Not everyone has the resources for a surgical enhancement: time . . downtime . . . money. Not everyone is ready to say "Here I am" when it comes to elective surgery. Many more men and women are opting for dermal fillers these days. Although not usually as dramatic an outcome as a surgical enhancement, dermal fillers can do a whole lot to enhance our appearance.
Read up on cots, outcome, cautions and more.
By Lois W. Stern
This should not be construed as medical advice. I am a retired Board Certified Plastic Surgeon.
Welcome to our forum. Dermal fillers are an interesting topic that I just never offered during my practice. I did like the way they could help fill in a pock mark depression. But as soon as they were applied more globally, I just did not like the way the face moved during facial expressions.
This image from your article
has consistent lighting on the before after views. But it misses what the person looked like before / after smiling, pursing the lips as if to kiss, frowning, or even better, a video showing a series facial expressions choreographed like a ballet:
Relax your face
Purse Lips as if you were kissing
Open mouth wide.
are among the things I was testing at the time analyzing facial surgery documentation about the mouth.
Then there is the factor that dermal fillers are temporary unless grafting is done. So, what happens weeks, months later? At what additional cost. To that add documentation of the results over time. How much of the picture a doctor shows is due to the filler or to the immediate after injection swelling from tissue injury or just what it looks like right after injection. That is where the video documentation became valuable. I could ask a series of questions beyond the documentation and get the emotional component of what the treatment results were like. It is a matter of organizing what those questions would be like for dermal filler documentation and that would matter by region employed as does the mouth ballet I described.
But back to if they are worth it or not? That depends on if the individual who has it done on themselves is pleased with the look, what it took to get there, and how long it lasts.
Hope this helps,
Michael Bermant, MDLearn More About Plastic Surgery