dermal fillers

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


Tips for Getting Ready for that Special Occasion!

The time is approaching and you have a special event coming up. You’ve bought your dress, shoes, accessories, scheduled your hair and make-up.

You want to look your best.

Maybe you’ve been thinking about having a facial, a chemical peel, a little Botox, dermal fillers, Laser or IPL treatments. Since you want to look your best, you need to plan a schedule for these treatments allowing yourself the proper time for healing or any adjustments.  Don’t want until the week before your event.

Here are some factors to keep in mind when you make your appointments.

  1. Schedule a series of facials at least 4-6 weeks in advance. If you have sensitive skin you could break out. The goal is for glowing, healthy skin before the big day.
  2. If you plan to change skincare products, start 6-8 weeks before the event. Any change in products could cause your skin to react
  3.  If you are using Retin-A products. Stop one week before the event, so you are not red or peeling.
  4. Schedule any chemical peels at least 4 weeks before the event. You want your skin to glow-  not be red, flaky or peeling.
  5.  If you are planning on having any Botox or fillers- take arnica pre-injection and post to minimize bruising
  6.  Botox should be scheduled at least 2 weeks before the event. You may bruise, it takes 3-7 days to kick in and you may need to tweak the area.
  7. Lip fillers- at least 4 weeks in advance. You may be swollen for 7 days and you really will not see the final effect for two weeks. Juvederm swells more than Resytlane, but Juvederm tends to last longer in the lip area.
  8. Eye Hollows- at least two months in advance. You could have severe bruising in this area and puffiness. I would not take any chances. Two- three months of healing should be enough.
  9. Dermal Fillers – Two to three weeks in advance. You may bruise, and have swelling. Plus if you need any adjustments you will have time. This includes, Juvederm, Restylane, and Radiesse.
  10.  If you choose to use fillers such as Sculptra, you will need to start several months in advance, as this filler requires more injections and time to see results.
  11.  Looking to rid of brown spots with IPL? Chances you will need to have several treatments, Start as early as six months in advance, this advice is the same for any type of laser treatment, even vein therapy.

If you have any questions, ask your dermatologist or plastic surgeon.


Plastic Surgery: Life after a Face and NeckLift, What You Should Know!

It has been 8 months since my face and neck lift. There are many aspects of this journey that I was not ready for and many that I was…

I am still numb along the sides of my cheek area, and at times still feel pulling around my neck. This is quite common. To my dismay, my neck is not as tight as I had hoped, there is residual laxity. This can happen. The neck is the most difficult area to treat and one of the most common areas of complaints. There is fine line between too tight and not tight enough. Achieving a natural look is the goal of every facelift. Sometimes, the surgeon pulls as much as he can during the surgery, only to find that as the patient heals, he/she, has not pulled tight enough. There is no way to predict this. When this occurs, you either have to live with it, or have revision surgery. I have chosen a revision after my year mark… Sounds like another blog topic . 🙂

Here are some things that I would like to share:

  1. Do your research. Ask lots of questions. How many procedures has this surgeon done? What is his/her revision rate? Read about the medical procedure, familiarize yourself with the medical terminology and the various techniques used in facelift surgery. Understand what your surgeon will be doing; the expected results and what the policy is if you are displeased with your results. If you are not clear, ASK questions until you are comfortable with the surgery, your surgeon and your decision.
  2. View Before and After photos of current patients. Ask to speak to a couple of them before you make your decision. Do not rely on here -say or pictures alone.. Try meeting in person with the patients before you make a final decision.
  3. If you choose a surgeon out-of-town, prepare for a different post-surgery experience than you would have had from a local surgeon. Your local surgeon will schedule more post-op visits. Ask the surgeon, if he is out-of-town how he handles his post-op patients. Know this in advance, so you are not disappointed or angry with your surgeon, post-op.
  4. Expect to take more time off than your surgeon suggests especially if you are over 50 years old. Although you think you are in excellent health you are not 35. Your body takes longer to heal, it may take 4 – 6 weeks before you really feel yourself.
  5. If you are staying out-of-town, hire a nurse for the first 48 hours, unless you have a friend or family member who is calm about how you are going to look, right after surgery. It is worth the extra money and will give you peace of mind.
  6. Ask your surgeon to please not change your ear lobes, unless you want them changed.. If they do after surgery, make sure that your surgeon is aware of this and will fix it for no charge. Your ears are swollen- no earrings for awhile.
  7. Take care of your skin pre-surgery. Use the right combination of anti-aging and brightening ingredients so you will look radiant after surgery. Have a chemical peel if you need to rid of brown spots. Another option is to combine laser resurfacing with your facelift . You are spending all this money on your facelift, your skin should reflect your refreshed look.
  8. Try not obsess about how you look right after your surgery. Healing takes time and everyone heals differently. If you look into the mirror everyday and question every little flaw on your face or neck, you will drive yourself and your family crazy. Give yourself time. You will see your face evolve and one side may evolve differently. Be patient. Don’t freak out if you are not looking like you expected at first.
  9. Discuss any issues of concerns with your surgeon. You are NOT being a pest. You only have one face and you paid good money for your facelift. If you are not getting the response you need, be persistent. Go to his office and wait if you have to. A good surgeon will be concerned about your concerns and will address them.
  10. Don’t be surprised if you feel depressed after surgery. This is something that many surgeons do not discuss with their patients and they should. It is normal to feel this way and for some this feeling persists for many months. Seek help. Talk about it with others.
  11. Sharp pains after surgery is a normal healing process. The nerves are re-generating. Don’t be scared. You may also experience itching.
  12. As the healing process progresses, you may see things that you do not like. Sometimes they resolve. Give it time. wait until 6 months before you share your concerns with your surgeon.
  13. Having a facelift does not mean you will never have to use fillers again. NOT TRUE! If you are having a facelift plus fat transfer then you will probably not have to use fillers. If you only had a facelift and you are middle age, chances are that you will still need fillers. A facelift will not address volume. The lines around your mouth will not change with a facelift. You may need fillers there or laser treatments.
  14. You will remain numb for a long time.. not to worry. The feeling will come back. If you have any concerns about this ask your surgeon.
  15. This is a huge decision. Know what you are getting into. Prepare yourself and your family.
  16. Costs vary depending on where you live and who is doing your surgery. Facelifts can start at $10,000 and go over $20,000+ including OR, anesthesiologist, Nurse, Hospital and pre-op tests.

Some surgeons are willing to discount procedures, due to the economy. I predict that as the economy improves these discounts will diminish.

I would love to hear your Facelift or cosmetic surgery experiences or any tips that you would like to share.