A Secret Enhancer for Fillers? Don’t Do it, Says One Top Doc.
There has been a lot of talk about a secret way to ‘preserve’ or lengthen the duration of results from typical fillers like Restylane and Juvederm such as combining them with a neurotoxin like Botox, but do these magical tactics even work? Are they worth the additional hundreds, if not thousands of dollars they typically cost?
“Not really,” says Dr. Peter Neumann, F.A.C.S, Chief Plastic Surgeon of Nassau Plastic Surgical Associates in Roslyn, NY. In fact, if you visit the blogs and websites of many plastic surgeons, you’ll probably see snippets of articles touting the combined benefits. Sure, it’s true that Botox (and other similar injectables) can have age-defying effects on the face, but it doesn’t mean that the effects are only enhanced when coupled with fillers.
“The concept of using Botox and filler together to last longer has not been shown to be true. The reabsorption of the fillers is NOT from muscle movement, but from the body absorbing the gel material by natural means. Even with Botox there is some movement of the underlying muscles and this does not play a role in longevity of the filler.”
Herein lies the real problem with the myth: The average person can be duped into being ‘upsold’ at less-than-reputable plastic surgeons’ offices by believing that fillers wear off simply as a result of movement or muscular activity. The body, as it seems, reabsorbs the hyaluronic acid fillers through natural means, no matter if your muscles are paralyzed temporarily or not. And more often than not, the spas and clinics trying to upsell their clientele are diluting their Botox to levels top docs wouldn’t dream of.
“Make sure you get the right dilution for the toxins to work. Some centers over-dilute to make more money on each vial and the toxin will last for only 2-3 months.”
So what’s the answer to long lasting fillers that look beautiful and natural? Well, Dr. Neumann thinks it’s all in the technique and simply going to the right surgeon.
“Complete and slight overfill of the affected area is the best chance to look the best for longest. Since many of the fillers have Novocaine in them, the absorption of the Novocaine is always faster than the gel. For that reason, we overfill slightly and after a few days (two to three) it should look great. In my office, if we have underestimated the correct over fill, the patient can return within weeks and be re-filled at no cost.”
He says that the number of patients he sees requesting fillers is growing at a rate of five to ten percent, per month in his office, because his patients have quickly learned that fillers are the easy way to look better and, “more rested” for a 6-9 month period of time without any great expense.
Statistics from the American Society for Aesthetic Plastic Surgery confirm this upward trend. Last year alone, 6,651,620 injectable procedures were performed on men and women nationwide. This was a 21% increase from the previous year.
To learn more about injectables and what to expect, visit the procedure page.