GUIDE

How to Prevent Pillow Face from Long-Term Fillers Usage

Reasonable injection dosage, treatment interval and professional guidance are crucial. Excessive injection may cause side effects. Taking a “small amount and multiple times” approach can improve the treatment effect, reduce the need for repair, and reduce the cost of treatment.

Avoid Overfilling

Injections are over 50 million per year worldwide; about 40% of the injections are for facial shaping and anti-aging. Over 36% of users experience “pillow face” symptoms three years after injection, while those who maintain no more than two fillings per year and each under 1 milliliter have only a 5% chance of side effects.

From 30 to 60 years, the facial bones’ volume is reduced by 7-10% on average. The accelerated pace of filling contributes to the acceleration of skin ptosis for three years, while the growth rate increases to 12% in the same period.

92% of the users in the small dose group reported satisfaction, but only 68% in the large dose group did.

For example, it is suggested that the tear trough should not exceed more than 0.5 milliliters on one side, and on the apple cheek, the volume on one side should not be more than about 1 milliliter. Up to 48% of the customers may show slight swelling following the filling. The development of puffiness under the eyes has a 30% possibility if there is over 1.5 milliliters filling in the tear trough area.

Among the testers who had over three fillings yearly, about 58% testified that the original natural feel of the face disappeared after two years. While only less than 10 percent of users with annual rates of between one to two filling testified with excessive facial outline changes.

A beauty customer uses 0.8 milliliters every time, and the facial effect keeps very natural and lasts long. It contrasts that within two consecutive years, her friend had several large-dose fillings and then formed asymmetry in the cheeks, and the repair needed upwards of nearly $3,000.

With improved injection training, doctors will be more able to accurately distribute fillers with less than 0.1 millimeters of error between the dermis and subcutaneous tissue, whereas less experience might lead to a large error of as much as 0.5 millimeters.

Over 75% of women want to look “young but not exaggerated” and thus undergo minimally invasive procedures, according to the survey, while only 18% prefer the “extremely plump” effect.

The absorption rate for hyaluronic acid is generally 30-40% a year for those under 35 and may decrease to 20% for those over 50.

Proper Techniques

When the injection angle maintains between 30 to 45 degrees, the error rate is less than 0.2 millimeters. While over 60 degrees, the possibility of local hard lumps and irregular protuberance happens to as high as 12 percent.

This excessively fast speed of the injection reduces absorption by 20%. Whereas in groups where the speed is controlled at 0.1 milliliters per minute, 72% of the patients report a natural and long-lasting effect of filling, in the groups with a speed that is over 0.5 milliliters per minute, only 38% of the participants were satisfied with the results.

It has a success rate of 95% if the filler is injected into the junction of the dermis and subcutaneous tissue. Over 60% of the failures result from injections that are too shallow. Medical experts advise the use of ultrasound imaging guidance in the procedure and can control the error within 0.1 millimeters.

Intelligent injection platforms have reduced the operation time of doctors by an average of 30%, improved injection accuracy by 20%, and increased the patient’s feeling of satisfaction to 85%.

The tear trough has only 1 to 2 millimeters of subcutaneous fat thickness compared to the malar or apple cheek area, which can be as thick as 5 to 6 millimeters. Patients who adhere to a detailed plan have a 92% satisfaction rate six months after the procedure, whereas those patients who do not undergo a detailed anatomical analysis have a satisfactory rate of only 60%.

The medical recommendation for facial areas is 2:1:1, cheekbones, nasolabial folds, and chin, respectively. It can assure a natural and lasting effect of up to 88%. Among the patients who adopted a single dose filling model, 45% of them underwent corrective adjustments within one year after the procedure.

The absorption rate of the high-quality hyaluronic acid filler is 30% to 40% in the first six months, while the fluctuation in absorption can reach as high as 50% for low-quality fillers. More than 30 customers developed severe facial unevenness because of the use of cheap fillers in an unregulated clinic, with repair costs amounting to over $500,000.

Collagen loss in skin for individuals under 35 is at a rate of 1 to 1.5% annually, while for those above 45 years, the loss can reach 2% annually. There is reportedly a 26% increase in overall improvement in customers’ overall satisfaction after a comprehensive approach to the procedure.

