How Long Do Fillers Last?

If you receive regular dermal filler treatments, you might be wondering just how often you need to schedule appointments to maintain your results. It’s a common question, especially if you’re trying to balance a busy schedule or budget concerns with your cosmetic goals. 

In this post, we’ll cover the key factors that determine how long you can go between visits to your provider, from the lifespan of different types of fillers to how your body’s unique response can affect this timeline. This way, you can plan your appointments effectively and keep enjoying the benefits of your fillers with confidence.

How Long Do Dermal Fillers Last?

Dermal fillers are popular for smoothing wrinkles, enhancing lips and restoring facial volume, but they vary in how long they last. This longevity depends on the type of filler used, where it’s injected and how your body responds to it. 

Types of filler

Most fillers are made from hyaluronic acid, a substance naturally found in your skin, which adds volume and hydration. These fillers can last anywhere from 6 months to over a year.

Other fillers, like those made from calcium hydroxylapatite or poly-L-lactic acid, are designed for deeper wrinkles and volume restoration. They might last up to 2 years, thanks to their thicker consistency and how they stimulate collagen production in your skin.

Filler treatment area

The area where the filler is injected also plays a role. Fillers in areas of the face with less movement, like your cheeks, tend to last longer than those in more active areas, such as around your mouth.

Your metabolism

Your body’s metabolism is another key factor. If you have a faster metabolism, you might find that fillers don’t last as long for you. Your lifestyle, including exercise habits and sun exposure, can also affect filler longevity.

Next, we’ll dive deeper into each type of filler and how often they tend to require touch-ups. Remember, your provider can give you the best advice based on your specific needs and the type of filler used.

How Long Do Hyaluronic Acid Fillers Last?

Hyaluronic acid (HA) fillers are a popular choice known for their natural-looking results and compatibility with the body. Hyaluronic acid is a naturally occurring substance in your skin that helps retain moisture and adds volume. In filler form, it’s used to smooth wrinkles, plump lips and enhance facial contours.

When injected, HA fillers work by attracting water to the injection site, which adds volume and smooths out the skin. This effect diminishes fine lines and wrinkles, and can also add volume to areas like the cheeks and lips.

Popular FDA-approved HA filler brands include:

  • Juvederm: A range of products targeting different areas, from fine lines to deeper wrinkles and volume loss.
  • Restylane: Another versatile family of fillers known for its versatility, Restylane is used for everything from lip enhancement to smoothing wrinkles.
  • Belotero: Often praised for its smooth consistency, Belotero is a good choice for fine lines and more superficial wrinkles.

Factors Affecting Longevity

In addition to the more universal factors affecting filler longevity we’ve already mentioned, how long your HA filler last depends on:

  • Cross-Linking: HA fillers are stabilized through a process called cross-linking. The degree of cross-linking affects how long the filler lasts. More heavily cross-linked fillers tend to be thicker and can last longer.  
  • Product Density and Consistency: Thicker, denser fillers generally last longer but may not be suitable for all areas or desired effects.

Quick Guide to HA Fillers

Treatment areaProductMaximum longevity
LipsJuvederm Volbella XCJuvederm Ultra XCRestylane Kysse1 year
Lip linesRestylane Silk1 year
CheeksJuvederm Voluma XC2 years
SkinVive by Juvederm6 months
Restylane Contour1 year
ChinJuvederm Voluma XC1 year
Tear trough and under eye areaRestylane Eyelight18 months
Nasolabial folds, smile lines, lines around nose and mouthJuvederm Vollure XCJuvederm Ultra Plus XC18 months
Restylane DefyneRestylane Refyne1 year
JawlineJuvederm Volux XC1 year
HandsRestylane Lyft6 months

Other Facial Fillers and How Long They Last

While HA fillers are undoubtedly the most popular, there are other types of fillers that are actually more long-lasting. That’s because they contain synthetic materials that boost collagen production in addition to their immediate plumping effects.

Radiesse

Radiesse is composed of calcium hydroxylapatite (CaHa) microspheres suspended in a gel carrier. Currently the only CaHa filler on the market, It’s used for deeper lines and areas requiring more substantial volume, like the jawline. Radiesse can last up to 12 to 18 months.

Sculptra Aesthetic

Sculptra, made from poly-L-lactic acid, works by stimulating collagen production over time, offering gradual and natural results. Unlike Radiesse, Sculptra doesn’t provide immediate results; rather, it helps rebuild natural collagen over time. Its effects can last more than two years.

Bellafill

Bellafill is made up of polymethylmethacrylate (PMMA) microspheres combined with a collagen gel. It’s unique in that it’s a long-lasting filler, often used for deeper wrinkles and acne scar treatments. The PMMA in Bellafill provides a supportive structure for your skin to build its own natural collagen around. 

Because of this, Bellafill can offer results that last up to 5 years, making it one of the longest-lasting fillers available. It’s ideal for those looking for a more permanent solution to facial wrinkles and skin imperfections.

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How Long Do Lip Fillers Last?

Lip fillers are a popular cosmetic treatment for enhancing the volume and shape of the lips, but they come with unique challenges. 

