Leveraging the Hardness of Products in Cosmetic Injectable Fillers

How hard an injectable product is can be a very good thing or a not so good thing. In any case, I try to use products based on its hardness factors for differing effects on the face. One of the softest materials that I use is fat. When injected it provides the most universally soft and natural facial rejuvenation. However, because it is so soft it tends to work poorly to lift scars, lines, and folds. That is why I undersell it to a patient who is having a fat transfer because I want him or her to understand that fat grafting simply will not fix the lips and folds around the mouth or eyes. Silicone is the next hardest material but it tends to stay soft in the lips when placed a little at a time. Interestingly, it tends to fill in acne scars very well despite this limited hardness factor but it tends not to fill in folds as well. Restylane and Bellafill(Artefill) (and other injectable fillers) are firmer and work much better for targeted facial filling of folds or other specific defects. That is why even someone who has had a fat graft still may benefit from some targeted facial fillers in the folds or lines of the face. Understanding how to use facial fillers based on their hardness is important when counseling a patient on areas of the face for facial enhancement/augmentation.

Facial Fat Transfer, Silicone Lip Enhancement, Resylane Lyft into Prejowl and Marionette Lines

Samuel M. Lam, MD, FACS is a board certified plastic surgeon in Dallas, Texas. To learn more about Dr Lam’s plastic surgery procedures please call 972.312.8188 to schedule a consultation. If you would like to ask Dr Lam a question please visit our plastic surgery forum.