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Who should not get fillers?

Dermal fillers have become increasingly popular as a non-surgical cosmetic treatment option for those who want to rejuvenate their appearance by filling wrinkles, lines, and hollows in the face. However, not everyone is a good candidate for this procedure. There are certain individuals who should not get fillers.

Firstly, pregnant or breastfeeding women should avoid getting fillers. This is because there has been not enough scientific evidence on the effects of fillers on the developing fetus or newborn. Additionally, individuals who have a history of severe allergic reactions or allergies to lidocaine or any other filler ingredient should not get fillers.

Individuals who have an active skin infection or inflammation, a bleeding disorder or are prone to bleeding and bruising, and those who have a history of keloid formation should not get fillers. Others who should abstain from fillers include patients with autoimmune disorders, such as lupus or rheumatoid arthritis, and those who are currently taking blood-thinning medication.

Individuals with certain medical conditions, such as skin diseases, chronic acne, or skin cancer, may also be discouraged from getting fillers. It is also essential that individuals with a history of facial nerve conditions or paralysis, such as Bell’s palsy, get fillers under the close supervision of a skilled physician.

Finally, those who expect immediate and dramatic results may not be suitable candidates for fillers. Fillers do not provide instant results, and several sessions may be needed to achieve the desired look. Also, fillers are not permanent, and results can wear off after a period.

While fillers can provide excellent results, the right candidate must be carefully evaluated. Individuals who are pregnant or breastfeeding, have severe allergies or bleeding disorders, autoimmune diseases, skin diseases, or a history of facial nerve conditions should not receive fillers. It is essential to consult with a reputable and experienced cosmetic surgeon to determine if you are a suitable candidate for fillers.

What are the high risk areas for filler?

Filler injections have become a popular cosmetic treatment in recent years, with an increasing number of people turning to them to achieve a more youthful or enhanced appearance. However, as with any medical procedure, there are risks and potential complications associated with fillers that patients need to be aware of.

Some areas of the face are particularly high-risk, so let’s take a closer look at what these high-risk areas are and why.

One of the most high-risk areas for filler injections is the nose. This is mainly because the nasal area is very vascular, which means that there are many blood vessels close to the surface. Injecting filler into this area can increase the risk of injection into a blood vessel which can result in occlusion or blockage of the blood flow.

This can lead to a serious condition known as necrosis, where the tissues in the treated area start to die due to lack of oxygen and nutrients.

The lips and the area around the mouth are also considered high-risk for filler injections. This is because the skin in these areas is very thin, and the blood vessels are close to the surface, which means that injecting filler can increase the risk of hitting a blood vessel. Another reason is that the skin around the mouth is constantly moving, which can cause the filler to migrate or shift over time, leading to a lumpy or uneven appearance.

The tear troughs are another high-risk area for fillers. These are the areas under the eyes where deep hollows or bags may appear with ageing. Filler injected here can also increase the risk of hitting a blood vessel, which can result in the same complications as in other high-risk areas. In addition, the tear troughs are a delicate area and any injected material that causes swelling or bruising can make the appearance worse.

Finally, the temples are also a high-risk area for fillers. This is mainly due to the presence of multiple blood vessels in this area. Injection into an artery in this area, can occlude the blood flow to the eye and these complications can lead to permanent blindness.

All of these high-risk areas require a great deal of skill, experience, and care from the injector. A thorough understanding of the anatomy and proper injection technique can help minimize the risks and optimize results. Patients should carefully choose their injector based on their qualifications and experience to ensure the safest possible treatment.

What is the danger zone for tear trough fillers?

The danger zone for tear trough fillers refers to the area around the eyes where the injections are made. This area is particularly sensitive, and if not approached with care, can result in complications and undesirable results. The danger zone extends from the medial canthus, the inner corner of the eye, to the mid-pupil line, which marks the halfway point between the inner and outer corners of the eye.

The lower eyelid is also considered part of the danger zone.

The main concern when injecting filler into the tear troughs is the risk of inadvertently injecting the filler into a blood vessel. If this happens, it can result in the filler traveling to other areas in the face, potentially causing damage and even vision loss. This is known as a vascular occlusion, a serious complication that requires prompt attention from a qualified medical professional.

