Fillers Explained: A Full Guide to Types, Uses & Risks

I think you underestimated the cost of custom implants and you are not taking into account the opportunity cost of capital.

£10.000 on implants or £500 a year forever on fillers are fairly close to being the same amount.
 
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I think you underestimated the cost of custom implants and you are not taking into account the opportunity cost of capital.

£10.000 on implants or £500 a year forever on fillers are fairly close to being the same amount.
5 years of consistent HA filler = $6–10k. One implant surgery = $5–7k. Long-term, implants win economically too.
:feelsokman:
 
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One implant surgery isn’t $5-7k at current prices with custom implants though. These are 12-15k now with Italian surgeons.

With $12-15k invested you could have enough passive income to afford the fillers.

Especially for oldcels like me where the horizon for even bothering to try is less than 5 years!
 
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One implant surgery isn’t $5-7k at current prices with custom implants though. These are 12-15k now with Italian surgeons.

With $12-15k invested you could have enough passive income to afford the fillers.

Especially for oldcels like me where the horizon for even bothering to try is less than 5 years!
Custom implants maybe not, but basic implants that fix some common issues (gonions, chin implants etc.) that don't really require a full custom design can be below 10k

How old are you if i can ask? I can't imagine you're old enough to have less than 5 years to try for filler/implants
 
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Filler is diabolical crap.

I will sticky however.
 
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___________________________________________________________________________________________________

🍃
A Concise Guide to Types, Uses & Risks of Fillers 🍃

By Orka

______________________________________________________________________________________________________________________________________________________________________

Table of Contents

1. Introduction

2. Areas to target & Notes about them

3. Longevity & Maintenance

I. How long each type lasts
II. Maintenance tips

4. Risks & Side Effects
I. Why PMMA isn't popular
II. Migration
III. Tissue Stretching
IV. Vascular Occlusion
V. Granulomas & Nodules

5. Implants vs Fillers

6. TLDR


______________________________________________________________________________________________________________________________________________________________________

1. An Introduction to Filler.

Filler is one of the most overhated procedures because of all the propaganda on tiktok about its side effects, and then going for implants over filler.
While implants are a better alternative to filler, filler isn't as evil as people are making it sound.

Filler Type​
Consistency​
Duration​
Reversibility​
Collagen Stim.​
Migration Risk​
Best for​
Brands​
Price range / ml​
Hyaluronic Acid (HA)​
Thin & Thick (Multiple Options)​
6-18 Months
Yes
Mild​
Medium (5-8%)*
Lips, tear troughs*2, fine lines, cheeks, chin, folds​
Revolax, Restylane, Belotero, Teosyal, Juvederm​
400-800$ US
250-500€ EU​
Calcium Hydroxylapatite (CaHA)​
Thick, paste-like​
12-18 Months
No
Strong​
Low (<3%)*
Deep wrinkles, nasolabial folds, marionette lines, cheeks, temples​
Radiesse​
600-1000$ US
300-600€ EU​
Polymethylmethacrylate (PMMA)​
Microspheres in gel​
8+ Years
Only Surgery / Steroids
Moderate​
Low (1-2%)*
Deep wrinkles, acne scars, strong structural correction​
Bellafill​
800-1200$ US
800-1000€ EU​
Poly-L-Lactic Acid (PLLA)​
Liquid Suspension​
2-3 Years (multiple sessions)
No
Very Strong​
Very low (<1%)*
Cheeks, temples, general volume restoration​
Sculptra Aesthetic​
700-1000$ US
400-700€ EU​

*Migration rates depend heavily on how much you're getting injected and where. More about this topic in the Risks & Side Effects Category
*2 Tear Troughs is filler for your undereye

______________________________________________________________________________________________________________________________________________________________________


2. Areas to target & Notes about them

Popular Areas of application​

Undereye
View attachment 4148419

If you've got shit undereyes like I do, undereye filler or fat grafting is the equivalent of fire to cavemen.

Makes you look healthier, younger, cleaner, its perfect.
I wouldn't recommend DIYing undereye filler, make sure you get somebody who knows what they're doing, since there's nerves in your eyes which are extremely delicate and if damaged can have serious side effects & long term damage (Skin necrosis, blindness, etc.)

Nose
If your nose is a failo then the first thing you'll think of is rhinoplasty, which is reasonable, but filler can replicate or give a better result than rhino.

View attachment 4148344

Her dorsal hump was in the way, and instead of getting rid of the hump, she added filler to the tip of her nose and made the rest of it be inline with the hump.
Not to mention this is a cheaper procedure relative to rhino, and you could (in theory) DIY it aswell.

Jaw

View attachment 4148346View attachment 4148347


If your jaw is narrow, downgrown or lacking in general, you can get filler there to build out width, sharpen the angle, and mask weak bone structure.

When placed on the mandible border (on bone), it holds shape well and doesn’t migrate like superficial injections.
Basically gives you a faux-genio or jaw implant effect without surgery, but obviously temporary.

Zygo / Cheekbone
Possibly one of the most sought-after areas for filler in this community, for a good reason.
View attachment 4148372

Your zygos determine a large part of how dimorphic you are, how angular you are, and more important factors for facial aesthetics.

The man in the photo above looks like he got around 2.5-3ml of filler in his cheekbones.

