![]() There is also this continuous sagging of tissue around the face as we age. We lose volume as we age, but we also lose bone, collagen, and elastin. ![]() Over the past 20 years, we’ve literally looked at the aging face as a volume-depletion-only problem, which is not true. Even more troubling: what’s behind so-called “pillow faces” with too much filler that look nothing like the original person? ![]() We recently completed a study that showed fillers can block the lymphatics around the eyes and midface. That’s most likely because our natural immune system is not used to seeing the cross-linked HA that is not usually found in our tissue. Many studies have shown acute or chronic inflammation associated with some HA fillers. We now know through MRI studies that these HA fillers last many years, sometimes 10 to 15 years or longer. Then you have to ask, do hyaluronic acid fillers in their current form meet the holy trinity definition of biodegradable, non-immunogenic, and biocompatibility? Not fully. Each company-Voluma, Volure, Juvéderm, etc.-started developing their own unique blend of cross-linked HA.Įssentially, they were all the same but with different additives? To overcome this problem of rapid degradation, filler manufacturers started “cross-linking” the HA fillers, which makes them more stable and allows them to last longer. The problem with the purified hyaluronic acid is that it is not stable, and it gets absorbed within two to four days. Those statements would be true if we injected purified hyaluronic acid. 20 years ago, they were marketed as the perfect volume placement substance because they are “naturally” found in our tissue without causing any reactions-the body would just absorb them over time. ![]() When hyaluronic acid fillers like Restylane first came to the market in the U.S. The body has to be capable of breaking it down. In order for filler to be exceptional it needs three qualities: the perfect facial filler to replace lost volume, “The Holy Trinity,” and-bear with us while we get technical here-first, it has to be nonimmunogenic, which means your body doesn’t have an allergic reaction to it second, it needs to be biocompatible, which means it has to be compatible with your natural tissue and third, the filler has to be biodegradable. We haven’t found the perfect filler yet, period. fillers and treatments to avoid (eyebrow waxing is a no-no while microneedling is beneficial) that will up your long-term beauty game.įillers are known for wearing off over time, which for people looking for a more permanent fix isn’t ideal. We sat down with Parsa for an honest discussion about fat transfers vs. One of the most distinguished plastic surgeons of the moment, the Iran-born, board-certified UCLA and USC scholar is behind groundbreaking surgical innovations that use fat transfer as an alternative to fillers. It’s especially important to find a trustworthy medical professional to deliver this information. While the innovation behind injectables is impressive, as is the case with any invasive or noninvasive treatment consumers are advised to do their research on the procedures and ingredients being injected into their face and body. Here, the shimmer contains Botox, Juvéderm, and highly advanced filters that create an illusion of perfection. All that glitters is not gold-especially in the beauty industry.
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