The duration of the results of a procedure will depend on the product (or the combination
of products) used, where the product is placed, the frequency and timing of touch-up
treatments, as well as the quality of medical care provided. All of these factors
play key roles in how long you will see results, which may last from a few months
to a few years. In most cases, touch-up procedures will be required periodically
for optimal results.
For most of the dermal fillers, added longevity may be achieved by returning to
your medical practitioner for a touch-up while some filler is still present in the
treated area because the body continues to respond with its own natural collagen
production around the dermal fillers. Also, depending upon the exact nature of the
procedure, your medical practitioner might choose to supplement dermal filler treatment
by placing BOTOX® in muscles around the treated area to enhance and
extend the results of the dermal filler. With regular touch ups, over time,
many patients report that less product and less frequent procedures are required
to maintain results.
A medical practitioner’s injection experience and technique can play a part
in the endurance of results. With experience, a medical practitioner gains a much
better understanding of the subtle variations of technique required to optimize
The following is a guide to each product’s generally expected longevity:
BOTOX® – Results usually lasts from three to six months, depending
on the patient, medical practitioner technique and the area treated. Areas of lower
muscle activity and patients with lower amounts of muscle mass usually require less
frequent treatments. Patients may often reduce the amount of BOTOX®
needed to sustain results by returning to their medical practitioner for a follow-up
treatment as soon as they detect excess movement in the treated area. Some
patients, over time, need fewer treatments to sustain results, as the etching of
lines may relax and even disappear.
Juvederm® Ultra and Juvederm® Ultra Plus – These dermal
fillers typically last up to a year or more before touch up treatments are needed.
Added longevity can be achieved by returning to your medical practitioner for touch-ups
while some filler is still present in the body, since the body will usually continue
to respond to some degree with collagen production around these products. As with
other advanced dermal fillers, many patients require less product and longer treatment
intervals over time.
Radiesse® – This dermal filler can last up to a year or more before
touch up treatments are necessary. Patients may prolong the life of the product
by returning to their medical practitioner for regular touch-up treatments. In some
instances, patients will notice temporarily diminished results a few months after
the treatment, before the body begins to respond with its own collagen generation.
Medical practitioner technique and area of placement both play roles in the speed
in which Radiesse® is reabsorbed by the body. Patients and medical
practitioners have reported needing less product and longer intervals between touch
up treatments over time, if patients are diligent in returning for touch ups before
the product has completely dissipated from the body.
Sculptra® – Results of each treatment will last up to 2 years or
more. Medical practitioner technique and experience can affect the life of the treatment,
as Sculptra® requires a unique injection technique in relation to
other dermal fillers. Other factors such as the patient’s age and amount of
long-term exposure to the sun might also alter the effectiveness and life of a Sculptra®
treatment. To sustain results of Sculptra® treatments after 2 years
and for up to a lifetime, patients should return to their medical practitioner for
touch-up treatments periodically. It is advisable to return for touch-up treatments
before Sculptra® has completely dissolved and been absorbed by the
body. Many medical practitioners recommend 2 or 3 treatments the first year,
with touch-up treatments every year thereafter.
Restylane® and Perlane® – Results generally last between
4 to 9 months or more before touch up treatments are needed to sustain results.
Added longevity may be achieved by returning to your medical practitioner for a
touch-up while some filler is still present in the body, since the body will usually
continue to respond to some degree with collagen production around the dermal filler.
As with other advanced dermal fillers, many patients require less product and longer
treatment intervals over time.
Sanjay Grover MD FACS Newport Beach, Newport Beach, CA ~ John J. Obi M.D., Jacksonville, FL
Carey J. Nease MD, Chattanooga, TN