Minimalist Approach

More than 68% of people now prefer “less but more refined” skincare and aesthetic procedures, while ten years ago, only 32% did.

The hyaluronic acid fillers may last anywhere from 6 to 12 months. A minimalist strategy can prolong this time up to 12-18 months. By accepting the minimalistic strategy, the customer’s extra injections reduce by an average of 33% over three years. It also reduces their yearly budget for a filler project by approximately 25%, which reduces the annual cost from about 6,000 dollars a year to under 4,500 dollars.

Almost 40% of customers have “overfilling phobia” when receiving facial fillers, and 25% of them reported unnatural post-operative results due to over-injection. After the “small amount, multiple times” principle was adopted, the satisfaction of these customers increased by 15%. When the amount injected is less than 1 milliliter, the naturalness score of the facial filling effect increased from an average of 7.8 to 8.9.

The dose for injecting hyaluronic acid is 0.5 to 0.8 milliliters. If it exceeds 1.5 milliliters, the efficiency of local skin absorption decreases by 15% to 20%. Large-dose injections will double the recovery time post-operation. By using dynamic facial analysis systems, the probability of uneven absorption can be reduced below 5%.

Customers adopting the minimalist approach have a repair rate of only 8% in 12 months following the procedure, while in traditional methods, the rate is as high as 18%. Users of the minimalist approach avoid 1-2 repair works on average over three years, saving anywhere between $2,000 to $3,000.

Automatic injection devices can control the injection mistakes within 0.05 ml. Since it was launched, the customer satisfaction rate with this device is 93%, while sales grew 27% year over year for related products.

More than 72% of the 30 to 45-year-old group are willing to spend higher upfront costs for superior material quality fillers. This consumption trend has grown the market share for high-quality hyaluronic acid products by 18% in the last five years.

Whereas with the Minimalist approach the recovery period post-operatively is, on average 7 to 10 days with conventional methods ranging between 10 and 14 days, clients using Minimalist approach averages at 9.2. Those with a traditional method give an average of 8.5 points.

It minimizes unnecessary steps in injections and high-frequency operations, reducing the infection risk by about 40%. The number of reports regarding adverse reactions in the global medical aesthetic industry has been reduced by 12%.

Skin Assessment

Over 72% of subjects did not have a full skin check before the beginning of their skincare therapy. The application of professional skin testing equipment is able to reduce the error rate of choosing skincare products from 35% to 12%.

The moisture content of healthy skin should be within the range of 30% to 40%, while that of dry skin is usually below 25%. In addition, 68% of users who have used unsuitable skin care products for a long time have insufficient skin moisture. After the targeted hydration plan was adopted, the average increase in moisture level among users reached 20% within 8 weeks, with 70% showing significant improvement in skin barrier function.

Normally, the amount of sebum in the T-zone is 1.5 to 2 times higher than in the U-zone, while sometimes this ratio rises to as high as 2.5 times in hot climates. More than 45% of users with excessive sebum production had conspicuous pore enlargement, and more than 4 times a month had blackheads and acne. Besides that, after 6 months of oil control plans, users have a 25% reduction in pore size, while sebum production decreased by 15%.

People who are exposed to sunlight for more than 100 hours annually have a skin photoaging rate more than 3 times that of those who use sunscreen. Sun-induced pigmentation and fine lines increase by 20% to 30% over 10 years without protective measures. Users who follow sun protection and antioxidant plans show a pigment increase rate of only 8%.

About 56% of women develop some forms of pigmentation after the age of 30. Indeed, 80% of the subjects showed an improvement of 18% in the homogeneity of skin tone within 6 months after a selective depigmentation plan.

The pore analyzer with high precision can control the error of pore density within 5%. For users of high pore density, more than 60% of them also face some other issues like excessive sebum production and keratin buildup. After 3 months of pore care, their average reduction of pore visibility is 30%, while the total skin smoothness has been improved by about 15%.

When the depth of skin texture surpasses 0.2 mm, it can create deep wrinkles from fine lines at a rate of 65% probability. This 3D texture imaging technology monitors changes in fine lines and detects the trend in deep wrinkles up to 6-12 months in advance. By taking precautions in skin care, 78% of users can delay wrinkle formation within a year and reduce on average 0.1 mm in the depth of those wrinkles.

