Long term side effects of Facial Fillers? - Dr. Gary Linkov

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Find out what are the long-term side effects of facial fillers, and tune in to the full episode to listen to Dr. Gary Linkov's lip lift patient consultation!
Lip enhancement is, broadly, any procedure that augments or improves the appearance of the lips. Lip enhancement can be temporary or permanent, reversible or irreversible, and localized or generalized depending on your goals. How you feel about your appearance and the changes you wish to make will help determine whether you will benefit from lip enhancement surgery and if so, which type would suit you best.
Dr. Gary Linkov is an experienced facial plastic surgeon with extensive skill and talent in facial artistry. Whether you are considering some non-invasive cosmetic injections to smooth away age lines or want to explore more permanent rejuvenation options, meet with Dr. Linkov. You will get a personalized consultation to discuss your goals and desires for improving your appearance. Dr. Linkov, or Dr. Gary as many of our patients refer to him, will listen and give you his recommendation for treatment. Whatever you decide, you can trust that you are incapable, skilled hands when you choose us for your facial cosmetic procedure.
Upper Lip Lift Types - Dr. Gary Linkov
City Facial Plastics: Dr. Gary Linkov
150 E 56th St, 1AB
New York, NY 10022
[phone]
cityfacialplastics.com
www.linkovhair.com
The content of this channel is for entertainment and educational purposes only. This content is not meant to provide any medical advice or treat any medical conditions. Patients must be evaluated by an appropriate healthcare provider on an individual basis and treatment must be tailored to meet that patient’s needs. Results and particular outcomes are not guaranteed.

[@cassandrascott271]

Thank you doctor for your honesty💞💞 people need to know the truth..

[@gent8940]

Great information 🤓

[@itsmimi3154]

She looks like Meredith Grey

[@shimmerysun]

Really been liking your videos! I know this isn't really your speciality but I thought I'd ask. Could you do a video on if there are any long term bad effects from using lip plumper, both the gloss kind and the suction kind (candylipz)? I'm wondering if these might stretch out skin over time and cause sagging down the line, or if using irritants in the glosses would cause long term effects.

[@daisybusinessview]

Thank you so much for these! Because I went to an injector recently for a consultation and he said filler dissolves completely… WELP!!!

[@nihilisticprophet6985]

Does the HA stay because it’s cross linked? There are other fillers/skin boosters like Profhilo that doesn’t use any cross link agents. Do they cause the same problem?

[@tresjolieme81]

I only do sculptra because it's a powder that builds ur own collagen, it's not going to move just fade.

[@disr21]

What can I do if I already got the fillers for eyebags, my cheeks look bumpy, should I get them to dissolve the fillers? to avoid future problems like filler migration. I had the fillers 4 days ago, for the first time and I think last time also...

[@NFKhan-eu3ff]

I've had nose fillers for the first time because my nose has bumps on the lateral side and plus it dropped a but so with fillers I got a Tinkerbell nose lift. I'm too scared to get surgery knowing how bizarre things can often get. But it's hard to accept my natural nose sadly.

[@velroneramdon2289]

Hi Doctor what would you recommend for the laugh lines, I hate to see them.

[@beataszendrey786]

Hi, do you think that fillers can cause beside filling wrinkles - but a bit sagging of the tissues overtime due the the weight of the filler? That’s what I read concerning fat transfer when the injected fat cells dropped somewhat after 8-10 years in case of some people. Or haven’t you seen anything similar? 🤷🏻‍♀️

[@drgarylinkov]

It is possible but it is difficult to tell how much of that effect is from filler compared to the aging process itself.

[@Dandelion_flight]

Not true and it is important to do research and find the best doctors. It depends on how and where the filler is injected. Often it is not that the skin has sagged but rather bone loss and fats loss to the face making it seem like it is skin sagging. So filler just replaces the bone (if injected at bone level) or the fats. A skilled doctor/nurse will know where to place the filler and which filler is best to use. I would say to educate ourselves as patients and find the best doctor/nurse you can. There are many many good ethical doctors even here on YT who makes such educational and honest videos. A good cosmetic doctor will assess your entire face and treat specific problematic areas with the entire face in mind. But I do believe there will come a point in time where ageing will really cause skin quality issues which no longer can be helped by filling and injectables. At that point, maybe about 60yo, a face lift is inevitable if one really wants to keep looking young.

