Facial filler has end up being a mainstay in facial rejuvenation trailing only Botox in popularity. According to the latest plastic surgery statistics report indigenous the American culture of Plastic Surgeons, over there were approximately 7.4 million injections that botulinum toxin (Botox) and also 2.6 million dermal filler injections in 2018 

As we age, we lose facial volume resulting in laxity of the skin and deepening of face lines and also wrinkles. By replacing volume in an essential areas, face volume and be replaced offering a much more youthful appearance. In addition, fillers and also be offered to "fill in" deeper lines such together the nasolabial folds and marionette. Finally, fillers deserve to be supplied to soften change zones in the face which provide an aged look come the confront such as the lower eyelid and cheek junction or teartrough. Typical places to location filler are the temples, lower eyelids, cheeks, nasolabial folds, marionette lines, lips, nose, chin, and along the jawline.

Fillers come in various formulations such together hyaluronic mountain (HA), calcium hydroxyapatite (CaHA), or polymethylmethacrylate (PMMA). The most typical filler category are the hyaluronic mountain fillers such together Juvederm or Restylane household of fillers. Hyaluronic acid fillers are composed the a soft naturally arising gel the can conveniently be reversed and last between 12 and 24 months.

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How lot filler is necessary depends on the area gift treated and the desired outcome. Fillers come in an median of 1.0cc aliquots ceded in syringes. Syringes have to be supplied in a single setting to keep their efficacy and also sterility and not conserved or "split" between patients. Sufficient filler must be put to check out adequate solution without "overfilling." A common mistake is to try and treat multiple locations with an inadequate volume that filler. Underfilling results in a lack of clearly shows response. To protect against this, every area have to be to fill to full correction prior to moving come a various area. The is useful to law the most vital areas very first before relocating onto less essential ones.


Overfilling results as soon as too lot filler is placed and the area look unnatural or artificial. To protect against this, that is useful to evaluate each area in a mirror as it is filled. If the is approximated that 1.0cc that filler would be needed, check the area after ~ 0.5cc is inserted before adding additional filler to the area. Incremental filling will help to prevent overfilling.

Another common reason of overfilling is many injections over time. Most fillers last in between 12 and also 24 months meaning that end this time duration you deserve to expect to lose about 50% the the filler that has been placed. Together you shed filler the treated locations will appear less filled. However, over there will likely be part filler continuing to be so that if the very same amount the filler is placed the area will be much more filled or plumper. If this is repeated over time, the treated locations can easily come to be overfilled. Importantly, hyaluronic mountain (HA) fillers can be liquified with hyaluronidase i m sorry is one enzyme that will dissolve the filler.

Common amounts used come treat anatomic areas.

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Temples1 - 2 syringes (cc"s) per side
Lower eyelids0.5 - 1 syringe (cc"s) per side
Cheeks1 - 2 syringes (cc"s) every side
Nasolabial Folds0.5 - 1 syringe (cc"s) every side
Marionette Lines
1 - 2 syringes (cc"s) per side`
Nose Reshaping1 - 2 syringes (cc"s)



*Facial Filler through Dr. John Burns. Every patients space unique and also results might vary

Make sure to discuss in consultation through your injector what locations you want treated and get an calculation for how countless syringes will certainly be necessary. The is always acceptable to slightly underfill and come earlier for much more than come overfill.


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