These guys are a RARE find telling the truth!!! Most plastic surgeons tell you what you want to hear and take your money, leaving you looking like a chipmunk with trout mouth. I'm a cosmetic surgery recovery nurse in L.A.
It's true! Or they put you fillers that are not really fillers. I had lip fillers and they went down in 2 days. And i got also under eye fillers and i didn't notice any changes.
I went to Dr Chan a couple years ago. He was very honest and genuine. He actually said I don't need what I had gone in to get. You don't see doctors like that anymore
he seems it, I bet you he benefits financially in the long run by being honest , whereas dishonest surgeons benefit short term by doing too much but this ultimately negatively effects them financially long term their reputation through reviews and word of mouth . reputation is gold
My dear friend, I completely agree with you and I know a plastic surgeon in Russia who is also honest and open with his patients. So I want more such good people in surgery.
My friend got refused the same treatment Where I got mine gone. Im happy they were honest and didn’t want to make money even though it wouldn’t work for her
They are not saying fillers don’t work, all they are saying is that ... consider dissolving it in time plus keep a good eye on how your look changes and do u really want to get another procedure of fillers . Great education . The main thing is that you can never stop aging by being TOO aggressive Using these methods . U can slow it down and be realistic about all this .
I’m 30 and have had circles under my eyes for a long time. I went to a nurse to do a consultation on getting tear trough fillers and she actually *turned me down* and recommended addressing what could be lack of sleep and allergies. That was one of the best, most sensible things she could’ve done and I’ve since made the personal decision to refrain from getting Botox and fillers.
Did more sleep help? And were your eyes puffy from allergies? Also what allergies? I sometimes have puffy eyes. I have like fluids in my eyelids i can feel them. But not aways it’s so weird! I will never get fillers too scared but somehow I watched this video 😅😅
@@dutchdaleyy i have dark cicles and eye bags. Walking outside really helps the most, i have kidney's issues so that contrebutes too. When I do special face exersises really helps too plus cosmetologist suggested to do eye exersises too.
@@dutchdaleyy I have a lot of food allergies and if I eat things, I have puffy/dark under eyes.. I eat carnivore for my food allergies and autoimmune disease and my eyes look 1000 × better.
Thanks everyone! I do not really have dark circles I especially have like puffy upper eyelids if you know what I mean! Also on one side worse than the other. My eyes also feel watery and I look tired sometimes, Really depends on the day. I probably should be outside more yes, that may help. Thanks for the advice :)
It has taken me more than 8 years to finally feel comfortable and confident to post a review about Gavin Chan. In 2015 I went to the Victorian Cosmetic Institute & was talked into having 4mls of filler injected into my cheeks & nasolabial folds by self appointed cosmetic medicine specialist Dr Somaiye Kadivar. I was told it would lift my cheeks & that the filler was temporary & would last between 12-18 months. Once the procedure was over I looked in the mirror & noticed one cheek was higher while the other cheek was lower & further out from my nose. My nasolabial folds were arched, crooked, unnatural & everytime I smiled my cheeks would pop out like golf balls. I hated the results because the filler added volume instead of a lift like I requested. I made a complaint to Gavin Chan who said it was easily & instantly reversible by injecting Hyaluronidase which is used off label to dissolve fillers. After several attempts over the coming days & weeks it was quite obvious that the filler was still present. On one occasion Gavin Chan dissolved my tear troughs via the cheeks yet I never had filler in my tear troughs to begin with. On another occasion while injecting Hyaluronidase he also started to inject filler into my temple without prior warning. When I asked him why he was injecting my temple he told me he was compensating me for my troubles yet never mentioned that the temple is a danger zone & a risky area to inject. In total I had 6mls of filler injected into my face within 19 days, yet on the Victorian Cosmetic Institute's website it states that 1ml of filler is enough for the entire face. On each occasion Gavin Chan never informed me of the risks, dangers & complications associated with Hyaluronidase & never gave me a consent form to read and sign. A few years later I had a consultation with Professor Mark Ashton who is an expert in filler complications & he told me that if the filler hadn't dissolved by now than it was permanent. He gave me a referral for an MRI of the head which can detect the exact amount of filler & the exact location of the filler. The MRI report stated that I still had upto 4mls of filler in my face even after all the dissolving sessions over the many years. Gavin Chan then decided to look into MRl's & the longevity of fillers after I informed him of my MRI result & capitalised on it by making a TH-cam video claiming he made this discovery. In the meantime I noticed that my facial structure had collapsed, I developed deep hollows under my eyes, my cheeks caved in, my marionette lines were deep, long & dragged down. The corners of my lips sunk into my mouth & my skin was extremely loose, saggy & stretchy all the way down to my neck. Hyaluronidase did not dissolve my fillers but instead permanently dissolved my connective tissue as it can't distinguish between the skin's own HA & the HA in dermal fillers. Hyaluronidase has aged my facial features by 10 years & only a full facelift & necklift can fix this. In 2019 & 2020 I took Gavin Chan to VCAT requesting a refund & a corrective advertising order because his website falsely advertised that the temporary fillers they use last anywhere between 12-18 months. Gavin Chan was granted lawyers on the grounds that his business reputation was at stake while I had to represent myself. I cross examined him with over 90 questions & I presented over 100 pages of supporting evidence & documentation while he only had photos & amended clinical notes. The hearing was held over 2 days & my claims were eventually dismissed by the judge. Gavin Chan got away with not providing me with a consent form for Hyaluronidase on each occasion. I hold Gavin Chan responsible for destroying my looks & my life. The self appointed cosmetic surgeon as he once claimed to be isn't even a GP, he is just a medical practitioner & in my opinion has a special interest in portraying himself as the master of cosmetic injectables in an unregulated industry. Gavin Chan is an injectable junkie, obsessed with the syringe & makes no apologies for ruining my life. Gavin Chan pays a lot of money to have my Google review removed on more than one occasion and I’ve been threatened with legal action by his lawyers for coming forward. He doesn’t want anyone finding out the truth.
Oh my goodness. I wish you get better. How your skin tissues right now? Are there any improvements? What you think of dissolving nasolabial folds with some shitty Korean filler. I hate how it looks but I’m terrified to dissolve them cause the stories like that.
