There are temporary hyaluronic acid fillers (last 2 years, dissolvable), Semi-permanent fillers (last 2-3 years, not dissolvable) and permanent fillers (last 10 years to forever).
Unlike temporary and semi-permanent dermal fillers, permanent dermal fillers aren't decomposable, which means they can't be broken down as quickly by the body. They're usually formulated to be injected into parts of the body that consist of thick skin such as the nasolabial folds and can last up to five years or more.
Some dermal fillers have been studied to last close to two years. The three fillers that tend to last the longest are Restylane Lyft, Restylane Defyne, Restylane Refyne, Juvederm, Voluma, Radiesse, and Sculptra.
Permanent soft tissue filler (Bellafill).
This filler is used to smooth deep wrinkles around the mouth. The body can't absorb this type of filler, so it doesn't require reinjection. Permanent soft tissue filler generally isn't recommended as a first-time facial filler treatment.
Why you ask? Unlike other dermal fillers, Bellafill has been FDA approved and clinically proven to last for up to 5 years. Half a decade. Yes, use Bellafill once to fill in smile lines and it'll last up to 5 years.
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.
How long do the results typically last? Just like any other skincare procedure, individual results will vary. “Some dermal fillers can last for 6 to 12 months, while other dermal fillers can last 2 to 5 years,” says Dr. Sapna Palep of Spring Street Dermatology.
“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.
Restylane: The Restylane family of fillers (Restylane, Restylane Silk, Restylane Lyft, etc.) are excellent options for mature skin. Each filler is designed to treat specific areas and to address common problems associated with aging. Our patients love the natural looking results.
Most of the time, HA based fillers (Juvederm, Restylane ) last anywhere from 6 to 18 months. In some individuals, they last a bit shorter or longer. Some other fillers such as Sculptra can last 2 years, but usually that is not a first choice for lip augmentation.
Many plastic surgeons say that Juvederm and Restylane are the most durable and longest-lasting fillers available. Both contain hyaluronic acid and are good for smoothing wrinkles and lines. Hyaluronic acid carries 1,000 times its weight in water and makes the skin look young, supple, and soft.
The major contraindications to the use of a filler are as follows: active infection near the site of injection, a known allergy/hypersensitivity to the material or to the lidocaine mixed in the syringe of the filler (Zyderm, Zyplast, Cosmoderm, Cosmoplast and certain hyaluronic acid fillers and Artefill) and glabellar ...
The effects of the fillers will wear off after months or years, but the treated area is likely to return to its original state. The benefits of both Botox and fillers will be gone and you'll notice that those lines and volume loss will come back.
Dysport is more diluted than Botox. The difference in concentration typically occurs because Dysport uses smaller protein molecules to induce muscle relaxation. These smaller proteins are less likely to be broken down by antibodies, making the results of Dysport injections quite desirable for patients.
If you're looking for more-dramatic results, a dermatologist can recommend medical treatments for wrinkles, including prescription creams, botulinum toxin (Botox) injections or skin-resurfacing techniques.
The theory is that when fillers like collagen and Restylane are repeatedly injected into flesh, over time this can weigh down and loosen the skin. And so, each subsequent trip to the doctor would require more volume of filler to fill that already stretched-out skin.
Composed of hyaluronic acid, a substance that's naturally found in the body, more people are discovering that fillers can help slow down the effects of the natural ageing process. 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.
Dermal fillers don't last forever, though. Over time, the body will eventually metabolize and break down the primary substance that fills in wrinkles and fine lines. Fillers might be temporary, but there are ways to extend their longevity and to make the most of your treatment.
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.
Most experts agree that patients in their mid to late twenties and thirties are at a great age to start treatments. By injecting the muscles that typically cause wrinkles around the mouth, eyes, and eyebrows before they start developing, you are preventing them before they happen.
Hyaluronic Acid (HA)
Hyaluronic acid is a naturally occurring substance that is already found in your skin. It helps keep skin plump and hydrated. HA fillers are typically soft and gel-like.
“If you have any viral, fungal or bacterial infections, you should avoid fillers to those areas,” said Dr. Shah. “Post-injection, there is a potential risk of these types of infections developing as well, with bacterial likely more common than fungal or viral.”