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Posted: 6:00 a.m. Sunday, Oct. 8, 2017

By Anita Mandal, M.D.
Question: I’m tired of refilling with temporary fillers. I’ve tried Juvederm, Restylane, Radiesse and Sculptra and they all go away too fast. I love the idea of a 5-year filler like Bellafill but I’m worried that, as my face ages and my skin thins out, the filler will become visible since it lasts so long. Is this true?

Answer: You should not be concerned that Bellafill or any other safe long-term injectable filler will become visible over time. This is simply NOT TRUE! Fat injections have been performed for more than 20 years and fat is not typically known to become more visible with age when done correctly. I am in my 5th year of performing Bellafill treatments and have not come across a patient where filler under the tissues becomes visible as the face ages, not even 4 to 5 years later.

Consistent with the 5-year FDA study, Bellafill not only has an extremely high safety profile, but also shows very low risk of lumps and bumps. The other interesting observation that many patients notice about Bellafill is that the treated facial areas look better over time. Six to nine months after injection, it is not uncommon for patients to say they look better than in the first month after injection. This effect is due to the long-term collagen stimulatory effect that Bellafill has over the tissues.

When selecting a filler, it’s important to look for a surgeon who not only understands aging facial anatomy and the various region-specific injection techniques, but also the has a strong aesthetic eye for creating natural results. Knowledge and technical skill have little value unless the final result looks natural. Selecting a board certified Facial Plastic Surgeon is the first step.
 

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