How Often Can I Have Fillers?

Question

I had perlane 6 months ago. Although it hasn't run out completely, it does not look as before. Is it safe to have a topup before it runs out completely? I did not have any problems with it.

Richard H. Tholen, MD, FACS · Answer

Perlane is designed to last as long as 9-12 months, but it gradually loses its volume over the entire time it is in your body. Once it has diminished to the degree that you wish additional correction, it is absolutely safe to proceed with additional filler injection! You need not wait until it is completely gone (and your facial line at its worst!) before having more filler added. This is true for all of the HA fillers in use today.

Leila Kasrai, MD, FRCSC · Answer

You can safely have a touch up done at this time if you see that your results are starting to fade. It’s actually better to have another treatment performed before the results totally disappear so you can better maintain your desired improvement.

Sam Naficy, MD, FACS · Answer

If you feel there is volume loss and need correction, it's absolutely fine and safe to add additional product. It could last anywhere from 4 months to a year.

Ron Shelton, MD · Answer

It is very common that people do not want to wait for all the filler to dissolve. You can repeat the Perlane, but you may not need as much now because it's not all worn off. There might be a need to inject Restylane or Juvederm Ultra rather than more Perlane as you still have some correction.

Louis W. Apostolakis, MD · Answer

There is no restriction on how much time to wait between treatments.  Basically, if your current appearance would benefit from filler, then it doesn't matter how much or when you had it in the past.  Often times I suggest patients have smaller amounts of filler more often to avoid the risk of over-filling an area.  It is best to gradually work up to an optimal result and then hold it there by continuing to treat as often as is necessary based on your appearance.

Martie Gidon, MD, FRCPC, FAAD · Answer

You should not wait until all of your Perlane has dissolved. Having retreatment at 6 months is perfect to achieve a longer-lasting effect. You may be able to wait one year before retreatment next time.

Steven F. Weiner, MD · Answer

After getting filler and loving the results, why let the result completely go away before getting a touch up. It is completely safe and the way I counsel my clients. I tell them that the first couple treatments will sort of create a foundation and that they should try to keep up with touch ups every 6-12 months, before the entire foundation has broken down. They enjoy staying at or near full correction year round.

Michael A. Fiorillo, MD · Answer

Perlane usually lasts about a year. You can have filler treatment as often as you need it or need to maintain the desired look. It will not hurt to layer new over old Perlane.

Ted Brezel, MD · Answer

There's absolutely no problem having touch ups with hyaluronic acid fillers at any time prior to it wearing off. In fact, by not waiting for it all to wear off, you will not require as many syringes to maintain the same original effect as the first time. Go for it!!

Jessica J. Krant, MD, MPH · Answer

Rosie,
	The answer is, you have the right idea! Definitely go for an evaulation and add a touchup to your area of filler before it is completely worn off. It will not only give the dermatologist or plastic surgeon an idea of your goal and where to best place the material, it will cost less than a full touchup, and it will train your skin to create more of its own collagen in the area too, allowing you to possibly need less filler over time. Good luck with your treatments!

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