Is hyaluronic acid filler safe? What about the other facial injectable options? Doctors discuss
ฝัง
- เผยแพร่เมื่อ 15 ก.ค. 2024
- With some scary headlines and videos circulating in the last few months around hyaluronic acid facial filler safety, I invited two of my favorite aesthetic specialists to explore the risks and the alternatives. We'll cover HA fillers, Profhilo, biostimulators including Radiesse, Ellanse and Sculptra, PRP & PRF, polynucleotides, microtox and more.
Dr Qian Xu is medical director of a London clinic specializing in medical aesthetics and holistic health. / drqianxu
Dr Emmaline Ashley is an award-winning cosmetic physician currently based in the Cayman Islands. / doctor.emmaline
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TIMESTAMPS:
00:00 Intro
02:49 How safe are HA fillers?
16:17 Biostimulators and polynucleotides
25:45 PRP & PRF
31:00 Profhilo
32:37 Microtox and mesotherapy
Disclaimer: This video and all content on this channel is for informational purposes only and is not intended as medical advice and should not be treated as a substitute for medical advice - แนวปฏิบัติและการใช้ชีวิต
![fellow fellow - Proud [OFFICIAL MV]](http://i.ytimg.com/vi/9uZF7BlUQPE/mqdefault.jpg)
Please have practitioners on that are experienced with PRF *gel* specifically. I’m surprised neither of these were knowledgeable about that. It has been a life saver for me after damage from RF microneedling. It lasts longer than either PRP (absorbed relatively quickly), or regular PRF so presumably it bathes the treated area in growth factors for a much longer period (I can feel it for weeks under my skin before it is absorbed fully). It’s a much slower process than HA filler, of course, but natural and much less risk. The cancer link to HA does seem overblown but there are other risks and the industry has not been forthcoming about how long it can actually stay in the body. Dissolving fillers is offered as a solution when there are problems but certainly carries risk as well. I wish they would’ve spoken more to those risks. Also, ETA, she mentioned pain with PRP/PRF injections. They are a walk in the park compared to the RF microneedling! And the recovery is so easy comparatively too.
I too lost fat from RF micro needling. I can’t find a PRF provider near me and I am also curious about renuva which could be permanent and your own fat
Interesting. Never heard of PRF gel. 😊 Thanks for the idea. True, PRF or PRP are way better. I also had Radiesse once, loved it.
@@kathleen9456look for a PRF EZ gel provider specifically. That’s a specific kit that does not have any HA in it (many PRP and PRF providers use a small amount of HA with it and don’t necessarily even tell you unless you know to ask!)
Thanks for sharing your experience and sorry to hear you had such a bad experience with RF microneedling.
PRF is fantastic!
I’ve used fillers for 10 yrs. No problems!
I have 2 places here in town that does fillers. One is part of the plastic Surgeons the other just a spa place. The plastic Surgeon place does not use Sculptra or the other ones mentioned. They only use HA fillers... I have not done fillers yet, but I feel that I can trust a plastic surgeon place and what they use, versus just a spa place. .....
Angel need to watch it again. Love this. Love you. You are the best. ♥️♥️♥️♥️♥️
Hugely appreciate your support. Thank you ❤️❤️
Thank you for another great video Clare
Always happy to see you here Claudia! Thank you x
Another excellent video! Thanks for putting it together.
You're most welcome! Thanks for watching.
I loved this interview, got lots of great tips. Thank you!
So pleased to hear it! ❤️
Excellent overview. Thank you.
Thanks for watching!
Such a useful video. Thank you!
Glad it was helpful!
Brilliant interview, really enjoyed it, Clare. Yes, the polynucleotides are really gaining popularity and is something I'd consider. Still too wary of HA fillers, even Radiesse. Thanks for asking all the questions we wanted to know - I look forward to the next one 🤗
Thanks Val. I think a cautious approach is really sensible. ❤️
@@thehonestchannel by the way Clare I bought the Mayasama Facial oil on your recommendation & I absolutely LOVE it. Quite expensive but I really like how it absorbs and you only need a few drops. Thanks 🙏🥰
@@TheMijas07 I'm so glad to hear this! It's the best oil I've tried and I love how it absorbs too. ❤
Great video Clare. I've recently had Polynucleotides. around my face (not under eyes) 3 sessions are preferable, spaced about a month apart which is what I had.I'm blown away by my results. My skin looks 100% nourished and hydrated,my pores have shrunk and my skin is smoother and slightly lifted around my jowls. Definitely recommend.
