The Biggest Myths About Fillers Set Straight

They may be heralded as magic in a needle, but there’s also a lot of misinformation swirling around out there about fillers. Before you set foot in your doctor’s office, make sure you know what these age erasers can and can’t do so that your expectations are realistic and you are happy with your results.

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Anyone is able and skilled to inject filler under the eyes.

When it comes to correcting deep depressions under the eyes, filler, when used appropriately, can do the trick. For years, fat was the go-to for correcting this problem, but now it’s filler. When it comes to injecting filler under the eyes, seek out an expert injector who has experience in injecting filler in this area because it can be a risky area to treat. 


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Getting filler is painful.

If done right, you shouldn’t really feel much of anything let alone any pain during the treatment. Your skin is usually numbed with a topical numbing cream first (about 20 minutes or so before your doctor will inject you). For things like lip injections, a dental block may be injected, too. And, if that isn’t enough, pretty much every type of hyaluronic acid injectable that’s currently approved for use in the U.S. contains lidocaine, which takes effect as soon as the product is injected to make the entire process more comfortable. 


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Once you get filler, you will become addicted to it and have to get filler forever.

You may like the effects of how your filler looks, but your face itself cannot physically get addicted to filler, leaving you a slave to injections for your entire life. New York dermatologist Jessica Krant, MD, says that hyaluronic acid fillers are intentionally made to be temporary (lasting between six months and two years depending on what’s used and where it’s injected) and are gradually dissolved by the body, leaving nothing behind but potentially some new collagen growth. “The only addiction might be that you love how the fillers look and want to do it again and again.”


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If you get injected with filler, it will be totally obvious.

“Not so,” says Dr. Krant. “The only fillers that you notice are those that are overdone or misplaced. Sometimes, overly full cheeks can be from surgical implants rather than injectable fillers.” To make sure that you don’t end up looking ‘done’ or ‘fake,’ seek out the expertise only of a board-certified dermatologist, plastic surgeon or facial plastic surgeon who has years of experience injecting the area you are interested in correcting and working with FDA-approved injectables, too. 


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Permanent fillers are the only way to go because the results are longer-lasting.

The most important thing to understand with fillers of any kind is that despite having injections, your face will still continue to age. “Aging is a dynamic process that involves a gradual decline in bone and soft tissue volume,” explains Scottsdale, AZ, facial plastic surgeon Kelly Bomer, MD. “Our skeleton becomes smaller, and an augmentation to the cheeks and lips that looks good when we are 50 will not look appropriate when we are 60 because our skull is now a smaller size and has a new set of proportions,” she says. “Permanent filler in the face leads to a face with unnatural proportions that are too big and in the wrong position as the aging process continues.” Permanent filler isn’t reversible like hyaluronic acid filler is. 


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Every line and wrinkle can be treated with filler.

There’s still this misconception that filler and neuromodulators are one in the same and work the same way. Neurotoxins or neuromodulators like Botox, Dysport and Xeomin work to weaken the facial muscles that cause lines and wrinkles, giving a more relaxed and smooth look to skin. “Fillers are mainly for revolumizing flat or hollow areas of the face. Some fillers are for fine, superficial lines, but these lines are difficult to eradicate and should only be treated by experts who know to keep filler in the correct level of the skin,” says Dr. Krant.


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