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How To Find A Good Injector For Your Fillers

Posted: 8:24 p.m. Sunday, May 19, 2019

By Anita Mandal, M.D.
Question: I need fillers for my face. I don’t mind getting Botox from my anesthesiologist, but fillers are more complicated. With dermatologists, internists, plastic surgeons and spas advertising fillers, how does one know who to go to? Some doctors don’t even do their own fillers but have a physician assistant or nurse. How does a lay person like me make the right choice?

Answer: With so many medical specialties getting on the bandwagon to do fillers, it can be confusing and overwhelming to choose the right injector. These simple rules can improve your chances of finding the right injector.

Rule #1: How much value do you place on your face? If your face is important to you, do not price-shop or cut corners. Don’t treat your face like the beige Prada handbag at Saks, Neiman Marcus and Nordstrom. Why buy the bag at Neimans when the same one is available at 30 percent off at Saks? Do you really want to apply this same philosophy to having a medical procedure to rejuvenate your face?

Rule #2: Seek an advanced injector. An advanced injector has not just been performing injectable filler treatments for a long time. More important, an advanced injector is thoroughly knowledgeable about the differences, pros and cons of the various fillers. They know when to use a combination of fillers vs. when to perform surgery instead of fillers. An advanced injector is experienced in treating all the areas of the face from the smile line and cheeks to the temples, lower lid hollows, forehead and more. An advanced injector knows exactly which filler should be used for which concern.

Rule #3: Recognize that facial volumization requires a much greater degree of both technical and aesthetic skill on the part of the injector. For successful facial volumization of the cheeks, temples, lower lids, chin, etc., one must be able to visualize and create a 3-dimensional result. Before your injector can do this, he or she must understand the 3-dimensional anatomy of the face, including that of deeper facial structures. One specialty considered to have superior knowledge about deep facial anatomy is Facial Plastic Surgery.

Rule #4: Avoid “Botox” and filler parties for your treatments. Such treatments are not necessarily being performed in a licensed facility by a licensed injector. Guests are often served alcohol with encouragement of a “herd” mentality, meaning if everyone else at the party is doing it, why shouldn’t you do it. You also don’t know what product you are necessarily getting. Have you ever wondered why a busy, quality injector needs to throw an off-site party instead of doing treatments at their own practice?

Rule #5: Watch out for counterfeit fillers. These are not FDA-approved and may contain toxins.

Rule #6: Keep in mind that a price that sounds too good could very well be too good to be true. Such great prices often can come with a catch and should make you question if you are getting the right amount of product, if it’s diluted, mixed or counterfeit or if your injector is not experienced.

Rule #7: Find out if your doctor performs a high volume of long term fillers that last for many years or longer. Many injectors only use temporary fillers. Many are fearful of long-term fillers since if they make a mistake, the patient is stuck with the result for a long time. The successful, high volume use of a long-term filler such as Bellafill – The 5 Year Filler, is a good test of superior injector skill. With a long-lasting filler, you have to get it right the first time around – just like surgery. You can only do this if you have a good understanding of aging 3-dimensional facial anatomy, superior technical expertise and a strong aesthetic eye. This combination in an injector does exist, but can be a challenge to find.


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