These fillers usually used to work on the lip contours and on lip filling as well as in filling jaws or areas around the chick bone are quite new on the market. Many of them are not even FDA approved or EEC regulatory agencies approved. There are few and far between clinical studies on these fillers. They usually lead to many side effects, minor and major ones such as inflammatory granulomas or infections, and sometimes skin necrosis. That’s why these products tend to be left aside by Aesthetic Centers of Excellence.
For example, injectable silicon gel is offered in some countries, but it is too unreliable to use it at this point. The clinical history is too thin. It is not worth risking a center’s reputation over these agents. Other permanent products such as Gore-Tex or microbeads based products as well as PMMAs must be avoided since they are prone to infections.
To be cautious, our centers, like many Aesthetic Centers of Excellence, do not use these permanent fillers.
Some who do push these products promote their long lasting effects (2 years or more) stating that it’s not necessary to redo a session every 9-12 month. YES and NO. It could be a major drawback. Let’s say your lips were over corrected. You now have Daffy Duck’s mouth! Would you like to stay that way 2 years or more? Probably not. With a non-permanent filler, your lips would turn back to normal within 3 to 5 months (well, it’s already too long, OK, but after that time, it’s gone and you can consult someone else). But with a permanent filler you would not be able to do anything, it could not be removed, because the product has “melted” in your skin, there is nothing to remove, it’s within your skin tissue not like a separate item in a bubble ready to be pumped out. NO. So be careful about what you are sold, request an injection card (like a blood type card) where your injection date, product name, site of injection and, above all, the product lot number appear. This is your protection against product defect.
A non-permanent filler will fade away, so this is a way to minimize long term side effects. It is important, before you get into fillers, to evaluate the risk/benefit ratio. The higher the worse, so to stay on the safe side, use proven, approved and non permanent fillers, you’ll be happy, you’ll see your Aesthetic Consultant once a year and will stay in good shape as long as you want to.