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POSTED UNDER ArteFill Reviews

46 Year Old Female with Sunken Temples and Large Amount of Facial Tissue Loss. Vero Beach, FL

UPDATED FROM DebinDelaware
11 months post

1 year after Artefill

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DebinDelaware
$5,600
I have been getting lots of private messages from people asking questions so I decided to post an answer I wrote to someone today. Yes, I Dr. Pierone would be the only Dr I would ever allow to do this procedure on me. Each time I went he was training several other doctors (with my permission of course). One thing I would ask your physician is if he uses cannula's or injects just with the needle. Cannula's are soft tubes that get placed in your skin, with a needle, and allow for much more precise placement of the product and you end up with much less swelling and bruising. That is what Dr. Pierone was teaching the other doctors, how to place and use the cannula's. He pays extreme attention to detail and spends a tremendous amount of time getting it right. He goes from side to side doing a little at a time, which doesn't hurt because once the cannula's are in there are no more sticks. He also makes sure your cheekbones are perfectly sculpted, and I needed my temples sculpted as well. I was also extremely surprised at how amazing he made my jawline look. I didn't even know I needed it there but when he did it I was so shocked at the difference. I didn't give him a limit on the number of syringes, I just said do whatever you need to do to fix me....use as much as you need. He didn't overfill at all. I will use him until he retires or I die, whichever comes first. That was my answer to someone who I have been communicating with privately, and I get lots of private messages so I want to publicly share how much this procedure by this doctor has changed my appearance, confidence, and sense of self. It's worth flying to Dr Pierone, no matter where you are coming from.

DebinDelaware's provider

Gerald Pierone Jr., MD

Gerald Pierone Jr., MD

Board Certified Internist

Replies (4)

August 11, 2016
I agree 100%. I am very impressed with him but scared at some comments about possibility of lumps in the future.. I just read about on this site.
August 26, 2017
Thanks for your review. Is The doctor also skilled in removal in case of any future granulomas that may form? I hope you have the best result and don't have any complications down the road.
January 12, 2020
How are you doing now, nearly 4 years after the artefill injections? I used the same doctor in 2013 and had great results as well, and I agree that he was very skilled with the micro canula, as I had almost no bruising. However, I now have granulomas under my eyes and they are very noticeable. What’s worse is that no board certified plastic surgeons will help me, as they’ve all said the area is too delicate and the risk of blinding me is real. They’ve all told me (3 doctors) that this product should never be used in tear troughs, and that’s the manufacturer’s recommendation as well. I feel disfigured at this point.
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January 14, 2020
Hi, I’m doing well. I never developed granulomas and I’ve had several more syringes injected over the years. I’m sorry for your experience, I had that happen with Sculptra and I felt horrible too. See if you can find a dermatologist to inject them with cortisone. That took care of mine with 3 injections. Good luck
UPDATED FROM DebinDelaware
2 days post

Initial photos

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DebinDelaware
These are the initial photos taken by Dr. Pierone's office. But like I said, they don't really show how much of an awesome job he did because without eyebrows, and with the crazy glare my oily skin gives off, things look a less flattering. The swelling should be gone in a few days so I can post with eyebrows.

Replies (4)

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April 9, 2015
How long is the artefill suppose to last? As u age will it still b in place as the the rest of the face slides downward? I have voluma and love it but it is a two year filler. I may b interested in a more permanent filler. Thanks. I can tell a big difference in ur pictures, especially in check and temple area.
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April 10, 2015
Hi! I have done a great deal of reading on that topic and from what I have read Artefill last an Average of 5 years. Your skin cannot slide down over it as it is incorporated into the body of the skin itself...not under it like an implant. It feels like it is a part of the skin. Hope that helps. I highly recommend it. I love it actually.
April 10, 2015
Your face definitely looks softer and more filled out. Well done!
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April 10, 2015
Thank you! I agree! Tomorrow I will finally be taking the "after" pictures with some eyebrows drawn on, as the swelling is completely gone. I have decided that I need a few more syringes to achieve the look I am going for and since there was absolutely no discomfort at all with Dr Pierone doing the work, I will be returning to him on May 22nd to finish the job. I CAN'T WAIT.
April 10, 2015
That's wonderful! Your Doc is not too far from me so I'm glad I have someone I can try when I'm ready to get something done. I'm thinking Artefill but not sure if it's approved for around the mouth and for hollow under eyes. Just starting to research and there is plenty to learn! On a side note... I had the same problems with disappearing eyebrows (mine were about gone after the arch). I started using Latisse on my eyelashes and they told me to put it on my eyebrows as well! Now my eyebrows are better than when I was younger. I love the stuff! Looking forward to pictures after your next visit!
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April 22, 2015
So sorry I didn't see your comment sooner!!! Artefil can either be a miracle or a horrible nightmare under your eyes, depending on who is injecting it. That was one of the areas I needed it the most as well and that is why I flew 1200 miles to see Dr. Pierone. He uses a cannula technique to carefully place the product, not just injecting, so you get a very soft, natural look. Thanks so much for the Latisse tip!
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April 21, 2015

Thank for sharing your photos! You mentioned that you did a ton of research - what helped you make the decision to move forward? What sorts of reactions did you receive from your friends and family?

