Dr. McDaniel Says A Filler Is Not Forever
This column features weekly tips and advice from a revolving cast of industry leaders, on hand to discuss your beauty dilemmas, from blemishes to Botox. The following query was culled from a private stock, but we’ll be accepting readers’ questions soon.
I’m interested in exploring cosmetic fillers to smooth out the increasingly visible lines and wrinkles on my face, but am hesitant to spend the money because it seems like most of them only last for six months at most. Are there any fillers that don’t get reabsorbed into your skin, for a more permanent solution—and, more importantly, if this technology exists, is it safe?
Artefill is becoming more popular for this very reason. However, there are special issues when considering using permanent fillers, such as the cosmetic surgeon’s technique and experience, because if the filler is not placed properly the results are still “permanent.” Additionally, aging of the face is a dynamic process and what may look good initially may not be ideal for the long haul—even more so if facial plastic surgery is performed and the skin is significantly “rearranged” in the future. I prefer to use some of the longer-lasting fillers such as Juvederm and Restylane, and the newer Evolence is very promising.
With over 20 years of clinical experience in cosmetic laser surgery and dermatology research, David H. McDaniel, MD [http://www.lasercenterofvirginia.com/mcdanbio.html], is board-certified by the American Board of Dermatology, an assistant professor of clinical dermatology and plastic surgery at Eastern Virginia Medical School, and the director of the Institute of Anti-Aging Research. Dr. McDaniel is also a sought-after consultant for cosmetic and drug companies regarding skincare products and cosmeceuticals.
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