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Is It Safe To Have Two Different Fillers in the Same Area?

Posted: 6:00 a.m. Sunday, Jan. 28, 2017

By Anita Mandal, M.D.
Question: I had Juvederm placed in my cheeks 6 months ago. While I look better, enough was not done and I still have some volume loss. I’m interested in a longer term filler like Bellafill since some of the Juvederm is already going away. Do I need to wait for all of the Juvederm to go away before I get a different filler in the same area?

Answer: I routinely don’t wait until 100 percent of a previously injected filler has gone away. There are several reasons for this approach. First, there is no way of knowing if a filler has fully been resorbed by your body. Even a one year filler can still be present in your tissues 2 years later. I’ve seen it happen! There is just no reliable way to test for the presence of residual filler in your face.

On top of this, many patients who have had fillers don’t necessarily remember what or how much filler they have had or exactly in which area or how long ago it was. Some patients even forget that they have had a filler in their face.

Given all these variables, I don’t doubt that, for years, physicians have been injecting fillers into the same area without even knowing that there was a different residual filler in the treatment area. Despite this occurrence, I have not yet come across a patient who has had issues with having different fillers in the face.

As a safety measure, I do not to actually mix two different fillers within the same area of injection. For instance, in treating nasolabial folds (NLF), some patients not only have deep depressions but also have superficial lines in the area of the NLF. I often treat this type of aging by injecting a deep filler such as Radiesse, Restylane Lyft or Bellafill – The 5 Year Filler into the depressions. This is combined with injecting Restylane into the superficial nasolabial lines. So even though these fillers are placed in the same area at the same time, they are not actually mixed within the same tissues.

Another common example is when a patient, such as yourself, still has temporary filler in their cheeks but desires more volume restoration using a long-term filler like Bellafill. In this instance, I don’t actually inject into the existing temporary filler that sits in the tissues. Rather, I inject into the visible area of volume loss which should not contain pre-existing filler.

A skilled Facial Plastic Surgeon who understands the detailed facial anatomy of aging and the unique properties and differences between the many types of injectable fillers can help you decide the most suitable approach for your individual needs.

 

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