@@sonypetrovsky4487 not good. I need a full facelift according to the plastic surgeons I’ve seen because I have premature and accelerated ageing from Hyaluronidase.
Good for you. And here's the thing. There are better ways to treat fat loss than filler. By harnessing the body's own regenerative powers. We've been studying this for years.
No! Just a funny coincidence. I’m an artist. Just appreciate your information in these times of over-selling even at an esthetic cost to patient. Thanks again!
I went to Dr Chan a few years ago and then again recently. He was telling me about this, after I said that I felt the filler in my top lip had stayed put and I only wanted a little bit in the bottom lip. He is an amazing Doctor and really wants you to look natural and refreshed. He never tries to ‘upsell’ you anything and I trust him implicitly. He is also very complimentary, kind and funny.
This information wasn’t meant to scare people or convince us that HA fillers are going to ruin your face. It’s a matter of going to someone who will be honest and put a limit on how much they’re willing to stuff into one persons face. As well as knowing when to say no, or choosing to dissolve the filler first.
@@viccosmeticinstitute Hi. Can you please tell me if a desireal (hyaluronacid filler) will dissolve at a certain time. Is there a maximum time? If you have it for 1,5 year and it is not dissolved will it dissolve itself? Many thanks.
I had gotten filler underneath my eyes, and they overfilled it a little. One year later I went back to have it dissolved and they wouldnt do it because they said it prob wasn’t filler if it had been there a year. I went to a different doctor because I know my face extremely well and she agreed to try the dissolver. 4 hours later it completely dissolved like I knew it would and went back to the other place to tell them my experience. They were so surprised it lasted that long but they need to know that for some people it can last that long if not even longer. Thanks for making this video!
I asked the practitioner who misplaced filler in me to dissolve and she got defensive and pushed back, which is annoying because the person who placed it is the best person to dissolve it because they knew how much they put and where.
I don't even know how I ended up watching this video, but I am so glad that I did. One of the best videos on TH-cam. I am so glad that I don't have fillers and I definitely will not be getting any in the future. Thank you for your honesty. I subscribed to your channel based on this video.
OMG. I just went through this. My jowls? Not actually jowls! It was 7 year old filler that doctor put to ‘sculpt jawline.’ Same with smile lines. By the way, I didn’t go in for either of those! It took several sessions to dissolve (and still can’t get it all). I had doctors tell me that it was impossible for the filler to still be there. But a doctor finally agreed to try dissolving it and within hours of the dissolver, I looked 10 years younger. And the filler definitely migrated to places nearby that I never had injected. What a costly and stressful lesson! I feel vindicated to hear you talk about this.
That's Classic Her yes, it was HA (Juvéderm). And from USA board certified plastic surgeon in Houston. It was actually a doctor in Singapore that first pointed this issue out to me as a possibility (saw him during business trip for a facial and complained my face seemed to be sliding downward). Then I saw docs back in USA, including original doc and they told me it was impossible, all filler is gone within 12 months. BUT don’t stress about it. Just know it’s a possibility so if you don’t like results, get it dissolved. It doesn’t mean you’ll have bad results. I’m sure yours will be beautiful. 😘😘
it's very possible in face. I see this as a common error of practitioners - they inject just forward of the jowls in the 'pre-jowl sulcus' and end up accidentally injecting into the jowl, or having filler migrate back into the jowls. And as the videos hows, filler lasts for a very very long time. This is not common knowledge. This video pioneers this concept, and I think will cause a big shake-up of what practitioners believe.
I used to think the protruding upper lip was just too much filler was placed in someone 's naturally very thin lips..but now listening this explanation it makes sense- filler can migrate..and it's scary.
@@annamarkova3508 it can also be from being injected outside/above the lip line, which is what happened to me a couple years ago, I can still see the effects of that session when I smile unfortunately
I am so grateful you posted this video. Just getting into Aesthetics after 20 years in medicine, I have been seeing people with extremely irregular facial contours in between their filler touch ups, as well as the "duck lips", which are not anatomic for the human race or aesthetically pleasing at all. I have seen "experts" who promote these fillers boast about having 16 syringes in their face, but all I see is horribly expanded mask like faces that look too big for their bodies. Since I have seen them in between filler injections, I had a feeling that the fillers degrade irregularly, creating loose sagging skin, and they really have no option except to inject even larger volume of fillers to prop everything up into place again. I was holding off on getting into fillers, and glad I did. So glad to see your MRI pictures finally explaining that they actually migrate away from their intended location, and validating what I had been worried about all along. Thank God for honest practitioners like you both who dared to post this video!
What a relief to see doctors actually taking time to research and question their applied practices publicly like this, so thank you for the transparency. Here in Bangkok we have a plethora of beauty clinics that offer just about everything from botox, lasers, thread lifting, fillers, to lipo. The issue here is the market is quite unregulated. With injectables it can be difficult to tell the validity of some of the products , as I have been told there are many fake/knock off products from china being distributed to clinics at a lower price. Not to mention the liscesing requirements needed to administer here. The scary thing is, what kind of substances are in these knock offs? I assume Australia doesn't t have this kind of issue.
We recently had a death from a dodgy woman coming from China and doing illegal plastic surgery. I think she was doing a boob job on some poor young woman (she owned the clinic!) and the “patient” went into cardiac arrest. I’m pretty sure this clinic would have also been injecting some Chinese fillers and muscle relaxants that are not up to code. A lot of young ladies are getting “qualified” to inject too, so I expect a lot more problems arising in the near future. So although we are regulated, dodgy things still happen. I went to Dr Chan because I would only trust a qualified Doctor to go near my face.
I just recently had filler under my eyes, and it moved. I appreciated being able to see this video and will go tomorrow to get it dissolved. So thankful for doctors like you both, to help us. Greed is a terrible thing. I now understand why I suddenly have jowls, the filler has moved from beside my mouth. That appointment cannot come fast enough to get this crap out of my face. Thanks for educating us all.
Good for you. And here's the thing. There are better ways to treat fat loss than filler. By harnessing the body's own regenerative powers. We've been studying this for years.
This is maybe the sixth time I've watched this since it was put online. Shout this message from the roof tops!!!! Thank you! Your channel should be required viewing for doctors and practitioners.
