The question that should precede how much a permanent filler costs should be whether one should in fact have a permanent, foreign-to-the-body filler injected anywhere in the face in the first place.Unquestionably and admittedly, the idea of having a treatment with a permanent filler that does not require repeat treatments down the road is very enticing. On the other hand, it should be emphasized that Bellafil (the new name of Artefill), the only approved permanent filler, silicon, and bioalcamid (both both of latter not approved for dermal filler use) are foreign substances (i.e. not natural ), meaning that the body does not recognize them and possesses no natural way of breaking them down and removing them. These totatlly foreign substances are more akin to finely ground glass, fiberglass and superglue. As such, should problems or adverse reactions occur with their use, such as undesirable aesthetic results or persistent nodules occur following treatment (or even granulomas up to twenty years afterward), there is no way to remove these products. And finally, what might look good today may not look so good as the surrounding tissues change and droop with aging while the permanent filler remains fixed and unchangeable.Fortunately, we have a number of semipermanent, robust volumizing fillers that are natural and are subject to natural enzymatic degradation and yield consistently gratifying results that may need to be touched up as needed, literally within five minutes in experience hands, only once every year or two--a frequency far less often than our two to three times per year half hour or more visits for dental cleaning or annual dentist visits. Make sure you ask to see your injector's before and after photos of nonsurgical nose jobs.
