One of the most common questions we hear at Mabrie Facial Institute in San Francisco is “How long do fillers last?” To understand the answer, we have to consider more than just the physical or chemical properties of the products.
Filler Longevity vs. Results Longevity
This is an important distinction to explore.
Several factors influence how long a filler lasts after injection:
- Filler material
- Filler consistency
- Treatment area
- How fast your body metabolizes fillers
One important thing to keep in mind is that you can enjoy visible facial rejuvenation or contouring results for longer than the duration of the specific filler injected. Here’s why: Filler injections can stimulate collagen production in the treatment area. That means your own body is producing a substance that restores volume in the area. How great is that?
One phenomenon we’ve observed at Mabrie Facial Institute is that our patients tend to enjoy improvements lasting years—sometimes even after they’ve discontinued treatment. The following patient is a great example of the remarkable longevity of under-eye fillers:
The final photo is taken 4 years after her previous treatment, and her results still look perfect! That means her filler results lasted 7x longer than anticipated!
Here’s another example of a patient whose results seem to last and last:
For many years, we’ve recommended tear trough filler maintenance at 6-month intervals. What we’re seeing is that may not always be the case. Tear trough filler results can exceed 12 months, especially with the support provided our midface approach.
How Can You Make Your Fillers Last Longer?
During the initial few months after being injected, fillers begin gradually degrading. But the visible results remain the same because fillers absorb water. But at about the midpoint of the expected duration of the fillers, you‘ll start to notice the filler‘s decreased volume.
So, how can you get more mileage from your fillers? The key is a phased approach that anticipates this decreasing volume. At Mabrie Facial Institute, we create personal treatment plans for each of our facial rejuvenation and contouring patients. Our packages are designed to prolong results, and include 2 treatment appointments, at which we build and layer the fillers. After this initial phase, patients return periodically for maintenance. By monitoring a patient‘s appearance and performing touch-up treatments 1 or 2 times a year, we need less product to maintain the results. This keeps them looking fresh, and ideally, no one experiences a “gap” in their results.
Filler Longevity Based on Treatment Area
Although our approach is to keep you looking your best 24/7/365, we can make generalizations about how long fillers last based on the treatment area.
How long do fillers last around the eyes?
Results using a hyaluronic acid-based filler can last 12 months or even longer when treating the tear trough area under the eyes. Restylane is a common choice for under the eyes because it’s firm enough to support the thinner skin in that area.
How long do fillers last around the cheeks?
Using a hyaluronic acid filler such as JUVÉDERM VOLUMA® creates results that can last 24 months. A touch-up treatment at 12 months helps maintain and prolong the results. VOLUMA and RADIESSE® are thicker gels that provide the lift that cheeks need to look more youthful. RADIESSE lasts approximately 15 months, with a touch-up treatment at 7 months.
How long do fillers last around the nose?
Nonsurgical rhinoplasty using a hyaluronic acid filler such as Restylane can last up to 12 months or even longer with maintenance treatments at 6 months and follow-up appointments scheduled at approximately 9 to 12 months. Restylane is a firm, thinner gel that enables the injector to sculpt and shape nasal skin more effectively than thicker fillers.
How long do fillers last in the lips?
Lip augmentation using fillers can last up to 12 months or more with multiple treatments. It can typically take 3 treatments to get the desired outcome because filler used in the first couple of treatments may get compressed. Restylane, Restylane Silk, and JUVÉDERM are popular fillers for lip enhancement. These are softer gels. Restylane Kysse is an exciting newer option that offers natural movement and expression, along with results that last up to 12 months.
How long do fillers last at the corners of the mouth?
Hyaluronic acid fillers can produce results that last a total of 1 year, with a touch-up treatment at 6 months. Most fillers can get good results in this area, but hyaluronic acid fillers can be dissolved if they are accidentally injected into a blood vessel (a rare complication).
How long do fillers last in the chin?
Chin augmentation using fillers, such as JUVÉDERM VOLUMA, RADIESSE, or a combination of products, can produce results that last between 15 and 24 months with touch-up treatments. Chin enhancement creates a well-defined profile that both men and women desire.
Ready to get started on your treatments? Set up a consultation now.
What Are the Different Fillers and How Long Do They Last?
When the FDA approves a filler, it indicates how long the results can be expected to last. While actual longevity may vary from the FDA’s guidelines, the guidelines provide a good benchmark for expert injectors when they create treatment plans for patients. Multiple filler materials exist, including fat, and they behave differently after being injected.
Hyaluronic Acid Fillers
What are hyaluronic acid (HA) fillers?
A substance that is naturally found in the skin, hyaluronic acid is the most popular filler material. It‘s used in JUVÉDERM® and Restylane® products, and BELOTERO BALANCE®. It hydrates the skin and smooths wrinkles and creases.
How long do hyaluronic acid (HA) fillers last?
The gel-like material typically lasts anywhere from 6 to 18 months, or longer. The material gradually breaks down and the body naturally absorbs the particles.
Calcium Hydroxylapatite Fillers
What are calcium hydroxylapatite (CaHA) fillers?
This substance naturally occurs in the body–primarily in the bones. RADIESSE is an FDA-approved filler formulated with CaHA. The microscopic particles are suspended in a smooth, thick gel.
How long do calcium hydroxylapatite (CaHA) fillers ast?
The filler typically lasts about 12 months, and it also triggers the body to produce more of its own collagen.
Poly-L-Lactic Acid Fillers
What are poly-l-lactic acid (PLLA) fillers?
This synthetic filler is made using a biodegradable substance that is biocompatible (it‘s safe to use in the body). PLLA was commonly used in medical devices before the FDA approved its use as an anti-wrinkle treatment. PLLA is usually injected deeper than other fillers and works by stimulating collagen production. Sculptra® Aesthetic is the most commonly used PLLA filler in the United States.
How long do poly-l-lactic acid (PLLA) fillers last?
The gel in which the PLLA is carried dissipates after only a couple of days, but the results can last more than 2 years.
Polymethylmethacrylate (PMMA) Fillers
What are polymethylmethacrylate (PMMA) fillers?
This is also a biocompatible material with a long track record of being used safely in medical implants and other devices. Bellafill® is a collagen-based filler with PMMA microspheres that provides structural support and produces smoother skin.
How long do polymethylmethacrylate (PMMA) fillers last?
Results can last more than 5 years when used to correct nasolabial folds because the microspheres remain in place even as the body reabsorbs the collagen gel.
Fat Injections/Fat Grafting
What are fat injections/fat grafting?
Facial fat grafting involves using liposuction to harvest fat from another area of the body, then purifying it and injecting it into the face. Purified fat can be used in multiple areas of the face.
How long do fat injections last?
Fat grafting is considered a permanent procedure, but not all the transferred fat survives the process, making results difficult to predict. Sometimes multiple treatments are required.
A Final Word
It‘s important to remember that our faces continue to lose volume as we age, so maintaining the optimal results involves adding additional volume. By not waiting until the filler is completely absorbed, we use less filler for maintenance.
To get more information about fillers, contact us online or call us at (415) 322-3307. Our knowledgeable Concierge Team is available to answer any of your questions and schedule your appointment.
We hope to see you soon.
Until then, stay beautiful!