When we discuss dermal filler use, one of the essential parts of Dr. Boger’s aesthetic practice is moderation. There is a good reason for this, and we have discussed how improper injections of tox and filler can cause a wooden or pillow face, respectively; none of us want that. However, some patients insist on having a significant amount of filler early in their aesthetic regimen. We hope this article helps show you why that may not be advisable and why following Dr. Boger’s concept of moderation may be the best option.
To begin, we’ve touched on the concept of pillow-face in another article on this website. Pillow face results from the overuse and misuse of facial dermal fillers, causing a swollen look. This is one of the most apparent consequences of overfilling the face.
A sometimes-overlooked consequence of using too much filler revolves around the elasticity of the skin of the face. If too much filler is used, it can stretch the facial skin beyond its elastic limit. The result is not only pillow face in the short term but can worsen wrinkles and sagging skin later if filler volume is not maintained. Think about an elastic waistband that has been pulled beyond its ability to recover. It also happens to the skin, especially in our older years, when we lose a significant amount of collagen and elastin production. Even though hyaluronic acid fillers stimulate collagen, they can’t overcome the pitfalls of overfilling.
Overfilling can also cause some medium-term aesthetic issues. This is especially true in patients who are just beginning their filler regimen. If you don’t know how your face will react to the dermal filler, starting with a moderate application of hyaluronic acid-based fillers is advisable. They can be dissolved quickly if the results are not exactly what you expect, but there are no half-measures. If you choose to receive the enzyme that reverses and dissolves filler, all the filler will be eliminated, and you will receive no benefit. Rather than go all in, it seems to make more sense to start slow.
As a matter of course, we want first-time dermal filler patients to take it slow. We would likely use a hydronic acid-based filler with the most flexibility, offering a natural, plump, and dewy look. These fillers also stimulate collagen production; regular touchups can help maximize the filler’s longevity. We may increase the fill volume once you are comfortable with your hyaluronic acid filler. Again, we typically reserve this for patients with a relatively predictable reaction to their filler, and again, we start slowly to ensure the results are as you expect.
During this time, to ensure that the filler lasts as long as possible, we will discuss specific lifestyle changes that may include moderating alcohol consumption, hydrating correctly, developing and following a comprehensive skin care regimen that provides day and night time moisturizing, exfoliation, facials, and microdermabrasion. We will also discuss a diet promoting skin health through vitamin and mineral absorption. These improvements combine to give you the best skin, tone, and consistency.
We invite patients who have never had filler and those looking to continue or modify their filler regimen to schedule a consultation with Dr. Boger. Visit us to understand how we can help and learn more about how your skin can benefit from a complete skin care regimen. We look forward to seeing you at the office and appreciate your trust in us.