[@justaiden7902]

What about ellanse diluted for biostimulator purpose? Does it also stay permanently and cause damage? Or does Hor disappear after a while? I have done 2 treatments so far

[@annpringle8219]

I didnt know who you were with all that hair handsome 😊

[@starapril1112]

Hi, I’m doing some research and wondered whether there are any current ways to prevent the long term effects of filler and if the lip scaring track lines will potentially cause a bumpy lip appearance? Thank you.

[@drgarylinkov]

The best way to prevent it is to do less of it ;)

[@violetavulovic1]

@@drgarylinkov What about Bellafill? Is that better solution?

[@drgarylinkov]

@@violetavulovic1 No it’s a worse solution. Permanent filler in the lips is a bad idea.

[@MissHawes0187]

@@drgarylinkov thank you for your honesty and straight forwardness. You have a great bedside manner, and you're a extremely humble man.

[@claudiacastillo5898]

I know MRI’s have proves that filler stays more than 8years, sometimes more than 12. But does it ever actually leave your face or is HA semipermanent?

[@drgarylinkov]

I think most do leave the face after enough time has passed with individual injections, but with repeated injections over years there is a build up and it may take many more years for it to "go away."

[@leora2455]

@@drgarylinkov isnt that a good thing? Like, you get permanent improvement?

[@choochd]

@@leora2455 In the way they speak about it in the studies, no, it is not necessarily a good thing because the filler generally migrates into undesirable places since there's no matrix to hold it in place (it spreads out and follows the path of least resistance). What I'm wondering is if they might find a way to keep it in place somehow

[@jennyquezada9644]

@@choochd Yes, by injecting at the bone level with a cannula.

[@sanjilee6148]

So then what about dr pen and derma rollers? They also, put holes in your skin.

[@JessicaHicks]

I want to try fillers, but it seems weird injecting something into my face that could have these strange side effects.

[@elsaucelloron1922]

Don't put too much.they put too much on my face, Ellanse about three years ago and now I have lumps on my right cheek ...

[@JessicaHicks]

@@elsaucelloron1922 Oh my! I am sorry to hear that. I do appreciate the advice. I am considering to get fillers in a few years. Thanks so much!

[@madeehatahir6213]

Hi,Dr I like your video it's more knowledgeable I have one question if you can answer me is fat transfer is good option for patients those in there genes have weak tissues plz reply I will be really appreciated

[@tylermadsen4771]

A bad dr over filled my nasolabial fold . I dissolved it and my face is ruined. Dissolver ruined my face

[@Sofwarriors]

Over exaggerating lol

[@tylermadsen4771]

@@Sofwarriors actually not

[@kujo4388]

So like what happened? Go into detail

[@Jungaloowi333]

​@@Sofwarriorsits real. happened to me too. i got my lip fillers dissolved and it aged my whole face. I'm only 22 and i look like in my mid 30's after the damage. it's depressing

[@Sofwarriors]

@@Jungaloowi333 they say u have to use a high quality filler that dissolves more naturally, but u probably look fineee

[@saya1624]

Doctor what do u think about radiesse and harmonyca fillers?

[@monicastraub3372]

I had my tear troughs filled a year ago this may. It's still there. I was told because I'm so active as i am an athlete it would all dissolve within 4 to 6 months for me. That was certainly not what happened. My question is, what to do next? It looks like it's there, but 1 eye looks better than the other? It does look flatter on my right then left. Just a little, it's very subtle. How do i know when its time to get a top-up? Wait another year? Just give up on it? I will ask my doctor, but I'm worried he might not give me an honest answer. He's very convincing an feel hes always honest with me, but he has a bit of pause because he told me it would all dissolve so quickly for me! Unless he was sarcastic, but then he didn't give me another answer. I guess he just doesn't know? He is a plastic surgeon as well.

[@Lolitalol881]

When you inject prp that also causes scarring?

