Is Filler Fatigue Real?


Facial fillers, specifically Hyaluronic Acid Fillers, started to be used in the 1980s. That gives us roughly 30 years of experience with these fillers that are FDA approved. Now comes the controversy - can you get filler fatigue from continued use? Filler fatigue is defined as getting too many fillers over extended time and your skin not bouncing back because it is stretched while aging is happening. Both opinions are on the internet.


Facial fillers are used to fill - replace volume loss and lift - when you fill your skin lifts up. There are Hyaluronic Acid Fillers, the most popular, which fill and may slightly stimulate collagen & elastin, although not validated. Then there are fillers such as Bellafill or Sculptra that do stimulate collagen & elastin.


I have worked in the skin care world, or the esthetics industry for over 12 years, and certainly see changes. Most of these changes are improvements in products & treatments. As a 65-year-old, who is a strong believer in aging beautifully on my own terms, I believe the best approach for injectables is be conservative and implement a hybrid approach. By that I mean, use fillers & Botox, but also alternating with treatments that will produce collagen & elastin and always use products that will do the same. That way you will not always be dependent on an injectable - they can be important, but don’t forget about all the other wonderful treatments available.


I have not had a filler in over three years, and this doesn’t mean I won’t. My decision was to use other treatments to stimulate collagen & elastin. To meet that goal, I have done 3 micro-needling treatments with PRP, a thread lift in my mid-face and regular micro-current treatments to lift and reprogram my facial muscles, and occasional SWICH treatments to firm & reactivate my cells. Plus each day and night, I use products to provide moisture plus stimulate collagen & elastin - a must to slow the aging process. For best results, together with treatments, you have to use good products each day. If you are over 50 and have not tried to stimulate collagen & elastin, then repeated fillers could be an issue. Your skin is not conditioned to “bounce back”. However, if you do get a filler, then try a treatment such as micro-needling or threads while using skin care products that stimulate collagen & elastin.


At SkinTrust, we offer injectables including fillers and Botox, and we also offer Micro-needling, Platelet Rich Plasma(PRP) Injections, and threading. Each of these treatments stimulate collagen & elastin.


Ultimately the result you want from injectables, treatments and effective skin care products is for someone to say “you look great” and not know why. Be conservative with your approach and continue to slow down the aging by rebuilding what aging is taking away with effective products & treatments. Then, you will age beautifully, on your terms!

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