- So if a slimmer face is generally more attractive,
why is it that we are using dermal fillers to fill the face?
Assuming that you are not too,
(Gavin sucking cheeks)
skinny or gaunt in the face to make you look unhealthy,
generally slimmer faces are better looking.
To illustrate this point, we're going to look
at some celebrities who have put on large amounts of weight
to play a certain role.
And our first example, we have Christian Bale.
Now, in his roles as American Psycho and Batman,
you can see he is very fit, he's got a slimmer face,
but then he goes on to put on a significant amount
of weight for his role as Dick Cheney in the movie, "Vice."
And you can see his lost all his definition of his face,
he looks round, he's lost his cheekbone definition,
his jaw sort of blends into his neck.
Let's take a look at Charlize Theron,
what a stunning, beautiful lady.
And she has also changed her weight for different roles.
You can see here in her role in "Monster,"
where she's gained a significant amount of weight.
And she again, has lost those cheekbones,
that contour of the face, that beautiful contour
that she had to her face, it's all become a bit more round.
And she's purposely gone to lose a lot of appeal
by putting on this weight and playing this character.
Many people will argue that as they age,
they tend to lose facial volume and therefore they should
replace that volume with dermal fillers.
But it's quite often the case that I have patients tell me
that they actually like their face as they get a bit older.
So maybe in their teens or their twenties,
they felt their face was round, lacked cheekbone definition.
As they got older, they lost a bit of facial fat
and interestingly, they feel their faces
look more attractive and they look better
as they go into thirties and forties.
Let's look at this example of Jennifer Connelly,
I think she's an absolutely stunning looking actress.
And because she's been doing movies for quite some time,
we can go back to her earlier roles
and you can see that she's got a lot more of a baby face
back in her younger days.
But she actually,
I think she gets more attractive the older she gets.
And you can see she's lost a bit of facial volume,
but it's actually improved the definition of her cheeks
and highlighted some of the contours of her face.
And you can really see that she looks great
despite losing some facial volume.
So again, why are we using dermal fillers
to inflate the face if a slimmer face looks better?
Especially when you see so many overfilled faces out there,
there's many examples.
Well, some people argue that they're putting in fillers
to define the cheekbones, to define the jawline.
However, fillers can't really do this.
Now, you will probably see a lot
of before and after pictures on the internet
where people have shown you a defined cheekbone
or defined jawline, but the problem is
that these photos are taken immediately after treatment.
So you're not getting a good picture
of what happens long-term.
Now my belief is that fillers tend to flatten
and spread a little bit with time,
so what you put as a defined line in the cheekbone
or in the jawline eventually becomes mushed down,
it's flattened and spread,
so you cannot create definition with fillers.
I've had patients have multiple, multiple mls of filler
to try and create this defined cheekbone or jawline look,
only to end up with a puffy face.
And we have an interesting comment from our channel here,
which says, "I know a guy who had 15 mls of filler,
every bit of his character and his once handsome face
has been plumped out and smoothed out.
He's happy, but he looks like an egg."
The only way to get defined cheekbones or jawlines
is to be at a certain body weight or fat percentage level
that the fat over the cheekbones and jawline is thin enough
to show the definition of your boney structure.
But it can also go too far, and that's when you,
if you get too skinny and you start
to sink in in the cheeks, sink in in the temples,
sink in around the eyes, that can take things
to the other extreme, which is also unattractive.
So you could argue, why don't you use dermal fillers
in the case where someone has become too slim
or has got too much fat loss in the face?
And the reason for this is, fillers are generally not great
at fixing global volume loss.
That means you have to put in filler
in virtually every part of the face.
And this requires a lot of volume of fillers,
and it's really unfeasible in many ways.
So in this case, it's much better to simply get back
to a weight which is more healthy
and you will not need to spend a cent on fillers.
So if we don't use fillers for filling the face,
what do we use them for?
Well primarily, fillers are used to balance
and proportion the face.
They're there to balance up your features,
and say for example, if you have a small chin,
to enhance the chin,
if relative to the cheeks, your temples are a bit flat,
it's to balance the volume in the temples
with the volumes in the cheek.
So it's not for generalized filling,
it's for balance and proportions.
And the other thing that we use fillers for,
is to smooth transitions.
So for example, the tear troughs,
the transition from the lower eyelid to the cheek
is often seen as a tear trough,
and that's a hollowness just along the lower eyelid,
and this can be filled to help smooth that transition,
but only tiny volumes are needed.
So, we're just smoothing things out.
So the key message here is don't use bulk volumes
of dermal filler to generally fill the face.
That is, every drop of filler you place in your face
should have the end goal of making you look more attractive.
Your injector has to have that in mind
when they are injecting you,
otherwise, you're just bulk-filling the face
for no particular reason,
increasing its volume without any goal in mind.
And it only takes the tiniest, smallest amounts of filler
to make a really nice change to someone's overall face
and their appeal.
My most common volume for treatment
is actually only one ml of filler,
and I place this one ml very strategically
in different spots in the face to support,
to balance, to smooth transitions,
and that can achieve a really nice change.
You can get a really big change
with the smallest amount of filler and it lasts for so long.
So if you're thinking about having filler done
or getting filler done, make sure your injector
carefully assesses your face prior
to each dermal filler injection.
There should be a very clear aesthetic goal in mind
for each treatment.
And if there's already enough there, don't put any more in.
And also don't be afraid to actually
take out dermal fillers if they don't look right.
Don't expect dermal fillers to dissipate by themselves.
They generally take a very, very long time to go away.
One of the best ways to maintain an attractive looking face
is to maintain a healthy weight,
to give you that nice contour and slimness to the face.
And if you're underweight,
make sure you try and get that weight back on.
And that will bring about a lot more attractiveness
to your face rather than simply just putting in fillers
and doing a bulk-fill.
Hope you enjoyed this video
and I'll look forward to seeing you again in our next one.