meaning that not uncommonly the results of treatment do not last much longer (or even any longer) than that achieved with off-the-shelf robust HA fillers. Finally, that fat that does survive retains the characteristics of the area from which it was drawn--meaning that when belly fat eventually begins to show midriff bulge, it has the capacity to show up as bulging in the donor areas of the face, as well. It is for this reason that I stopped fat injections many years ago. Hope this helps. You would be wise to consult with a board certified cosmetic dermatologist. Best of luck.

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.

Jonathan Kulbersh, MD · Answer

Thank you for submitting your question and photo. Dermal fillers can be administered to various areas of the face to restore lost volume and create a smooth and supple appearance. Placing filler in the areas you mentioned can enhance the shape of your lips and promote greater cheek definition, though the exact areas of administration should be determined after a physical examination and discussion of your aesthetic goals. I recommend scheduling an in-person consultation with an experienced, board-certified injector. They will be able to review your concerns and goals to help you decide on the best treatment option.

Leonard Grossman, MD · Answer

Any of the hyaluronic acid fillers can be used to re-create fullness in the face, although temporary, From looking at your photograph, I do not see where or why you would want to have anything injected because you have a beautiful face with good proportions. But you probably know better, because you have something to compare to from a prior time. Whenever you see Plastic Surgeon, you should bring photographs of yourself as to how you would like to look. I hope this helps and good luck from your shitty plastic surgery.

Can dermal filler be used in the buccal area as well as above and below the lips? (photo)

Answers (4)

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