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Facial plastic surgeon Dr. Ben Talei specializes in non-invasive treatments like injectables and lasers. He shares that in the filler family there are permanent and semi-permanent fillers, however, both can have long-lasting effects.
Dr. Talei shares that injectables are not designed to be used to make big changes in your face, however, they do get used that way. He also calls them "unpredictable," sharing that the beads or paste can move after injection. Fillers can also cause problems like clogging vessels, and long term it may cause inflammation issues and scar tissue.
The more benign fillers are hyaluronic acid fillers that are injected to add volume, smooth out skin, lips, and to get rid of hollow-looking eyes. Even if they are temporary fillers, Dr. Talei warns that some of it goes away and some of it doesn't.
Your face can develop fatigue from the fillers, which can move and migrate over time. The fillers can block your lymphatic drainage system and you can develop a permanent puffy allergy look around your eyes. He does not recommend that you keep adding gel and water to your face, warning that it will age you more rapidly and the elasticity of your skin will change because you will be carrying more water weight in your face.
Dr. Talei shares that he would opt for a skin tightening procedure over filler if you find yourself wanting to do more and more. He shares that you might have a week of downtime after the procedure, but you will look more natural and like yourself versus the look of filler fatigue.
Should you still do filler? Dr. Talei says, yes, fillers can be great but advises that they should not be used as maintenance every 4-6 months. He recommends years between treatments.
What can you do if you have filler fatigue? Dr. Talei shares that it's very hard to get rid of filler. There are dissolvers, but it will cause damage, and it can make a huge change on your face. He describes it as something to use only because you have to and recommends not to rely on it.
Dr. Talei shares if you are going to get filler to find someone that will inject it conservatively and who themselves does not have filler fatigue.