[@Nina-ur3ld]

Does filler migration only happens when you overinjected?

[@Dandelion_flight]

Dr Gary, I have just done Voluma to my right buccal area to rectify the asymmetry I have. It felt a bit lumpy at first in one area but things have settled down and my buccal is back to feeling soft and nice. I really love that my face is more symmetrical now. I sometimes wonder if it is a journey of no turning back haha... but so far I am loving the decision. Ageing has definitely cause fat/volume loss to my buccal (and I never had buccal fats removed) and temple areas and makes my face look tired and gaunt especially contrasted with my huge wide cheek bones. Thanks for this video. :)

[@salmagulamhusein400]

I have had recent trauma to my lips due to permalip removal 5mm of upper and lower lips which I had in only 3 weeks. They were not put in correctly and were protruding outwards on both left upper and lower lip & were very unnatural looking as well. I was swollen & badly bruised (dark purple) for about a month. The way my Dr put in the implants/ his technique was with scissors ! Will my lips recover from this trauma ( I have been massaging them which is supposed to help with scaring) when & do you think I could ever put in lip filler again ? I would like to know your expertise on this. Thank you so much

[@polisherci]

Hey Dr. Linkov, I’d be interested to know whether there might be more health issues caused by fillers than what’s portrayed in the media. What brand/type of filler is the safest? You replied earlier that there wasn’t a correlation found between auto immune diseases and filler. Is there any other risk? I really want to get one done but I already have a genetic chronical illness that causes tumors so I really don’t want extra health risks.

[@comment3711]

I was just looking into that myself. It usually takes 10 to 20 years for the long term effects to come out and to the forefront. Back in the day they thought silicon implants were totally safe along with the many other injectable things, treatments and meds that turned out not to be. It’s definitely something to consider before taking, especially if one has an autoimmune disease!

[@polisherci]

@@comment3711 i completely agree! unfortunately doctors can and will promote something as safe unless contradictory studies come out. and same as the silicone case, they can come out much later because they need to collect data first. same as how smoking was promoted as something healthy for your lungs 😭

[@comment3711]

@@polisherci Exactly! Anyone who has a chronic illness knows it or will figure it out soon enough. Also and unfortunately having an autoimmune disease is like having a wild card in your body that can flip up at any time, you just never know what you’re going to react to!

[@whyjustwhy2168]

So should we just get it when is not noticeable that is still there or not at all? I have never had them or botox. To me is like temporary gain yes or no because idk about the longterm that's why I'm here ty

[@7somekindofsomething]

Would you recommend jaw filler for an unbalanced jaw? Or does this risk a more full or ‘fat’ facial appearance once it migrates away. Or would you say a chin/jaw implant is better solution.

[@alice73333]

Yes I wanna know as well

[@bellarose8511]

I thought you were gonna say long term effects of filler are the sagging & stretching of the skin from being blown up with filler.

[@noneofyourbeeswax2287]

And that's what happens once you reach 50. Women don't seem to understand that if you get a face filled with a fat transfer or filler, it stretches the skin and then sags all over again, but worse. I've seen people get fat transfers with facelifts and after a year, the filler is gone and their face is saggier than before they had the surgery done!

[@Dandelion_flight]

​@@noneofyourbeeswax2287 Not true and it is important to do research and find the best doctors. It depends on how and where the filler is injected. Often it is not that the skin has sagged but rather bone loss and fats loss to the face making it seem like it is skin sagging. So filler just replaces the bone (if injected at bone level) or the fats. A skilled doctor/nurse will know where to place the filler and which filler is best to use. I would say to educate ourselves as patients and find the best doctor/nurse you can. There are many many good ethical doctors even here on YT who makes such educational and honest videos. A good cosmetic doctor will assess your entire face and treat specific problematic areas with the entire face in mind.

[@Dandelion_flight]

Not true and it is important to do research and find the best doctors. It depends on how and where the filler is injected. Often it is not that the skin has sagged but rather bone loss and fats loss to the face making it seem like it is skin sagging. So filler just replaces the bone (if injected at bone level) or the fats. A skilled doctor/nurse will know where to place the filler and which filler is best to use. I would say to educate ourselves as patients and find the best doctor/nurse you can. There are many many good ethical doctors even here on YT who makes such educational and honest videos. A good cosmetic doctor will assess your entire face and treat specific problematic areas with the entire face in mind.

