As dermal fillers become increasingly popular in non-invasive cosmetic treatments, some unwanted side effects can arise, such as “filler jowls.” While fillers are effective for enhancing facial volume, restoring youthful contours, and smoothing wrinkles, improper placement or excessive use can lead to the formation of jowls. In this article, we’ll explore what filler jowls are, why they happen, and how to prevent and treat them for the best cosmetic results.
What are Filler Jowls?
Filler jowls refer to the drooping or sagging of the skin along the jawline caused by the incorrect or excessive use of dermal fillers. When too much filler is injected, especially around the cheeks or lower face, it can migrate or create an unnatural heaviness. This causes the skin to sag over time, forming what looks like jowls, which can make the face appear older and tired.
Why Do Filler Jowls Happen?
Several factors can lead to the development of filler jowls:
- Overfilling the Midface or Cheeks: When too much filler is added to the cheeks or upper face, the additional weight can cause the skin to sag downward. This creates a noticeable heaviness that pulls at the jawline.
- Poor Injection Techniques: Injections that are placed too superficially or in the wrong areas can shift over time. This creates uneven distribution and the appearance of sagging skin.
- Aging Process: While fillers are intended to fight signs of aging, if injected incorrectly, they can actually accelerate the appearance of aging. As skin loses elasticity, misplaced filler can exacerbate the sagging effect rather than lifting the skin.
- Gravity and Time: Over time, even well-placed fillers may shift due to gravity, which can lead to a gradual migration of filler to unintended areas.
Preventing Filler Jowls
The good news is that filler jowls can be prevented with careful planning, proper technique, and an experienced practitioner. Here are some steps you can take to reduce the risk of developing filler jowls:
- Choose an Experienced Injector: The most important factor in avoiding filler jowls is to work with a skilled and experienced practitioner. They should have a deep understanding of facial anatomy and be proficient in various injection techniques. Always consult a board-certified dermatologist or plastic surgeon.
- Use the Right Amount of Filler: Less is often more when it comes to dermal fillers. Rather than going for dramatic changes all at once, a more conservative approach with gradual touch-ups ensures natural-looking results without overloading any one area.
- Opt for Appropriate Filler Types: There are many different types of fillers available, such as hyaluronic acid fillers (e.g., Juvederm, Restylane) and collagen-stimulating fillers (e.g., Sculptra, Radiesse). Your practitioner should choose a filler that is best suited for your facial structure and needs.
- Regular Follow-Ups: Scheduling regular follow-up appointments ensures that any early signs of filler migration or sagging are detected and addressed before they become a larger issue. This also allows for minor adjustments, rather than overcorrecting in a single session.
Treating Filler Jowls
If you’ve already developed filler jowls, don’t worry—there are ways to treat them. Depending on the severity and type of filler used, various treatment options can help restore a more youthful jawline and contour.
- Dissolving the Filler: For hyaluronic acid-based fillers, an enzyme called hyaluronidase can be injected to dissolve the filler. This provides almost immediate results, allowing the jawline to return to its natural shape. However, this option is not available for non-hyaluronic acid fillers.
- Ultrasound or Radiofrequency Treatments: Energy-based treatments like Ultherapy or radiofrequency skin tightening can help lift sagging skin and stimulate collagen production. These treatments are non-invasive and gradually tighten the skin, improving the appearance of filler jowls.
- Surgical Correction: In more severe cases, where fillers have caused extensive sagging, a minor surgical procedure like a mini facelift may be required to lift and tighten the skin. This provides long-lasting results but is typically reserved for more advanced cases.
- Facial Exercises: While not as effective as other options, some people find that facial exercises can help tone the muscles around the jawline and reduce sagging. However, the results are usually subtle and take time to achieve.
The Importance of Proper Aftercare
To avoid any complications or side effects after a filler treatment, following your practitioner’s aftercare instructions is crucial. Some key aftercare tips include:
- Avoid touching or massaging the treated area for the first 24-48 hours unless advised otherwise.
- Stay hydrated and maintain a healthy skincare routine to keep your skin supple and elastic.
- Sleep with your head elevated to prevent the filler from shifting during the first few days after treatment.
Conclusion
Filler jowls are an unfortunate side effect of poorly executed or excessive filler use, but they can be prevented and treated with the right approach. Always seek out a qualified and experienced practitioner, follow aftercare instructions diligently, and monitor your results with regular follow-ups. With careful planning and maintenance, you can achieve youthful, natural-looking results without the risk of sagging or filler migration.
Understanding the balance of facial anatomy and filler placement is the key to a rejuvenated, well-contoured face. By being mindful of your treatment choices, you can enjoy the benefits of dermal fillers while avoiding filler jowls altogether.