Our guide to Facial Fillers, from treatment options to recovery time


Fillings can do more than improve your lips and wrinkles.

They can lift sunken scars; staple hands; bright kavala eyes; and sharpening jaw lines that have become soft. The doctors we spoke to universally use brawny structural fillers (Radiesse, JuvĂ©derm Ultra, Restylane Lift) in the hands and jaws. For the translucent eye area, inject a fine layer of a more liquid HA – one that does not swell or throw a bluish glow (called the Tyndall effect) – "can lift the skin up and away from underlying vessels, dark discoloration and cavities" says Kassardjian.

For acne scars, there is currently only one filler of technical FDA-approved for the job: Bellafill. "Because it is acrylic based, it has more lifting power to correct depressed scars," says Lorenc. Nevertheless, many dermatologists and plastic surgeons think that, despite their longevity and longevity, they want to deal with divots with smooth, reversible HA instead.

"When we treat scars we must inject superficially," explains Devgan. "So we have to be careful with something that can not be solved, which poses a risk of bumps [lumps], because if you get a little imperfection, we must either leave it or surgically remove it – and that's not a good option. "

Courtesy of Shereene Idriss

But they can not fix absolutely everything.

Fillers, by themselves, can not counteract significant degradation or disappear deeply etched lines. The small traces that score the upper edge, for example, are usually present with some degree of lethargy, Kassardjian says, and may require a pu pu discreetly of procedures including fillers, botox, shells, micronedling and / or laser resurfacing. Same for smiley lines: If they really have been excavated, fillers can not completely erase them. And while it may have slug skin to some extent, do not expect a facelift.

They are not for absolutely everyone.

Fillers are away from the table for pregnant and breastfeeding mothers, along with all who fight for active infections, and people who are allergic to filler. (Some are premixed with the anesthetic lidocaine, tell the doctor if you are allergic, so he can avoid them. Because Bellafill contains nutcollagen, usually an advance test is required.)

Radiesse should not be used for people with severe allergies or bleeding disorders, reports Geraghty. "Patients who have a reduced immune system or have a history of autoimmune disease may also need to avoid filler," Kassardjian says. And if you're prone to keloids, your injector sample has a small, discreet area before hugging your face.

Yes, injections hurt – some areas more than others.

Regardless of the filler inside, a needle to the face is a needle to the face, says Idriss. Some gels contain lidocaine, but according to our experience they are still smart. Current numbering creams, ice bags, vibration tools, and now ProNox (a self-administered laugh gas) can help reduce – or at least the diverting. Perhaps the most ouchy area for all, "the lips have a lot of nerve endings, so for sensitive patients, I often inject lidocaine into my mouth to temporarily block pain in and around the lips," says Geraghty.

You can see blow and swell after.

From purple pinpoints to black black eyes, bruising is a super-common side effect of injectable substances, which stem from needle size or more seriously damages a blood vessel. To reduce the risk, try not to dive any drugs or supplements that may increase the risk of bleeding in the days before your meeting (ie aspirin, ibuprofen, naproxen, fish oil, ginkgo biloba and St. John's Wort). You can see some swelling too – keep in mind: filler draws in water – but it tends to peak two to four days after shot and then decrease. "Give swelling and bruising for at least two weeks to resolve before you judge your results," says Geraghty.