[@Honeycombe88]

@@noneofyourbeeswax2287 That doesn't make sense. If you inject a sagging area that used to be fuller, which is the case with older people, the skin plumps up to what it used to be. It doesn't stretch the skin at all, but pumps it up to where it used to be. So it won't sag more when filler goes away. It may seem so, in comparison to what it looked like plumped up, and of course, the face has aged a year so may sag a bit more because of that. Natural aging continues, even with filler. Unless the filler has stimulated the collagen, which would keep it from sagging more. If a person is young, though, and not sagging, but just wants fuller cheekbones or lips, THAT filler will stretch the skin out beyond what it's ever been, resulting in sagging skin when the filler goes away.

[@awig1]

Can symptoms of breast implant illness happen with filler too since it a foreign substance in the body? Ever since I started getting fillers (and then topped up/redone) I’ve got insomnia, tiredness, lack of energy, brain fog, nausea getting worse and doctors say I’m fine.

[@gem2963]

Omg! I got filler less than 2 weeks ago and I’ve been feeling sick. Low grade fever. I didn’t want to be paranoid but I know my body and I know something is off. I pray it’s nothing related but I was thinking I was crazy.

[@Ms44-]

Check your hormones

[@RAralar]

I’m never getting filled because one lip filler and made me look different it freaked me out

[@erikapk]

Hi there, is it safe to get fillers with positive antinuclear antibodies present in the blood? Do fillers have any potential to bring upon autoimmune disease or impact the immune system in any other way? Thanks so much for your help.

[@noneofyourbeeswax2287]

Great question

[@drgarylinkov]

No causal relationship has been established between the use of filler and autoimmune diseases like dermatomyositis/polymyositis, lupus erythematosus, rheumatoid arthritis or scleroderma. Their use is therefore not contraindicated in patients suffering from those diseases. Or in patients with positive ANA, which is a non-specific marker.

[@anncali4478]

How about hypertension?

[@kimkim9838]

What the alternatives for fillers

[@drgarylinkov]

Surgery is often one alternative. There are other non-surgical options for most situations.

[@MsSilkyJuneja]

@@drgarylinkov Thankyou so Much 🙏🏻for the information. What alternatives to Fillers do u recommend for sunk in cheeks n thin face

[@AF-uc2bd]

Acupressure, facial yoga, facial fitness like jawresizer and best of all ACUPUNCTURE. Ofc also facial posture you have, if ofen worried, sad your face shows it and food. And Teeth/bite. Those with wider jaws have better looking faces.

[@flowerpower3618]

Being old and having wrinkles and saggy skin is ok. I’m very saggy at 65 . But I look out at the world and others, not in the mirror.

[@irishrepublican756]

You’re dead right!

[@amynguy]

I have acne scars(rolling), so if the same idea of lip is applied to acne scar, can we say scar will remain filled after a certain number of injections?

[@leora2455]

Yes. Fibrosis makes you produce collagen on your own

[@nihilisticprophet6985]

@@leora2455 does it form scar tissue like Sculptra? It’s why I don’t want to do Sculptra cause I don’t want scar tissue collagen

[@zainabalghareeb211]

I have uneven lips and that’s the only reason for me to think of having fillers in my lips to have more symmetrical lips .. is there any other way to solve this without injections?

[@drgarylinkov]

Surgery can usually help

[@alungooivy2639]

lip blushing helped mine

[@MsSilkyJuneja]

Ok so about the filler migration , some docs recommend Hyaluronidase in that case and that has reportedly caused serious implications in some ppl like permanent natural fat loss on the face n I am in touch with those ppl , it’s undeniable n no doctor is addressing that

[@Mrmuseum470]

Really? That’s scary! First they (the companies that make the product) lied about how long fillers last and now they lie about what damage hyluronidase can do to our faces.