Other complications associated with tear trough fillers include swelling, bruising, and lumps or bumps under the skin. These can be caused by improper technique, low-quality fillers, or underlying medical conditions. For example, individuals with a history of thyroid or autoimmune disorders may be at a higher risk of developing complications after tear trough filler injections.

To reduce the risk of complications, it is essential to choose a qualified and experienced medical provider to perform the injections. The provider should have a thorough understanding of facial anatomy and be able to identify the location of blood vessels to avoid accidental injection into them. Patients should also be honest about their medical history and expectations for the results to ensure a safe and satisfactory outcome.

The danger zone for tear trough fillers is the area around the eyes where injections are made. Complications can occur if proper technique is not used, or if the injections are made into a blood vessel. For this reason, it is crucial to choose an experienced and qualified medical professional to perform the injections and to communicate fully with them about any medical conditions or concerns you may have.

Where not to inject lip filler?

Lip filler is a popular cosmetic treatment used to enhance the appearance of one’s lips. While it might seem like a relatively easy and safe procedure, it’s essential to ensure that it’s performed by a qualified and experienced cosmetic professional. Additionally, there are several areas where you should avoid injecting lip filler.

Firstly, it’s important to avoid injecting the Lip filler into the corners of the mouth. Injecting the corners of the mouth can create an unnatural appearance and give the appearance of a permanent scowl, which is not very flattering. This is because the corner of the mouth has a unique muscle structure that can pull in different directions, leading to asymmetrical results.

Secondly, lip fillers should not be injected too close to the nostrils. This is because the nose’s skin is thin, and any pressure applied can lead to complications such as scarring, infection, or even tissue necrosis.

Additionally, the lip fillers should not be injected into the vermillion border, which is the line that defines the outer edge of the lips. Injecting the filler in this area can cause the lips to look disproportionate, leading to an unnatural appearance.

Another area to avoid injecting lip filler is the philtrum column, which is the narrow indentation just above the upper lip. If filler is injected in this area, it can lead to a ‘bee-stung’ appearance and an unbalanced look between the upper and lower lips.

Last but not least, it’s crucial to avoid injecting lip filler into the inner lip. It can cause lumps and bumps, leading to an unnatural appearance. Furthermore, injecting the filler too deeply can lead to complications such as temporary or permanent nerve damage, scarring or granulomas, and serious medical problems.

The above areas are generally avoided when it comes to injectable lip fillers. The right injection technique, skilled hands and an experienced practitioner can avoid unwanted side effects, prevent complications and achieve the best results. Good research about the clinic, the products used and professional experience is key in achieving a safe and aesthetic result.

Can tear trough fillers go wrong?

Yes, tear trough fillers can go wrong if they are not performed by a qualified and experienced medical professional. While tear trough fillers, which are injected into the area beneath the eyes, can effectively improve the appearance of dark circles, creases, and bags, there are certain risks associated with this procedure.

One of the main risks of tear trough fillers is overfilling, which can cause the skin to appear unnatural or even lumpy. Overfilling can also result in swelling, bruising, or redness around the injection site. Another potential complication of tear trough fillers is infection, which can occur if the injection site is not properly cleaned or if the needles used are not sterile.

Other possible complications of tear trough fillers include uneven pigmentation, allergic reactions, and the formation of hard nodules beneath the skin. In some cases, the fillers may shift or migrate, causing asymmetry or an uneven appearance.

However, with proper planning and technique, tear trough fillers can be a safe and effective way to improve the appearance of the under-eye area. It is important to choose a reputable medical professional who has experience and skills in administering fillers. Patients should also ensure that the medical professional uses FDA-approved fillers and sterile techniques to minimize the risk of complications.

Additionally, patients should follow post-treatment care instructions provided to them by their medical professional, which may include avoiding certain activities such as rigorous exercise, exposure to the sun, or taking certain medications. With proper care and management, tear trough fillers can be an effective cosmetic procedure with minimal risks.

How common are tear trough filler complications?

Tear trough filler is a cosmetic procedure that is used to improve the appearance of under-eye hollows and dark circles. It involves the injection of a hyaluronic acid-based dermal filler into the tear trough area to add volume and smooth out the skin. While tear trough fillers are generally safe and effective, like any medical procedure, there can be complications associated with this treatment.