A rhinoplasty surgeon I know also mentioned during a live video online that “temporary” fillers used to reduce the hump on the nose can remain there still years after. He mentioned that they actually still see the filler during surgery, even if it has “disappeared”. It made me realize how we take these claims (like temporary and easy) with a grain of salt and don’t know enough about such important subjects
I think Khloe Kardashian is beautiful but might be an example for this. They definitely tried giving her a nose tip but it's like the filler runs out of place. I watched her show on TH-cam and it was still very visible and the nose looks less defined than ever before even with make up contouring
Very true. My girlfriend had Juvederm filler done on her radix and nose bridge about 6 years ago to augment the nose bridge since she is Filipino and has a naturally low nose bridge. The procedure made her eyes closer together as well due to the augmentation of the radix. Even now the filler is there but she wants to inject again but I tell her she looks beautiful just the way she is now :)
I had no idea, thank you for enlightening us! I recently went to a place to get my lips done again and they actually refused because they said I still have some filler in my lips from last time, it’s good to know some places actually care. Thanks again!
Ktc Far too many women go overboard. They get addicted and lose sight of how they even looked prior to these procedures. Society basically tells us that if you’re not ‘beautiful’ then you have no worth. The key is subtlety.
I believe you are on the cutting edge right now. Less is the way to go and patient education around longevity of filler is a key to changing the way we practice. I agree with you both. Thank you for this information. I can't wait to hear more!
Had very deep nasolabial folds at age of 46 - as evidenced with photos . Had juvederm injections and they have never returned - I’m now 56! Have mentioned it to couple of practitioners and they’ve told me it’s impossible......I feel vindicated now. The photos prove it.
I’ve been looking into under eye filler since I was a young girl because of my under eye circles. Never seen a video with a doctor who is so informed and obviously loves what he does. Thank you for this information ❤️
At 35 I had juvederm just around my mouth and it lasted 11 years at 52 I’m having it done again today.. it’s only slightly noticeable so I would say it was very worth it!!
Wow!! Just watched you both on HOW LONG DO FILLERS REALLY LAST. I'm a 60 yo white women, and was considering Tear trough filler. NOT ANY MORE! ITS AN AMAZING cutting edge you are perusing and I think just in time. So many women I know having been an Ophthalmic Surgical Technician have had these now so called temporary fillers and still want more. And yes, the idea of utilizing the MRI is brilliant!!Can't wait to watch your next video. Thanks for the info.😉😳🎓
I have undereye filler, hyaluronic acid, which I can still feel is there after 3 years. I suspected fillers to last longer than the 6-12 months but it’s good to see proof of it now!
Excellent video. It may be a decade or more before we see the full long term side effects of these fillers. It's so tempting to dabble but there's so much more risk involved than is disclosed by the majority of doctors.
Angelica Angel Yes because outside of these two it seems most docs aren’t informed & that’s just the way big pharma likes it! Keep em in the dark & con everyone out of their money & health! And the FDA is in bed with pharmaceutical companies SHOWING THEM THE LOVE🤑; screwing the people over with awful drugs, horrific implantable devices & stuff like filler. It’s an incredible FU to society🤑money over lives🤑
I’m thankful that one person is honest enough to bring this up and confirm my thoughts openly. I have always wondered where fillers go after they disintegrate. I never saw any information about it and suspected that some people’s whose faces look unnatural had used too much of it and it caught up to them over time
Being an injector its why I lean towards counseling clients on the benefits of PRP instead of fillers. Many who have a series of PRP injections and maintenance have stopped getting filler all together. Great video!
I found this fascinating!!! I’m training in MRI while finishing my BA in MRI. I subscribed because of this video and would love to see more videos discussing this topic.
Also many people are mislead by the swollen appearance immediately after having injections. Especially with lip fillers. They think the filler has dissolved too quickly but actually the swelling has subsided. It is the effect you also discussed when talking about lip fillers: They dont remember anymore what they looked like before the injections, pre-swelling, and only have the image of the plump look from the swelling in mind and are disappointed. It is quite misleading, thats for sure, but I find many people also have unrealistic expectations what can be achieved in one session or with this or that amount of filler.
I had volbella in my lips, looks great!! I love fillers, i use the least amout possible. My only mistake has been Versa by Ravanesse. I'm guessing the tindal effect it left in my upper lip will eventually go away??? It's been over 2 years. It's cheap crap and I'd advise you all to avoid it.
@@marywilson4938 I still have tindell effect on upper lip after 10 years. No one knows how to rid it! Have to use makeup & the blue still shows through. Sigh. I think they hit a vein.
Dr. Weiler in Baton Rouge claims that filler is completely gone after a year and that anyone who claims otherwise is stealing my money. Weiler only makes this claim because he refuses to take responsibility for bad filler. Thank you for being honest.
Love the video. It made me think that I fell into the filler trap myself. I love my look right after I have fillers then I get used to it and after 2 or 3 months I want more. We need good objective doctors who will say no to filler every few months!!
I am SO grateful for this information. I have never had fillers but have allows thought about the tear trough filler. I have always been afraid of looking puffy or overdone. Thank you for confirming that I am fine the way I am. We need more people like you two.
There are better ways to restore the tear trough. The body can replace the lost fat cells through its own regenerative capacity. Just needs a bit of support.
I said this after I received jaw filler. It was my theory that it had moved and is in fact mobile in my face. The practice heavily disagreed. I was and am upset by it. My jawline changes daily and it’s awful. I’m so happy I came across this video. Thank you so much.
I'm wondering if some doctors are more reluctant to use the dissolving agent because of the expense, not just the disagreement of it migrating? I've heard that it's more expensive than filler.
Totally get the anger. But here's the good news There are better ways to treat fat loss than filler. By harnessing the body's own regenerative powers. Eat protein, regular moderate exercise. It's slower but it adds up and looks like you.
Thank you! I’m so happy to see practitioners such as yourselves putting patients first. I share the hope that there will be a cultural shift in the cosmetic industry to help guide patients away from an over-filled face. As an injector, I steer away from highly cross-linked fillers. I also gravitate more toward collagen stimulation modalities for face as opposed to traditional dermal fillers. Spending time with a patient and discussing a “less is more” strategy has also helped me in my practice. Again, thank you so much!
@@leannemarie8956 I like Sculptra, Plasma Pen (fibroblasting/pointillism), and microneedling. I will say that with Sculptra, I take a less is more approach with that. I like to do the minimum amount possible and encourage patients to wait at least 3 months (preferably longer) before considering additional rounds.
