There is a very common misconception that dermal fillers can cause skin to sag, however, we can safely say that this is FALSE. People assume that once your body has fully absorbed them, you'll be left with loose and hanging skin, leaving you looking even bigger than before. Despite what you may have heard, injecting facial fillers into the skin doesn't stretch the skin and causes more damage. If at any time you decide to stop using dermal fillers, your skin will return to its previous state. If you are concerned about the long-term effects of dermal fillers on your skin, Dr.
Kim will be happy to discuss them with you and answer any questions you may have. Dermal filler will not cause skin to stretch or sag, once the filler naturally breaks down. The only case in which this would occur is if the face became too full with extreme amounts of dermal fillers, which is something we certainly don't do at Cityskin. At his practice on the Upper East Side, Dr. Richard Swift, a plastic surgeon, sees more than 100 people every month for fillings.
For many of those patients, their filling technique is surprising. A young face has the “triangle of youth”, which means that it is wider on the cheeks just below the eyes and narrower on the chin. But over time, tissue and bone are lost in the middle of the face. With a deflated support system, the skin begins to sag and the face slowly transforms from triangle to trapezoid. Fillers counteract this aging process by adding fullness to the cheeks, which restores the skin to its original position, smoothing nasolabial folds (smile lines), puppet lines (folds that go from the corner of the mouth to the chin) and double chin.
Yagoda suggested deciding on an aging intervention plan for 10 to 20 years from now. Dr. Bank, a dermatologist in Mount Kisco, NY, also uses off-label fillers to add volume to the temples. Plastic surgeons also inject fillers to reshape the bridge of the nose and simulate the effect of a chin implant. At her New York cosmetic dentistry practice, Dr. Pia Lieb offers a niche lip filling procedure.
She injects filler into the mouth, where the smooth inner skin meets the outer skin of the lips. She says this technique “unfolds” lips for natural-looking fullness. People lose collagen all over their bodies, not just their faces. But fillers currently available in the United States lack the density needed for body work. Macrolane, a viscous hyaluronic filler from the Restylane family, has been popular in Europe for improving body contours for several years.
The future of these fillers here is directly related to FDA approvals. As new formulas become available, doctors find ways to use them. Dermal fillers won't cause skin to stretch or sag once they break down - only if extreme amounts are used in one area would this occur. For those who are younger but want beauty treatments with dermal fillers, it's important to note that using too much filler won't stretch your skin. In fact, there are many benefits of dermal fillers beyond simply restoring facial volume. A related concern is that if you don't receive filler treatments repeatedly, your skin will sag after they break down - but this isn't true either. Although younger people's skin is naturally more resilient, they are more likely to continue using fillers for many years in the future - and stretching is more likely to occur over time if too much filler is used in one area. Dermal fillers use injectable hyaluronic acid to fill and adjust contours of any area of the face that needs correction - but they are not permanent solutions.
If you're worried that a recent treatment has used more filler than necessary, it's possible to fully or partially reverse it by applying an enzyme (hyaluronidase) to dissolve excess filler. Men and women looking for smoothing effects of dermal fillers seek to restore lost facial volume in areas such as cheeks, lips, nasolabial folds and under eyes. Some fillers lead to an increase in body's natural collagen production - which will have a positive impact long after filler has faded. Simply replacing what was already under skin won't cause it to sag - although once filler is metabolized over time, skin will return to pre-dermal filler appearance. People assume dermal filler formulas stretch skin as they are injected - leaving it sagging when filler eventually wears off. Unless close attention is paid when injecting fillers, repeated applications in same place can cause skin to loosen and stretch - resulting in gradual need for more product over time. In addition to tightening skin, overuse of fillers can result in longer-term damage including lip wrinkles and impaired attachment of facial fat pads and some degree of skin irregularity and aging. You won't need more padding in future to get same results - and your skin won't sink any further because you opted for fillers.
Another problem can occur when dermal fillers are used on parts of face with lots of muscle movement - causing filler to move away from area where it was applied.
