Why Cosmetic Fillers Won’t Stretch or Loosen Facial Skin as they Fade

Why Cosmetic Fillers Won’t Stretch or Loosen Facial Skin as they Fade


well facial fillers leave my skin
stretched as the filler fades this question comes up often enough so I
spend a lot of time in consultation helping my patients understand the
specifics of how I place facial fillers I explain why the skin should not be
over stretched and as a consequence become more loose when fillers placed
accurately and in harmony with your natural facial structure I’ll discuss
how I use fillers in my practice and how I make a point of showing my patients
the anatomy that is relevant to understanding the way I perform filler
placement I’m Dr. Amiya Prasad I’m a Board-certified cosmetic surgeon and
Fellowship-trained oculofacial plastic and reconstructive surgeon I’ve been in
practice in Manhattan and Long Island for over 20 years I perform filler
treatments for upper and lower eyelid hollowing lip enhancement facial lines
and for acne scars every day in my practice I also used my experience as a
face lift and facial implants surgeon to place long-lasting hyaluronic acid
filler at the bone level I use this technique of Structural Volumizing to
create definition of the cheeks jawline chin by applying this approach my
patients look more balanced as opposed to bloated and pillowy I believe that a
concern about looking deflated after filler is metabolized originates from
people seeing too many overfilled faces the effects on the skin in an overfilled
face can be compared to what happens to people whose bellies become stretched
from weight gain so it stands to reason that
after significant weight loss there is a lot of loose skin the same type of
effect could result from the skin being stretched from over filling the face
this does not happen when I perform filler placement it comes down to
understanding the anatomy and balance a few years ago some very well-known
celebrities were being referred to as pillow face in the media this was
because the doctors they went to placed excessive volumes of filler in their
cheeks to make them look younger instead the filler spread onto the skin
and made their faces appear more rounded patients will sometimes ask me how can
these famous people who can afford the best looks so bad
I won’t presume to speak for the celebrities or their doctors but I can
describe what I do that’s different let’s talk about cheek volume
enhancement I find that there are two basic scenarios we see in our practice
one is a younger person with a relative genetic deficiency and the other is a
person who has lost facial volume from aging what is the basis for this volume
deficiency it’s bone structure your facial appearance is most directly
affected by your bone structure bone structure is like the frame that
supports your house so I approach filler placement from the bone structure using
techniques to deliver long lasting hyaluronic acid fillers with blunt
cannulas at the bone level this provides remarkable support and definition of the
overlying skin this approach is not what is most commonly practiced fillers are
placed over zealously just below the skin to compensate for the anticipated
spread of the fillers beyond the location of the
attendant placement this makes people look bloated I look at the face for
balance using the golden ratio as a guide the golden ratio is seen
throughout nature and is very well illustrated by the facial structure of
people like models and actors Structural Volumizing allows for strategic
placement without the need to stretch the skin when it comes to placing the
volume in areas such as the lips where bone structure is not directly involved
I focus on subtle correction to create definition so there is a balance with
the rest of the face essentially the facial features should look natural like
you never had anything done sure the situation occurred that you can’t
continue with filler placement after the fillers are metabolized your appearance
will be the same as if you hadn’t done anything not worse because you had
filler placed it comes down to understanding what features you’d like
to enhance and understanding the method being employed and what results you
should expect I hope you found this information helpful thank you for your
question you

16 Comments

  • Barbra Lerner Spectre says:

    There is literally no other doctor in America who is as skilled with filler.

  • G Link says:

    Dr. Prasad,
    You SERIOUSLY NEED a
    Haircut or a Trim!!!

  • Linda Liffers says:

    Perfect timing, I've mentioned I had a bad filler job under my eyes and have a bluish lump that is visible. I was wondering if when if finally dissipates, if I would be left with a bigger sag or indent than I had prior. It's been two months, how long does it take for Restylane Gel & Lyft to fade?

  • hammypie says:

    I know that with your skill it won’t stretch the face at all but it can actually stretch if placed incorrectly and too much by a different doctor right?

  • Chantal Loyer says:

    Hi Dr. Prasad. What a lovely man you are to watch. So sincere and knowledgeable. I wish more video's were as explanatory as yours.
    I would really like to get fillers, but have an overwhelming fear. I know allergy to these fillers are rare. However, when I read about these people who have had terrifying outcomes such as the feeling if broken glass, burning and flu like symptoms for years afterwards it makes me wonder why this happens? I also read that it is still under debate as to whether dermal fillers can trigger or even be the cause of an autoimmune disorder.
    Your opinion in this would be so greatly appreciated, as you appear to be such an honest and experienced surgeon. Thank you! 🙂

  • Cara says:

    Dr. Prasad's glorious head of hair is going to keep him looking good for life.

  • w rsg23 says:

    I had fillers in Aust and have too much in one cheek. A lot of doctors doing this without adequate skill.

  • Mr. Laxman says:

    Dr. Prasad i really liked your videos
    I want to know i had stuttering from my age of 6,7 how can i treat it?
    I know you are surgeon but suggest me

  • 123arcadia says:

    Hello. I have question regarding cheeks. I seem to have a vertical indent on my right cheek and is most apparent in dark lighting environments. Could be from skin redundancy or volume loss. If so, what in general is best recommendation to rectify? Thank you

  • otaku g says:

    Hello doctor please make a video about pigmentation on perioral region and it's causes and treatment options . This type of pigmentation is not like dark patches around mouth area but instead it look like a tan around the mouth . It is pretty common in girls with ethnic skin types but there is not much information about it on the internet.

  • naomi chambers says:

    I love your videos

  • Laura McCabe says:

    Does sculptural really boost collagen?

  • samiksha rathore says:

    Plz sir suggest latest treatment for acne scars

  • Mmn Nmm says:

    Hallo Dr. Prasad,

    I really like your work and wish we had so good doctors in Germany 😄 I have a question if you don't mind. I got undereye fillers 8 months ago and now I will get braces and have to go to the orthodontist, where I have to take teeth impressions and my mounth streched open for a long time. Do you think it can cause my filler to move?

  • Jazzy Love says:

    Can renuva be used to enlarge the buttocks? I wanted to do sculptra but the doctor recommended renuva I would love to hear your input on renuva pls and thank you 🙏🏻

  • LION S says:

    Hello, is there a reason why surgeons are shying away from implants and doing filler?

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