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AMM 183: Avoiding Pillow Face with Expert Tips and Risks

August 28, 2024

This episode dives into the rising trend of “pillow face” on social media, fueled by the increasing popularity of dermal fillers. Listeners will learn about the skyrocketing number of filler procedures, common uses, and the potential risk of filler migration that can lead to an uneven appearance. Featuring insights from experts like Harvard’s Samuel Lin and board-certified plastic surgeon Ari Hoschander, the episode provides practical advice on choosing the right practitioner, proper post-procedure care, and the importance of gradual enhancements. It also highlights serious risks associated with counterfeit filler products. Tune in for a comprehensive guide to safely navigating the world of dermal fillers.

Quick Takes

  • **Dermal filler popularity surge**: Dermal filler procedures have doubled in the past five years, with 6.2 million procedures in 2023.
  • **Risks of filler migration**: Filler migration, often due to improper techniques, may cause the “pillow face” effect.
  • **Prevention tips from Lin**: Choose experienced practitioners, follow proper post-care, and avoid overcorrection to prevent adverse effects like tissue necrosis and blindness.

Episode Transcript

Today is August 28, 2024. Let’s talk about the latest trend that’s gaining traction on social media: “pillow face.” Google searches for this term have skyrocketed since early July, and it’s leaving many wondering how to avoid this unfortunate transformation.

Dermal filler procedures are increasingly popular, doubling their annual numbers over the past five years, according to Samuel Lin, an associate professor of surgery at Harvard Medical School. In 2023 alone, there were a staggering 6.2 million filler procedures—roughly 17,000 injections per day.

Typically, dermal fillers are used to plump up wrinkles, smooth fine lines, and restore or amplify facial volume. These treatments last between 6 to 18 months, but lip fillers may need more frequent re-injections due to constant movement, notes Ari Hoschander, a board-certified plastic surgeon.

However, both Lin and Hoschander highlight the risk of filler migration, which occurs when injected material moves away from the intended site. This can lead to an uneven or swollen appearance, resembling the “pillow face” effect. Factors contributing to this issue include injection technique, the speed and pressure of the injection, and even the thickness of the patient’s skin.

So, how can you steer clear of “pillow face”? Lin offers several tips:

1. **Choose an experienced practitioner**: Always ensure your practitioner has extensive experience in dermal fillers.

2. **Follow post-procedure care**: Minimize facial expressions and avoid activities like exercise and sun exposure immediately following the procedure.

3. **Avoid overcorrection**: Opt for gradual enhancements rather than a large volume injection in one go. Regular follow-ups can help monitor progress and address any issues promptly.

More severe complications, although rare, include tissue necrosis, blindness, and even stroke, especially if fillers obstruct blood flow. Alarmingly, the rise in popularity of these procedures has led to an increase in counterfeit products. Lin warns that these unregulated fillers can contain harmful substances like lead and mercury.

In summary, while dermal fillers can be effective, it’s crucial to be cautious and informed, ensuring you consult qualified professionals and avoid dubious, cheaper options.

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Aesthetic Medicine Minute

with Dr. Teri Fisher

Daily insights, updates, and strategies for navigating the world of medical aesthetics, all in 1 minute per day.