The Ultimate Guide to Facial Fillers

facial fillerInjectables are big business. In fact, over two million people received injections like Botox or fillers in 2017.  Fillers alone have grown in popularity by as much as 85% in the last 5 years. However, with a raise in popularity, practitioners and people alike are all trying to capitalize on the demand. Due to this, we are seeing a lot more complications, poor work, and confusion out there (particularly with fillers). So we put together a list of things we want you to know about fillers.


1.First and foremost: Pick an experienced, certified, and skilled injector.

When initially seeking out a new provider for injections, check for their experience. Both experience of the injector and the experience that people have had with them. Thankfully nowadays we have outlets like Yelp, Google, and Facebook to read reviews about the business we are considering.

Continuing education is also a huge deal in the beauty industry, as treatments and products are forever changing. Continuing education shows that the medical professional has a passion and drive for being able to offer the best options for their clients. Here at ZONA we do multiple classes and at least one convention every year to stay up to date with the latest and greatest service options.


2. Not all fillers are created equal

Belotero, Juvederm, and Restylane are all Hyaluronic Acid (HA) fillers used to restore the skin’s natural volume, fill deep lines, and add more volume to specific areas. Hyaluronic Acid is a naturally occurring water molecule that attracts other water. Results may last anywhere from 6-12 months and are $499 per syringe.

Filling wrinkles and folds help restore a more youthful look to your skin. Radiesse continues to work with your body, stimulating the natural production of collagen for a more refreshed appearance that can last up to a year or more! Radiesse is a smooth gel, filled with tiny calcium hydroxylapatite (CaHA) microspheres.

Restylane Lyft restores mid-face and upper face volume loss as well as moderate to severe facial wrinkles and folds. Results may last 9-12 months and is $700 a syringe. Using a stabilized Hyaluronic Acid, specifically formulated to act like your body’s own hyaluronic acid.

Unlike HA fillers, Sculptra is a Poly-L-lactic acid (PLLA) based treatment. Once injected, it begins working deep within the skin to stimulate collagen production, reinforcing the skin’s inner structure and restoring its volume.  Sculptra is $900 per syringe.


3. Lip fillers don’t have to look like the Instagram lip fillers

Despite all the look-a-likes on Instagram, lip augmentation can actually look very natural and undetectable. Using a soft, flexible HA filler that spreads well and doesn’t look stiff or overdone is that best way to achieve natural lip fillers. And unlike the Instagram lips, some people look to lip fillers to add just a touch of pout or to correct asymmetry. A good rule of thumb: Look at your injector! If they’re overdone and unnatural, they are likely to make you look like that too.

hand injection

4. Fillers can do more than fill lips and soften wrinkles

Fillers are multi-versatile. They can elevate sunken scars; reinflate hands; brighten cavernous under-eyes; and sharpen jawlines that have gone soft. For areas such as the cheeks and jawlines, that you’d like to “shapen”, injectors should only be using thicker fillers such as Radiesse or Restylane Lyft.


5. But they can’t fix absolutely everything

Fillers alone can’t fix deep wrinkles or severe sagging. It’s always important to keep realistic expectations. We have seen and heard a lot of clients that think 1 or 2 syringes will be a fix all. However, this is most likely not true. One syringe of filler (1mL), is equivalent to just 1/4 of a teaspoon! That little amount will most likely not give you those full “Instagram” lips you desire. In most cases, multiple syringes are required over a period of time.


6. They’re not for everyone

Fillers do have some contraindications. For example, fillers are off the table for pregnant or breastfeeding moms, along with anyone fighting active infections, and people who are allergic to ingredients in fillers. If you’ve drunk alcohol or had any sort of blood thinners before treatment, you’re better off waiting 5 days to reduce the risk of bruising and swelling.

Along the same lines of the fact that fillers can’t fix everything; sometimes patients are a better candidate for surgery rather than fillers alone. Whether it’s because we know that the patient will be happier with the results of surgery, or their goals are just something that fillers alone can’t fix.


7. Sometimes there will be some discomfort

Everyone’s pain tolerance is different, but to put it plainly- filler entails putting a needle in your face. Of course, we will use techniques to minimize side effects as much as we can. As for pain, it should be minimal due to the lidocaine and numbing cream. We also just brought in a PRO-NOX machine as another, even more effective, option. The PRO-NOX is a pneumatically driven gas system designed to deliver a 50% oxygen and 50% nitrous oxide mixture to adult and pediatric patients for the relief of pain and anxiety in a medical setting. Basically, it’s just like laughing gas at the dentist.


8. You may look bruised and swollen after

As with all injections, swelling and bruising is perfectly normal and should be expected. No matter how skilled your injector is, it’s very difficult to avoid it. Swelling should only last a few days and bruising should reside within a week. If the bruising is a deep purple-brown color, there’s a good chance its dark enough to get zapped with our laser. Immediately after the laser, the bruise will become red, and within a few hours, it should be almost undetectable. 


9. Even small tweaks can make a big difference

If you can’t put your finger on exactly what’s bothering you, but you just feel kinda feel blah, tiny microdroplets placed strategically can help create an overall refreshed look. People will notice you look so good, but don’t know why!


10. Certain spots are considered high risk

There are certain areas that are considered “danger zones”. These areas are safe to be injected into, they just simply require more skill and knowledge than the average botox nurse. Liquid nose jobs, for example, is quite a risky treatment area. So much so that Michele does not perform them. There are many major and minor vessels all throughout the nose area. If these are injected into, it will cause a loss of blood supply. This blood supply loss can lead to redness, pain, tissue death, and even blindness.

Please be aware of the high risks that come with certain areas. Remember you always get what you pay for. When an injector has higher prices, it’s because you are not only paying for the product but for their skill and expertise as well.


11. Most fillers can be dissolved

All HA fillers can be dissolved using a sustains called Hyaluronidase. It’s injected right into the filler and dissolves it immediately. However, the filler Radiesse cannot be dissolved. Radiesse is formulated with tiny calcium hydroxylapatite (CaHA) microspheres, which is actually the same material found in our bones and teeth. Imagine trying to dissolve that!


12. You will more than likely need a touch-up

The longevity of filler is dependent on many different variables; the location of the filler being one of them. For example, Filler in the lips realistically only last about 6-9 months. Because we are constantly moving our mouths, we burn through the filler faster. Filler placed in, say, the cheeks, however, will last you up to a year.


For More Information:

For more information on Restylane products please contact us at ZONA Med Spa. Or book a complimentary consultation online by clicking here.

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