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

Ask me your skincare question!

Hi, I’m Dr. Irwin. I believe that consumers deserve a medically trained and unbiased skin care advocate.

  • All our content is written and researched by myself.
  • My medical office in Seattle has treated thousands of patients for 15+ years.
  • This site is not affiliated or financially tied to any product, treatment or device.
Ask Me Something
SkinTour Skincare
One of the best investments in your skin is your daily skincare. Why? Because you can prevent many problems with blotchy skin color, lack of glow, texture, some types of acne, and fine lines with good skincare products. You can also correct some of these problems with effective skincare products. Great skincare is often more expensive because quality ingredients are expensive. Some companies spend on research/development which benefits all of us and adds to the cost. Are they worth it? In general - yes! I have handpicked some of what I consider to be the best skin care products, and offer them for sale on SkinTour's shop. This is based on my team and I's testing and research at our clinic. Many of the products are in my own regimen. What could be better than using skin care products a dermatologist uses?!