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Do You Have Treatment Fatigue From Temporary Fillers?

Posted: 11:48 a.m. Friday, Oct. 27, 2017

By Anita Mandal, M.D.
Question: I’ve been getting filler injections around my mouth, smile lines, cheeks and temples for 7 years. I like the results but it’s hard to keep up with my treatments. It’s not only costly, but time consuming to get injections every 6 to 18 months. Even worse, each time I delay treatment, I look older again and end up needing more filler and spend more money to restore my youthful look. I have a very busy life and don’t have time to keep refilling. Isn’t there a better solution?

Answer: I just finished speaking at a plastic surgery conference in St. Petersburg, Russia last week and am now in Shanghai, China teaching other physicians on injection techniques I’ve developed for creating natural results with long-term facial fillers. Your situation is a common complaint with temporary filers. Studies show that over half of patients stop treatment within 1 to 3 years of their first injection. In fact, many patients drop off after less than 2.5 treatments. This phenomenon of treatment fatigue commonly occurs with temporary fillers like Radiesse, Restylane, Juvederm and Sculptra

While short-term fillers can give effective results, they typically go away within 6 months to 2 years. If you are treating small superficial areas such as upper lip lines that may only require a single $700 syringe of Restylane every 9 months, this is a manageable expense for many patients.

On the other hand, if you require facial volumization of larger areas such as the cheeks, temples or deep smile zones, many more syringes of temporary filler must be used due to the larger size of the treatment area and the need for three dimensional contouring with injections at multiple tissue depths.

One main reason for treatment fatigue is the high cost associated with using large amounts of temporary filler in the cheeks, temples and other upper facial zones. The additional cost associated with the frequent maintenance of temporary fillers is also an issue. In contrast, while Bellafill costs more per syringe compared to temporary fillers, its 5-year duration with relatively minimal to no maintenance treatments can eliminate treatment fatigue issues.

Careful consultation with a Board Certified Facial Plastic Surgeon to determine your unique facial volumization needs is the first step.


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