Good Morning Beautiful Friends! Today’s post is a continuation from last week’s post by Dr. Rassouli on Dermal Fillers. I’d like to go a bit more in-depth on where in the face you can get dermal fillers, specifically Juvederm and Restylane.
Even though the bulk of Dermal Fillers are made from Hyaluronic Acid (HA), the HA particle sizes can vary between the products. There are fillers that are meant to be injected deeper into the face, creating a “building blocks” effect (larger particles). There are also fillers that are used much more shallow to reduce the appearance of crepey skin (smaller particles). It goes without saying that the right filler needs to be used in the right spot.
What Are The Most Common Areas For Fillers?
The common locations requested for fillers placement really varies with age.
When you are in your 20’s and 30’s, your skin hasn’t really started to show the signs of aging yet. This is when you see people requesting fillers for enhancement and definition. A good example of this is the lips and cheekbones.
As you get older, the use of fillers becomes more about the rejuvenation of the face and replacing the lost volume that naturally occurs.
If you have a look at the following image, you will see how gravity and aging will affect the face.
This highlights very well some of the more popular locations we use fillers in our older population. Some of the sites that will provide you with the most obvious ‘refreshed’ look include the temples, outer cheekbones, and tip of the jawbone. These will all give your face a nice lift.
Are There Any Limitations To Placement Of Fillers?
Fillers can be placed pretty much anywhere in the face with a few considerations. Have a look at this diagram of facial anatomy layers:
It’s important to note that the fat pockets of the face are not all attached to each other, and some areas of the face don’t have any. These fat pockets move/droop as we age.
Our foreheads and along the bridge of our nose naturally have little to no under the skin (subcutaneous) fat. There have been several documented cases where the skin overlying the nose loses its blood flow from having fillers injected there. This is a medical emergency requiring rapid intervention. Patients should be made aware of these risks by their injector. Always as questions!
Another area that can be tricky for fillers use is under the eye region (tear-trough zone). This skin is so thin and there is little to no fat. It is pretty much skin overlying muscle. Injection of this region should be done with great care, and it is not recommended for everyone.
What Should You Do If You Just Want A Little “Something” – But Are Unsure What?
We often encourage patients to consider SkinBoosters, either alone or as an adjunct to any laser treatment or cosmetic surgery.
SkinBoosters are HA fillers that use special technology to place microbeads of product in indicated regions to provide an overall refresher.
They are a great option to start with and are very long-lasting.