Achieve A Balanced Face With Fillers

One of the first things we notice as we age is the loss of facial volume, often the result of a lack of collagen, which keeps the skin full, luminous and elastic. However, the first places we think of for fillers, the central face and smile lines, aren't the only ones that could benefit from fillers that replace lost volume, and, in the case of hyaluronic acid fillers, increase collagen production. The lateral areas of the face-temples, cheeks and jawline-should be considered as well.

“When Restylane was FDA approved and other fillers became available in the U.S. market, people were very focused on the central face, the smile lines and the lips. As time has progressed, people are becoming well volumized. What I find most exciting now is sculpting the lateral aspects of the face-the temples, the lateral cheeks, the jawline and doing it in a way that completes the picture for the patient,” says Sarasota, FL, dermatologist Elizabeth F. Callahan, MD.

If you're thinking that this will leave you looking distorted, the opposite is true. “It's a natural look,” Dr. Callahan says. “The tendency over time with central volumization is that the face gets more square and rectangular. What lateral volumization does is bring the face back to its natural form-gentler, rounder, softer and very hard for the naked eye to detect that something has been done.”

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13 Comments
  • katiegal
    Posted on

    I have had filler under my eyes. The doctor used restylane and it turned out great. I am thinking of filler for the hollows in my cheeks. I have had restylane for the lines from my nose to my mouth. I love filler, I just wish it wasn't so expensive. The older I get the more filler I need

  • Kika
    Posted on

    Thank you all for your recommendations. It's something that I really need to think about and look for the best of the best doctors.

  • Elliot Jacobs MD
    Posted on

    Actually, Juvederm is a bit softer than Restylane. Neither of these products require a skin test for allergy, as was necessary years ago with Collagen.Elliot Jacobs, MD, FACSNew York City

  • Mare1
    Posted on

    I have had Restylane under the eyes:in the eye trough area. It is an amazing result but it is definelty something that you need to do your homework on. The skill level of the doc is key! mine lasted a year and is the biggest anti-aging bang for the buck. An HA filler is the only way to go - the others are too thick and should not be used in that area.. Bruising is unavoidable so be prepared for 5-10 days at least! After that you may be able to use coverup to conceal the bruising. Ask questions! I would be very leery of going to anyone other than a board-certified plastics or aesthetic medicine specialist or dermatologist! You get what you pay for and the skill and technique of a professional is key.

  • Vera
    Posted on

    First of all, I think he used the wrong product. Juvederm is so thick, and better used in lips or really deep wrinkles. I had circles under my eyes which disappeared entirely with Restylyn. Something to make note of, is that the Dr. is supposed to do a skin test for sensitivity or allergic reaction. My Dr. did not and I look like I have cold sores on both corners of my lips, they are constantly dry and cracked, and lastly, I have blisters on the inside of my upper and lower lips! I cannot wear lipstick either! This is all a result of using Juvederm, and could have been easily avoided with a simple skin test!

  • Em
    Posted on

    I am surprised that the doctor has not tried hyaluronidase - it is an enzyme that will dissolve hyaluronic acid.

  • Elliot Jacobs, MD, FACS
    Posted on

    One of the advantages of using Restylane, Juvederm and the other HA's is that there is an "antidote" -- in essence an injection of hyaluronidase which will melt away excess or misplaced Restylane, etc. Inquire of your physician if he has it -- it can help in cases in which too much was injected or it was placed in the wrong area. Elliot Jacobs, MD Plastic Surgery, New York City

  • aztartangirl
    Posted on

    Kika, be extraordinarly careful with injections under the eye. The Juvederm I had injected has left an area about the size of my thumbtip under one eye that accentuates the hollow just above. Unfortunate, my doc says that these injections last a very long time and it is true. It's been a year and the lump is still there. Just hoping my body breaks it down before much longer. Think I would much rather have cheeks volumized from under the cheekbone rather than to try and fill that delicate under eye area.

  • Judi
    Posted on

    Botox and Restylane worked wonders and took over ten years off my face. In May I had Perlayne with anesthetic fill my wrinkles and it still looks wonderful, the best part is, I didn't feel a thing.

  • bfunn
    Posted on

    I had juvederm injected under my eyes about 9 months ago. Initially I could see a small amount of lumping but it eventually smoothed out and now I could not be more pleased with the results. I hear there are other fillers that work better for the cheeks and eyes but I have not tried them.

  • Kika
    Posted on

    I've been trying to make up my mind about getting fillers under my eyes... I hate the dark circles around/under my eyes. Is that anyone out there that have tried fillers under the eyes? if so, give your opinion, please:)

  • Lisa
    Posted on

    But definitely find a good doctor because even celebrities who make their living on how they look have that over-inflated look with TOO much filler on their face and definitely does not look natural or good.

  • anonymous
    Posted on

    I couldn't agree more. People tend to think that pulling the skin taught will achieve a younger look, but fillers look much more natural. Unless you have hanging skin, fillers will give a more youthful look. However, it's a shame doctors and the filler manufacturers charge such exorbitant fees for the product and injection procedures, which puts the price out of reach for most people. And the duration of the product tends to be exaggerated. All of the "top 3" fillers tend to last about 8-12 months for me.

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