Does it matter who administers dermal fillers? Interested in fillers for my cheeks.

Question

I’m interested in fillers for my cheeks, more specifically juvaderm voluma cause I had some buccal fat removed. The plastic surgeons in my area have aesthetic nurse injectors with yrs of experience and the dermatologist I have an appt with doesn’t have juvaderm voluma and only does restalyne Lyft and lip filler. Should I look at experience too? Who and why? I’ve never had fillers before. 39 yrs old/130 lbs

Nima Shemirani, MD · Answer

Hi @Anon305822! I recommend seeking treatments from expert injectors who have the skill and experience to precisely inject fillers into treatment areas and avoid risks and complications.

Nelson Lee Novick, MD · Answer

Well over 90% of all nonsurgical rejuvenation techniques, including Botox & fillers were developed and innovated by cosmetic dermatologists. Over the years, owing to a skyrocketing consumer interest in seeking less aggressive rejuvenation techniques, less downtime,  and less expensive nonsurgical facial, neck, chest and hand rejuvenation approaches, seminars and workshops taught by cosmetic dermatologists saw a huge increase in attendance by plastic surgeons, facial plastic surgeons, opthalmic plastic surgeons, etc. (so-called core aesthetic physicians)  etc., even family doctors, obstetricians, etc as well as non-physician providers, such as dentists nurse practitioners, and PAs.  So, level of training and experience can vary considerably. You would be wise to consult with a board certified cosmetic dermatologist and ask to see his/her personal B&As of filler cheek volumization before agreeing to proceed. Best of luck and hope this helped.

DHH Med Spa · Answer

Hi there, To answer your question, yes it absolutely matters who is administering your dermal fillers. The person injecting is even more important than what product is used. It is important to do your research and see the injector's reviews and before and after results. You should find out how much experience they have performing these procedures (how long they have been injecting and how often they perform them). I have often trained injectors that tell me they've been injecting for 7-8 years then when I see them inject and it is clear that they are not confident I ask if they are doing it full- time and their answer is no. Commonly on these forum someone will respond "make sure to go to a board certified dermatologist". I can tell you that I had to be dissolved twice after being injected by a board certified dermatologist. This is an art form, and if you aren't doing it daily it is really hard to be good at it. I often see the best work done by RNs and NPs because they do it daily. Hope this helps.

Kurt Kuhlman, DO · Answer

The experience of the injector is far more important than the persons specialty.An injector who only does a couple fillers and injection sites is a red flag for inexperienceCheck reputation first before getting injections

Rita Rakus, MBBS - Account Suspended · Answer

Hello and thank you for your question. Its best to look for an experienced medical professional, you need to see their portfolio of work and ensure they understand what you are looking at achieving. I hope that helps answer your question. Always seek an experienced and qualified medical professional for these treatments. Very best wishes

Robert T. Buchanan, MD (retired) · Answer

Experience is the major thing you should look for. This is especially true in the cheek. For a nurse injector, their training and supervision is also critical. Your description of the dermatologist would lead me to look elsewhere. I personally use the Juvedderm family of folders as they last longer than any other. For the area where you had the buccaneers fat pad removed is probably not an ideal place for Voluma, however. Since there is nothing deep for it to push against, the filler needs to be placed in the superficial fat compartment and Vollure is generally better.

Does it matter who administers dermal fillers? Interested in fillers for my cheeks.

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