If you've had dermal filler to face...

[Anonymous]

Anonymous wrote:

Anonymous wrote:Who is a top doctor in the DC area, preferably MoCo?

For juvederm?

I’m not sure what I need. I have naso labial folds.

[Anonymous]

Anonymous wrote:Would you use these for the lines between your eyes and would they do just that? Rough cost? How long would it last?

I think you use Botox for between your eyes, not filler. Filler is for under eye bags, nasolabial folds, cheeks, temples, lips

[Anonymous]

Anonymous wrote:To those who have had filler: how long does it last for you / how frequently do you need to get injections?

I notice degradation around 7 months and it's totally gone by 9 months.

[Anonymous]

Anonymous wrote:

Anonymous wrote:To those who have had filler: how long does it last for you / how frequently do you need to get injections?

I notice degradation around 7 months and it's totally gone by 9 months.

Are there any lasting changes or your face goes back to exactly how it was 9 months ago? I'm nervous about not liking the results...

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:To those who have had filler: how long does it last for you / how frequently do you need to get injections?

I notice degradation around 7 months and it's totally gone by 9 months.

Are there any lasting changes or your face goes back to exactly how it was 9 months ago? I'm nervous about not liking the results...

NP. No degradation and if you don't like the results it can be dissolved.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:To those who have had filler: how long does it last for you / how frequently do you need to get injections?

I notice degradation around 7 months and it's totally gone by 9 months.

Are there any lasting changes or your face goes back to exactly how it was 9 months ago? I'm nervous about not liking the results...

NP. No degradation and if you don't like the results it can be dissolved.

Different NP. This answer is much more complex than just “it can be dissolved.”

We know now, based on MRI studies, that filler doesn’t ever really fully dissolve. It shrinks, but often migrates overtime. It slides around and gets imbedded in the tissue. It doesn’t just stay in some neat pocket that can be injected and dissolved with no trouble.

And it can be incredibly difficult to determine when filler has migrated. Once filler makes the vermilion border all mushy it can be hard to walk back, and it can be nearly impossible to dissolve certain kinds of filler (particularly Juvederm products) if they migrate from the cheek into the tear trough and gets trapped there where it often swells.

There’s a reason they call it “movederm.”

[Anonymous]

20:37 again. This is all a long winded way of saying that filler changes the shape of your face over time. Do your research not just what your doc tells you.

[Anonymous]

Here is a discussion of the MRI studies on fillers:

https://www.youtube.com/watch?v=yoF_Ez27-L0

[Anonymous]

Anonymous wrote:Would you use these for the lines between your eyes and would they do just that? Rough cost? How long would it last?

I had to twist my derm’s arm a bit to do it. Plastic surgeon did it with no problem. It is a high risk area, but can be done.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:To those who have had filler: how long does it last for you / how frequently do you need to get injections?

I notice degradation around 7 months and it's totally gone by 9 months.

Are there any lasting changes or your face goes back to exactly how it was 9 months ago? I'm nervous about not liking the results...

NP. No degradation and if you don't like the results it can be dissolved.

Different NP. This answer is much more complex than just “it can be dissolved.”

We know now, based on MRI studies, that filler doesn’t ever really fully dissolve. It shrinks, but often migrates overtime. It slides around and gets imbedded in the tissue. It doesn’t just stay in some neat pocket that can be injected and dissolved with no trouble.

And it can be incredibly difficult to determine when filler has migrated. Once filler makes the vermilion border all mushy it can be hard to walk back, and it can be nearly impossible to dissolve certain kinds of filler (particularly Juvederm products) if they migrate from the cheek into the tear trough and gets trapped there where it often swells.

There’s a reason they call it “movederm.”

Interesting. I've never heard that. I was actually wondering about this exact issue: if it can move around and settle in suboptimal places over time. My hunch was yes since women that have been getting filler for years and years often start to look asymmetrical or off, but it is hard to pin point way.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:To those who have had filler: how long does it last for you / how frequently do you need to get injections?

I notice degradation around 7 months and it's totally gone by 9 months.

Are there any lasting changes or your face goes back to exactly how it was 9 months ago? I'm nervous about not liking the results...

NP. No degradation and if you don't like the results it can be dissolved.

Different NP. This answer is much more complex than just “it can be dissolved.”

We know now, based on MRI studies, that filler doesn’t ever really fully dissolve. It shrinks, but often migrates overtime. It slides around and gets imbedded in the tissue. It doesn’t just stay in some neat pocket that can be injected and dissolved with no trouble.

And it can be incredibly difficult to determine when filler has migrated. Once filler makes the vermilion border all mushy it can be hard to walk back, and it can be nearly impossible to dissolve certain kinds of filler (particularly Juvederm products) if they migrate from the cheek into the tear trough and gets trapped there where it often swells.

There’s a reason they call it “movederm.”

Interesting. I've never heard that. I was actually wondering about this exact issue: if it can move around and settle in suboptimal places over time. My hunch was yes since women that have been getting filler for years and years often start to look asymmetrical or off, but it is hard to pin point way.

No, that’s because women who got “fillers” a decade ago were getting collagen, a different type altogether. The newer fillers haven’t been around that long and are thought to be much, much better. Of course you could argue they are higher risk since they haven’t been around that long...

You also have to remember that just aging dramatically changes your face, so it’s hard to play “what if” with fillers (or other cosmetic treatments). But ligh fillers are highly unlikely to have a negative effect.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Who is a top doctor in the DC area, preferably MoCo?