As for RF, I stay away from that now, as I've seen so many negative effects from fat loss!
Love micro needling which has so many benefits.
Thanks for sharing your experience Sandie. Good to hear polynucleotides worked nicely for you.
Very informative as always Clare. I think i will set up an appointment for some filler...lol Actually Radiesse sounded rather interesting too.
Glad you found it helpful. ❤️
would have loved to get their take on Renuva, an injectable that stimulates fat production in the face.
I see it’s derived from human fat cells. Another interesting one! I’ll make a note and see if I can find an expert. Thanks for flagging
@@thehonestchannel Yes, I would love to see an interview about renuva!
Hi Claire Can there be more comprehensive discussions on the thread lifts, bio stimulators like sculptra rejuren
thank you
Thank you for this open discussion! I am curious to know what age range is considered “too old” for PRP to be effective. I am also curious on what the range of cost the combinations of these procedures and treatments and products one should…because for many of us the number one deterrent is that sounds like it would be way too expensive and unaffordable to sustain. I imagine the minimum annual cost would start somewhere around 4000 pounds. I suspect the answer would be near impossible to give…as it is so case by case- however some sort of an idea would make all of this seem more plausible to consider. As always thank you for the amazing content✨🙌😊
I think you’re right that age appropriateness would probably have to be judged on a case by case basis. Prices will also vary wildly depending on which country and even region you live in. Most clinics will have a price list though. One near me charges around £400 per treatment or $500.
Sorry to jump like this just to give you good news I know someone 56 yo with very good results with PRP or PRF to be honest I don’t know wich one, but she’s looking fabulous 18 months later. She spent like 8000€. I hope this helps.
I find it strange that there’s no mention of filler being found in faces up to ten years after the injection. At least people should be aware that the 12~18 months isnt always the case!
I would love to know more about PRF. It speaks to me a lot that rhw product is "your own".
We discussed that at some length in our last discussion about filler but I could have flagged that in the intro.
Hi Claire, this was super thanks. My personal feeling is the whole thing is a gamble, no matter how experienced the Dr/Clinician or what the product is. I had 2 lots of Sculptra in the late 90s when I was in my 40s, in my cheeks for a bit of fullness done by a Dr who had gone private with her own practice. For a number of years following, I attended a private cosmetic surgeon at Albyn in Aberdeen, to be checked and kept an eye on. The Sculptra migrated to the tissue inside my mouth and never dissolved and remained in 2 masses inside my mouth. I have since had cancer and have 2 autoimmune diseases. Are they related, I will never know? My personal experience tells me it’s all a huge gamble and is it really worth it to try and look a little younger? There isn’t enough science over decades yet, to suggest anything is 100% foolproof. Knowing what I know now, I would say no, it is a lottery.
So sorry to hear you’ve developed these health problems Susan. Your experience sounds really scary. I do hope you’re doing better now. x
Sculptra was used in the late 1990s in the face ? I thought it was released in 2008 in the US .. ? Were you part of a trial ? Sculptra can migrate? I thought it is a bio- stimulator ? I know it could cause nodules but never heard about migration? Sculptra was used for sutures after surgeries for decades..
@@gigistern88 I had sculptural as I said , when I said. Im in Scotland not the US and it did migrate to the tissue inside my mouth.
Yet again you get to the main point, not the ‘sensational’ headlines-> over-filling, in my opinion, has been an esthetic problem for a long time! It’s not surprising to me that filling to the point of stretching your skin out (like the 80’s and 90’s ‘Pamela Anderson’ type boob jobs 😊) can be/become a problem. I’ll stay away from my eyes but I think I might consider a (little) lip filler - when I save up!
Thanks again for the informative show, I don’t know if I’m ready for salmon sperm injections quite yet though…😉♥️
I must find out who first came up with the idea of using salmon sperm! 😁
Watch the video by DrAmirKaram “Do fillers and/or Sculptra affect future facelift?” Because he frequently operates on filled faces he sees the negative changes fillers cause over time - lots of scar tissue, longer healing time, etc. causing difficulty in operating on the face.
