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