I have heard from Dr Davin Lim that these dermal filler has permanent effect when a lot of dermatologists will say the effect only lasts for 6 months. Thank you so much for uploading this video for up-to-date information about fillers and I really hope this video reaches many health professionals and patients.
Wow, refreshing to find honesty. I had a bunch of injections (liquid face lift) 4 plus years ago, in my left cheek I had some filler pushing on a nerve. Dr said it was impossible, it felt wildly uncomfortable for 18 months, when it either migrated or resolved. Who knows what is left, but I feel it triggered an autoimmune episode.
My congratulations Gavin on investigating the adverse consequences of filler injections and then, to have the integrity to alter your injection practice. based on the evidence you have obtained through your collaboration with radiologist colleague Mobin Masters. You can see the community significance of your reporting by the over 2000 people responding with their story and appreciation. This information needs to be reported in a scientific way. As a plastic surgeon who helps people who come to hate their 'filler face' after 5 to 10 years, it becomes apparent that fillers do not stop facial aging, they conceal it. All the time, aging has continued behind the 'mask' of the filler. The final time of revelation comes when the fillers are dissolved when rejuvenation surgery is undertaken to refreshen the appearance. Now the appearance can become natural again with freedom from the anxiety of being dependant on fillers. It takes a certain courage
Thank you for educating US‼️everything you guys said it makes a lot of sense. Some places get offended when you ask them questions. I wish there was more patient Doctors like you guys‼️
As someone who has bee getting fillers for the past 16 years i can very much agree on the long lasting part. Ive found myself needing less and less for touch ups
@UltimaThule most last years. New studies show they do infact last years and years. When someone says their lips or where ever didn't last more than 6m/1yr it's that it has migrated out of the position and spread so you don't notice as much
Share with us your experience with dermal fillers and how long they have lasted for you? We would be very interested to hear what your experience has been.
Victorian Cosmetic Institute My Juvaderm filler lasted 4 years. Back to my plastic surgeon for a touch up in about one week. I always theorized that my daily oral dropperfuls of hylauronic acid were what kept the area plump. After watching this video, however, the longevity may due to a) the actual location of my filler or b) the fact that these fillers are semi permanent in some respects. Either way, I am grateful my filler seemed to stay put. Location: short (1/2”) downturned lines, moderately deep, at mouth corners.
Victorian Cosmetic Institute I got my cheeks done 2-3 weeks ago by a lady in Penrith and she said they’d last 9-18 months and my cheeks already look sunken in? I’m worried 🤨
As a plastic surgeon in Venezuela I’ve seen this kind of behavior with Biopolymers (now those are proscribed , but years ago a lot of cases were used) These migrated to other area or outside, but in “lucky” patients they just stay in the same spot without moving, nor showing any changes (this could Happen until 50 years later according to reaearches). I was sure (with no scientific evidence) that h.a lasted longer than 2 years, now you have gave me that evidence!
@@yosimenavarro6358 great to hear the experience of a plastic surgeon in this area. Do you ever see HA filler when you are doing a facelift? Maybe filler that was put there a long time ago?
I had my first and only lip filler treatment done in May 2018 - it’s now Dec 2019 and my lips absolutely still have plump to them. They are, in no way, as thin as before. I see old pics and videos I’ve made and can tell. I love the way they look now (after a year worth of time); naturally plump looking and no need for more.
You are so right about the fact that we forget what we used to look like before fillers. This weekend i filled My lips for the first time in almost a year and i Still had fillers left from a year ago. I didn't think there were anything left but when i looked at My nurses pictures from before i did any fillers i Saw that there were actually quite a lot left!
I found this title intriguing bc I had some filler under my eyes - once, over a decade ago - and I have thought for a very long time that it seemed to be lasting, and lasting, and lasting...I guess I'm lucky that I don't have the funds to keep pumping my face full of filler, ha ha, but I have recently been thinking of trying to re-fill some volume loss around my lips. This video has been incredibly helpful in deciding how to proceed. Thanks and keep up these amazing videos!
Why people don’t make a bigger deal out of doctors like you two is beyond me. Your brains are just incredible and we should be celebrating beautiful brains instead of beautiful people. Also you guys have made me want to get my filler removed. I have it under my eyes and in my lips. I will say that my doctor is very good he told me when I needed to stop and he uses my pictures as advertisements for his other clients and on his website so I guess he looks at the work he did on me like his walking billboard.
Great video Dr. Chan. I have been injecting as minimal amount as possible just to restore or enhance patient’s facial anatomy. This is a great topic which I absolutely agree with that most of my colleagues go for profits. However, I myself being more cautious and preservative, often times other physicians do not appreciate my pov. On the other hand, my patients end up coming in less frequently and are happier with long term results.
So it means the less is better doctor davis? Like i have been getting 1 cc of juvederm voluma in my cheeks every year even though the doctor said i need 2 cc for me to see the fullness effect because i have round face with no cheeks.
Barbie Lee not necessarily less is better, sometimes you just need the right amount to work with. My suggestion is: experienced/skilled facial plastic/dermatologist can diagnose the exact underlying problem to restore/enhance anatomical function by as minimal amount of HA/fillers as possible to have best results. Cheers !
I had filler once in my life only, in the nasolabial fold lines, 1 ml I believe.The Doctor said the filler would dissolve with time but it is still there 14 years later. The good thing though is that it hasn't migrated. And thank you for being so honest and straight about fillers bringing up the risks having fillers injected.
Woohoo, wonderful human, and good dr , I have been seeing all the ladies who have filler, immediately, you could just tell what have be done, not only that, they are also looking alike. thanks God I waited, till now, am going on a holiday again to Australia, than I could visit this dr, please ladies go to a honest dr, so that you look natural, i don't want to go around as someone carrying apples on my cheek. this what I see around me, know how is given all of them that apples look.
The problem here is that pharmaceutical companies continue to lie about their products jeopardising professionals careers and clients health while they rake in billions of $$$$$$. Thank you for exploring this and sharing, I will not be in a hurry to get fillers now.