[@MsSilkyJuneja]

@@Mrmuseum470 Oh Yes ... it’s so true . But no doctor addresses the issue head on instead the patient is blamed for not understanding their anatomy as in they are told .... u must have lost fat due to aging ; when they say it’s only been weeks or days ... then they say things like but Thousands of our patients have got filler Dissolved and are perfectly fine ... ur definitely mistaken Etc etc While it’s true that some people might go unaffected but few definitely suffer major continuous fat loss and get a bony wrinkled face ... and suffer a trauma

[@goldsturm6135]

I will never use things like that

[@alexxxo206]

What always bothered me is how they use the same needle for every poke they make for the treatment. From what I know being a recovering addict, The tip of a needle is blunted after the first use. They have brochures with upclose images of needle tips from the first poke all the way to 5 times and it obviously goes from bad after the first time to worse and barbed like crazy. Why do they not just change the needle after they poke once? I cringe everytime I see this. Is it a different type of needle thats more blunt resistant? If so I'd like to know so I don't freak out everytime I watch these youtubers getting fillers or even botox.

[@drgarylinkov]

It would be ideal to change the needle every time but you lose product every time you change the needle and the company only sends 2 per syringe.

[@alexxxo206]

@@drgarylinkov ahh i see! Thanks for your swift reply!

[@Dandelion_flight]

That's so true with needles. So one really wonderful nurse recommends that injectors change needles after 5 pokes. And never to scrape the bottom of the vial to get the last drop. Cannulas are different though. And I heard the TSK Steriglide is the best and comfortable. :)

[@drgarylinkov]

@@Dandelion_flight the only downside to changing needles often is that you lose some product in the process

[@Dandelion_flight]

@@drgarylinkov Yeah that's true.

[@whyjustwhy2168]

I want that sculpted look. I guess I just try to up my skincare habits and use lip plumper. Idk what to do. All the bad stories make me not wanna get it but the celebrities look so good but then sometimes they don't so idk please help 🙏 😊

[@whyjustwhy2168]

I think I will age faster if I get no work done. But maybe just some like the right amount? What to do. I don't wanna ruin my face but if I do nothing I will look older than if I had something is what I'm thinking am I wrong?

[@floridaLise]

I admit, I would love to have fuller lips but I feel guilt about wasting money on something so selfish and unimportant. There are people out there that could really use some help and you could feel good about yourself by offering A LOT of different Individuals a step up. Seeing that there are side effects sometimes, helps me know for sure what to choose.

[@maryalands]

Yes, wise words. Exactly what I was thinking and you verbalized it.

[@prostheticballerina]

Super unclear what filler you’re referring to - do you mean Hyaluronic? Radiesse? This video is not informative.

[@lizinnyc]

Lip lift looks so much more natural than filler!

[@lindalovehearts]

I prefered a eye lift because i read that filler in time can have ur skin looking fake, but the doctor i went to suggested eye filler and not tighting of the eye😒

[@Dandelion_flight]

I am scared of lip lift especially when I have seen botched work before even for those who have paid a lot and board certified surgeons. :(

[@sterlingpless9280]

Seen a lot of women doing this it ruins a damn pretty face.... Seen one woman I used too work with beautiful and talking about these lip injections... These injections aren't good and stretch your face.... These girls are naturally beautiful...

[@harley8318]

I’m 16 almost 17 and rlly want lip filler. Would getting it this young hurt me / age me earlier? I want it in my top lip only but I don’t want wrinkles

[@thicc_mama]

Please don’t do it. Wait for a few years and if it‘ll still bother you a lot you can think about an alternative. Filler in lips can cause permanent scarring and often doesn’t even look good. Plus the filler will migrate out of the lip lines and you’ll look overfilled over time. Please never start doing that stuff this young. You’ll (almost) always regret it later on.

[@pluviophile5996]

You don't need lip fillers for sure. They are not worth it unless you're over 30.

[@lizpromontionals1022]

Thanks for not giving the answer that makes more money.

[@shaistamanzoor1069]

Where are his eyebrows?

[@eforester8891]

whats that got to do with the topic!

[@pluviophile5996]

He has a condition.

[@kujo4388]

Omg it’s the bald doctor! Why does he hair have and eyebrows here?