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Most common filler problems

Posted: 1:33 p.m. Friday, September 25, 2015

By Anita Mandal, M.D.
Question: I’m thinking to get injectable fillers for my hollow face. What are the most commonly seen filler problems?

Answer: While injectable fillers do have risks, nodules and serious complications from most FDA-approved fillers are very rare. Of course, you should always get a filler with a high safety profile and seek a board certified plastic surgeon who is also an expert injector.

The most common problems that I’ve seen from injectable filler treatments are a poor aesthetic result rather than a true complication. In fact, most of my new patient filler consultations have had previous fillers by another doctor and are seeking correction of a poor aesthetic result.

A poor aesthetic result can be an unnatural look, a puffy, overfilled face or filling of the wrong facial area. In the latter, patients are often told by their doctors that the filler moved. In 18 years of performing over 10,000 injectable filler treatments, I have not seen a filler that I’ve injected move through the tissues. Generally, safe fillers don’t move. Unskilled injectors, however, can lack a sense of spatial relationships and/or an aesthetic eye. With so many non-plastic surgeons entering the cosmetic industry, the number of unskilled injectors is rising.

With facial volumization at the forefront of facial rejuvenation, fillers are being placed deep to skin and fat as well as over bone. Knowledge of surgical anatomy and function is crucial for accurate filler placement.

An expert injector must be more than a good technician. A strong aesthetic eye allows your surgeon to discriminate between a natural vs. unnatural result and create a balanced, proportional look. Poor aesthetic results can be avoided when an expert injector possesses strong technical skill, thorough anatomic knowledge and a keen aesthetic sense.

It is a misconception to think you should only seek a surgeon for surgery. Facial Plastic Surgeons have in-depth knowledge of facial anatomy and expertise in both non-surgical and surgical facial aesthetic treatments. Each time you have a non-surgical cosmetic procedure by a less qualified doctor, you increase your risk of complications and poorer results. When it comes to your face, why would you consider less than a Board Certified Facial Plastic Surgeon? Log on to ABFPRS.org.

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