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Posted: 11:41 a.m. Friday, Sept. 15, 2017

By Anita Mandal, M.D.
Question: I’ve been getting temporary fillers for years. While I’m happy with the results, not only is it costly to have them redone every 6 to 12 months, but I’m a very busy person and it’s time-consuming. I’d like to get Bellafill or stem cell fillers. What type of wrinkles can be treated?

Answer:When temporary fillers were all we had on the market, people had little choice. With the availability of Bellafill and stem cell fillers, long-term results are now possible. Most important, both Bellafill and stem cell fillers are very safe, more so than some popular temporary fillers. While long-term fillers are at least double the cost upfront, you save money in the long run, since you don’t have to frequently re-fill the same areas.

Stem cell fillers are prepared from your own tissues and are thought to work by stimulating your stem cells to differentiate into collagen-producing skin cells. I have been using stem cell fillers for all types of facial hollows, aging hands, deep wrinkles, fine lines and even poor skin texture. Since these stem cells are harvested from your body fat, you must have sufficient fat in your flanks or stomach area to be a candidate. It’s important to note, however, that stem cell fillers are not the same as fat injections.

Bellafill, the 5-year filler has a proven track record for lasting 5 years. I use it all over the face for hollows, deep grooves and wrinkles as well as for aging hands. Bellafill is a deeper filler and not designed for very fine lines or thin lips.

One of my most popular treatment combinations is the use of Bellafill in deeper tissues to build the facial contours and your underlying foundation. This can then be followed by stem cells injections into the remaining deep lines and superficial facial hollows or grooves as well as in the fine lines and aged skin texture.

Injector skill is key when seeking a doctor for long-term filler treatments. If you have an unsatisfactory result from a temporary filler, it’s easy for your injector to say it will go away, although that’s not always the case, even with temporary treatments.

For treatment with long-term fillers, seek a physician with a “surgeon’s” mindset who understands the value of getting it right the first time around. Selecting a Board Certified Facial Plastic Surgeon who is so comfortable with the complex anatomy of the deeper facial structures and is a high-volume injector, specifically with long term fillers, is the first step.

 

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