Filler treatments in multiple places on the face: Get them all at once or spread them out?
So here’s our approach on this! It’s better, in general, to break the filler treatments up and this creates better long term results. Pragmatically, this might mean something like this:
- HA fillers are better with no more than 2-3 syringes per visit, in my opinion. Your cheeks and chin could be done at the same visit, if you don’t exceed the # of syringes. Sculptra and HA fillers may be combined if used in different areas of the face. Again, doctors may differ on this as you noticed.
- Secondly, Botox/Dysport can easily be combined with HA fillers and sometimes, but not always, with Sculptra.
- Some laser and RF treatments are better done a different day than fillers. Too complicated for a web discussion! Please ask your doctor about specific combinations, because certain combinations could cause problems.
Here’s why you should break up filler treatments!
- We all have some natural asymmetries. Making sure your doctor/nurse/mid-level can see those and adjust to them is important.
- Starting with less will build confidence in you and trust in your provder.
- It takes fillers and Botox about a week to sort of “mature” in your face. After that, they are what they are. In 1-2 weeks any bruises will be gone. The swelling around bruises changes the look of the filler temporarily. If the work is staged, your providers eyes can see where to go next better.
- Your provider is less likely to overfill (or over Botox) you if the work is staged over a few months. We’ve all seen friends or Hollywood stars who actually look scary. Why does this happen? Many reasons, but one is that the provider hasn’t spend enough time, or doesn’t have the skills, to truly perceive YOUR face and what YOU want. It’s a more generic, cookie cutter approach occurs then.
- If you have not worked with this provider before, consider starting with LESS. Start SMALL. If his/her skills are NOT good. Find that out with something small. It difficult to live with a botched face for months which is what it can take to correct things.
- If you have a very important event that has just crept up on you, and you know your provider well, it’s fine to exceed some of the limits and cautions. 🙂
Hope this helps,
For more information on fillers see my blogs here.