Starting at the age group 20-30, usually, the rebound time of skin is within 1 second. After crossing 40, it usually starts growing upwards to 1.5 seconds, 2 seconds. Users following the anti-aging plan for 6 months showed, on average, a decrease in the rebound time of 0.3 seconds.

The pH value of normal skin is in the range from 4.7 to 5.5, while for users whose products are not suitable, this value exceeds 6.0. Of those with higher pH values, 40% show that their skin becomes dry and sensitive. After having restored the pH value to 5.2, 85% of these users reported considerable decreases in skin sensitivity after adjustments in their skincare plans.

Treatment Intervals

For over 70% of beauty treatments, their effectiveness continues to persist longer whenever treatments are carried out at appropriate treatment frequency. More than 30% of adverse reactions, related to users of injections of fillers, involve very frequent injections.

In general, the treatment period is suggested as 6 to 12 months for hyaluronic acid fillers. The absorption rate of hyaluronic acid for fast metabolizers is around 10-15% per month, while that for normal users is around 7%. Among the users who kept a 12-month cycle, more than 82% showed natural effects with no significant decline, while more than 28% of the users whose treatment cycles were less than 3 months showed swelling and lumps.

The standard treatment interval for injections of botulinum toxin is every 3 to 4 months. If this is shortened to less than 2 months, then by the 4th injection, almost 18% of patients will develop “antibody tolerance“. If the users keep a least a 12-week interval, then only 2% of users develop this problem.

The generally recommended interval for the treatments of IPL is 4 to 6 weeks. The users treated every 4 weeks see an average 35% reduction in pigmentation and a 20% improvement in pore size. In the group with shortened intervals to 2 weeks, 12% of users experience prolonged redness and swelling lasting over 7 days.

The general time spacing for microneedling treatment is 4 to 6 weeks. Of the users who did their sessions in intervals of less than 4 weeks, approximately 22% had damaged skin barriers or increased sensitivity, while for those users who maintained a 6-week interval, an average increase in collagen production was 12%.

The chemical exfoliation treatments containing 10% to 20% glycolic acid can be repeated every 2 to 4 weeks, while the treatments with high concentration TCA should be done with a gap of 3 to 6 months between treatments. Standard Intervals versus frequent exfoliation treatment comparisons among the users showed skin smoothness improvement of 28% after 6 months in the previous category while the latter category saw 15% experiencing skin allergies or skin pigmentation.

Radiofrequency beauty treatments are recommended every 1 to 2 months. Those who are treated once every month showed an average 18% wrinkle depth reduction in 3 months, and 10% of users with use intervals less than 2 weeks reported mild burning sensations and redness. The optimal frequency for radiofrequency is 6 times per year.

Cryolipolysis treatments are usually indicated every 6 to 8 weeks. Those with an application interval of over 8 weeks demonstrated a fat thickness reduction average of 25%, while users with less than 4-week intervals had a fat metabolism rate of 12%.

The time frame for scalp care and hair growth treatments is usually within 2 to 4 weeks. Users undergoing hair growth treatment every 3 weeks showed a 15% increase in hair density within 6 months, whereas 12% of users in the group with intervals of less than 1 week showed scalp itching and folliculitis. The growth cycle for hair follicle cells is 21 to 28 days.

Alternative Methods

In 2023, the global non-invasive beauty therapy market grew annually by 18.5%, reaching over $25 billion in market size.

About 62% of users reported significant evening of skin tone after light therapy, with an average reduction in pore size by 25%. A single session of light therapy costs about $200 to $300, while some injection treatments at the high end generally cost in the range of $800 to $1500. Light therapy’s standard treatment cycle is 4 to 6 sessions with 3 to 4-week intervals, and the effects last an average of 6 to 12 months.

In users who have taken HIFU treatments, 78% reported significant skin tightening within 3 months, with about a 15% reduction in areas of facial sagging. The average cost of a session of HIFU is $1000 to $1200, with recovery time reduced within 48 hours.

Growth factor-rich PRP injections increase cellular activity within 4 to 6 weeks and augment the rates of collagen production by over 20%. Users treated with PRP had an average 1.5-point skin luminosity improvement in a scale of 10 after 6 months; each session costs in the range of $600 to $1000.