BEST BEST BEST video ever. I just couldn't THANK YOU TWO ENOUGH. I'm 35 and had a tiny amount of fillers on my temples and chin. I WILL NOT add any more. I do have enough volume of fat on my face. The problem is many doctors are forced to be associated with big medical companies like A.....and can not speak up their suspicion even though they want to for their own sake and careers after decade of study I do understand they don't want their life to be destroyed.
I’m so glad I found this video cuz even though your mri findings are a bit concerning, it feels good to have my long-held suspicions about filler confirmed, and to know I’m crazy or imagining things. Thank you both for sharing this video and for all that you do... Your honesty, integrity, and dedication to your craft are truly inspiring. The world needs more doctors like the two of you ❤️
Fillers fill more pockets than Gaps From doctors to pharma companies .... Short span is prompted to have repeat visits and repeat sales ... But doctors like u make the best for patients ...that's a great thing ... Let the fillers be a corrective measure and not an obsession ....for both the ends
You should speak to Lisa Hilton, who wrote before you on here, who doesn't believe the evidence, who has filled those companies pockets with 2 BMW car loads!
Very educational! Every person that has or is having or considering fillers should watch this. I love fillers but you need to be smart and go to the right professionals. It’s your face after all. Thanks so much for this video 💉😉
Having fillers is a choice you can make. It will really depend on the concerns/problems you have versus the potential risk in your situation. Everyone is different. Hope the video helped you work out what you want to do.
Or, you can use Ounce Of Nature's Hyaluronic Acid Facial Hydrator instead of getting fillers. @ounceofnature
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I don’t think the phrase “age gracefully” is entirely helpful, there are a lot of people who choose to do cosmetic treatments - are they ageing disgracefully?
I am 43 and consulted to get tear troughs done. My injector said no, because filling my slightly hollow temples and cheeks would take away the hollowness under my eyes, mind you my hollows under my eyes aren’t that bad. She won’t fill troughs on anybody. She wanted to do FOUR syringes (I have no clue how big a syringe is or what type of filler). After watching Dr Chan’s videos I have changed my mind. I don’t want to go blind or have my filler migrate to another part of my face as MRI’s have proven. Thanks Dr Chan.
I place filler at my office and what I've noticed is filler does move. I notice it especially on the side people sleep on. That side is always more flattened and more filler is needed on that side. I have my patients use the Beauty Loop Pillow so that their facial filler stays in place while they sleep. I use it myself and don't need retouches as often. I learn so much from your videos. Thank you!
Great topic. Can you clarify on the following: How long does each filer last based on MRI- Juvederm vs Restylane vs others Does using a cannula lead to more migration over time since you are creating tunnels under the skin for product to move?
We haven't done head to head studies on the longevity of different brands of fillers - but this might be something for the future. Same with cannula vs needle. Both topics will need to be studied further.
@@viccosmeticinstitute I have heard the cannula is less likely to penetrate blood vessels (which can cause necrosis), because of the rounding / bluntness.
I recently had a consultation for under eye filler and got turned down as I was significantly lacking in volume in my cheeks and was told the filler would migrate from my under eyes down into my cheeks unless I was also to have cheek filler. Very glad I trusted this doctors recommendation and didn’t decide to try and go elsewhere now after watching this video!
@@viccosmeticinstitute Thank you. You are so knowledgeable and thorough, it's amazing. I wish you were in the states, I would probably come to you for.. well everything lol
@@cervina Jaclyn is gorgeous but she does look far more swollen and puffy in the face than she did when she 1st started TH-cam. You would have to be a long time subscriber to even notice the difference.
this is so interesting! it’s been almost a year since my lip filler was topped off and tho i perceive it as “gone,” when i look at old photos i can tell my lips are still bigger than what they used to be.
@@viccosmeticinstitute i told my injector i was sad about them going away. she palpated my lips and said, "you actually still have filler in there!" i think one of the factors is how much someone may swell after injection. that swelling subsides and the person may have had unrealistic expectations because they thought the swelling was all filler. another thing i find super interesting is my lip size depends on how much water i'm retaining. if i wake up puffy and bloated, my lips look supple. if i'm dehydrated, they look a lot smaller!
Brilliant video. You might have just triggered a paradigm shift. I'd be interested to know how Pharmaceutical companies come up with the numbers for their longevity. Are they in vivo. Or vitro? If they are in vivo then surely they must have done MRIs or ultrasounds themselves. Surely such clear radiological findings can't have been overlooked. The question needs to be asked.
Ali Rashid indeed it’s in vitro and in vivo studies. There are no long term studies on with imaging, I’m already doing research on it and about to publish a paper on a small cohort. It’s still one of the only studies - approx 7 have been publish on MRI of various products, none dedicated to HA. Mine will be the first.
I'm so grateful to you! I have never heard this before. After this video, I decided to stay away from fillers. I am not ready to take risks and I am only 22 years old. It can wait.
Thank you so much for such an informative video which awakens us, you are truly a great doctor who cares about us wanting to look good , but there are problems that we will face or not if we are lucky enough, Thank you once again with gratitude, Bee 👍🏻👍🏻👍🏻👏🏻👏🏻👏🏻😍🙏🏻
This is some great insight!! Since I’m quite young with a lot of media influences I too thought about filler, just the bare minimum to upgrade my look. Hearing this really does detail the fact that filler isn’t as ‘simple’ of a procedure most claim it to be. Thank you for this information!!
It is refreshing to see two doctors who are actively observing the effects of their medium and methods over the long term, that are inquisitive enough to dig deeper to get to the root of what’s happening instead of just brushing off patient observations in favor of what the manufacturer/big pharma is pushing, or what the industry has yet to acknowledge as a whole. It should be the way anyone approaches any practice (medical or otherwise), which is through continuous observation, learning and improvement in their practice. Well done! Since this was posted a year ago, I am wondering if this filler migration phenomenon has picked up more recognition globally, especially in the states where I am from? Seems like using a dissolver in between (annual) filler replenishments might be a plausible solution for the time being...
Apparently he destroyed this lady's face with execive fillers back in 2015 when she wanted them removed he kept injecting hyluronidase but to her was clear the fillers were there after years. She went to another doctor who ordered an MRI and saw 4 ml of fillers still there even after all this time and hyluronidase. She took her findings back to him he only offered more hyluronidase and ended up stealing the finding of MRI to detect fillers and coining it as his.The ladys face is all deflated and aged now after all this. Lol so ya not so great of a guy afterall.