You don't need a doctor to do it. At many places the plastic surgeon doesn't do anything but high risk areas. A nurse injector does it, and really they have more experience because they do it ALL the time. I've been to several different places and always end up with great results. Do an Instagram search and you'll see their "portfolio". I reccomend a Derm Spa type of place over a plastic surgeon's office for the reasons I mentioned.

If you're getting undereye fillers I'd recommend going to an oculofacial plastic surgeon. A lot of places don't do fillers on this area because it's a bit high risk, and an OF specialist knows more about the area than a dermatologist.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:To those who have had filler: how long does it last for you / how frequently do you need to get injections?

I notice degradation around 7 months and it's totally gone by 9 months.

Are there any lasting changes or your face goes back to exactly how it was 9 months ago? I'm nervous about not liking the results...

NP. No degradation and if you don't like the results it can be dissolved.

Different NP. This answer is much more complex than just “it can be dissolved.”

We know now, based on MRI studies, that filler doesn’t ever really fully dissolve. It shrinks, but often migrates overtime. It slides around and gets imbedded in the tissue. It doesn’t just stay in some neat pocket that can be injected and dissolved with no trouble.

And it can be incredibly difficult to determine when filler has migrated. Once filler makes the vermilion border all mushy it can be hard to walk back, and it can be nearly impossible to dissolve certain kinds of filler (particularly Juvederm products) if they migrate from the cheek into the tear trough and gets trapped there where it often swells.

There’s a reason they call it “movederm.”

Interesting. I've never heard that. I was actually wondering about this exact issue: if it can move around and settle in suboptimal places over time. My hunch was yes since women that have been getting filler for years and years often start to look asymmetrical or off, but it is hard to pin point way.

No, that’s because women who got “fillers” a decade ago were getting collagen, a different type altogether. The newer fillers haven’t been around that long and are thought to be much, much better. Of course you could argue they are higher risk since they haven’t been around that long...

You also have to remember that just aging dramatically changes your face, so it’s hard to play “what if” with fillers (or other cosmetic treatments). But ligh fillers are highly unlikely to have a negative effect.

Ladies and gentleman, Exhibit A!

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:To those who have had filler: how long does it last for you / how frequently do you need to get injections?

I notice degradation around 7 months and it's totally gone by 9 months.

Are there any lasting changes or your face goes back to exactly how it was 9 months ago? I'm nervous about not liking the results...

NP. No degradation and if you don't like the results it can be dissolved.

Different NP. This answer is much more complex than just “it can be dissolved.”

We know now, based on MRI studies, that filler doesn’t ever really fully dissolve. It shrinks, but often migrates overtime. It slides around and gets imbedded in the tissue. It doesn’t just stay in some neat pocket that can be injected and dissolved with no trouble.

And it can be incredibly difficult to determine when filler has migrated. Once filler makes the vermilion border all mushy it can be hard to walk back, and it can be nearly impossible to dissolve certain kinds of filler (particularly Juvederm products) if they migrate from the cheek into the tear trough and gets trapped there where it often swells.

There’s a reason they call it “movederm.”

Interesting. I've never heard that. I was actually wondering about this exact issue: if it can move around and settle in suboptimal places over time. My hunch was yes since women that have been getting filler for years and years often start to look asymmetrical or off, but it is hard to pin point way.

No, that’s because women who got “fillers” a decade ago were getting collagen, a different type altogether. The newer fillers haven’t been around that long and are thought to be much, much better. Of course you could argue they are higher risk since they haven’t been around that long...

You also have to remember that just aging dramatically changes your face, so it’s hard to play “what if” with fillers (or other cosmetic treatments). But ligh fillers are highly unlikely to have a negative effect.

Nope, not even close to true. The current class of fillers (hyaluronic acid) has been around for about 20 years. If any major "advancement" has happened with HA fillers, it's that they're harder to dissolve than they were, because they have figured out how to make the crosslinking much stronger. Many of the newer fillers are harder to dissolve with hyaluronidase. These fillers became very popular after the 2008 market crash, because they were a quick and easy pick me up. Now everyone has access to them, and the results are...well...

I'll agree with you that aging changes the shape of your face, but I disagree with you that the solution is repeatedly injecting your face with something that swells up with water, moves around and has the consistency of grape jelly. Fillers are a poor man's substitute for fat grafting and surgical mini-lifting. There are a few cases where filler can be a good solution - the PP with large lips who just gets a touch so that her lips don't look dehydrated is probably a good example, but those people are few and far between.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:To those who have had filler: how long does it last for you / how frequently do you need to get injections?

I notice degradation around 7 months and it's totally gone by 9 months.

Are there any lasting changes or your face goes back to exactly how it was 9 months ago? I'm nervous about not liking the results...

NP. No degradation and if you don't like the results it can be dissolved.

Different NP. This answer is much more complex than just “it can be dissolved.”

We know now, based on MRI studies, that filler doesn’t ever really fully dissolve. It shrinks, but often migrates overtime. It slides around and gets imbedded in the tissue. It doesn’t just stay in some neat pocket that can be injected and dissolved with no trouble.

And it can be incredibly difficult to determine when filler has migrated. Once filler makes the vermilion border all mushy it can be hard to walk back, and it can be nearly impossible to dissolve certain kinds of filler (particularly Juvederm products) if they migrate from the cheek into the tear trough and gets trapped there where it often swells.

There’s a reason they call it “movederm.”

Interesting. I've never heard that. I was actually wondering about this exact issue: if it can move around and settle in suboptimal places over time. My hunch was yes since women that have been getting filler for years and years often start to look asymmetrical or off, but it is hard to pin point way.

Juvederm moves. Definitely. I never used it again.