How Long Do Injectable Fillers REALLY Last?

Question

I'm interested in filling my undereye hollows, nasolabial folds and a set of lines outside of those, marionette lines, and a little bit in my chin and cheekbones if there is extra. I'm trying to figure out realistically if I can afford the upkeep. Assuming I'm the "average" patient, what would I be looking at in terms of the average duration of Restylane or Juvederm (very thin skin so I'd prefer one of these) in each of those areas? A full refill in three months, half the amount in 6...?

Dhaval M. Patel, MD · Answer

Thank you for your question. It is important to remember that fillers will last differently for everybody. This all depends on what product you use, how much product you are injection, and what area is being treated. It also depends on the individual itself. Here is some information on different types of fillers that you may benefit from.Bellafill: FDA approved 5 year filler for nasolabial folds and atrophic acne scarsRestylane: Hyaluronic Acid. For lips and moderate to severe wrinkles 6-12 monthsVoluma: Hyaluronic Acid. Adds volume in the cheeks. Lasts for up to 2 yearsRadiesse: 6-12 months. Severe wrinkles, nasolabial folds, marionette linesDhaval M. Patel Double board certified Plastic surgeonHoffman Estates Barrington Oakbrook Chicago

J. Jason Wendel, MD, FACS · Answer

Thank you for your question about how long injectable fillers last. Different fillers last different amounts of time, and the location injected can also dictate how long the fillers will last. Areas of the face with a lot of movement, such as the mouth/lips, won't last as long as other areas such as the nose and lateral cheeks. Longevity is also dependent on the product and the amount injected. Voluma is indicated to last "up to" two years. Vollure up to 18 months. Volbella up to a year. and Juvederm ultra and ultra plus, usually 8 months. Also, it does not just disappear all at once, but rather slowly regresses over time. Therefore it is often advised to do touch up visits to keep the areas maintained.

To be sure, see two or more experienced, licensed and board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment.

I hope this helps.

To be sure, see two or more experienced, licensed and board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment.
 
 I hope this helps.

John K. Wakelin III, MD, FACS · Answer

We are fortunate to have an ever-expanding array of fillers available for facial rejuvenation.  Each filler brings with it unique characteristics and duration of longevity.  In general Juvederm and Restylane last about a year, and perhaps longer in some instances.  Be sure to discuss your goals with your Plastic Surgeon to help guide filler selection and achieve your optimal result.

Jerome Edelstein, MD · Answer

This depends on the type of filler used and your unique physiology. Usually, you can expect results to last about 6 months to a year or so, while reports about Voluma improvement may last up to 18 months. Cost varies and is usually per syringe, ranging from $600-$1300 in the Toronto, Ontario area.

Sapna A. Patel, MD · Answer

Fillers can last 6 months to  a few years; most HA fillers will last 9-18 months on average, but for some can last more or less. For Restylane or Juvederm - I believe that 9-15 months if a good time frame. Things to also consider are the location/ placement of the filler. Typically, those placed more superficially will fade quicker than those placed at a deeper level. Additionally, the mobility of the area plays a role- ie. lips VS cheeks. Lips are in constant motion with eating, talking, drinking, etc and this can often cause the filler to metabolize faster. Also, some patients are faster metabolizers than others - so keep that in mind.

Chaitali Nangrani, MD · Answer

The life-span of a filler depends on the person and the product, for example Juverderm typically lasts about 8 months and Voluma last upto 2 years. Bellafil is a longer lasting filler, but I always recommend that all clients require maintenance depending on how much correction they have had.

Anteneh Roba, MD · Answer

There are many types of fillers. Depending on the type of filler used, fillers can last 6 months to 2years in the case of HA fillers, semi permanent fillers can last a few years.

Sunanda Chugh, MD · Answer

How long filers last really varies and depends on a multiple factors including which filler used, the amount of fillers used (# of syringes), the area injected, and the individual (how quickly their body will metabolize the product).  
Eg. Juvederm Ultra under the eyes may last up to one  year, but around the mouth or lips may just last 6 months.
Eg. Voluma which is FDA approved for the cheeks can last up to two years if 4-6 syringes are used (studies used 6 syringes), and only one  year if 1-2 syringes are used on the chin or cheeks.  In some patients, it may last up to two years regardless of the number of syringes used.
This is why we always say any product can last "up to..x number of months or years".
Dr. Sunanda Chugh, NYC

Mariusz Gajewski, MBBS · Answer

Hi there
There are a lot of variables when it comes to "how long" different Dermal Fillers will last. Every individual is different. Juvederm might last longer on one person than another. Generally Dermal filler can last anywhere from 3-9 months. The first time we say 3-6 months just so there is no disappointment. But the more you top up dermal filler the longer it lasts. 
Hope this helps.

David C. Mabrie, MD · Answer

Hi IHaveAPieProblemPS,This is a great question, with a somewhat complicated answer.The short answer is:To maintain filler results you should repeat the injections at the midpoint of the filler treatment duration.Here is an example: For fillers like Restylane and Juvederm Ultra that last 12 months you may overlap treatments by 6 months. After the third injection you may find the results lasting even longer.Remember of course you are also aging and losing volume over time and may need more filler to maintain the desired look.
The long answer is:Hyaluronic Acid (HA) fillers create and restore volume to the face in 3 ways:
1.     They physical volume of the filler.
2.     The physical volume of the water absorbed by the filler. 
3.     The collagen synthesis that is stimulated by all fillers. 
When HA fillers are injected, depending on the filler, different amounts of water are absorbed and this adds to the volume. 
As the filler is slowly degraded it turns into water and CO2 and is absorbed by the body. 
During the initial months, as the physical volume of the filler decreases, the remaining filler may absorb slightly more water, maintaining the same visible effects of the treatment. 
So at about the midpoint in the duration of the filler enough of the filler will have degraded so there is a visible decrease in the results. 
Finally, some of the newly synthesized collagen will persist even after the filler is gone.So in summary:For the first half of the HA filler treatment, the results will look about the same. At the halfway point, the results will visually start to decrease. And because of collagen synthesis some of the visual improvement will remain long term after the filler has been degraded. 
You should consider re-treatments usually at 6 months intervals and should need less volume over time as results start to last longer. 
I hope this information was helpful.
Dr. David Mabrie

How Long Do Injectable Fillers REALLY Last?

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