When fillers don’t seem to last as long as they should.

Hi I'm so frustrated I have tried several different kind of fillers, the last one was volume(juvederm). It only last a month and it was gone. I tried juvederm ultra,perlane and same thing. What can I do? Im so frustrated my checks are so sunk in looking.

Glad you wrote – I think others have this concern.   In my opinion, there truly are people who seem to metabolise the hyaluronic acid based fillers more quickly – but they are rare!

Usually, it’s that the dermatologist or nurse injector failed to educate a patient about how much it really takes to create a good base.   After a really great base is created, then maintenance is usually once or twice a year.

Depending on your facial type, a good way to think about this is …..approximately one syringe per decade.   This is true for Sculptra also.   So… if you’re 53……a base would be about 5 syringes with probably about 2-3  annually after that.  I would vote strongly for doing those 5 syringes in 2-3 sessions about 2-4 weeks apart.  The quality of the work will be better.

  Sculptra (but find an expert injector) is a good option for you, if you turn out to be that person who really does chew these up fast.

Hope this helps,  Dr. I

Dr. Brandith Irwin, MD

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