@lanah007 I'm so very sorry for what you have gone through. Hard to believe the judge threw it out! Seems like any decent dr would pay to get your facelift done. If for no other reason than having a walking NEGATIVE billboard walking around town. I'm sure it would be embarrassing but have u thought about making a sign telling what Dr did that to you, and then walk past his office a few times a day. In the meantime save your money or take out a loan and get your face fixed. Choose your surgeon wisely.
It definitely lasts for many many years. If only every doctor who deals with facial aesthetics was as careful and observant as you. Beauty, especially the beauty of an individual face is so complex and really takes an artists eye to appreciate and treat. Wish I lived in Australia.
Very informative!!! I had tear trough fillers done several years ago had think they have migrated. I didn't know it was possible, but I felt that's what it was. I have bulges under them, almost like puddles. I'm going to talk to my doctor about this. Thanks so much!!!
These guys are a RARE find telling the truth!!! Most plastic surgeons tell you what you want to hear and take your money, leaving you looking like a chipmunk with trout mouth. I'm a cosmetic surgery recovery nurse in L.A.
Wow! Some true insight from a nurse in the know!
This is so sad to hear ! But ty
It's true! Or they put you fillers that are not really fillers. I had lip fillers and they went down in 2 days. And i got also under eye fillers and i didn't notice any changes.
@Justine carrington it didn't work for me. I think they didn't do it right to me.
@Justine carrington i think it's all about the doctor...
I went to Dr Chan a couple years ago. He was very honest and genuine. He actually said I don't need what I had gone in to get. You don't see doctors like that anymore
I wished I lived in your area because I would love to be Dr. Chan's patient!
he seems it, I bet you he benefits financially in the long run by being honest , whereas dishonest surgeons benefit short term by doing too much but this ultimately negatively effects them financially long term their reputation through reviews and word of mouth . reputation is gold
@@stayroxy I agree, people will always refer good doctors.
My dear friend, I completely agree with you and I know a plastic surgeon in Russia who is also honest and open with his patients. So I want more such good people in surgery.
My friend got refused the same treatment Where I got mine gone. Im happy they were honest and didn’t want to make money even though it wouldn’t work for her
You should do a peer reviewed study on this topic and have it published!!
The paper is done and about to be submitted.
Dr Master Thank God!
MyPrivateIdaho SAT yes!!!
When will the paper be released?
I agree
TH-cam is so weird, I decided today I wanted to get fillers, and then this was recommended to me.
Nothing weird. You must have mentioned it. Your phone is always listening to you and suggests videos and ads based on what it hears.
For me, I mentioned it inside my head only!
Same
Azulon Azure It is a creepy fekker isn’t it? 🤔😂😱
They are not saying fillers don’t work, all they are saying is that ... consider dissolving it in time plus keep a good eye on how your look changes and do u really want to get another procedure of fillers . Great education . The main thing is that you can never stop aging by being TOO aggressive Using these methods . U can slow it down and be realistic about all this .
I’m 30 and have had circles under my eyes for a long time. I went to a nurse to do a consultation on getting tear trough fillers and she actually *turned me down* and recommended addressing what could be lack of sleep and allergies. That was one of the best, most sensible things she could’ve done and I’ve since made the personal decision to refrain from getting Botox and fillers.
Did more sleep help? And were your eyes puffy from allergies? Also what allergies? I sometimes have puffy eyes. I have like fluids in my eyelids i can feel them. But not aways it’s so weird! I will never get fillers too scared but somehow I watched this video 😅😅
@@dutchdaleyy i have dark cicles and eye bags. Walking outside really helps the most, i have kidney's issues so that contrebutes too. When I do special face exersises really helps too plus cosmetologist suggested to do eye exersises too.
@@dutchdaleyy I have a lot of food allergies and if I eat things, I have puffy/dark under eyes.. I eat carnivore for my food allergies and autoimmune disease and my eyes look 1000 × better.
tear troughs are lack of volume....surgery or fillers help...not sleep.
Thanks everyone! I do not really have dark circles I especially have like puffy upper eyelids if you know what I mean! Also on one side worse than the other. My eyes also feel watery and I look tired sometimes, Really depends on the day. I probably should be outside more yes, that may help. Thanks for the advice :)
Honest men with integrity!! An anomaly!! Thank You.
I love them, they're incredibly good.
No doubt!!!!!!
Character and integrity makes a man so sexy!
tegrity!
Lol, one of these guys peddles filters like crack in the hood
I brought up my concern about facial bloat from fillers and the nurse just avoided my question. We need more honest doctors like this 👍
Agreed. Medspas make close to 90% of their money on filler and botox. So it's hard not to be conflicted.