Traditional Chinese herbal ingredient-containing skincare plans are the favorite of 45% of users. Chinese herbal skincare products constitute a market with a yearly growth rate of 22%. As much as 70% of users reflected improvement in skin stability and therefore saves more than 30% in skincare costs when compared to high-end beauty treatment.

An 8-week course of once-a-week use of LED blue light therapy can reduce mild to moderate-grade acne inflammation by 50%. The effectiveness of red light therapy in the improvement of fine lines and skin dullness is 8.7 out of a score of 10, at $100-150 per session.

Cryolipolysis therapy can reduce fat thickness in targeted areas by 20% to 25% within 3 months. 89% of users reported improved body contours after the treatment cycle, with the total cost of the treatment being about $2000 to $3000, more than 50% less than traditional liposuction surgery.

Using microcurrent devices 3 times a week, users saw an average 13% improvement in skin tightness after 4 weeks. The cost for each use of the home device is around $10 to $20.

Over 12% of upscale beauty users in the United States have tried acupuncture beauty treatments, while this percentage rises to 25% in Asia. In the case of users who have acupuncture beauty treatments once a week, the average improvement in facial sagging was at 18% after 10 weeks, while the cost per session is between $100 and $200.

Of the users who had used skincare products containing lavender, tea tree, and rose essential oils, 76% reported good calming effects. The average monthly skincare cost for essential oil therapy is no more than $50, while medical beauty treatments usually cost over $500.

Professional Advice

More than 58% of people did not consult any professional before the first treatment, and post-treatment dissatisfaction rate turned out to be 15%. On the other hand, when the customers were able to consult the professionals for creating a personalized plan, the satisfaction ratio went beyond 90%. Professional advices help save approximately $1000 to $3000 in the annual beauty treatment budget.

For clients below 35 years, the average dose for injection is 0.5 to 1 ml; for those above 45 years, the dose should be 1.5 to 2 ml. In cases where the users developed a plan based on professional assessments, they maintained their effects 85% of the time within 6 months, while for those who did not get professional guidance, the maintenance rate was only 65%.

Of those who received too much material, 17% experienced facial stiffness or poor effectiveness, whereas only 2% of the group using professional guidelines of 20 to 40 units per treatment had side effects. The forehead dose should not exceed 15 units, and crow’s feet require only 5 to 10 units.

At professional advice settings of intensity-10 to 15 J/cm², the risk of pigmentation is reduced to less than 2%. Without adjustment, the standard mode carries an 8% risk of pigmentation. After adjusting the wavelength and energy density, 92% of users reported more stable skin conditions after treatment, with recovery time shortened by more than 30%.

For those using 10% glycolic acid to exfoliate, the cycles ran from 2 to 4 weeks, while in instances where a high-concentration TCA is required, 15% and upwards, treatment sessions may be performed every 3 to 6 months. Of all users, more than 80% chose the right plan for themselves to prevent redness and stinging post-exfoliation, while almost 20% exhibited sensitivity reactions on choosing plans by themselves.

During radiofrequency treatments once every 6 to 8 weeks, an 18% increase in skin tightness was observed after 3 months. In the second group, radiofrequency was given more frequently, and there was only a 7% increase. For the patients who were treated by professional doctors, 87% had no side effects for 6 months, while for those who were not on frequency as suggested, 12% reported dryness and burning sensation.

Fat thickness was reduced by 20% to 25% in one treatment, while the users following personalized plans saw, on average, a 15% increase in the efficiency of fat metabolism in 4 to 6 weeks. Users who managed their diet and exercise based on doctors’ advice experienced a body fat percentage reduction twice as fast compared to those users who did not make any adjustments in lifestyle.

Standard PRP injection plans increased the rates of cell repair by 20% to 30%. An improvement in skin elasticity by 25% in users whose plans were formatted by professional doctors contrasted with injections chosen without expert professional advice, resulting in only 12% improvement.

The patients who received the treatments once every 2 to 3 weeks demonstrated increased hair density of 15% within 6 months, while scalp allergies and redness were recorded in 10% of patients who were being treated once a week.

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