“The short answer is no,” says Dr. Miriam Hanson, board certified dermatologist and cosmetic expert in Austin, Texas. “Wrinkles do not become worse after having dermal fillers.” Dermal fillers comprise a family of injectable medications that restore volume in areas of the skin where it has been lost.
There is a very common misconception that dermal fillers can make skin sag, however we can safely say that this is FALSE. People assume that once they have been fully absorbed by your body you will be left with loose, hanging skin leaving you looking even older than you did previously.
Over time, as facial movement increases in areas like the lips or cheeks, it causes the filler to break down and dissolve at a quicker rate. This makes the filler disappear faster in more active areas of the face.
The most serious risk associated with dermal fillers is accidental injection into a blood vessel. Filler that enters a blood vessel can cause skin necrosis (death of tissue), stroke, or blindness.
Con: Potential Side Effects
Patients usually experience minor bruising for 24 hours to several days. Other symptoms include rashes, swelling, and potential infection. Over time, patients may feel the filler moving away from the desired area, or, although extremely rare, develop lumps under the skin.
If you're looking to a dermal filler to combat signs of aging, your mid-20s is often a good time to start. Your body starts to lose bone and collagen around age 26, so it's a good time to begin maintenance injections. By starting early, you'll use require less product than if you wait until your mid-50s.
Cosmetic treatments, such as dermal fillers, cosmetic peels and laser resurfacing, may temporarily get rid of or minimize marionette lines. Healthy habits can prevent these lines from worsening.
While it is possible for fillers to migrate, this side effect is extremely rare and can be avoided by choosing a qualified injector. Though filler migration is very uncommon, its likelihood increases when fillers are performed by an inexperienced or underqualified injector.
Dermal fillers are applied to the marionette lines and the corners of the mouth. This hides the shadow between the 2 areas creating a flatter shape. This smoothens out the marionette lines and reduces the appearance of the jowls.
Using too much dermal filler can distort your face, make it look asymmetric and aesthetically out of balance, and in some cases, it can even make you look older than you actually are.
Discontinuing the treatment will not make your wrinkles worse. When the effect wears off, the treated area will go back to its original appearance. With dermal fillers, most people think your skin will become wrinkly or saggy if you stop getting injections. This is not necessarily true.
In most cases, when the filler wears off, the face will return to its normal appearance. That means if you got the filler to eliminate wrinkles, they would reappear; the areas that experience volume loss will lose that volume again.
“Pillow face” is a direct play on the puffy, unattractive result of using too much facial filler or transferred fat. Another term often used to describe this overfilled look is “chipmunky.”
When performed by an experienced injector using an appropriate amount of product, injectables typically will not stretch out the skin irreversibly. As the filler begins to break down, which can take up to 12 months or longer, most patients' skin will naturally contract back to its original contour.
Are dermal fillers safer than Botox? Dermal fillers and Botox are both extremely safe, provided they're administered by an experienced and qualified practitioner. Botox has been used for decades to treat prominent wrinkles. It's a prescription-only medicine and is certified for medical and cosmetic treatment.
Possible Risks and Complications
After dermal filler injections into the marionette line area and lower face, side effects can include redness, swelling, and tenderness in the injection site. These effects usually subside within two days. Any redness and bruising can be camouflaged with make-up.
Botox is useful for relaxing the muscles that pull down the corners of the mouth, while dermal fillers are the “go-to” treatment for erasing marionette lines because they are more effective in adding volume to the lower parts of the face. Doctors may also recommend combining both treatments to achieve the best results.
It is normal to experience some bruising and swelling after a Restylane or dermal-filler treatment. Even experienced practitioners will see lumps or bumps after injection.
Apply a lighter concealer to your marionette lines. Get some concealer that's a shade lighter than your foundation shade. Make your face up as usual, but then apply the lighter concealer to your marionette lines.
Still, there are options. A full facelift would effectively tighten all of the skin around the mouth and jawline, getting rid of any marionette lines, nasolabial folds, and other wrinkles. However, facelifts require the cutting and moving of full skin layers by a plastic surgeon. Another option is laser resurfacing.
Botox and fillers are generally considered safe for people of all ages, whether they are 30 years old, 60 years old, or 80 years old.
Excessive use of fillers distorts natural face features, causing an aged appearance. When the face becomes distorted this makes you look unnatural. And an unnatural look will make you look disproportioned. A hallmark of beauty is proportions.
Starting in our mid 30's we begin to lose approximately 1cc of volume in the facial area per year. Because of this, most patients require 1 syringe of filler per decade of life. So, for a full correction at 40 years old, you would need about 4 syringes.