What Happens to Your Face After Years of Fillers?

Learn about what happens to your face after years of fillers from an expert's perspective. Find out about long-term damage caused by excessive use of fillers, late complications, and how long they last.

What Happens to Your Face After Years of Fillers?

As the filling fades and its effects disappear, previously treated features may shrink and flatten, wrinkles and creases may appear, and shadows may form. Over time, the filler breaks down and dissolves faster in the most active areas of the face. Excessive use of fillers can cause long-term damage, such as the formation of wrinkles on the lips and alteration of the adhesion of oily facial pads, as well as skin unevenness and aging. Late complications include delayed allergic reactions, chronic inflammation and infection, granulomas, filler migration, loss of function, telangiectasis, and hypertrophic scarring.

To avoid infection, the injection site must be thoroughly disinfected and degreased, and the injection should not be done with makeup. Good-quality hyaluronic acid fillers are practically devoid of any side effects. Silicone oil can cause a slightly different reaction called siliconoma with lymphocytic infiltrates. Permanent fillers based on acrylate gels appear to be homogenous but are actually particulate. The effects of the fillers will wear off after months or years, but the treated area is likely to return to its original state.

Botox and fillers will eventually disappear, but if you start injectable treatments again, your face will return to a smoother or more youthful look. Facial and lip fillers (dermal fillers) are substances that are injected into the face to fill in lines and wrinkles and add volume to areas such as the lips or cheeks. Its duration depends on factors such as the type of filler and where it is injected. They usually last between 6 and 18 months. For extended periods, fillers can stretch the tissues under the skin, which accelerates the aging process “because those tissues won't recover in the same way as you age” according to Park Avenue facial plastic surgeon Andrew Jacono. The problem here isn't just that this is a clear path to addiction; it's that the filler doesn't dissolve.

The filler takes months or years to dissolve (and sometimes it doesn't dissolve at all) and if you keep getting more injections, you're just filling your face with more gel.