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

As we age, we shed facial volume resulting in laxity of the skin and also deepening of facial lines and wrinkles. By instead of volume in crucial areas, face volume and also be replaced offering a much more youthful appearance. In addition, fillers and also be supplied to "fill in" deeper present such together the nasolabial folds and also marionette. Finally, fillers deserve to be offered to soften transition zones in the challenge which give an age look to the challenge such together the lower eyelid and also cheek junction or teartrough. Common places to ar filler space the temples, lower eyelids, cheeks, nasolabial folds, marionette lines, lips, nose, chin, and also along the jawline.

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

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How much filler is required depends ~ above the area gift treated and also the preferred outcome. Fillers come in an median of 1.0cc aliquots yielded in syringes. Syringes need to be provided in a single setup to maintain their efficacy and also sterility and also not conserved or "split" between patients. Enough filler should be placed to see adequate response without "overfilling." A usual mistake is to shot and treat multiple locations with an inadequate volume that filler. Underfilling outcomes in a lack of visible response. To stop this, every area should be to fill to full correction prior to moving to a various area. That is beneficial to law the most important areas first before relocating onto less necessary ones.


Overfilling results when too much filler is placed and also the area look unnatural or artificial. To stop this, that is beneficial to evaluate each area in a mirror as it is filled. If the is approximated that 1.0cc of filler would be needed, check the area after ~ 0.5cc is inserted before adding additional filler to the area. Incremental pour it until it is full will aid to avoid overfilling.

Another common cause of overfilling is multiple injections over time. Most fillers last between 12 and also 24 months an interpretation that end this time period you deserve to expect come lose about 50% that the filler that has been placed. Together you shed filler the treated locations will show up less filled. However, over there will likely be part filler staying so the if the very same amount that filler is inserted the area will be an ext filled or plumper. If this is repeated over time, the treated locations can easily end up being overfilled. Importantly, hyaluronic mountain (HA) fillers deserve to be liquified with hyaluronidase which is one enzyme that will certainly dissolve the filler.

Common quantities used come treat anatomic areas.

See more: Flexor Pollicis Brevis Origin And Insertion, Flexor Pollicis Brevis

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



*Facial Filler by Dr. John Burns. All patients are unique and results might vary

Make sure to talk about in consultation through your injector what locations you want treated and get an calculation for how countless syringes will certainly be necessary. It is constantly acceptable to slightly underfill and come ago for an ext than to overfill.


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