Why would anyone get their fillers dissolved? They’re the number two aesthetic treatment worldwide! Millions of people are queuing up for fuller cheeks, contoured features and plump, shapely lips.
However, some celebrities are rocking the boat by deciding to get their filler removed, encouraging us to re-evaluate our attitude towards this procedure.
The Risks Of Overfilling
I’ve never felt comfortable with very large lips, but thanks to celebrity role models and social media stars, overfilled lips are becoming the norm. I’m glad to see people challenging the trend, with Love Island star Charlotte Crosby making the headlines by having her lip filler chemically dissolved. She put a question mark over the value of excessive lip fillers, while cosmetic doctors are exploring the risks of overfilling.
For example, Dr Harris deliberately draws attention to the distortion caused by overfilled lips and cheeks. He believes that too much filler leads to ‘alienisation’, with features enlarged outside the normal range for the individual in question.
However, it’s not always an unscrupulous doctor or an excessive treatment that leads to these strangely exaggerated results. Many people forget what they looked like before treatment and return for more or the substance takes longer to dissolve than we originally thought. The patients believe that they’re in need of a top-up while it’s still in their system, leading to a double dose of filler.
The Mental Health Link
We all think about our appearance. Low confidence is often the motivation to have an aesthetic treatment such as dermal fillers, as it helps us to embrace how we look. However, cosmetic treatment has been linked to an extreme preoccupation with appearance, known as body dysmorphic disorder (BDD). People with BDD spend a disproportionate amount of time obsessing over minor or imagined flaws. This can be enormously upsetting, so it’s no surprise they turn to cosmetics to try and fix the problem.
It’s a difficult issue for us practitioners to identify, especially as fewer than 10% of patients with BDD are satisfied with the results of their treatment. They move on to other practitioners to correct this perceived problem or their anxieties transfer to another area of the face or body. Their constant quest to fix the flaw leads to distorted, overfilled features.
Now, not everyone with overfilled features is suffering from BDD. After all, we all worry about our appearance to some extent and BDD is the extreme end of the spectrum. In my practice, I tend to see patients who are delighted with a filler treatment, but quickly forget what they looked like before the procedure. They want a more discernible difference, so they come back wanting another treatment.
It’s easy to see how people’s faces become overfilled, especially as fillers may last much longer than we think. Alice Hart Davis, a beauty journalist and author, discovered that 35ml of dermal filler is still present in her face, even though we expect it to have dissolved naturally in less than two years.
So I Should Avoid Fillers?
Not at all! They help millions of people to look youthful, including me! However, we do need to take care.
In my clinic, I limit the amount I’m prepared to place at one time, assessing my patients via ultrasound to determine if any filler remains. This helps me decide if it’s suitable for them to have more treatment or whether I should direct them to an alternative, of which we have many. When I do conduct treatments, I tend to use Juvederm, which creates wonderfully subtle and natural-looking results.
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