The most common tear trough filler complications include swelling, bruising, redness, tenderness, and mild discomfort in the injection site. These symptoms are usually mild and temporary, and they can be managed with ice packs, over-the-counter pain relief medication and temporary cessation of other drugs like anticoagulant medications that can increase the risk of bruising.

In rare cases, more serious complications like infection, granulomas (lumps under the skin), and asymmetrical swelling can occur. These complications are usually related to injection technique, inadequate preparation or improper handling of the materials used for the procedure. It is worth noting that tear trough filler treatments should only be carried out by a skilled and experienced cosmetic injector with thorough training in the anatomy of the area and the use of dermal fillers.

While tear trough filler complications are relatively rare, it is important for patients to be aware of the possibility and to discuss them with their cosmetic injector before undergoing the procedure. Patients should be informed of the possible risks associated with the treatment, the potential outcomes, and any post-operative care required to minimize the risk of complications.

Tear trough filler complications are not common if the treatment is carried out by a qualified and experienced injector. However, as with any medical procedure, there is a certain level of risk involved, and it is important to weigh the potential benefits against the risks before undergoing this treatment.

Patients must do their due diligence by researching the procedure and the cosmetic injector before booking appointments. Additionally, working with your injector to ensure proper preparation, technique and post-operative care can significantly reduce the risk of complications.

Why I stopped filling tear troughs?

Hence, I will try to answer the question in a general sense.

Tear troughs are the areas under the eyes where the skin meets the orbital bone. As people age, the skin in this area might begin to sag, leaving visible hollows or shadows that exacerbate the appearance of dark circles. This condition can create a tired, haggard look that many people want to hide.

To fix this issue, dermal fillers are often the go-to treatment for many practitioners.

However, it is important to note that with any treatment, there are associated risks and potential complications. Although dermal fillers are generally considered safe, the placement of the filler is paramount to its success. If the filler is not placed precisely, it can create a bumpy, unnatural look, or even worse, damage the blood vessels or nerves in the area.

Additionally, overfilling the tear troughs can lead to a puffy or swollen appearance, sometimes referred to as “pillow face.” In some patients, the filler may also cause a blue or purple hue under the eyes, known as the “Tyndall effect,” which can exacerbate the appearance of dark circles instead of improving them.

Apart from the risks, there are also some patients who still experience a lack of satisfaction after receiving the treatment. This is because some have unrealistic expectations regarding the results; they expect to look 10 years younger. But in reality, the treatment can only help up to a certain extent, and there are other factors like diet, lifestyle, and genetics that play a role in the appearance of the tear troughs.

All these potential risks and factors can contribute to why some medical practitioners might stop using dermal fillers for tear troughs. It is also possible that they have found other treatments or techniques they prefer, depending on the patient’s unique needs or the physician’s preference. it is important for each individual practitioner to assess their own experience and the patient’s desired outcome and to determine if dermal fillers are the best solution for the patient’s needs.

What should you avoid before fillers?

Before receiving any kind of filler injections, there are certain things that individuals need to avoid to ensure the best and safest results. Firstly, it is essential to avoid taking over-the-counter blood-thinning medications such as aspirin, ibuprofen, and other anti-inflammatory medications for several days before the procedure.

This is because they may increase the risk of bruising and bleeding at the site of injection.

Moreover, it is vital to avoid alcohol consumption and smoking for at least 24 hours before the treatment. Both of these habits can dehydrate the body and worsen swelling or inflammation post-treatment. Also, drinking too much alcohol can increase the risk of bleeding and bruising after the procedure, which may take longer to heal.

Another thing that patients should avoid before their filler treatment is strenuous exercise as it can increase blood flow and create more swelling at the injection site. It is also essential to avoid waxing or threading the treated area for at least two to three days before the procedure. Waxing or threading can create tiny micro-tears in the skin that increase the risk of post-treatment infection or irritation.

Moreover, patients should avoid undergoing any cosmetic treatments or surgery, such as chemical peels, laser treatments, or facial hair removal, before the filler injection appointment. Such procedures can cause skin irritation, which may interfere with the treatment results and cause inflammation.

Lastly, patients should avoid taking any herbal supplements or vitamins before the treatment, especially those that can interact with blood thinners or cause bruising on their own. It is always indispensable to consult with your doctor or healthcare professional to ensure that you are a suitable candidate for the treatment and receive the best outcome possible.

What not to do after getting fillers?

