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.
Dermal fillers are aesthetic tools that help to manage skin ageing. They are gel-like injectables that fill the soft tissue present beneath the skin and improve the appearance of sagging skin, wrinkling and ageing.
Fillers are a great option for patients seeking a softer, more youthful look. However, if used improperly or over used, fillers can have negative long term consequences. In fact, patients who do not properly use filler could actually speed up their skin's aging process, resulting in older looking skin.
Injectable fillers can stretch out the skin if they are used too often and in large doses. This occurs because the fillers are stretching skin that is producing less collagen and elastin to maintain youthfulness; therefore, once the filler is gone, the skin cannot contract.
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.
“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.
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.
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.
As well as stretching of the skin, excessive use of fillers can result in longer term damage including wrinkling of the lip and disturbance of the attachment of the facial fat pads and some degree of irregularity and ageing of the skin, he explains.
Using too much filler, on the other hand, results in unnaturally puffy cheeks that are out of place for their age. This syndrome has also been exacerbated by the desire for “apple cheeks.” The natural lid-cheek junction is destroyed by overfilling in the cheeks and beneath the eyes.
You Should Typically Wait to Use Juvederm Until Your 40s.
Rose usually recommends that you wait to begin Juvederm or any other facial filler treatment until you are in your 40s, or have begun showing the telltale signs of aging.
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.
The age that most women get dermal fillers is between 40 and 54. According to the American Society of Plastic Surgeons Annual Report, this age range received over a million soft tissue filler treatments in 2016, good for 17 percent of all procedures.
Ultrasound treatments, such as ultherapy. Chemical skin peels. Microneedling. The Nefertiti Lift.
Facial fillers are a top treatment choice for eliminating jowls as they can be used to rebuild the structure of the face whilst rebooting the skin's natural supply of hyaluronic acid and smoothing the jawline.
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.
Most fillers last between 12 and 24 months meaning that over this time period you can expect to lose about 50% of the filler that has been placed. As you lose filler the treated areas will appear less filled.
Pillow face is a condition that occurs as a result of a person getting over-injected with dermal fillers in their face. This leads to an overstuffed look, which causes the checks and other areas of the face to puff out.
The Results Improve Over Time
Because these injections stimulate your body's production of collagen and elastin, the final results of treatment won't be seen for several weeks. Even as the hyaluronic acid is processed by your body, healthy collagen and elastin grow at a more significant rate.
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 most commonly used in the lips, cheeks, temples, and forehead. Generally speaking, a facelift is recommended when patients are experiencing more advanced signs of aging, whereas dermal fillers might be more suitable in treating the early stages of facial aging.
“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.”