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Dermal Fillers

Michael G. Cedars

Michael G. Cedars, M.D.

Alta Bates Summit Medical Center - Alta Bates Campus

Surgery Center Division

Alta Bates Summit Medical Center - Summit Campus

Brown & Toland Physicians

Question:

Can you give me some information about dermal fillers? How long do they typically last, and are there side effects? Of all the dermal fillers currently on the market, which one do you think is the best?

Answer:

Depending on the filler, they typically last six to 12 months, and most require only a single treatment to create their effect. They vary also in terms of stiffness, so the best one for, say, the lips would be different from other areas. The softer filler may last only about six months.

There is one filler that lasts perhaps two years, but it requires a series of monthly injections, typically four to five, to gradually build up the fullness.

Also of note is that many of the products are a form of "hyaluronic acid," which is a normal body substance. These particular fillers can be made to dissolve away in the unlikely event that someone develops excessive lumpiness at the injection site. Although I've never had to do that, it's nice to have such a safety net, and I tend to prefer using them at a patient's first treatment. Side effects are almost always limited to lumpiness and bruising. Very rare is the risk of scarring from inadvertent injection into a blood vessel.

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