After getting fillers,
light facial massages are fine,
but XX XXX is absolutely forbidden!
For example, if you’ve had under-eye filler
and wear XX that create strong suction,
even six months later,
(Could affect the filler...) that pressure can still flatten or shift the filler.
PD: Dr.Lee, I’m really curious about something.
What is it?
PD: My friend got fillers three years ago,
PD: but she still feels like something is left.
PD: Do fillers really disappear completely?
Hmm…
To be honest…
Hello!
I’m Dr. Lee, who pursues the most beautiful look.
“Filler” comes from “fill”
plus suffix “-er”.
So it literally means something
that fills something up.
(Great for adding volume!) It’s a super effective treatment for restoring volume.
Short procedure time,
immediate effects,
and relatively affordable cost,
as well as a relatively safe profile,
make it a popular treatment for many people.
When patients come in for fillers,
they always have a few common questions.
(Frequently asked questions) Today, I’ll briefly go over
some truths about fillers that many are curious about.
(Filler FAQ Does Korean vs. imported make a difference?)
Yes, there is a difference!
What really matters
is whether you use 1cc, 2cc, or 3cc.
But even with the same amount,
the volume and lasting power can be different.
Imported fillers have pretty uniform particle sizes.
So if you use a firmer filler,
it’s filled with firm particles.
If it’s a softer one,
it’s mostly soft particles.
Korean fillers
have improved a lot,
(Korean fillers: particle size not always uniform) but due to the manufacturing process, the particles can be slightly mixed.
So even along the same injection line,
it might feel firmer in some spots
and softer in others.
The second point is how long it lasts.
Korean fillers usually
last about 6 months to a year,
while imported ones
tend to last 1 to 2 years.
Say the imported one
costs twice as much,
but it also lasts twice as long.
So many people think,
“Then why not just get the imported one?”
and end up choosing imported fillers.
That said, Korean fillers
have come a long way lately,
they hold volume pretty well too.
So basically,
if the same doctor
uses the same amount,
imported fillers will usually give better results.
But in the end, what matters most is the design and aesthetic sense.
That’s why the practitioner’s experience
is key to getting a look you’re happy with.
(Filler FAQ Can filler move or spread?)
Since filler isn’t a solid implant,
it can move.
It can move or shift.
It tends to move less over time,
since it bonds with the surrounding tissue.
Imported fillers generally move a lot less.
In spots like the lips or under the eyes, where there's a lot of movement,
pressure or gravity
can mess with the shape or make it sink a bit.
Some people say their filler moved.
Among them, they say their forehead filler
moved to one side
so one side looks empty while the other still looks full.
(Sometimes it's the filler shifting) That could be the filler shifting,
(Other times it's uneven dissolve) or maybe the sides dissolved faster
than the center,
which can make it look uneven.
Either way, it’s a good idea to get it checked by a doctor.
About two weeks
after getting filler,
it starts to bond with the surrounding tissue.
So if you adjust the position before it fully settles,
it usually stays in place after that.
That’s why we always ask
patients to
come back two weeks after the filler treatment
so we can check if the filler
has settled exactly where it was intended.
PD: Is it okay to massage after getting filler?
After getting fillers,
light facial massages are fine,
but do not get a gua sha or intense facial massage.
For example, if you’ve had under-eye filler
and wear tight goggles that create strong suction,
(Goggles with strong suction can leave marks) swimming goggles when you wear when swimming,
even six months later,
(Could affect the filler...) that pressure can still flatten or shift the filler.
PD: So does that mean I shouldn't swim
PD: after getting under-eye filler?
If you’ve had under-eye filler,
(Try to avoid swimming for 1–2 months) it’s best to avoid swimming for a month or two.
For one to two months.
(Shh! It's only between us!)
(Filler FAQ What if I don’t like how it looks?)
Gradually even without other procedures
Filler naturally breaks down on its own,
(Filler fades over time) so if you wait it out, it’ll eventually disappear.
(But I want it gone right now!) If you really don’t like how it looks right now
when you see yourself in the mirror,
(Hyaluronidase injection to dissolve filler) you can get a hyaluronidase injection.
It starts working right away,
(Most of it’s gone by the next day) and in most cases, the filler is
mostly gone by the next morning.
That's how it works.
Unlike fat grafting or surgery,
If you want a taller nose
(Some get it just to test the look) but you wonder if it will suit you,
for those who want to check the shape,
filler could be and easy way to to try it out.
PD: If I had nose filler before surgery,
PD: does it all have to be removed?
Usually, the filler is dissolved
2–3 weeks before surgery.
There used to be fillers that didn’t dissolve,
so-called “semi-permanent fillers”.
They weren’t made of hyaluronic acid,
but other ingredients
that lasted much longer.
They were actually super popular for a while.
The downside of semi-permanent fillers
is that they’re really hard to dissolve or remove.
So if it gets lumpy or uneven,
it’s tough to fix.
Same goes for fat grafts.
If you don’t like the result
and want to take some out,
there’s really nothing to take out, which makes it hard to fix.
These days, most fillers are hyaluronic acid-based.
(Filler FAQ Does filler really disappear 100%?)
In most cases, we say filler does fully go away.
Most fillers use hyaluronic acid, which breaks down over time
through natural enzymes
like hyaluronidase,
and is gradually absorbed by the body.
Sometimes, even after the filler is gone, you might still feel a lump.
With some low-quality fillers,
or due to inflammation or fibrosis,
even after the filler is gone,
the surrounding tissue can harden or change,
(No filler left, but still feels like a lump) making it feel like there’s still a lump.
In some cases, the filler is still there,
but fibrosis happens around it, forming what's called a capsule.
It wraps around the filler like a capsule,
and because of that,
blood vessels and enzymes can’t reach it
which means it might not dissolve properly.
In those cases, the filler can stay there for three years.
Sometimes, if you use a thick needle and press,
the filler comes out just like when it was first injected.
In theory, all filler should dissolve,
but in reality, some of it can stick around.
So just keep that in mind.
But even if some filler sticks around,
it can still be removed with dissolving injections,
so there’s no need to worry too much.
So instead of overthinking about whether it’s filler,
if it goes away after the dissolving shot, then it is filler.
But if it doesn't go away,
then it's probably not filler.
It could just be sagging skin
of fat that's shifted a bit.
How was it?
Today, we learned about fillers.
If you use the filler well,
it helps to naturally balance your face
and make the overall impression
look soft and youthful.
If today's video was helpful,
please set a like button, subscription, notification.
I'll come back next time.
Thank you for watching until the end.
You'll all be pretty.