Will my skin sag overtime after getting fillers and will I need more and more filler year after year?

Hi thanks for asking this question. It would take a LOT of fillers to stretch the skin to any significant degree so you don't need to worry about your skin laxity getting worse after doing fillers. However, most fillers do dissolve away after a period of time and you will need more and more over time as your skin laxity increases, as a result of aging not the fillers. We like to use Bellafill or autologous fat because these treatments give you long term results and you can top it off as you get older and you don't need to start over each time.

fillers do not make the face sag, sagging is gravity and aging. that is treated with TIGHTENING procedures which are totally different than fillers. fillers are for contouring, shaping, and volume loss that can be improved over time but will always go away when the filler wears off unless you use permanent fillers like bellafill and silicone. consult us.

at home peels like cosmelan, enlighten and aerify along with dermarolling (EmerageSkin roller with anteage AERIFY MD ampules weekly, see link) should be started now to prevent further aging.

For facial rejuvenation, I would suggest a combination approach of
1) skin care with products and PRP/microneedling
2) PDT light therapy few times a month with growth factors
3) laser treatments like clear and brilliant regularly and a few times a year Fraxel/halo Viva, Co2/Erbium
4) Sculptra injections a few times a year for collagen production with fillers like juvederm/restylane/belotero/radiesse/bellafill
5) thermage/ultherapy for yearly skin tightening with or without PDO or cone based instalift threads for lifting
6) botox every 2-3 months to stop movement lines and prevent lines at rest
7) deep microneedling RF like Fractora/morpheus8 for tightening of the skin
8) Vascular laser like vbeam/excel V or BBL forever young treatment every quarter (3-4 months)

Best, Dr. Emer.

Hi Skylee,
It is a common misperception that facial fillers stretch the skin and accelerate aging. The opposite is true. You not only benefit immediately from facial filler injections by increased facial volume, but in addition most injectable fillers stimulate some natural collagen production so that even when the filler has been reabsorbed by the body, there is still more residual volume that before. I treat many patients in their early 40's with filler. We love to use Sculptra initially as it is a bio-stimulating filler that gives naturally beautiful results, building the patient's own collagen. With Sculptra, once your volume is replenished, patients may not require maintenance for 2 to 6 years. As with any facial aesthetic procedure, it is most important that you choose your expert injecting physician most carefully based on their skill, experience, knowledge, care, and natural artistic vision. Feel free to contact my office to schedule your complimentary consultation. We look forward to meeting with you and helping you achieve and maintain your facial aesthetic goals for years to come.
Good luck and be well.
Michael Persky, MD
Encino, CA

Skin will not sag with filler usage over time. They do not accelerate the aging process. Fillers have been around over 15 years, used worldwide in millions of people, and based on both scientific publications and real-world experience, it is entirely clear that they not only improving the appearance in the short-term, but in the long-term as well. Rest assured. Speak with your local dermatologist (the only true skin expert) if you have any other questions related to skin & skin aging.

When fillers are injected properly they do not stretch the skin. They only replace volume that has been lost by aging. They also stimulate collagen production so the body makes more tissue, actually replacing some of what you are trying to fill. Therefore, you actually need less filler in the future in the area where it is placed. The only time you need more is when the aging process continues and you need it elsewhere. In the person in the bottom photos in the attached link I used the same amount of filler the second time 5 years later. However, she required half the filler we first used in the same area with the rest more laterally in a newly depleted area.