The Right Aesthetic Eye For Optimal Results
Question: I want fillers in my cheeks, Dr. Mandal, and you have done fillers in my smile lines which I’ve been quite happy with. I referred one of my friends to you, but she feels that there are so many people injecting fillers these days that she doesn’t need to travel 25 minutes to see a specific plastic surgeon. You have an such an eye for sculpting the face that I would not consider going to anyone else. How can I make my friend understand why it’s important to have someone highly qualified, even when it comes to fillers?
Answer: You are correct in recognizing how important it is to seek out a highly qualified injector when it comes to something that’s even as minimally invasive as a filler. More and more non-plastic surgeons as well as non-physicians are getting into the cosmetic industry. At the same time, the number of complications from injectable fillers are on the rise.
This increase in complications are not just showing up as a distorted facial appearance, but there are also serious complications. For instance, as much as no one really wants to hear about it, the incidence of blindness from injectable filler treatments has increased in recent years.
While each patient is different and there is no way to guarantee an optimal result that is 100 percent risk-free, the vast majority of patients can have a satisfactory result without adverse side effects. The best way to accomplish this is to seek out a qualified plastic surgeon. This not only means seeking a doctor who is Board Certified, but also a surgeon with a thorough understanding of the superficial and deep facial anatomy as well as having extensive experience in the filler of choice. A plastic surgeon who performs alot of surgery but has only a smaller injectable practice may be okay to use for simple injectable treatments.
Also, someone with extensive experience with Juvederm and Sculptra will not necessarily be equally skilled with Bellafill, the 5 year filler. If someone tells you that their experience with one type of filler is just the same as that with a different one, that is not necessarily true.
There are some very important differences between the various fillers. For example, some fillers such as Restylane Silk are placed in the most superficial skin layers whereas Radiesse and Bellafill are placed in deeper tissue layers. A thorough knowledge of the various fillers and how they work as well as a detailed understanding of the intricate facial anatomy is key to a successful result.
Seeking a Board Certified Facial Plastic Surgeon who is not only skilled with surgery but has extensive experience with the various kinds of injectable fillers is the first step. Having a strong aesthetic eye to create an aesthetically pleasing, balanced and proportional result can take a “cookie cutter” injectable treatment outcome to a entirely different level.