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Filler Fatigue From Temporary Fillers

Posted: 6:00 a.m. Sunda, May 6, 2018

By Anita Mandal, M.D.
Question: I keep hearing more and more about filler fatigue. I hear this happens when you get too many filler treatments. Can you explain better what filler fatigue really is?

Answer: Generally speaking, filler fatigue is commonly seen with temporary fillers which go away in shorter periods of 6 months to one year. I have not observed filler fatigue with longer lasting fillers such as Bellafill. Filler fatigue happens because patients get tired of returning for repeat maintenance treatments which can be quite costly when a filler only lasts 6 months to a year or two. Studies confirm that these patients tend to drop off the schedule after receiving a certain number of treatments. It’s also easy to get busy with life and forget when it’s time to return for your maintenance filler treatment.

Another issue I’ve observed over the past 20 years of practice in using temporary injectable fillers is that repeat maintenance filler treatments can sometimes change the quality of the facial tissues. For example, I have found that after 3 to 4 Radiesse maintenance treatments, some patients notice that the Radiesse begins to track out through the skin during injection. In such cases, I recommend patients switching to a different injectable filler.

Similarly, with hyaluronic acid fillers such as Restylane or Juvederm, after a certain number of maintenance treatments, some patients notice that their skin quality changes and becomes a bit more edematous or puffy and even slightly discolored. Filler fatigue is more likely to occur with temporarily fillers when used in facial areas that require large amounts such as the cheeks, temples and lips. A change in quality of the tissues over time is also more likely when areas such as the lips are overfilled with filler.

One key benefit of using a longer acting injectable filler such as Bellafill – The 5 Year Filler – is the lack of filler fatigue. This is due to the fact that patients do not need return frequently for costly maintenance treatments since Bellafill can last 5 years. Also, since Bellafill works by stimulating your own collagen, increased collagen stimulation can actually give the skin a higher quality in terms of its texture and elasticity. Many patients note that they look better even 9 months after Bellafill treatments than just a month after treatment.

As injectable fillers become more and more mainstream for facial rejuvenation, filler fatigue is becoming increasingly more common. With greater patient awareness of filler fatigue, there is also greater appreciation for the value of long term collagen stimulatory injectable fillers such as Bellafill which can last 5 years after the initial treatment. Stem cells fillers are also another viable option.

A detailed consultation with a Board Certified Facial Plastic Surgeon to determine the best injectable filler options for your unique needs is the first step.


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