Chin
In my opinion the most underrated area for application, look how the guy on the bottom acended by simply paying a few hundred for filler.

Chin filler isn't a replacement for sliding genioplasty, but it is an amazing alternative.
View attachment 4148381

Aside from the popular areas to get filler in, failos can be personalized or uncommon.
View attachment 4151381

All clinics will accept requests for filler in these main areas, make sure you look at month-year long before & afters before deciding on a clinic to go to.
While there are many options for filler, and it seems as if its lego blocks that you can place anywhere on your face, it is not an amazing idea to get filler injected anywhere that isn't directly on your bone (with some exceptions). Most cases of filler migration result from somebody getting lots of filler injected superficially (Into soft tissue, not on the bone).

I will dive into this topic further in the Risks & Side effects section of this thread.
______________________________________________________________________________________________________________________________________________________________________

3. Longevity & Maintenance

Hyaluronic Acid (HA):
lasts 6-18 months depending on brand, area, and metabolism. Thicker HA sticks longer, while thin ones (Volbella, Silk) fade faster.

Calcium Hydroxylapatite (CaHA): about 12-18 months, sometimes a bit longer since it also stimulates collagen.

Poly-L-Lactic Acid (PLLA): results build slowly & can last 2+ years, but you need multiple sessions upfront

Polymethylmethacrylate (PMMA): semi-permanent, basically there unless surgically removed.


Maintenance tips:
You'll need touchups every 9-12 months for Hyaluronic Acid filler if you want it to look consistently the same.
Dissolving filler and resetting after 4-5 years will reduce the risk of bloating & migration
If you work out a lot, have a fast metabolism, or smoke a lot, you can expect your filler to breakdown a lot quicker than it would on an average person.
Areas with less movement (Jaw, Cheek, etc.) will last longer and not fade as much as they would on areas with more movement (lips, nasolabial)
labial).
______________________________________________________________________________________________________________________________________________________________________

4. Risks & Side Effects
This section is likely what a lot of you are here for.

I. Polymethylmethacrylate Issues, why it's not popular
I'm sure that PMMA fillers spiked your interest once you saw they were semi-permanent.

You can imagine PMMA as a gel with small beads in it, the beads do not degrade or dissolve, which makes it semi-permanent (results for 8+ years), the main issue is the fact that well, it does not degrade or dissolve. This means that unlike HA and CaHA, if any mistakes happen during the injection process you might need to get triamcinolone or other corticosteroid injections to shrink the 'beads' that are within the gel, overall the dissolving process is more complicated than with HA or CaHA

Beads clumping together, Granulomas (inflammatory masses) and other issues that come with having beads inside of you are the main reason people do not go for PMMA, Along with the fact that if you inject it too superficially you will be able to see the texture of the beads.

The migration risks are also similar to the other material for filler, which is:

II. Migration
This is the primary reason for which most people these days are completely shut down to the idea of filler, they get told on tiktok by retards about how filler always migrates and gives you this bloated look afterwards. You have likely seen this exact photo countless times on ur fyp
View attachment 4151334

*Example is from a person with Hyaluronic Acid filler
The truth is, the risks depend on how you inject your filler, superficial injections have the highest chance of migration, which is around 5% (still, really low), whereas injections near your bone (ex, for zygo implants, injections would be placed directly onto the bone), have a <2% migration rate.
The example above is from somebody who got over 12 syringes done, over a long period of time, without resetting even once (aka. an absolute retard)
As long as you avoid too many superficial injections, and make sure to reset // dissolve your (HA) filler and get new syringes every 5 or so years, you will be fine, and the migration rate will be negligeble.



III. Tissue Stretching
Another risk with fillers that is caused primarily by superficial injecitons, who woulda guessed.

Injecting new mass / things into yourself will force the skin around it to stretch, which means that after you remove the mass / things, the skin around it will be looser.
This is only a potential risk if you're getting 4-5ml+ of filler injected superficially (which, you should NEVER do.)
On top of this, the weight of filler (for example, in your cheeks and undereyes, where its mostly soft tissue) can lead to your skin being dragged downwards since well, gravity, This isn't a very common occurance, and you should not treat filler as some sort of building block, treat it more as touch ups for areas, that way you won't be injecting 4ml+ filler and won't have to deal with all these potential side effects! Amazing!!!1!!!!111


IV. Vascular Occlusion

Basically, if filler is accidentally injected into a blood vessel, it can block blood flow. No blood flow = no oxygen = tissue death (necrosis).
In the absolute worst-case scenario, if this happens near the eyes and filler travels upstream, it can even cause blindness.

The risk is very low if you’re injected by someone who knows what they’re doing.
HA fillers are safer here, because they can be dissolved if an occlusion is spotted early.
PMMA, CaHA, PLLA? Can't be. If one of those gets into a vessel, you’re gonna have to go through a bunch of drama to get rid of it

Symptoms to watch for: immediate blanching (skin turning white), severe pain, dusky/purple discoloration after injection.
If any of that happens then just ask to get it dissolved asap

V. Granulomas & Nodules​

View attachment 4151990

Basically, your body sees the filler (especially permanent ones like PMMA, or even CaHA) as a foreign object and the immune system walls it off, then boom, you’ve got a hard lump that doesn’t go away

Granulomas = inflammatory reactions (angry, red, sometimes painful lumps).
Nodules = just firm, hard little bumps you can feel under the skin.

