Where exactly do you place fillers?

We get a lot of questions on fillers and where they should go to get the most natural looking face.  We love using fillers, along with great skincare products and electrical modalities, and definitely recommend them.  That being said . . .  less is more!

I have coined a couple of terms that are appropriate given what we have seen over the years . . . “apple face syndrome” or “toddler face”.  Get that visual in your head for a second and you will totally get what that means.  Women that use too much filler have this “syndrome”! And it doesn’t look good, let alone natural.  Gigi and I are giving our opinion below on what we feel works for us . . . all the while trying to keep it soft and natural looking.

This will give you a clear idea on areas to focus on should you wish to use fillers  . . .

face-fillers

The first thing most women notice are the wrinkles on their foreheads and perhaps crows feet along with a droopy brow and the crease between the brow.  Botox hands down is the best for this (if you have waited too long and the wrinkles there are really deep, you would have to use filler here along with Botox).  But for fillers such as Restylane, Juvederm, Perlane (all of which are hyaluronic acids), we suggest (and do!) the following . . .

Cheeks are an instant lift  . . . but not too much!  As we age, our faces actually flatten out.  By adding filler there it brings a youthful look back to your face. Be careful with the new product from Allergan called Voluma.  We have friends that are doctors and nurses that have tried it and noticed that the cheeks “fall” after injected. Perhaps the molecular structure is too heavy . . . jury still out on this new filler.

The hollows at your temples . . . you would be surprised how much you lose here and what a huge difference it makes when you “fill it up”.  And when you do, it does give a slight lift to your lower face as well.  Definitely gives a youthful appearance.

Your laugh lines are the nasolabial folds and along with pucker lines or lipstick lines and the lips themselves . . .  those areas are greatly improved with filler.

The marionette lines are a little tough to deal with and that whole area starts to collapse especially around 50.  Fillers have nothing to cling to here and tend to “float” in the area where injected. That is the toughest area to deal with.  Now having said that, Sculptra is an interesting option.  Sculptra is a synthetic poly-L-lactic acid and when injected metabolizes and breaks down stimulating collagen production.  Unfortunately it takes a few months before you see it working unlike a hyaluronic filler that you see immediately.  I’ve personally done both and still haven’t found anything I believe truly works.

Yes, you can fill your ear lobes and for many that have torn lobes or stretched lobes from heavy earrings, this area can be somewhat repaired.

Belotero is another filler option which was initially best suited for around the eyes and the hollowness that develops there creating that sunken look. Unfortunately, we found it not long lasting and wouldn’t recommend it.

Again . . .  PLEASE go to a board certified doctor or aesthetic nurse for any of these fillers and procedures.  You may have to experiment with several brands of filler as everyone metabolizes them differently and there isn’t a “one brand fits all” solution.

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