Facial filler has come to be a mainstay in facial rejuvenation trailing just Botox in popularity. According to the recent plastic surgery statistics report native the American culture of Plastic Surgeons, over there were approximately 7.4 million injections of botulinum toxin (Botox) and 2.6 million dermal filler injections in 2018 

As us age, we lose facial volume leading to laxity that the skin and deepening of face lines and wrinkles. By replacing volume in key areas, face volume and be replaced providing a an ext youthful appearance. In addition, fillers and be supplied to "fill in" deeper lines such as the nasolabial folds and also marionette. Finally, fillers have the right to be offered to soften change zones in the confront which give an aged look come the confront such together the lower eyelid and also cheek junction or teartrough. Usual places to ar filler are the temples, lower eyelids, cheeks, nasolabial folds, marionette lines, lips, nose, chin, and also along the jawline.

Fillers come in different formulations such as hyaluronic acid (HA), calcium hydroxyapatite (CaHA), or polymethylmethacrylate (PMMA). The most common filler category are the hyaluronic acid fillers such as Juvederm or Restylane family members of fillers. Hyaluronic acid fillers are composed of a soft naturally developing gel the can quickly be reversed and last between 12 and 24 months.

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How lot filler is essential depends top top the area being treated and the wanted outcome. Filler come in an typical of 1.0cc aliquots delivered in syringes. Syringes have to be offered in a single setting to keep their efficacy and also sterility and not conserved or "split" between patients. Enough filler have to be inserted to watch adequate an answer without "overfilling." A typical mistake is to try and law multiple areas with an inadequate volume of filler. Underfilling outcomes in a absence of clearly shows response. To avoid this, each area must be filled to full correction prior to moving come a different area. The is useful to treat the most necessary areas an initial before relocating onto less essential ones.


Overfilling results as soon as too lot filler is placed and the area look unnatural or artificial. To stop this, that is beneficial to evaluate every area in a mirror together it is filled. If that is estimated that 1.0cc the filler would certainly be needed, inspect the area ~ 0.5cc is put before including additional filler to the area. Incremental filling will aid to protect against overfilling.

Another common cause of overfilling is multiple injections over time. Many fillers last in between 12 and 24 months meaning that over this time duration you can expect come lose around 50% of the filler that has actually been placed. Together you lose filler the treated areas will show up less filled. However, there will most likely be some filler remaining so that if the very same amount of filler is placed the area will be an ext filled or plumper. If this is repetitive over time, the treated locations can easily end up being overfilled. Importantly, hyaluronic mountain (HA) fillers can be liquified with hyaluronidase i beg your pardon is one enzyme that will dissolve the filler.

Common quantities used come treat anatomic areas.

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



*Facial Filler through Dr. John Burns. Every patients are unique and also results might vary

Make sure to talk about in consultation with your injector what locations you want treated and get an calculation for how numerous syringes will certainly be necessary. That is always acceptable to slightly underfill and also come back for much more than to overfill.


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