Why Cosmetic Fillers Won't Stretch or Loosen Facial Skin as they Fade

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New York facial cosmetic surgeon Amiya Prasad, MD reviews the common concern about facial fillers causing the skin to stretch after they fade, explaining why this is not the case, how he places filler differently in areas like the cheeks to avoid a bloated and overfilled look, and how fillers can make the face look more structured and defined when the right technique is used:

0:21 - Introduction

1:00 - Dr. Prasad’s experience as a cosmetic surgeon, and oculofacial plastic and reconstructive surgeon

1:13 - Dr. Prasad’s experience with filler placement in lower eyelids, lips, facial lines, and acne scars

1:24 - How Dr. Prasad uses his experience as a facelift and facial implant surgeon to place thicker hyaluronic acid fillers at the bone level of the face called Structural Volumizing to achieve a structured appearance rather than a bloated look

1:50 - How the concern of looking deflated originates from frequently seeing overfilled faces, and comparing it to loose skin from weight gain

2:37 - The causes of overfilled faces, especially among public figures

3:12 - The causes facial volume loss in the cheeks, which is primarily bone volume loss

3:53 - How Dr. Prasad addresses bone volume loss at the cheeks with longer lasting fillers placed at the bone level

4:05 - How fillers at the bone level provides support and definition for the overlying skin

4:12 - How fillers are more commonly placed at a more superficial level, where they tend to spread to other areas, causing a bloated look

4:33 - How Dr. Prasad uses the Golden Ratio to provide natural-looking balance to the face

4:57 - How Dr. Prasad places filler in areas not related to bone structure, such as the lips

5:11 - Dr. Prasad’s belief in natural-looking filler placement, so it’s not obvious a cosmetic procedure was performed

5:17 - Why facial skin reverts to its previous appearance if filler treatment is not continued

5:34 - Conclusion

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