Flat face, bulging eyes, too much upper eyelid exposure - will filler cause a pillowy, unnatural face? (Photos)

Question

These three things are the three biggest flaws in the appearance of my face, from what I can tell. I was wondering what things can be done to improve my looks in this way. I'm interested in filler, but I worry about it because when I look at celebrities with filler, to me they have a very "pillowy" and unnatural face, and I'm scared of that happening to me. Does this happen with all filler, after migration and touch-ups?

Nelson Lee Novick, MD · Answer

I have personally been treating issues such as yours for over three decades with gratifying results using appropriately selected fillers and proper injection technique for the areas treated. I, too, am always surprised and distressed when I see on screen the obviously over- or improperly treated, pillowy faces of celebrities. 
At least from the photos provided, the use of a robust HA volumizing filler properly injected by an expert injector can create a more desirable, feminine Ogee Curve to the cheeks without a "pillowy look." And the use of a robust HA contouring filler properly injected and positioned can enhance and define the jawline, and create greater harmony between the cheeks and the lower third of the face both in frontal and profile views.
You would be wise to consult with an experienced, board certified cosmetic dermatologist filler injection expert. Best of luck and Happy New Year.

Anna Chacon, MD, FAAD · Answer

Thank you for sharing your concerns and your photo. I can see why you’re cautious—your worries about a “pillowy” look are very valid, and it’s something many patients consider before using facial fillers. Here’s a breakdown:

Flat face / facial volume: Dermal fillers can restore volume in areas like the cheeks, temples, and under-eye hollows. When done conservatively and strategically, filler can enhance contours without creating an overfilled or unnatural appearance. The key is a tailored approach rather than just “adding filler everywhere.”

Bulging eyes / upper eyelid exposure: Fillers aren’t typically used to directly change the shape or prominence of the eyes themselves. However, subtle enhancement of the under-eye area or mid-face support can make the eyes appear more balanced and less prominent, indirectly improving the appearance of upper eyelid exposure.

Risk of a pillowy look: Overfilling, improper placement, or using fillers that are too thick can indeed cause the unnatural, “pillowy” look you’re describing. Migration is rare with modern fillers if injected correctly, but repeated touch-ups can add volume over time. Choosing a skilled injector and starting conservatively are the best ways to avoid this outcome.

Other options: Sometimes a combination of treatments—like skin tightening, fat reduction in the eyelids, or even subtle neuromodulators—can help improve the overall balance of your face without relying heavily on filler.

In short, filler does not automatically create an unnatural face, but careful planning, moderation, and the right technique are essential. It’s always better to start small, assess the changes, and adjust gradually rather than doing too much at once.

Your concerns are completely valid, and taking a thoughtful approach will give you the results you want without compromising a natural look.

Flat face, bulging eyes, too much upper eyelid exposure - will filler cause a pillowy, unnatural face? (Photos)

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