Yes, that of ties in with what Dr Qian said about scar tissue. I do think most issues come down to overdoing treatments/overfilling.
I think we’re going to have to face the fact that either we have to dig around make the calls and do the research to find out what we need to do or they’re going to come up with some sort of thing like the multiple listing service or whatever that maybe would take the report of how many procedures of persons done whatever We’re in the midst of much change in the beauty, industry, and auntie I don’t wanna call it Anti Aging, but reversing the effects of aging
I don"t understand why Dr. Quin is so hesitant about Sculptra. I think it's the best aesthetic treatment out there. I've never seen an unnatural result from it. Can someone show me a picture of someone who looks overfilled from Sculptra? I've personally yet to see it.
And the whole scar tissue thing is fear-mongering in my opinion. Who cares if it causes some scaring under the skin. No one can see it.
I had undereye filler and it turned out beautifully
Good to hear a positive story! Thanks for sharing. You obviously went to a good practitioner who placed it correctly. Would love to have it done but hear so many people say they regret it.
Which filler did you have under the eye?
I got a small amount of undereye filler done just once and wound up with blocked saliva glands that caused my neck to swell up like crazy. I finally had a dentist figure it out and she told me to suck a lemon, which finally unblocked it. I will never do undereye filler again!
Wrong esthetician!
What about treatment called Sunekos for under eyes? Is that safe to do?
Could you interview someone about Sunekos filler? I'm really interested in it for the type of collagen it supposedly builds, as well as elastin.
I’ve had it done twice after watching the sunekos video by dr abs. Just type in dr abs sunekos. I can tell you it had been a complete waste of time. It did nothing. I cancelled my third session. £600 down the drain. Sunekos was out 10 years ago. There are better things out there. Please don’t waste your money on sunekos. My dermatologist had sunekos years ago and didn’t know I went ti have it done. They would have told me to not waste my time and money. Total rubbish.
Injectables cause scar tissues to form underskin and sometimes compromise subcutaneous structure. Got this info from some YT doctors who are very experienced in this practice.
We talk about vascular occlusion here too and Dr Qian discusses scar tissue formation with particular injectables as different forms have different effects.
Hi are you still using adepeu
No, I used it for six months and shared my experience on the channel.
@@thehonestchannel thanks, have u retained the fat u gained ?
@@rafataziz401 That's a tough one to answer. It's been nearly a year and a half since I stopped using it so there is some natural loss of volume with aging. Not a big change though.
Thank you it’s really informative but both doctors offer fillers so their opinion can be bias.
All doctors have their specialities, but I have always felt these two doctors bring a particularly cautious and ethical approach to their work.
Radiesse for more superficial areas? I don’t agree with the MDs . Radiesse needs to be placed deep- close to the bone. The risk of nodules is very high - especially with inexperienced practitioners -definitely not a filler to placed close to eyes or in Lips . Even hyper-diluted Radiesse needs an experienced injector. SMH ..
Hi. It was just one doctor who talked about using Radiesse and she didn’t mention using it superficially. I think you may have misheard that. The other doctor said she was using polynucleotides around the eyes.
I was really disappointed with Profhilo. I had three rounds of injections, which were expensive and quite painful, and absolutely nothing happened! There was initial swelling for the first few days, which made my skin look temporarily plumper, but when that calmed down, my skin just went back to baseline. No glow, no hydration, no plumping, no lift, no rejuvenation at all whatsoever! Money down the drain!
What a shame - and after 3 sessions too! That's really disappointing : (
Same happened with me :(
Zero effect.
Please invite an expert in Salmon sperm i jections 😅, we need to know more!
😁
It’s a commercial money suck industry designed to get you on all the upsells. At the end of the day they are running a business and they are there to make money and Pay for a lifestyle. There are questions I have with some of what these Drs have said.
Thank you for continually covering these important subjects.
Unfortunately doctors only know what they have learned and what is available through "scientific" research, which we all by now know is bought and paid for by the very companies that are trying to sell product. So it is hard to fault them - however - there are many doctors and scientist that have done 'anecdotal' or self funded research that shows just how dangerous these fillers could potentially be. Much like they initially said fillers only lasted up to a couple of years, but we now have the evidence of filler remaining in the body for decades! ... The problem starts with the education, and anyone that has done a deep dive into the history of "medical education" knows what I am talking about. Couple that with the skewed "research" ... and it's a recipe for possible disaster. The only truth or fact here is that doctors simply don't know - they don't know what the effects will be twenty years from now. Any foreign substance injected into the human body will cause some type of inflammatory response - the question is just how severe and how prolonged this response is?
