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COPYRIGHT 2005 International Medical News Group
Many speakers include a slide on "the Ideal Filler" in their talks at cosmetic dermatology seminars.
I don't have such a slide for my presentations, because there is no ideal filler. There is not now; there never will be.
Every time you consider using a filler, you are in a unique clinical situation. The face is going to be different, and the person attached to that face is going to be different.
Let's say a woman who is concerned about her aging appearance comes to see you. Are you going to use the same filler in areas that need a little stiffening as you would use to fill out deep lines around her mouth? What if she doesn't want to come back every 3-6 months for a retouch?
What we have today--and what I predict will increasingly become the norm--is an array of fillers, each with its own advantages, drawbacks, and, once in...
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