No, generally, fillers are not permanent, although some are marketed as such.
While some fillers may last for several years, they eventually break down and are absorbed by the body. Even fillers that claim to be permanent can lose their effectiveness over time as the skin continues to age and change. Furthermore, a truly permanent filler isn't always desirable; if you are unhappy with the results, removing a permanent filler can be challenging, if not impossible.
Here's a breakdown:
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Non-Permanent Fillers (Hyaluronic Acid Fillers): These are the most common type and typically last from 6-18 months, depending on the product and where it is injected. Hyaluronic acid is a naturally occurring substance in the body, so these fillers are eventually broken down.
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"Permanent" or Longer-Lasting Fillers: Some fillers, like those containing polymethylmethacrylate (PMMA) microspheres, are considered longer-lasting or even "permanent" by some. However, even these fillers are subject to changes as the face ages. The surrounding tissue and skin will continue to age and change, potentially altering the appearance of the filler.
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Considerations for Choosing Fillers:
- Longevity: How long do you want the results to last?
- Reversibility: Are you comfortable with a potentially permanent change, or would you prefer a filler that can be dissolved? Hyaluronic acid fillers can be dissolved with an enzyme called hyaluronidase.
- Risk: Discuss the risks associated with each type of filler with your provider.
In summary, while some fillers are longer-lasting than others and may even be marketed as permanent, the effects of aging will still impact the overall appearance over time, and choosing a truly permanent option should be carefully considered given the potential difficulty of reversal.