After getting fillers, it is important to take proper care of the treatment area in order to achieve optimal results and avoid any potential complications. The following are things you should avoid doing after getting fillers:

1. Do not touch the treated area: You should avoid touching or rubbing the injection site for at least 24 hours after the procedure. This can cause the filler to shift, and may also introduce bacteria into the area which can cause infections.

2. Do not expose the treated area to extreme temperatures: For at least 24 hours after the procedure, try to avoid exposing the treatment area to extreme temperatures, such as hot showers, saunas, hot tubs, and direct sunlight. This can cause swelling, redness, and discomfort.

3. Do not participate in strenuous activities: You should avoid engaging in physical activities such as exercising, running, lifting weights, or other strenuous activities for at least 24-48 hours after getting fillers. This can cause the treatment area to become inflamed and may also cause the filler to shift.

4. Do not consume alcohol or caffeine: You should avoid alcohol and caffeine consumption for at least 24-48 hours after the treatment. These substances can cause dehydration and may also increase swelling and bruising.

5. Do not take blood-thinning medications: You should avoid taking any blood-thinning medications such as aspirin or ibuprofen for at least 24 hours post-treatment. These medications can increase the risk of bruising and bleeding.

6. Do not smoke: Smoking reduces blood flow to the skin’s surface, impairs healing, and causes wrinkles. You should avoid smoking or being in environments where there is heavy smoke for at least 24 hours.

It is important to follow the post-treatment instructions given by the provider to ensure optimal results and to avoid any potential complications. If you experience any discomfort, swelling, or abnormal side effects after getting fillers, you should contact your provider immediately.

Can you drink coffee before fillers?

There is no definitive answer as to whether or not one can drink coffee before getting fillers. However, there are some considerations that should be taken into account before making a decision.

Firstly, it should be noted that coffee is a diuretic, meaning that it can cause dehydration in the body. This can lead to the skin becoming dry and less plump, which is counterproductive to the purpose of getting fillers. It is therefore advisable to avoid drinking coffee or any other fluids that contain caffeine before the procedure in order to help keep the skin hydrated.

Secondly, caffeine and other substances found in coffee can increase blood pressure, which may result in increased bleeding during the filler injection. Although the amount of bleeding during filler injections is generally minimal, it is still important to take precautions to reduce the risk of this happening.

This includes avoiding alcohol and anti-inflammatory medications before the procedure, as well as staying hydrated and refraining from activities that can increase blood pressure.

Lastly, the effects of caffeine can vary from person to person. Some individuals may experience increased nervousness, anxiety, or agitation after consuming caffeine which may impact their ability to relax during the procedure. It is therefore advised to avoid caffeine if you are prone to anxiety or other similar feelings.

While there are no specific rules against drinking coffee before getting fillers, it is generally advisable to avoid consuming caffeine or any other substances that may impact the effectiveness of the procedure. As such, it is always best to consult with your healthcare provider before making any major changes to your diet or lifestyle habits prior to a filler injection.

Does drinking water help fillers?

From my understanding, “fillers” refer to cosmetic treatments like dermal fillers, which are used to smooth out facial wrinkles, creases, and furrows by injecting gel-like substances under the skin. These fillers can replenish lost volume, restore elasticity, and enhance facial features.

Drinking water is essential for overall health and skin hydration. Water helps to flush toxins out of the body and keep our vital organs functioning efficiently. It also plays a significant role in maintaining the skin’s moisture barrier, making it more supple, glowing, and elastic. Therefore, drinking sufficient water daily can benefit our skin and overall health.

However, when it comes to the effectiveness of fillers, drinking water may not provide significant results. Fillers work by adding volume under the skin in targeted areas, such as the cheeks, lips, and under-eye circles. Drinking water cannot stimulate collagen production or provide the same anti-aging benefits that dermal fillers can offer.

That said, drinking water can help prolong the results of fillers by keeping the skin moisturized and healthy. Hydrated skin is less prone to the development of wrinkles, fine lines, and other signs of aging. It can also reduce the risk of complications associated with fillers, such as swelling and lumps, by flushing out excess toxins that may accumulate in the body.

Drinking water cannot substitute fillers or deliver the same results, but it can complement their effects by improving skin health and hydration. Therefore, it’s advisable to drink plenty of water daily and seek advice from a qualified healthcare professional before considering any cosmetic treatments.