Most of the time these show up months or even years later, which is why people get blindsided.
They can also be triggered by stuff like illness or stress when your immune system is acting weird.


Treatment
With HA, usually just dissolve it.
With PMMA, CaHA, PLLA it's not really easy. Sometimes triamcinolone (corticosteroid injections) can shrink them,
but in some cases you’re gonna need surgery or lasers.

______________________________________________________________________________________________________________________________________________________________________


5. Implants vs Filler
Well well well, here's the part most people are looking for when they hear about filler.

I'll start it like this though, No, filler is not better than implants in most aspects

Implants are long-term and fully customized, as opposed to filler where you have to aim with a needle.
Price wise, filler is a great way to preview what you should expect with implants, but it shouldn't be treated as implants are.
Filler is for touch ups and rearrangements, if your cheekbones are flat, don't fix it with filler, get implants.
5 years of consistent HA filler = $6–10k. One implant surgery = $5–7k. Long-term, implants win economically too.
View attachment 4151998

The only area I can fully suggest filler instead of implants in is your undereyes, something like fat grafting or filler will work a lot better at getting instant and good looking results for a few hundred euros, as opposed to implants where you need a fully customized implant, then 5k+ on surgery to get it done.

If you’re serious about reshaping your face structurally (cheekbones, jawline, chin), implants will always beat filler in the long run. If you’re just chasing touch-ups, camouflaging hollows, or testing how you’d look with stronger features, filler does the job temporarily without committing to surgery
______________________________________________________________________________________________________________________________________________________________________

6. TLDR
(by GPT)

Filler isn’t evil
— it’s just overused and abused.
Hyaluronic Acid is king: reversible, safest, and best for casual touch-ups.
PMMA/PLLA/CaHA: last longer but can’t be dissolved if things go wrong.
Main risks: migration (~5% if superficial, drops to <1% when injected on bone), tissue stretching if you overfill, vascular occlusion (rare but serious), granulomas/nodules (esp. with permanent fillers).
Don’t treat filler like Lego blocks — keep it subtle, reset/dissolve every 4–5 years.
Implants > filler for real structural changes (cheekbones, jaw, chin).
Filler shines for undereyes, minor asymmetry, and testing implant results.
Economics: 5 years of HA = $6–10k → same price as implants. Long-term, implants win

I would strongly recommend reading the entire thing if you're considering getting filler. Or if you're just bored.
______________________________________________________________________________________________________________________________________________________________________

Tagging some of the smartest users I know
@aids @ybuyhgui @Sadist @BigBallsLarry
How good do you think filler would be for preventing jaw sagging with age? Should it be gotten prematurely? So me being 30 now I should get within the next 15 years to stop that jawline loss near age 50?

Also interesting the point about PMMA and damage/immune system reaction where its placed. Apparently that was what Rich Piana got in his arms so he must of felt terrible with that amount of it in him. No wonder he got addicted to opiates.
 
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Filler is diabolical crap.

I will sticky however.
How so? The migration risks are pretty low and sides arent terrible, obviously implants are better but filler is not that bad
 
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How good do you think filler would be for preventing jaw sagging with age? Should it be gotten prematurely? So me being 30 now I should get within the next 15 years to stop that jawline loss near age 50?

Also interesting the point about PMMA and damage/immune system reaction where its placed. Apparently that was what Rich Piana got in his arms so he must of felt terrible with that amount of it in him. No wonder he got addicted to opiates.
Won't prevent sagging at all, it'll just hide it, depending on how many ml you get it might even make it worse since you could stretch your skin out, filler isnt an option for you if you want to prevent jaw sagging at all.

Wait until there's signs of sagging, then get implants or a lift
 
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  • Hmm...
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Filler is rubbish. I have no idea why this is even debatable. Compare infra-malars to filler.
yes let me install inframalars on my chin to make it a bit more squared real quick🤠👍
 
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yes let me install inframalars on my chin to make it a bit more squared real quick🤠👍
Are you retarded? If you can’t infer that I meant filler for the same target area then you need serious social counselling.
 
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It’s like comparing a car to a bike. Don’t bother being cheap, get a fucking car.
It's actually not comparing it like that at all.

It's like comparing renting a car before buying one in full in cash. ( Testing filler before getting implants )
Or it's like comparing getting a bike instead of a car when you just have to travel 1200 meters to get to work. ( Getting low ml filler for touch-ups)

Not to mention you simply cannot get implants in some areas in your face, like your lips.
 
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Filler is diabolical crap.

I will sticky however.
It’s like comparing a car to a bike. Don’t bother being cheap, get a fucking car.
Again, would appreciate if u two kinda explained

It's actually not comparing it like that at all.

It's like comparing renting a car before buying one in full in cash. ( Testing filler before getting implants )
Or it's like comparing getting a bike instead of a car when you just have to travel 1200 meters to get to work. ( Getting low ml filler for touch-ups)

Not to mention you simply cannot get implants in some areas in your face, like your lips.
 
