Author: Michele Garber

Blogger, Social Media Consultant and Wholesale Distributor. Beauty Publicist and Founder of dMK Communications, Lifestyle PR firm. Independent Cosmetic Surgery Procedure Consultant

Young beautiful woman having an injection

Fillers: How Long Do they Really Last?

I had my first filler injection in the the late 1990’s and have tried every filler on the market except Bellafill, a permanent filler.

There are more FDA approved fillers on the market today and more are awaiting approval.  The documented  length of time a Filler lasts is based on the results from the manufacturer’s clinical trials. Millions of dollars are spent on marketing campaigns and provider training courses.

Consumers should be aware that these results are guidelines only. 

The results that you get from any filler injection and how long it will last for you may differ than the documented results seen in the clinical trials. If you think that your filler will last 9 months and it only lasts for 6 months, don’t blame your injector. It’s not the product or the injector’s fault, it is the way your body metabolizes the filler and where it has been placed in your face. Lip filler is not going to last as long as filler under your eyes.

As a plastic surgery and aesthetic coach, I hear all too often from my clients that they are disappointed with their Dermatologist or Plastic Surgeon after getting for example, Voluma because it did not last 2 years as advertised. This is an average only. As the product is on the market longer the documented results may change.

Here is a realistic guideline to keep in mind when you budget for fillers.

  • All HA fillers are temporary. They will last between 6-9 months.
  • Fine line fillers Restylane Silk and Belotero may only last 6 months. In some cases less.
  • Voluma, a deeper filler may last UP TO 2 years. However, you will probably need more filler at 9 -12 months to give it a boost
  • Juvederm may last 9 months depending on placement
  • Restylane Lyft which is the same as Perlane lasts UP to 18 months. Realistic expectation 9-12 months

Non- HA Fillers

  • Radiesse lasts 9- 12 months. Realistic expectations- 9 months. Radiesse hand injections may last 9 months with a boost
  • Sculptra can last up to 25 months after the last treatment. You may need a touch-up in 12- 18 months
  • Bellafill is a permenant filler

If you have any questions or comments, I’d love to hear from you.

Remember: You Only Have One Face and One Body, Choose Wisely!

-Michele Garber

The NipTuck Talk Show

The NipTuck Talk Show is on the Move

We’re expanding. We are no longer broadcasting live on Blog Talk Radio. 

Please visit us on our new website where you can listen to our latest episodes or catch -up on some old ones. You can also listen and subscribe on iTunes and  To stay up-to-date on our upcoming guests and topics, please subscribe to our Newsletter.

We’ll be interviewing some very special guests and have some exciting show topics lined up for 2015.

Don’t miss an episode – Subscribe Now.

Past Episodes Playing

*NY Media Personality and Dermatologist  Dr. Doris Day talks about Aging Successfully, Not Helplessly

*Celebrity Hair Stylist Dustin David, Los Gatos, Ca., shares some hot styling tips, expert advice on to communicate with your stylist for the best look and how to hide scars after a Facelift.

*How to Navigate Your Beauty with internationally renowned Plastic Surgeon, Dr. Rod Rohrich.

*Advances in Breast Reconstruction surgery with San Francisco Plastic Surgeon, Dr. Scott Mosser

*Lipstick and Floss with Washington’s Top Aesthetic Dentist, Dr. Claudia Cotoca

*MicroNeedling Guru, Dr. Lance Setterfield.

*Past episodes from Blog Talk Radio will be available shortly on iTunes and our website. Guests include medical experts such as Washington’s Celebrity Dermatologist, Dr. Tina Alster, Internationally recognized Hair transplant Doctor, Dr. Alan Bauman, Host of “The Bald Truth” Spencer Kobran, Marina Bay Plastic Surgeon, Dr. Grant Stevens plus many more.

*We’ll cover hot topics, patient stories, consumer safety issues, marketing gimmicks and hypes, and more.

If you have suggestions for a show topic, or comments I’d love to hear from you please email me at or leave a comment here.

Face Lift

Revision FaceLift: The Emotional Roller Coaster of Revision Plastic Surgery

One of the reasons I founded The NipTuck Coach, a plastic surgery consulting business was due to my own cosmetic surgery disappointment and my post-surgery emotional roller coaster. You can read about my facelift  experience and disappointing surgery results here.

My plastic surgery journey included, poor post-op care, poor communications and a less than desirable outcome. This fueled my insight into the psychological aspects of going under the knife, as well as what’s wrong with the plastic surgery industry today. I’m hoping to make a difference in patient communications. 

I’m not new to the world of plastic surgery or the beauty industry.  I’ve worked in the industry for many years, have had dozens of procedures and have an understanding of plastic surgery beyond most lay people. Despite all of my knowledge and insider connections the outcome of my surgery did not meet my reasonable expectations or an agreed upon outcome. My experience with my plastic surgeon was less than stellar and I had no one to turn to for advocacy and support.

 You are probably wondering why this happened and how I’m dealing with it. A plastic surgeon’s best referral is a beautiful outcome. No plastic surgeon wants to have an unhappy patient, or so you would think. The goal is to rectify a less than optimal outcome by good communications, acknowledgment from the surgeon that the results could be better, and finding the best resolution for the patient. If the surgeon feels he/she cannot meet the patients expectations, then its up to the surgeon to do whatever is in the best interest of the patient, including referring to a colleague, who may be more skilled for this surgery. Finally, working out agreeable financial terms.  (more…)

The New Lip Plumper for Softer, Sexier Lips

Just in time for Valentine’s Day.

Sexy, soft, plumper lips.
lip injection

What woman doesn’t want sexy, plump natural looking lips? Now there is a new  Hyaluronic Acid (HA) filler on the block, Restylane Silk, which is a softer version of Restylane and the first FDA approved HA filler specifically for the lips and pucker lines.  The nice thing about all HA fillers is that if you don’t like the results, you don’t have to live it. The filler can be quickly dissolved with Hyaluronidase, an enzyme that degrades HA.

“In the FDA trial of Restylane Silk, which involved 221 mostly female patients, 98 percent had visible improvement 14 days after injection, and 76 percent still had lip improvement at six months. Study participants were offered an optional second injection at two weeks, and some took advantage of it”

My lips have never had much of a cupid shape.  I’ve aged my lips have lost volume and shape. In my quest for fuller, plumper lips I’ve tried Restylane, Juvederm and Perlane.  My experiences have included looking like a duck and getting an allergic  reaction to Perlane.  After these HA fillers my lips have  felt chapped and a little hard.  It’s been awhile since I have indulged in lip filler, so when  I heard about Resytlane Silk,  I was eager to try it to see how it compared to the other fillers.

I’ve always considered Lip rejuvenation an art, realizing that not all dermatologists or plastic surgeons are skillful at injecting lips. Therefore, physician injector selection is very important.

There were only a small number of medical practices across the country that were privileged to get a sampling of Restylane Silk in December 2014, before its official launch.  Restylane Silk is made up of smaller particles than Resytlane and the injection technique differs slightly from regular Resytlane.  According to Galderma, the manufacturer, Restylane Silk should be injected very slowly.

Dr.Victor Lacombe, a Board Certified Plastic Surgeon in Santa Rosa, California was one the first practices in Northern California to receive specialized training for Restylane Silk and had the product available. Dr. Lacombe, aside from being a skillful artist in facial plastic surgery, has an expertise in lip filler. I was excited to try Restylane Silk, and made my appointment with Dr. Lacombe at Artemedica in Santa Rosa. (more…)