Selphyl (Natural Wrinkle Reduction)

Will facial fillers leave my skin stretched as the filler fades?

This question comes up often enough so I spend a lot of time in consultation

helping my patients understand the specifics of how I place facial fillers

I explain why the skin should not be over stretched and as a consequence

become more loose when fillers placed accurately and in harmony with your

natural facial structure I’ll discuss how I use fillers in my practice and how

I make a point of showing my patients the anatomy that is relevant to

understanding the way I perform filler placement I’m Dr. Amiya Prasad I’m a

Board-certified cosmetic surgeon and Fellowship-trained oculofacial plastic

and reconstructive surgeon I’ve been in practice in Manhattan and Long Island

for over 20 years I perform filler treatments for upper and lower eyelid

hollowing lip enhancement facial lines and for acne scars every day in my

practice I also used my experience as a face lift and facial implants surgeon to

place long-lasting hyaluronic acid filler at the bone level I use this

technique of Structural Volumizing to create definition of the cheeks jawline

chin by applying this approach my patients look more balanced as opposed

to bloated and pillowy I believe that a concern about looking deflated after

filler is metabolized originates from people seeing too many overfilled faces

the effects on the skin in an overfilled face can be compared to what happens to

people whose bellies become stretched from weight gain so it stands to reason

that after significant weight loss there is a

lot of loose skin the same type of effect could result from the skin being

stretched from over filling the face this does not happen when I perform

filler placement it comes down to understanding the anatomy and balance a

few years ago some very well-known celebrities were being referred to as

pillow face in the media this was because the doctors they went to placed

excessive volumes of filler in their cheeks to make them look younger

instead the filler spread onto the skin and made their faces appear more rounded

patients will sometimes ask me how can these famous people who can afford the

best looks so bad I won’t presume to speak for the

celebrities or their doctors but I can describe what I do that’s different

let’s talk about cheek volume enhancement I find that there are two

basic scenarios we see in our practice one is a younger person with a relative

genetic deficiency and the other is a person who has lost facial volume from

aging what is the basis for this volume deficiency it’s bone structure your

facial appearance is most directly affected by your bone structure bone

structure is like the frame that supports your house so I approach filler

placement from the bone structure using techniques to deliver long lasting

hyaluronic acid fillers with blunt cannulas at the bone level this provides

remarkable support and definition of the overlying skin this approach is not what

is most commonly practiced fillers are placed over zealously just below the

skin to compensate for the anticipated spread of the fillers beyond the

location of the attendant placement this makes people

look bloated I look at the face for balance using the golden ratio as a

guide the golden ratio is seen throughout nature and is very well

illustrated by the facial structure of people like models and actors Structural

Volumizing allows for strategic placement without the need to stretch

the skin when it comes to placing the volume in areas such as the lips where

bone structure is not directly involved I focus on subtle correction to create

definition so there is a balance with the rest of the face essentially the

facial features should look natural like you never had anything done sure the

situation occurred that you can’t continue with filler placement after the

fillers are metabolized your appearance will be the same as if you hadn’t done

anything not worse because you had filler placed it comes down to

understanding what features you’d like to enhance and understanding the method

being employed and what results you should expect

I hope you found this information helpful thank you for your question