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Custom implants maybe not, but basic implants that fix some common issues (gonions, chin implants etc.) that don't really require a full custom design can be below 10k

How old are you if i can ask? I can't imagine you're old enough to have less than 5 years to try for filler/implants

I’m 32 in a month.

My plan is saddled infras (due to filler being SHIT to create edge structures and high volume needed in the area) - filler for UEE - bimax widening for ideal gonial width and a touch of jaw angle filler to create the gonial flare.

Would you disagree?
 
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I’m 32 in a month.

My plan is saddled infras (due to filler being SHIT to create edge structures and high volume needed in the area) - filler for UEE - bimax widening for ideal gonial width and a touch of jaw angle filler to create the gonial flare.

Would you disagree?
Looks like a solid plan, saddled infras are the better option in this scenario since I'm assuming you're financially well-off, and are looking for permanent stuff.
 
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My personal favourites are penile and intratesticular filler. It makes the ladies go wild I'm telling you
 
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My personal favourites are penile and intratesticular filler. It makes the ladies go wild I'm telling you
They're not going wild cause of your dick brian, they're going wild because of that sexy facecard of yours
1759005659412
 
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Looks like a solid plan, saddled infras are the better option in this scenario since I'm assuming you're financially well-off, and are looking for permanent stuff.

I don’t see filler as being an option at all for fixing scleral show, I had three consults and they all said it’s just not suitable for trying to raise the orbital rim that way,

The infra implants will cost 6k with my trimax but would be 2.5x that price in an individual surgery.
 
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I don’t see filler as being an option at all for fixing scleral show, I had three consults and they all said it’s just not suitable for trying to raise the orbital rim that way,

The infra implants will cost 6k with my trimax but would be 2.5x that price in an individual surgery.
why not eyelid retraction
 
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botb for gpt slop nice one chatgpt.org
I went to chatgpt.org to see if anything existed and theres a gpt-5 based chatbot that replies faster than the actual chatgpt wtf

also no chatgpt did not write this, it only did the TLDR
 
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I went to chatgpt.org to see if anything existed and theres a gpt-5 based chatbot that replies faster than the actual chatgpt wtf

also no chatgpt did not write this, it only did the TLDR
Ok good, now bend over
 
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___________________________________________________________________________________________________

🍃
A Concise Guide to Types, Uses & Risks of Fillers 🍃

By Orka

______________________________________________________________________________________________________________________________________________________________________

Table of Contents

1. Introduction

2. Areas to target & Notes about them

3. Longevity & Maintenance

I. How long each type lasts
II. Maintenance tips

4. Risks & Side Effects
I. Why PMMA isn't popular
II. Migration
III. Tissue Stretching
IV. Vascular Occlusion
V. Granulomas & Nodules

5. Implants vs Fillers

6. TLDR


______________________________________________________________________________________________________________________________________________________________________

1. An Introduction to Filler.

Filler is one of the most overhated procedures because of all the propaganda on tiktok about its side effects, and then going for implants over filler.
While implants are a better alternative to filler, filler isn't as evil as people are making it sound.

Filler Type​
Consistency​
Duration​
Reversibility​
Collagen Stim.​
Migration Risk​
Best for​
Brands​
Price range / ml​
Hyaluronic Acid (HA)​
Thin & Thick (Multiple Options)​
6-18 Months
Yes
Mild​
Medium (5-8%)*
Lips, tear troughs*2, fine lines, cheeks, chin, folds​
Revolax, Restylane, Belotero, Teosyal, Juvederm​
400-800$ US
250-500€ EU​
Calcium Hydroxylapatite (CaHA)​
Thick, paste-like​
12-18 Months
No
Strong​
Low (<3%)*
Deep wrinkles, nasolabial folds, marionette lines, cheeks, temples​
Radiesse​
600-1000$ US
300-600€ EU​
Polymethylmethacrylate (PMMA)​
Microspheres in gel​
8+ Years
Only Surgery / Steroids
Moderate​
Low (1-2%)*
Deep wrinkles, acne scars, strong structural correction​
Bellafill​
800-1200$ US
800-1000€ EU​
Poly-L-Lactic Acid (PLLA)​
Liquid Suspension​
2-3 Years (multiple sessions)
No
Very Strong​
Very low (<1%)*
Cheeks, temples, general volume restoration​
Sculptra Aesthetic​
700-1000$ US
400-700€ EU​

*Migration rates depend heavily on how much you're getting injected and where. More about this topic in the Risks & Side Effects Category
*2 Tear Troughs is filler for your undereye

______________________________________________________________________________________________________________________________________________________________________


2. Areas to target & Notes about them

Popular Areas of application​

Undereye
View attachment 4148419

If you've got shit undereyes like I do, undereye filler or fat grafting is the equivalent of fire to cavemen.

Makes you look healthier, younger, cleaner, its perfect.
I wouldn't recommend DIYing undereye filler, make sure you get somebody who knows what they're doing, since there's nerves in your eyes which are extremely delicate and if damaged can have serious side effects & long term damage (Skin necrosis, blindness, etc.)

Nose
If your nose is a failo then the first thing you'll think of is rhinoplasty, which is reasonable, but filler can replicate or give a better result than rhino.

View attachment 4148344

Her dorsal hump was in the way, and instead of getting rid of the hump, she added filler to the tip of her nose and made the rest of it be inline with the hump.
Not to mention this is a cheaper procedure relative to rhino, and you could (in theory) DIY it aswell.

Jaw

View attachment 4148346View attachment 4148347


If your jaw is narrow, downgrown or lacking in general, you can get filler there to build out width, sharpen the angle, and mask weak bone structure.

When placed on the mandible border (on bone), it holds shape well and doesn’t migrate like superficial injections.
Basically gives you a faux-genio or jaw implant effect without surgery, but obviously temporary.

Zygo / Cheekbone
Possibly one of the most sought-after areas for filler in this community, for a good reason.
View attachment 4148372

Your zygos determine a large part of how dimorphic you are, how angular you are, and more important factors for facial aesthetics.

The man in the photo above looks like he got around 2.5-3ml of filler in his cheekbones.

Chin
In my opinion the most underrated area for application, look how the guy on the bottom acended by simply paying a few hundred for filler.

Chin filler isn't a replacement for sliding genioplasty, but it is an amazing alternative.
View attachment 4148381

Aside from the popular areas to get filler in, failos can be personalized or uncommon.
View attachment 4151381

All clinics will accept requests for filler in these main areas, make sure you look at month-year long before & afters before deciding on a clinic to go to.
While there are many options for filler, and it seems as if its lego blocks that you can place anywhere on your face, it is not an amazing idea to get filler injected anywhere that isn't directly on your bone (with some exceptions). Most cases of filler migration result from somebody getting lots of filler injected superficially (Into soft tissue, not on the bone).

I will dive into this topic further in the Risks & Side effects section of this thread.
______________________________________________________________________________________________________________________________________________________________________

3. Longevity & Maintenance

Hyaluronic Acid (HA):
lasts 6-18 months depending on brand, area, and metabolism. Thicker HA sticks longer, while thin ones (Volbella, Silk) fade faster.

Calcium Hydroxylapatite (CaHA): about 12-18 months, sometimes a bit longer since it also stimulates collagen.

Poly-L-Lactic Acid (PLLA): results build slowly & can last 2+ years, but you need multiple sessions upfront

Polymethylmethacrylate (PMMA): semi-permanent, basically there unless surgically removed.


Maintenance tips:
You'll need touchups every 9-12 months for Hyaluronic Acid filler if you want it to look consistently the same.
Dissolving filler and resetting after 4-5 years will reduce the risk of bloating & migration
If you work out a lot, have a fast metabolism, or smoke a lot, you can expect your filler to breakdown a lot quicker than it would on an average person.
Areas with less movement (Jaw, Cheek, etc.) will last longer and not fade as much as they would on areas with more movement (lips, nasolabial)
labial).
______________________________________________________________________________________________________________________________________________________________________

4. Risks & Side Effects
This section is likely what a lot of you are here for.

I. Polymethylmethacrylate Issues, why it's not popular
I'm sure that PMMA fillers spiked your interest once you saw they were semi-permanent.

You can imagine PMMA as a gel with small beads in it, the beads do not degrade or dissolve, which makes it semi-permanent (results for 8+ years), the main issue is the fact that well, it does not degrade or dissolve. This means that unlike HA and CaHA, if any mistakes happen during the injection process you might need to get triamcinolone or other corticosteroid injections to shrink the 'beads' that are within the gel, overall the dissolving process is more complicated than with HA or CaHA

Beads clumping together, Granulomas (inflammatory masses) and other issues that come with having beads inside of you are the main reason people do not go for PMMA, Along with the fact that if you inject it too superficially you will be able to see the texture of the beads.

The migration risks are also similar to the other material for filler, which is:

II. Migration
This is the primary reason for which most people these days are completely shut down to the idea of filler, they get told on tiktok by retards about how filler always migrates and gives you this bloated look afterwards. You have likely seen this exact photo countless times on ur fyp
View attachment 4151334

*Example is from a person with Hyaluronic Acid filler
The truth is, the risks depend on how you inject your filler, superficial injections have the highest chance of migration, which is around 5% (still, really low), whereas injections near your bone (ex, for zygo implants, injections would be placed directly onto the bone), have a <2% migration rate.
The example above is from somebody who got over 12 syringes done, over a long period of time, without resetting even once (aka. an absolute retard)
As long as you avoid too many superficial injections, and make sure to reset // dissolve your (HA) filler and get new syringes every 5 or so years, you will be fine, and the migration rate will be negligeble.



III. Tissue Stretching
Another risk with fillers that is caused primarily by superficial injecitons, who woulda guessed.

Injecting new mass / things into yourself will force the skin around it to stretch, which means that after you remove the mass / things, the skin around it will be looser.
This is only a potential risk if you're getting 4-5ml+ of filler injected superficially (which, you should NEVER do.)
On top of this, the weight of filler (for example, in your cheeks and undereyes, where its mostly soft tissue) can lead to your skin being dragged downwards since well, gravity, This isn't a very common occurance, and you should not treat filler as some sort of building block, treat it more as touch ups for areas, that way you won't be injecting 4ml+ filler and won't have to deal with all these potential side effects! Amazing!!!1!!!!111


IV. Vascular Occlusion

Basically, if filler is accidentally injected into a blood vessel, it can block blood flow. No blood flow = no oxygen = tissue death (necrosis).
In the absolute worst-case scenario, if this happens near the eyes and filler travels upstream, it can even cause blindness.

The risk is very low if you’re injected by someone who knows what they’re doing.
HA fillers are safer here, because they can be dissolved if an occlusion is spotted early.
PMMA, CaHA, PLLA? Can't be. If one of those gets into a vessel, you’re gonna have to go through a bunch of drama to get rid of it

Symptoms to watch for: immediate blanching (skin turning white), severe pain, dusky/purple discoloration after injection.
If any of that happens then just ask to get it dissolved asap

V. Granulomas & Nodules​

View attachment 4151990

Basically, your body sees the filler (especially permanent ones like PMMA, or even CaHA) as a foreign object and the immune system walls it off, then boom, you’ve got a hard lump that doesn’t go away

Granulomas = inflammatory reactions (angry, red, sometimes painful lumps).
Nodules = just firm, hard little bumps you can feel under the skin.

Most of the time these show up months or even years later, which is why people get blindsided.
They can also be triggered by stuff like illness or stress when your immune system is acting weird.


Treatment
With HA, usually just dissolve it.
With PMMA, CaHA, PLLA it's not really easy. Sometimes triamcinolone (corticosteroid injections) can shrink them,
but in some cases you’re gonna need surgery or lasers.

______________________________________________________________________________________________________________________________________________________________________


5. Implants vs Filler
Well well well, here's the part most people are looking for when they hear about filler.

I'll start it like this though, No, filler is not better than implants in most aspects

Implants are long-term and fully customized, as opposed to filler where you have to aim with a needle.
Price wise, filler is a great way to preview what you should expect with implants, but it shouldn't be treated as implants are.
Filler is for touch ups and rearrangements, if your cheekbones are flat, don't fix it with filler, get implants.
5 years of consistent HA filler = $6–10k. One implant surgery = $5–7k. Long-term, implants win economically too.
View attachment 4151998

The only area I can fully suggest filler instead of implants in is your undereyes, something like fat grafting or filler will work a lot better at getting instant and good looking results for a few hundred euros, as opposed to implants where you need a fully customized implant, then 5k+ on surgery to get it done.

If you’re serious about reshaping your face structurally (cheekbones, jawline, chin), implants will always beat filler in the long run. If you’re just chasing touch-ups, camouflaging hollows, or testing how you’d look with stronger features, filler does the job temporarily without committing to surgery
______________________________________________________________________________________________________________________________________________________________________

6. TLDR
(by GPT)

Filler isn’t evil
— it’s just overused and abused.
Hyaluronic Acid is king: reversible, safest, and best for casual touch-ups.
PMMA/PLLA/CaHA: last longer but can’t be dissolved if things go wrong.
Main risks: migration (~5% if superficial, drops to <1% when injected on bone), tissue stretching if you overfill, vascular occlusion (rare but serious), granulomas/nodules (esp. with permanent fillers).
Don’t treat filler like Lego blocks — keep it subtle, reset/dissolve every 4–5 years.
Implants > filler for real structural changes (cheekbones, jaw, chin).
Filler shines for undereyes, minor asymmetry, and testing implant results.
Economics: 5 years of HA = $6–10k → same price as implants. Long-term, implants win

I would strongly recommend reading the entire thing if you're considering getting filler. Or if you're just bored.
______________________________________________________________________________________________________________________________________________________________________

Tagging some of the smartest users I know
@aids @ybuyhgui @Sadist @BigBallsLarry
Mirin brooo
 
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Reactions: Luca_., kurd and Orka
___________________________________________________________________________________________________

🍃
A Concise Guide to Types, Uses & Risks of Fillers 🍃

By Orka

______________________________________________________________________________________________________________________________________________________________________

Table of Contents

1. Introduction

2. Areas to target & Notes about them

3. Longevity & Maintenance

I. How long each type lasts
II. Maintenance tips

4. Risks & Side Effects
I. Why PMMA isn't popular
II. Migration
III. Tissue Stretching
IV. Vascular Occlusion
V. Granulomas & Nodules

5. Implants vs Fillers

6. TLDR


______________________________________________________________________________________________________________________________________________________________________

1. An Introduction to Filler.

Filler is one of the most overhated procedures because of all the propaganda on tiktok about its side effects, and then going for implants over filler.
While implants are a better alternative to filler, filler isn't as evil as people are making it sound.

Filler Type​
Consistency​
Duration​
Reversibility​
Collagen Stim.​
Migration Risk​
Best for​
Brands​
Price range / ml​
Hyaluronic Acid (HA)​
Thin & Thick (Multiple Options)​
6-18 Months
Yes
Mild​
Medium (5-8%)*
Lips, tear troughs*2, fine lines, cheeks, chin, folds​
Revolax, Restylane, Belotero, Teosyal, Juvederm​
400-800$ US
250-500€ EU​
Calcium Hydroxylapatite (CaHA)​
Thick, paste-like​
12-18 Months
No
Strong​
Low (<3%)*
Deep wrinkles, nasolabial folds, marionette lines, cheeks, temples​
Radiesse​
600-1000$ US
300-600€ EU​
Polymethylmethacrylate (PMMA)​
Microspheres in gel​
8+ Years
Only Surgery / Steroids
Moderate​
Low (1-2%)*
Deep wrinkles, acne scars, strong structural correction​
Bellafill​
800-1200$ US
800-1000€ EU​
Poly-L-Lactic Acid (PLLA)​
Liquid Suspension​
2-3 Years (multiple sessions)
No
Very Strong​
Very low (<1%)*
Cheeks, temples, general volume restoration​
Sculptra Aesthetic​
700-1000$ US
400-700€ EU​

*Migration rates depend heavily on how much you're getting injected and where. More about this topic in the Risks & Side Effects Category
*2 Tear Troughs is filler for your undereye

______________________________________________________________________________________________________________________________________________________________________


2. Areas to target & Notes about them

Popular Areas of application​

Undereye
View attachment 4148419

If you've got shit undereyes like I do, undereye filler or fat grafting is the equivalent of fire to cavemen.

Makes you look healthier, younger, cleaner, its perfect.
I wouldn't recommend DIYing undereye filler, make sure you get somebody who knows what they're doing, since there's nerves in your eyes which are extremely delicate and if damaged can have serious side effects & long term damage (Skin necrosis, blindness, etc.)

Nose
If your nose is a failo then the first thing you'll think of is rhinoplasty, which is reasonable, but filler can replicate or give a better result than rhino.

View attachment 4148344

Her dorsal hump was in the way, and instead of getting rid of the hump, she added filler to the tip of her nose and made the rest of it be inline with the hump.
Not to mention this is a cheaper procedure relative to rhino, and you could (in theory) DIY it aswell.

Jaw

View attachment 4148346View attachment 4148347


If your jaw is narrow, downgrown or lacking in general, you can get filler there to build out width, sharpen the angle, and mask weak bone structure.

When placed on the mandible border (on bone), it holds shape well and doesn’t migrate like superficial injections.
Basically gives you a faux-genio or jaw implant effect without surgery, but obviously temporary.

Zygo / Cheekbone
Possibly one of the most sought-after areas for filler in this community, for a good reason.
View attachment 4148372

Your zygos determine a large part of how dimorphic you are, how angular you are, and more important factors for facial aesthetics.

The man in the photo above looks like he got around 2.5-3ml of filler in his cheekbones.

Chin
In my opinion the most underrated area for application, look how the guy on the bottom acended by simply paying a few hundred for filler.

Chin filler isn't a replacement for sliding genioplasty, but it is an amazing alternative.
View attachment 4148381

Aside from the popular areas to get filler in, failos can be personalized or uncommon.
View attachment 4151381

All clinics will accept requests for filler in these main areas, make sure you look at month-year long before & afters before deciding on a clinic to go to.
While there are many options for filler, and it seems as if its lego blocks that you can place anywhere on your face, it is not an amazing idea to get filler injected anywhere that isn't directly on your bone (with some exceptions). Most cases of filler migration result from somebody getting lots of filler injected superficially (Into soft tissue, not on the bone).

I will dive into this topic further in the Risks & Side effects section of this thread.
______________________________________________________________________________________________________________________________________________________________________

3. Longevity & Maintenance

Hyaluronic Acid (HA):
lasts 6-18 months depending on brand, area, and metabolism. Thicker HA sticks longer, while thin ones (Volbella, Silk) fade faster.

Calcium Hydroxylapatite (CaHA): about 12-18 months, sometimes a bit longer since it also stimulates collagen.

Poly-L-Lactic Acid (PLLA): results build slowly & can last 2+ years, but you need multiple sessions upfront

Polymethylmethacrylate (PMMA): semi-permanent, basically there unless surgically removed.


Maintenance tips:
You'll need touchups every 9-12 months for Hyaluronic Acid filler if you want it to look consistently the same.
Dissolving filler and resetting after 4-5 years will reduce the risk of bloating & migration
If you work out a lot, have a fast metabolism, or smoke a lot, you can expect your filler to breakdown a lot quicker than it would on an average person.
Areas with less movement (Jaw, Cheek, etc.) will last longer and not fade as much as they would on areas with more movement (lips, nasolabial)
labial).
______________________________________________________________________________________________________________________________________________________________________

4. Risks & Side Effects
This section is likely what a lot of you are here for.

I. Polymethylmethacrylate Issues, why it's not popular
I'm sure that PMMA fillers spiked your interest once you saw they were semi-permanent.

You can imagine PMMA as a gel with small beads in it, the beads do not degrade or dissolve, which makes it semi-permanent (results for 8+ years), the main issue is the fact that well, it does not degrade or dissolve. This means that unlike HA and CaHA, if any mistakes happen during the injection process you might need to get triamcinolone or other corticosteroid injections to shrink the 'beads' that are within the gel, overall the dissolving process is more complicated than with HA or CaHA

Beads clumping together, Granulomas (inflammatory masses) and other issues that come with having beads inside of you are the main reason people do not go for PMMA, Along with the fact that if you inject it too superficially you will be able to see the texture of the beads.

