Filler Myths Debunked: Expert Insights from Mona Dermatology

Filler is a popular injectable cosmetic treatment for adding or restoring volume in the lips, cheeks, under eyes, jawline, and more. Board-certified dermatologists, Dr. Mona Foad and Dr. Alexandra Bowles, share the truth behind what you may have heard about filler myths and whether or not it’s fact or fiction.

“One syringe of filler will be enough to treat multiple areas on the face”: Fiction

Dr. Mona: Believe it or not, a syringe of filler usually only con-tains 1 ml of product. In comparison, a ketchup packet contains over 8 ml. For this reason, one syringe of filler does not go that far, especially when trying to restore lost volume in multiple areas of the face such as the cheeks, temples, lips, and more. How many syringes do most people get? That depends on how many areas you want to treat and how much volume loss you may have. If you are nervous and only want to do one syringe, I recommend choosing one area on your face, like your lips for example, to get the best result.

“Fillers replace lost volume that happens as we age”: Fact

Dr. Mona: We naturally lose volume in the face as we age. We lose bone, muscle, and collagen at the same time as our fat pads flatten and shift downward, all of which can cause jowling and a more sunken or hollow look. Fillers can be a great way to immediately treat areas where volume has diminished and to restore a more youthful version of ourselves.

“Most fillers are made up of products that are naturally occurring in your skin”: Fact

Dr. Mona: Hyaluronic acid is produced by our bodies and can be found in areas such as our eyes, joints, and skin. Most dermal fillers are made up of hyal-uronic acid, such as Juvederm Collection, RHA Collection, Restylane, and Belatero. Hyaluronic acid fillers are a great option because they have a very low risk of allergic reactions, due to their natural occurrence in the body. The other benefit of hyaluronic acid fillers is that they are dissolvable, so the treatment can be reversed if necessary. Radiesse, another popular filler, is made of calcium hydroxyapatite, another naturally occurring substance in our skin.

“Filler is unsafe or risky”: It depends

Dr. Mona: Although most filler treatments are safe, with few side effects, complications are possible with any medical procedure, and filler is no different. There are many blood vessels and arteries in the face. If the filler is injected into these areas, serious complications can arise. However, choosing the right provider is the best and most important step you can take to reduce this risk and ensure you have a safe and effective treatment. Ensure that the office you are visiting has a physician on staff who is board-certified in a related field, such as a Dermatologist or Plastic Surgeon.

You also want to ensure that the individual provider who you are seeing has extensive experience and training in not just the treatment, but also on how to handle any complication. At Mona Dermatology, all of our providers hold advanced degrees (such as MDs, DOs, PAs, NPs). They also train for a minimum of six months prior to seeing patients. It is important to ask your provider about these potential risks at your first visit and understand how they will handle a complication in the unlikely event that it does occur.

“Lip filler will look unnatural”: Fiction

Dr. Alexandra: Filler injections are highly customizable. Results can vary depending on the provider’s technique as well as the patient’s natural lips. Often, individuals you may see with obvious over-filled lips have had multiple syringes placed in the same area over a short period of time. A well-trained provider who is skilled at giving natural-looking results can enhance the shape of your lips in a way that still fits your facial anatomy. We discuss patient expectations and proportions before each procedure to ensure that both myself and the patient are on the same page with regards to shape, volume, and overall look. Additionally, as we age, we begin to lose volume in our face such as the mid face and lips. Filler treatments is a great way to maintain the youthful volume in these areas and continue to age gracefully.

“Filler can correct facial imbalances”: Fact

Dr. Alexandra: Dermal filler treatments are a great way to correct asymmetry and balance facial features. Popular treatment areas for balancing the facial pro-portions include temples, cheeks, chin, jawline, and lips. It is very important to see a provider who can do a full facial assessment. They are able to provide you with a treatment plan that addresses all areas of your facial anatomy. It is always beneficial to see before and after photos of past full-face treatments your provider has given. Providing volume in proper areas can result in a beautiful refreshed result that still looks very natural.

“Filler goes away quickly or stays for a long time”: It depends

Dr. Alexandra: Hyaluronic acid–based dermal fillers, such as Juvederm or RHA, last 6–18 months. Filler is metabolized in the body varies between patients and depends on the area treated and type of filler used. This determines the speed it metabolizes at. For example, filler around the mouth may not last as long as filler in the cheeks. This is due to the properties of the filler and constant movement of the mouth. As a result, it is possible some people may notice their filler results disappearing quicker or lasting longer.

“Filler will make me look frozen”: Fiction

Dr. Alexandra: A common misconception! Fillers add volume to treatment areas, such as the lips, cheeks, or undereye. A filler treatment will not give the ap-pearance of looking “frozen.” Botox on the other hand, is a neurotoxin which temporarily paralyzes or softens muscle movements to relax wrinkles over time. It is possible that someone could get too much Botox. By stopping their muscle movement entirely, which can lead to this frozen look. A well-trained provider utilizes techniques that ensure your muscle movement is appropriately reduced while still maintaining a natural look.

“It’s expensive”: It depends

Dr. Alexandra: Depending on the office where you are being treated, a sy-ringe of filler can range from $600 to $1,000. If you are treating one area, such as your lips, it is possible to only need one syringe. This will leave your final cost of treatment under $1,000. You may need a larger number of syringes when treating multiple areas. Large amount of volume loss you wish to replace may also require a larger number of syringes. If you are considering a filler treatment and are curious about the cost, it is best to have a consultation. At your consultation, your provider can provide you with a personalized treatment plan and estimate costs before beginning.

Take a look at this patient’s results after a lip filler treatment: