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Hello, this is Dr. Stephen Prendiville. I'm a facial plastic surgeon in Fort Myers, Florida. And a question a lot of people ask me about is about the concept of permanent fillers. And basically, the reason a lot of people ask is it sounds like a good idea. Want to have a filler, you get a permanent result from it. There are some fillers that will last permanently. Fillers such as those that have polymethylmethacrylate. But one thing I'd like to point out to people and especially the patients is that although you might be able to have permanent filler injected, facial aging is dynamic. What does that mean? What it means is basically as time goes on, our face continues to change. So you might have a permanent substance, let's say, injected into your face, but the results will not necessarily be permanent because your face has changed. So one of the downsides of permanent fillers such as silicon and PMMA or polymethylmethacrylate is that you can have long term lumps and bumps or granulomas. I've actually seen patients up to five to ten years later, after having these substance injected, have problems. So I still think it's better to have a longer lasting semi-permanent filler, such as Radiesse or something like Juvederm or Voluma for the results that you might have. If you have any questions, please don't hesitate to give us a call. We'd love to see you in consultation. Thank you.