How many days before filler should you not drink?

Generally, healthcare professionals advise refraining from drinking alcohol at least 24 hours before the scheduled appointment for dermal fillers.

Alcohol consumption can cause blood vessels to dilate, increasing the risk of bleeding and bruising during the procedure. The combination of alcohol and dermal fillers may also heighten the swelling and inflammation post-treatment, leading to discomfort and delayed healing.

Apart from alcohol, it is also essential to notify your doctor or injector of any other medications or supplements you are currently taking before the procedure. Some medications such as blood thinners, anti-inflammatory drugs, and herbal supplements can increase the risk of bleeding, and may require temporary cessation before the treatment.

It is recommended to avoid alcohol consumption at least 24 hours before a dermal filler procedure to minimize the risk of complications and maximize the efficacy of the treatment. It is always important to consult with a healthcare professional for personalized advice and guidelines specific to your health condition and medical history.

Do fillers not work for some people?

Yes, fillers may not work for some people. This can happen for a variety of reasons, such as having a unique skin type, being allergic to certain filler ingredients, or having a poor injection technique.

Firstly, there are different types of fillers available such as hyaluronic acid-based fillers or collagen-based fillers. Some people might not respond well to one type of filler due to their individual skin type or genetic makeup, which can affect how the filler interacts with their skin. For example, some people with very thin or sensitive skin may experience more swelling or bruising after filler injections.

Secondly, some people may be allergic to certain ingredients in the filler, which can cause an adverse reaction. This is more likely to occur for people who have a preexisting allergic history or a history of allergic reactions to other skincare or cosmetic products.

Finally, poor injection technique can cause the fillers to not work effectively or look unnatural. If the person administering the injection isn’t skilled or experienced, the filler might be placed incorrectly, leading to lumps, unevenness, or other issues.

It’s important to note that individual results may vary and that the effectiveness of the fillers depends on various factors including the type of filler used, the location of the injection, the injection technique, and individual differences such as skin type and allergies. Therefore, it is important to consult with a certified and experienced healthcare professional before choosing to undergo any cosmetic or skincare procedures.

Why do fillers not last on me?

Firstly, individual anatomy and metabolism can play a significant role in how long filler stays in the body. For some people, their bodies may metabolize the fillers quicker, leading to a shorter duration of results.

Secondly, the choice of filler and the technique used to inject it can also impact how long it lasts. Not all fillers are created equal and have varying properties that affect the rate of absorption and longevity. Additionally, the technique used to administer the filler can also impact how well it integrates into the surrounding tissue, affecting the result’s longevity.

Thirdly, lifestyle choices such as smoking or excessive sun exposure can increase the rate of filler breakdown, meaning that the results do not last as long as they might for someone with healthier lifestyle habits.

It is essential to discuss concerns about the longevity of filler results with a qualified medical professional who can provide personalized advice and treatment options.

What to do if fillers don’t work?

If fillers do not work for you, there are a few options that you can explore. Firstly, it is important to communicate any concerns or issues that you may be experiencing with your doctor or injector. They may be able to adjust the placement or amount of filler that is being administered. Alternatively, they may be able to suggest different types of filler that may be more effective for your specific concerns.

If you have already explored these options and still find that fillers are not working for you, there are other treatment options that you can consider. For example, if you are struggling with deep wrinkles or severe facial lines, you may want to consider a more invasive treatment such as a facelift or brow lift.

These procedures can help to lift and tighten the skin, resulting in a more youthful and refreshed appearance.

Another option to consider is laser resurfacing or chemical peels, which can help to exfoliate the skin and diminish the appearance of fine lines and wrinkles. These treatments can also help to improve skin texture and tone, resulting in a smoother and more radiant complexion.

The best course of action will depend on your own unique concerns and goals. It is important to consult with a qualified healthcare professional who can provide you with personalized recommendations based on your individual needs and preferences. With the help of a trusted professional, you can explore all of your options and find a treatment that will help you achieve the results you are looking for.


  1. Fillers: Contraindications, Side Effects and Precautions – NCBI
  2. When Should You Absolutely Avoid Getting Dermal Fillers?
  3. Dermal fillers: The good, the bad and the dangerous
  4. Dermal Fillers: What to Know Before You Try | SELF
  5. 11 Things to Know If You’re Thinking About Trying Dermal Fillers