Lip fillers tend to not last as long as other types of dermal fillers. This is because your lips move a lot–when you talk, eat or show emotions, which makes the filler break down faster. Additionally, how often you engage in activities like drinking through straws or smoking can also affect how long the results last. 

So, even though lip fillers are made from hyaluronic acid, just like other fillers, you’ll need to get them redone more often to keep your lips looking full and shaped the way you want.

Discover the four FDA-approved lip fillers currently available in the US, what they’re designed to do and how long they last.

Restylane Silk

  • Designed for: Subtle lip plumping or correcting thinning lips. Restylane Silk is ideal if you’re looking for a natural enhancement or to address signs of aging in your lips.
  • Longevity: Typically lasts 3–6 months. The more subtle results of Restylane Silk mean that touch-ups might be needed more frequently to maintain the desired look.

Juvederm Voluma

Designed for: Natural-looking lip enhancement, offering a step up in volume compared to Silk. Juvederm Voluma is suitable if you want noticeable yet natural-looking fuller lips.

Longevity: Generally lasts 6–12 months. Its formulation provides a durable enhancement while maintaining a natural feel.

Juvederm Ultra XC

Designed for: Those seeking dramatically plumper lips. Juvederm Ultra XC is the go-to choice if you desire a significant increase in lip volume.

Longevity: Can last 12 months and up to 18 months in some cases. Its thicker consistency makes it a longer-lasting option for dramatic enhancement.

Restylane Kysse

Designed for: Dramatic lip enhancement with more flexibility than Ultra XC. Restylane Kysse is perfect for achieving a bold look while maintaining natural lip movements.

Longevity: Typically around 12 months. Its balance of volume and flexibility makes it a popular choice for a long-lasting, dramatic effect.

How Long Do Cheek Fillers Last?

Cheek fillers are a popular choice for those looking to restore volume, enhance facial contours or reduce the appearance of aging in the cheek area. Unlike other facial areas, the cheeks experience less frequent and intense movement, which generally allows fillers in this area to last longer. 

Let’s explore the most popular cheek fillers, who they’re for and their longevity.

Restylane Lyft

Designed for: Adding volume to the cheeks and midface area. The firmest of Restylane’s facial fillers, it’s particularly effective for correcting age-related volume loss and cheek contouring.

Longevity: Typically lasts around 12 months. Its formulation is well-suited for deep tissue support.

Restylane Refyne and Defyne

Designed for: Restylane Refyne is for mild to moderate wrinkles and folds, offering subtle enhancements. Defyne is aimed at deeper, more pronounced lines and for adding volume.

Longevity: Both products can last up to 12 months. They are formulated with XpresHAn Technology, which allows for natural movement and expressions.

Juvederm Voluma XC

Designed for: This filler is specifically created for adding volume to the cheeks. It’s ideal for creating a naturally lifted and youthful appearance.

Longevity: Voluma XC can last up to 2 years, making it one of the longest-lasting cheek fillers. Its thicker consistency helps maintain volume and structure over a longer period.

Each of these fillers offers unique benefits, and the right choice for you will depend on your specific goals and the natural aging process of your skin. Regular follow-up appointments will help assess the need for touch-ups and ensure that your results continue to look natural and harmonious with your overall facial appearance.

Side Effects of Fillers

Like any cosmetic treatment, dermal filler injections come with potential side effects, some of which are more associated with certain formulas. 

Generally, common side effects include redness, swelling, pain, bruising and tenderness at the injection site. These are usually temporary and resolve within a few days.

  • Hyaluronic acid fillers, which are popular for their natural results, may cause lumpiness or an uneven texture if not injected properly. However, they’re considered the safest type of filler and associated with few adverse reactions.
  • Calcium hydroxylapatite fillers, used for deeper lines and volume, may sometimes cause nodules or firmness under the skin due to their thicker consistency. 
  • Poly-L-lactic acid fillers, which stimulate collagen production, might lead to delayed side effects such as small bumps under the skin, appearing months after the injections.

Each filler’s formulation and the area where it’s injected play a role in these side effects. For example, fillers used around the eyes or lips, which are more sensitive areas, may have a higher risk of swelling or bruising.

Most side effects are manageable with proper care and technique. Choosing a qualified and experienced injector, like a board-certified dermatologist or plastic surgeon, is crucial in minimizing risks and ensuring safe, satisfying results. If you experience any unusual symptoms after getting fillers, it’s important to contact your healthcare provider immediately.

Takeaway

Dermal fillers offer a versatile and effective solution for addressing volume loss, fine lines and enhancing facial contours. Hyaluronic acid fillers provide temporary enhancements such as lip plumping or smoothing out fine lines, with results typically lasting from 6 months to a year. For longer-lasting results, consider Radiesse and Bellafill, which can last from 12 months to even 5 years and improve collagen production. 

The longevity of these fillers is influenced by factors like the injection site, the product’s composition and individual metabolism rates. Different fillers also come with their own set of potential side effects, making it crucial to select a qualified professional for the procedure..

Consulting with a board-certified dermatologist or plastic surgeon is crucial to determine the best approach for your needs and to ensure safe, satisfying results. Whether seeking subtle rejuvenation or more significant augmentation, dermal fillers can be your secret to achieving and maintaining a youthful, refreshed appearance.

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