Honest 😂... one of these guys is a literal filler crack dealer
It has taken me more than 8 years to finally feel comfortable and confident to post a review about Gavin Chan. In 2015 I went to the Victorian Cosmetic Institute & was talked into having 4mls of filler injected into my cheeks & nasolabial folds by self appointed cosmetic medicine specialist Dr Somaiye Kadivar. I was told it would lift my cheeks & that the filler was temporary & would last between
12-18 months. Once the procedure was over I looked in the mirror & noticed one cheek was higher while the other cheek was lower & further out from my nose. My nasolabial folds were arched, crooked, unnatural & everytime I smiled my cheeks would pop out like golf balls. I hated the results because the filler added volume instead of a lift like I requested. I made a complaint to Gavin Chan who said it was easily & instantly reversible by injecting Hyaluronidase which is used off label to dissolve fillers. After several attempts over the coming days & weeks it was quite obvious that the filler was still present. On one occasion Gavin Chan dissolved my tear troughs via the cheeks yet I never had filler in my tear troughs to begin with. On another occasion while injecting Hyaluronidase he also started to inject filler into my temple without prior warning. When I asked him why he was injecting my temple he told me he was compensating me for my troubles yet never mentioned that the temple is a danger zone & a risky area to inject. In total I had 6mls of filler injected into my face within 19 days, yet on the Victorian Cosmetic Institute's website it states that 1ml of filler is enough for the entire face. On each occasion Gavin Chan never informed me of the risks, dangers & complications associated with Hyaluronidase & never gave me a consent form to read and sign. A few years later I had a consultation with Professor Mark Ashton who is an expert in filler complications & he told me that if the filler hadn't dissolved by now than it was permanent. He gave me a referral for an MRI of the head which can detect the exact amount of filler & the exact location of the filler. The MRI report stated that I still had upto 4mls of filler in my face even after all the dissolving sessions over the many years. Gavin Chan then decided to look into MRl's & the longevity of fillers after I informed him of my MRI result & capitalised on it by making a TH-cam video claiming he made this discovery. In the meantime I noticed that my facial structure had collapsed, I developed deep hollows under my eyes, my cheeks caved in, my marionette lines were deep, long & dragged down. The corners of my lips sunk into my mouth & my skin was extremely loose, saggy & stretchy all the way down to my neck. Hyaluronidase did not dissolve my fillers but instead permanently dissolved my connective tissue as it can't distinguish between the skin's own HA & the HA in dermal fillers. Hyaluronidase has aged my facial features by 10 years & only a full facelift & necklift can fix this. In 2019 & 2020 I took Gavin Chan to VCAT requesting a refund & a corrective advertising order because his website falsely advertised that the temporary fillers they use last anywhere between 12-18 months. Gavin Chan was granted lawyers on the grounds that his business reputation was at stake while I had to represent myself. I cross examined him with over 90 questions & I presented over 100 pages of supporting evidence & documentation while he only had photos & amended clinical notes. The hearing was held over 2 days & my claims were eventually dismissed by the judge. Gavin Chan got away with not providing me with a consent form for Hyaluronidase on each occasion. I hold Gavin Chan responsible for destroying my looks & my life. The self appointed cosmetic surgeon as he once claimed to be isn't even a GP, he is just a medical practitioner & in my opinion has a special interest in portraying himself as the master of cosmetic injectables in an unregulated industry.
Gavin Chan is an injectable junkie, obsessed with the syringe & makes no apologies for ruining my life. Gavin Chan pays a lot of money to have my Google review removed on more than one occasion and I’ve been threatened with legal action by his lawyers for coming forward. He doesn’t want anyone finding out the truth.
Oh my goodness. I wish you get better. How your skin tissues right now? Are there any improvements? What you think of dissolving nasolabial folds with some shitty Korean filler. I hate how it looks but I’m terrified to dissolve them cause the stories like that.
Hi, my comment keeps getting automatically removed by Gavin Chan
@@sonypetrovsky4487 not good. I need a full facelift according to the plastic surgeons I’ve seen because I have premature and accelerated ageing from Hyaluronidase.
Hold on to hope, friend. Great advancements are coming out. I really like Dr. Rajani. He always offers people hope no matter what their situation.
Bumping so people see this…
Give this doctor an Oscar for his honesty this really is an eye opener.
An Oscar indicates a performance?? 🤔
May God bless these honest doctors, full of integrity. I am cancelling my filler schedule next week, would be gracefully aging all my life.
@@1ilaalejandra : Well said 👍
Good for you. And here's the thing. There are better ways to treat fat loss than filler. By harnessing the body's own regenerative powers. We've been studying this for years.
Best video by a doctor in filler I have ever seen. Thank you for this.
Thanks Juliana. Appreciate your comments. Are you from the company Merz?
No! Just a funny coincidence. I’m an artist. Just appreciate your information in these times of over-selling even at an esthetic cost to patient. Thanks again!
Thank you for this honest approach. I will not be having fillers. I’m 72. I’ll just get to love my interesting face
I went to Dr Chan a few years ago and then again recently. He was telling me about this, after I said that I felt the filler in my top lip had stayed put and I only wanted a little bit in the bottom lip. He is an amazing Doctor and really wants you to look natural and refreshed. He never tries to ‘upsell’ you anything and I trust him implicitly. He is also very complimentary, kind and funny.
Thank you Husky. You comments confirm that I'm a real doctor to those whom I haven't met! See you next time.
Is he in LA ?
Carina Evans No, Victoria, Australia.
Where are you located????
Laura E In Victoria, Australia.
I'm a fan of sincerity and ethics. Subscribed.
Medical professionals with ethics. Now that’s more like it. Good job!
Yes, yes, and yes.
No idea how this got in my recommended but it's fascinating. Totally subbing
TH-cam somehow can read our subconscious thoughts now!
so much of humility from you! thanks for that! not all doctors are being that humble... Nice to see you are questioning ourselves.
This information wasn’t meant to scare people or convince us that HA fillers are going to ruin your face. It’s a matter of going to someone who will be honest and put a limit on how much they’re willing to stuff into one persons face. As well as knowing when to say no, or choosing to dissolve the filler first.
YES! Well said Randi K!
@@viccosmeticinstitute Hi. Can you please tell me if a desireal (hyaluronacid filler) will dissolve at a certain time. Is there a maximum time? If you have it for 1,5 year and it is not dissolved will it dissolve itself? Many thanks.
I could listen to Dr's calming voice for hours! The stress lines on my face relax almost immediately....
Right!!
I had gotten filler underneath my eyes, and they overfilled it a little. One year later I went back to have it dissolved and they wouldnt do it because they said it prob wasn’t filler if it had been there a year. I went to a different doctor because I know my face extremely well and she agreed to try the dissolver. 4 hours later it completely dissolved like I knew it would and went back to the other place to tell them my experience. They were so surprised it lasted that long but they need to know that for some people it can last that long if not even longer. Thanks for making this video!
CHLOE HAMMOND Good for you!
They're so wrong. In places with no movement, fillers can last years. In the tear trough they can last 2 or more years
Hello, how was your experience with hyaluronidase? Did it make your skin worse or deeper than before fillers?
It lasts forever and ppl go and get reinjected every 6 months when they should wait until it fades and you inky need touch ups not whole syringes.
I asked the practitioner who misplaced filler in me to dissolve and she got defensive and pushed back, which is annoying because the person who placed it is the best person to dissolve it because they knew how much they put and where.
I don't even know how I ended up watching this video, but I am so glad that I did. One of the best videos on TH-cam. I am so glad that I don't have fillers and I definitely will not be getting any in the future. Thank you for your honesty. I subscribed to your channel based on this video.
