This is a question I hear all the time. It’s an understandable question, especially since some fillers tout their “natural” look in ads. There are differences among the various fillers, but with rare exceptions, how natural they look has almost nothing to do with the filler and everything to do with the technique of the doctor injecting the filler.
Every face is different, and most faces are different from one side to the other. That’s why it’s absolutely imperative that your physician has an artistic eye, a passion for detail and the thorough, in-depth knowledge of facial anatomy that come only with years of training.
Also, some fillers work better in one part of the face, while another may be more appropriate for another part of the face. That’s one of the reasons why we may use different fillers on the same face in different areas.
A major difference among fillers is their longevity. Fillers can last a few months, many months – and up to many years. Some fillers are essentially permanent, and they require faultless technique and an eminently conservative approach. However, when done properly and with an eye to future structural changes in the face, they can be a godsend to people, particularly after trauma.
So remember, the soft, natural and beautiful improvement that we can have with the optimal use of fillers is all about the knowledge, skill, artistry and integrity of your doctor. The claims of a more natural look by ads trying to sell you their own brand is, to put it kindly, a bit misleading.
A long lasting filler with immediate results. It works with your body's own collagen to give volume that will last years instead of months.
For people who tend to "burn up" filler, Artefill offers a solution for both needle- and credit card-fatigue. This revolutionary volumizer has been around in its present form since 2006, but I have been watching it all these years to make sure of its safety profile.
Twenty per cent of each syringe-full of Artefill is made up of microspheres -- each one being 40 thousandths of a millimeter in diameter -- of polymethylmethacrylate (known by its acronym, PMMA). PMMA is an inert substance that has been used for decades in medicine, for instance in bone glue and the intraocular lenses that are put in the eyes at the time of cataract extractions.
The other 80% is bovine (cow) collagen, which is what most collagen injections were made of back in the 90's. The reason we don't use bovine collagen anymore as a filler is because it doesn’t last more than a few months.
However it has an ionic charge that suspends the PMMA microspheres the perfect distance from each other while they stimulate the body to form its own collagen around them. PS: For those of us who try to live cruelty-free, I've been assured by the company that the collagen is procured from trimming the hooves of this closed herd of cows - a pedicure, if you will.
For those of you who seem to metabolize away anything, take comfort in knowing that 20% of each Artefill treatment just can't be metabolized, so you get to keep it. Some people ask for multiple sessions over time so that the percentage of filler they retain becomes more and more of the entirety of the volume they want.
Oculofacial Plastic Surgeon, Sarasota, Florida
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