The migration risks are also similar to the other material for filler, which is:

II. Migration
This is the primary reason for which most people these days are completely shut down to the idea of filler, they get told on tiktok by retards about how filler always migrates and gives you this bloated look afterwards. You have likely seen this exact photo countless times on ur fyp
View attachment 4151334

*Example is from a person with Hyaluronic Acid filler
The truth is, the risks depend on how you inject your filler, superficial injections have the highest chance of migration, which is around 5% (still, really low), whereas injections near your bone (ex, for zygo implants, injections would be placed directly onto the bone), have a <2% migration rate.
The example above is from somebody who got over 12 syringes done, over a long period of time, without resetting even once (aka. an absolute retard)
As long as you avoid too many superficial injections, and make sure to reset // dissolve your (HA) filler and get new syringes every 5 or so years, you will be fine, and the migration rate will be negligeble.



III. Tissue Stretching
Another risk with fillers that is caused primarily by superficial injecitons, who woulda guessed.

Injecting new mass / things into yourself will force the skin around it to stretch, which means that after you remove the mass / things, the skin around it will be looser.
This is only a potential risk if you're getting 4-5ml+ of filler injected superficially (which, you should NEVER do.)
On top of this, the weight of filler (for example, in your cheeks and undereyes, where its mostly soft tissue) can lead to your skin being dragged downwards since well, gravity, This isn't a very common occurance, and you should not treat filler as some sort of building block, treat it more as touch ups for areas, that way you won't be injecting 4ml+ filler and won't have to deal with all these potential side effects! Amazing!!!1!!!!111


IV. Vascular Occlusion

Basically, if filler is accidentally injected into a blood vessel, it can block blood flow. No blood flow = no oxygen = tissue death (necrosis).
In the absolute worst-case scenario, if this happens near the eyes and filler travels upstream, it can even cause blindness.

The risk is very low if you’re injected by someone who knows what they’re doing.
HA fillers are safer here, because they can be dissolved if an occlusion is spotted early.
PMMA, CaHA, PLLA? Can't be. If one of those gets into a vessel, you’re gonna have to go through a bunch of drama to get rid of it

Symptoms to watch for: immediate blanching (skin turning white), severe pain, dusky/purple discoloration after injection.
If any of that happens then just ask to get it dissolved asap

V. Granulomas & Nodules​

View attachment 4151990

Basically, your body sees the filler (especially permanent ones like PMMA, or even CaHA) as a foreign object and the immune system walls it off, then boom, you’ve got a hard lump that doesn’t go away

Granulomas = inflammatory reactions (angry, red, sometimes painful lumps).
Nodules = just firm, hard little bumps you can feel under the skin.

Most of the time these show up months or even years later, which is why people get blindsided.
They can also be triggered by stuff like illness or stress when your immune system is acting weird.


Treatment
With HA, usually just dissolve it.
With PMMA, CaHA, PLLA it's not really easy. Sometimes triamcinolone (corticosteroid injections) can shrink them,
but in some cases you’re gonna need surgery or lasers.

______________________________________________________________________________________________________________________________________________________________________


5. Implants vs Filler
Well well well, here's the part most people are looking for when they hear about filler.

I'll start it like this though, No, filler is not better than implants in most aspects

Implants are long-term and fully customized, as opposed to filler where you have to aim with a needle.
Price wise, filler is a great way to preview what you should expect with implants, but it shouldn't be treated as implants are.
Filler is for touch ups and rearrangements, if your cheekbones are flat, don't fix it with filler, get implants.
5 years of consistent HA filler = $6–10k. One implant surgery = $5–7k. Long-term, implants win economically too.
View attachment 4151998

The only area I can fully suggest filler instead of implants in is your undereyes, something like fat grafting or filler will work a lot better at getting instant and good looking results for a few hundred euros, as opposed to implants where you need a fully customized implant, then 5k+ on surgery to get it done.

If you’re serious about reshaping your face structurally (cheekbones, jawline, chin), implants will always beat filler in the long run. If you’re just chasing touch-ups, camouflaging hollows, or testing how you’d look with stronger features, filler does the job temporarily without committing to surgery
______________________________________________________________________________________________________________________________________________________________________

6. TLDR
(by GPT)

Filler isn’t evil
— it’s just overused and abused.
Hyaluronic Acid is king: reversible, safest, and best for casual touch-ups.
PMMA/PLLA/CaHA: last longer but can’t be dissolved if things go wrong.
Main risks: migration (~5% if superficial, drops to <1% when injected on bone), tissue stretching if you overfill, vascular occlusion (rare but serious), granulomas/nodules (esp. with permanent fillers).
Don’t treat filler like Lego blocks — keep it subtle, reset/dissolve every 4–5 years.
Implants > filler for real structural changes (cheekbones, jaw, chin).
Filler shines for undereyes, minor asymmetry, and testing implant results.
Economics: 5 years of HA = $6–10k → same price as implants. Long-term, implants win

I would strongly recommend reading the entire thing if you're considering getting filler. Or if you're just bored.
______________________________________________________________________________________________________________________________________________________________________

Tagging some of the smartest users I know
@aids @ybuyhgui @Sadist @BigBallsLarry
i rate this thread 5/10
 
  • +1
Reactions: Orka and unon
Mirin high iq thread
 
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Reactions: Luca_. and Orka
why not eyelid retraction

Because I am following a process of bones first, then soft tissues. It may be required in the end but I think my process is sensible.
 
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Reactions: Luca_. and Orka
good thread bhai
 
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Reactions: Orka

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