It is definitely a hard pass for me. ... Thank you Clare ... Blessings
I certainly fear there are going to be further issues emerging relating to over-use of fillers. It does worry me that people start so young now and don’t give it a second thought. Thanks for watching and sharing your views.
@@pswank7yes, agreed - they do know the effects … however they do not disclose the effects to the public.
Much like the hype for HA in skincare. Short term benefit (plumping, hydration, etc) yes … long term possible damage … also yes. The problem is that we live in a society where everyone wants everything ‘now’ - not realizing or researching the long term implications.
And yes - there are numerous studies that show filler in the skin decades after it was supposed to have been ‘dissolved’. Not only remaining in the skin, but also migrating to other areas not intended. The ‘industry’ doesn’t care about health … they care about profit
You bring up some really important and valid points that I think are great to address! First of all, yes - industry-funded studies are a massive source of bias, and this is something I have written and spoken about at length. Any scientist knows to look for sources of bias when evaluating a study, and this is a huge one! The irony is I'm the most skeptical person in the world when it comes to claims from any study.
I would, however, be cautious about "anecdotal" research - that implies that the "research" is someone saying "I tried this and it worked for me." That is a very low standard of evidence, and that's why there is such emphasis placed on having really rigorous standards before you make medical recommendations. Anecdotal evidence is the equivalent of saying, "I had the flu and after a bottle of wine I felt better." That might be true, but that does not mean the bottle of wine was in any way helpful to the situation! And if you started charging people money to recommend them bottles of wine as a cure for the flu, especially if you sold wine from your own personal vineyard, then we get into the wellness and supplement industry.
The same way you trust that if you were in a car accident, the surgeon looking after isn't giving you a blood transfusion or operating on your anatomy based on a hunch, but rather on years and years of study and evidence, its important to remember that aesthetic medicine is also a branch of medicine, that ethical clinicians hold themselves to the same standard. We aren't just winging it - we take people's health very seriously.
I think there is a fine balance of what we know, and what we don't know, as you said. Every intervention is a risk assessment, and that is a personal choice at the end of the day. I very much respect that this means is a pass for you!
@@doctor.emmaline Dr Emmaline - Thank you so much for your response! I appreciate you took the time to address my comment.
I completely agree with you regarding trusting a surgeon that has studied the anatomy of the human body.
I however disagree on the anecdotal evidence. One has to look no further than the amazing healing benefits of castor oil. And yes, it has been all over social media recently. But it has been around for decades, no centuries, and has been touted with 'anecdotal evidence' for it's healing benefits. Yet there is not ONE "scientific" study to substantiate these claims. Even though there are hundreds of thousands of people - including myself - attesting to it's incredible power.
The "beauty", "health", and "cosmetic" industry will all rather sell you a pill, or some chemically fabricated product. Not only that, but they will go out of their way to keep natural remedies 'hidden', where one has to literally go out and do research to find these incredible herbs, oils, butters, etc.
On the other hand one has to look no further than the talc baby powder to see to just what lengths the industry will go to to sell their products - without regard to its long term health implications for the consumer. And that is just one example of thousands of ingredients that are "deemed safe", simply because people don't realize the damage until years, sometimes decades later! - and a lot of times don't connect the dots of the cancer or immune disease to a product they used decades earlier.
I have watched you on Claire's channel a few times and absolutely respect your perspective. And I thank you again for your reply. ... Blessings
Yet dr XU offers a treatment many drs don’t agree with … Ultherapy. And I believe Claire visited a plastic surgeon in Beverly Hills recently who surprised her saying ultherapy can cause damage. Just remember it’s a money grab industry. Of course the surgeon wants you in his office for a procedure and then upsell your home his magic isn brand skin care line. Claire, you should start a forum with viewers real experiences of what they had done. They can post what they had , where they had it and the result. I just had two rounds of sunekos of dr abs sunekos video being better than polynucleotides. Sunekos was absolute rubbish. £600 down the drain. Just watch the video on TH-cam . Type in dr abs sunekos and his comparison with polynucleotides. Haha.