1) If you can only afford one anti-aging treatment–do cosmetic filler injections
Doing aesthetic filler injections is one of my very favorite procedures because it makes such an improvement in giving a healthy, youthful appearance. But you do have to be realistic about how many syringes you need, and the results that you can achieve with the number of syringes you can afford. It takes a certain volume to get a certain result. It is fine to do it a little at a time as you can afford it, but to say that: “filler didn’t work” when you needed three syringes but only did one is not a fair test. I always try to stay grounded in reality. If you are looking for more bang for your buck try doing fat and stem cell injections as you can get as much material injected as you want for one fixed price.
2) Don’t expect filler injections to remove etched lines
The hyaluronic acid fillers Esthelis, Juvederm and Restylane plump up wrinkles from below and provide lost fullness. But if the line is etched from being folded ten million times, you will need skin resurfacing to really smooth the sharp line. If you stretch the skin and the wrinkle totally disappears, usually filler is all you need. If there is still a surface crease, you will need resurfacing. But either way the line will look a lot better after injecting with a filler.
3) Treat eyebrows, chin and temples
4) Treat corners of the mouth
Turned down corners of the mouth make you look unhappy and older. Hyaluronic acid is injected below and to the side of the corner to turn it up. It breaks up the line from the corner down to the chin. You look happy.
5) With age, thin faces need volume
6) Face lift without filler = caught in a wind tunnel look
People with fuller faces don’t need filler after a face-lift and they look good with a face lift alone. But many people, thin women especially, and most women in general, really benefit from either targeted hyaluronic acid, or overall increased fullness from fat injections or Radiesse (a long term filler). In fact, the volume replacement alone is often called liquid lift or liquid facelift. Some women get enough tightening and lifting from volume replacement alone or volume replacement + Radiofrequency Tx, called Radio-Fill. Some don’t and need a surgical face-lift. Just as full and loose isn’t a good look, neither is tight.
7) If you don’t like it–reverse it
I am always amazed at the number of patients who come in and tell me that they got filler elsewhere, didn’t like it because of a bump, or weirdly done lips or something else, but put up with it for a year. The hyaluronic acid fillers Esthelis, Juvederm, Juvederm Plus, Restylane and Perlane (with or without anesthetic) etc. can be reversed with an injection of hyaluronidase. Try and avoid doing long term fillers which can't be corrected or removed. In case of a mistake you'd be sorry for a very long time.
8) Hang on to your teeth