Before and after derma fillers. Do I need more? (Photos)

Thank you for sharing your photos and detailed experience. It’s wonderful to hear that you’ve regained confidence and are feeling more rested and youthful after your filler treatments. Achieving natural-looking volume restoration, especially in genetically hollow cheeks, can make a significant difference in facial harmony.

When considering additional filler, it’s important to balance further enhancement with maintaining natural facial contours. Overfilling the cheeks or pyriform fossa can sometimes lead to a heavier or less defined appearance, particularly if too much volume is placed in one session or in areas that don’t require as much support.

The pyriform fossa (the area beside the nose) can be challenging to volumize, as improvement may be subtle and sometimes requires a combination of techniques or products. If you feel this area hasn’t improved as much as you’d like, it may be worth discussing alternative approaches with your injector, such as using a different filler type, layering techniques, or even considering adjunctive treatments like skin tightening or biostimulators.

Ultimately, the best approach is a conservative, stepwise enhancement—adding small amounts gradually and reassessing after each session. This minimizes the risk of heaviness and ensures you maintain a refreshed, natural look.

If you’re happy with your current results and feel more confident, that’s a great outcome. Additional filler is always an option, but it’s not a necessity if you’re satisfied. Trust your instincts and communicate openly with your injector about your goals and concerns.

Wishing you continued satisfaction with your results!

Fillers are a great tool to help improve contours and improve volume discrepancies. One of the benefits is that you can go slowly and build up to the look you are wanting. If you want a longer lasting result you could also explore Sculptra. This treatment takes a little longer to see results but is longer lasting. I've included a video I hope you find helpful.