I really like your phrase about prevention being worth every penny - keep us posted on your journey!

Take care,

Chris

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April 21, 2015
Hi, I decided to move forward after seeing pictures of, and sometimes even contacting, people who had truly life changing experiences with the product. A face lift can only pull the skin tighter, and all the other fillers are so temporary. I don't want to go through this deflating every 12-18 months. The people I spoke with who were happy with their decisions were truly emotionally affected, and their confidence increased dramatically, which led to a better social life. I'm not done with my process yet and I already feel so much more confident. I couldn't be happier and can't wait for my next appointment.
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April 21, 2015
Oh. and friends and family have just said I look healthier and ask if I'm getting more rest of eating better.
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April 22, 2015

Can't blame you for wanting a long-lasting effect rather than refilling every 12-18 months. I think it was smart for you to contact others who had the procedure - sounds like you really did your homework.

Love your friends' and family's reaction! That alone speaks volumes about how natural and subtle your transformation is, at least externally. Internally, it sounds like it's life-changing!

Please keep us posted as your continue your journey. What additional procedures are you considering? Let me know if I can help you with any research! We have plenty of it here!

Chris

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September 3, 2015
Are you still happy with your artefill for facial volume? I just had a facelift which addressed the lower face issues I had. I will be having Artefill in my cheeks, temples and tear troughs, and temporary filler in my upper eyelids in October. Very curious how you are doing 5 months out. Thanks!
UPDATED FROM DebinDelaware
2 days post

Could Not Be More Excited!

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DebinDelaware
These results were exactly what I was looking for! As a 46 year old who works out hard 4-6 times a week, and at one time had a nice full, youthful appearance, my face was literally deflating. My temples were hollow and the fronts of my cheeks were melting down my face like Cruella DeVille. But NOW everything is full and soft looking again. My under eye bones are no longer protruding, but instead are covered in a soft layer of natural looking tissue. The pictures don't do the outcome justice because I have extremely blond, sparse eyebrows, and I have very oily skin so they give weird glares and an odd eye look. I'll takes better photos with eyebrows and some powder on after the little bit of swelling I have goes down. Dr. Pierone and his staff...I can't say enough. He made the entire procedure completely 100% painless by using cannulas instead of needles, after numbing my face with numbing cream. Plus they all kept me engaged in calming conversation the entire time. Such kind, fun people...but professional at the same time, always checking in to make sure I was ok, and Dr. Pierone constantly paying attention to every tiny detail of his work. Moreover, during the procedure I inquired about a laser procedure, a somewhat expensive one actually, and he convinced me I would be better off with something far less painful, less downtown, less expensive & after researching it I am 100% in agreement. I just never knew that treatment even existed. He didn't need to take the time to do that. He could have just done the laser, made the profit and been done with it. I plan on having a very long term relationship with this practice, even though I live in Delaware and they are in Vero Beach, FL. I plan to fly there for Ultherapy (face and abdomen), Needling to my face (Vampire facial with Botox), additional Artefill, and who know what else. I don't have unlimited funds, I'm not rich & I work hard for my money. I just choose to spend it on this instead of high fashion, tons of Michael Kohs purses and $400 pairs of shoes. Prevention is worth every penny to me and a top quality doctor and medical practice is priceless. This doctor and practice is like finding gold. And in his hands you have no reason to fear Artefill. You'll love the results.

Replies (5)

April 3, 2015
Well done! Can't wait for the photos. Isn't Ultherapy only FDA approved for the face? I didn't think there were any (reputable) doctors prepared to use it off limits - do check this. If you have Ultherapy now, do check to see if it will interfere with the filler, you don't want it all to disappear now. It can make natural fat disappear, as the results on here justify to, not immediately, but in a year. Go careful.
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April 3, 2015
Several very reputable doctors, even some of Real Self's top docs, are using Ultherapy in "off label" areas, and having great success with it. Look at Dr. Jonathan Pontell's website. He is getting amazing results. I would just like to stay with Dr. Pierone now because I'm comfortable with him.
April 3, 2015

I can't wait for the photos either!

April 9, 2015
Everything I read about Artefill, said it is not used for the eye area. I do love your results. Keep posting. I am also interested in Ultherapy for the face.
April 11, 2015
I know you stated you did a lot of research but curious if you considered Renove med spa in Rehoboth? That is where I had mine done, but I am not sure I am 100% happy. And, has anyone you didn't tell made a comment about you looking different?
April 11, 2015
How many syringes of Artefill/Bellafill were used on you please?