OMG. I just went through this. My jowls? Not actually jowls! It was 7 year old filler that doctor put to ‘sculpt jawline.’ Same with smile lines. By the way, I didn’t go in for either of those! It took several sessions to dissolve (and still can’t get it all). I had doctors tell me that it was impossible for the filler to still be there. But a doctor finally agreed to try dissolving it and within hours of the dissolver, I looked 10 years younger. And the filler definitely migrated to places nearby that I never had injected. What a costly and stressful lesson! I feel vindicated to hear you talk about this.
Oh my goodness. This was hyaluronic filler? I had 1ml of Restylane Lyft injected into my chin; now I'm nervous.
That's Classic Her yes, it was HA (Juvéderm). And from USA board certified plastic surgeon in Houston. It was actually a doctor in Singapore that first pointed this issue out to me as a possibility (saw him during business trip for a facial and complained my face seemed to be sliding downward). Then I saw docs back in USA, including original doc and they told me it was impossible, all filler is gone within 12 months. BUT don’t stress about it. Just know it’s a possibility so if you don’t like results, get it dissolved. It doesn’t mean you’ll have bad results. I’m sure yours will be beautiful. 😘😘
it's very possible in face. I see this as a common error of practitioners - they inject just forward of the jowls in the 'pre-jowl sulcus' and end up accidentally injecting into the jowl, or having filler migrate back into the jowls. And as the videos hows, filler lasts for a very very long time. This is not common knowledge. This video pioneers this concept, and I think will cause a big shake-up of what practitioners believe.
@Magic Maker It can be dissolved at this stage and if doesn't work a steroid can be used. We can check it out on MRI at Lake Imaging.
@@staceyo1723 Thus I am doing the research on this and publishing very soon.
Omg.. What an epiphany. The filler frikking migrates, hence the portruding upper lip so many have nowadays. Thanks for the info!!!
I used to think the protruding upper lip was just too much filler was placed in someone 's naturally very thin lips..but now listening this explanation it makes sense- filler can migrate..and it's scary.
@@annamarkova3508 it can also be from being injected outside/above the lip line, which is what happened to me a couple years ago, I can still see the effects of that session when I smile unfortunately
Yes..scary
Pinky Blackwell why not get it dissolved and see?
Please add more MRI photos of other patients. It's very interesting
Thank you for the frank conversation and education on fillers. No doctor tells you this and as patients, we appreciate it so much!
I am so grateful you posted this video. Just getting into Aesthetics after 20 years in medicine, I have been seeing people with extremely irregular facial contours in between their filler touch ups, as well as the "duck lips", which are not anatomic for the human race or aesthetically pleasing at all. I have seen "experts" who promote these fillers boast about having 16 syringes in their face, but all I see is horribly expanded mask like faces that look too big for their bodies. Since I have seen them in between filler injections, I had a feeling that the fillers degrade irregularly, creating loose sagging skin, and they really have no option except to inject even larger volume of fillers to prop everything up into place again. I was holding off on getting into fillers, and glad I did. So glad to see your MRI pictures finally explaining that they actually migrate away from their intended location, and validating what I had been worried about all along. Thank God for honest practitioners like you both who dared to post this video!
Well, I’m cancelling my next filler appointment!
Glad this video made you more fully informed to make a better decision for yourself.
I had filler in my trough area over 7 years ago and those bags under the eyes he is describing is exactly 100 percent what I have
@@viccosmeticinstitute I have exactly the same defect you describe I have thought it could be filler you have Confirmed my thoughts.
Jale Beecham cancel itttttt!!
My sis did a lower bleph ( surgical removal of the lower eye bags) she said it was about 3500$ and loves it
You should write an article about this!!!!
That's the next step, will be a 4-5 year study and larger cohort.
This is their article verbatim just in a digital form🤦♀️😩
What a relief to see doctors actually taking time to research and question their applied practices publicly like this, so thank you for the transparency. Here in Bangkok we have a plethora of beauty clinics that offer just about everything from botox, lasers, thread lifting, fillers, to lipo. The issue here is the market is quite unregulated. With injectables it can be difficult to tell the validity of some of the products , as I have been told there are many fake/knock off products from china being distributed to clinics at a lower price. Not to mention the liscesing requirements needed to administer here. The scary thing is, what kind of substances are in these knock offs? I assume Australia doesn't t have this kind of issue.
Niabi Roze YIKES!! Hard PASS
We recently had a death from a dodgy woman coming from China and doing illegal plastic surgery. I think she was doing a boob job on some poor young woman (she owned the clinic!) and the “patient” went into cardiac arrest. I’m pretty sure this clinic would have also been injecting some Chinese fillers and muscle relaxants that are not up to code. A lot of young ladies are getting “qualified” to inject too, so I expect a lot more problems arising in the near future. So although we are regulated, dodgy things still happen. I went to Dr Chan because I would only trust a qualified Doctor to go near my face.
I just recently had filler under my eyes, and it moved. I appreciated being able to see this video and will go tomorrow to get it dissolved. So thankful for doctors like you both, to help us. Greed is a terrible thing. I now understand why I suddenly have jowls, the filler has moved from beside my mouth. That appointment cannot come fast enough to get this crap out of my face. Thanks for educating us all.
Can you get it dissolved?
Good for you. And here's the thing. There are better ways to treat fat loss than filler. By harnessing the body's own regenerative powers. We've been studying this for years.
@@randomname4726 yes, and I did.
@@aeducator1 how?
@@bchbuni Is there any way to remove the remnants of hyaluronic acid?🥺
This is maybe the sixth time I've watched this since it was put online. Shout this message from the roof tops!!!! Thank you! Your channel should be required viewing for doctors and practitioners.
A rhinoplasty surgeon I know also mentioned during a live video online that “temporary” fillers used to reduce the hump on the nose can remain there still years after. He mentioned that they actually still see the filler during surgery, even if it has “disappeared”. It made me realize how we take these claims (like temporary and easy) with a grain of salt and don’t know enough about such important subjects
I think Khloe Kardashian is beautiful but might be an example for this. They definitely tried giving her a nose tip but it's like the filler runs out of place. I watched her show on TH-cam and it was still very visible and the nose looks less defined than ever before even with make up contouring
Mikey Oto
She should get a nose job (surgery) instead fillers.
Who is this surgeon please
Chloe Rose Hi Chloe, it’s Dr. Emre Ilhan
Very true. My girlfriend had Juvederm filler done on her radix and nose bridge about 6 years ago to augment the nose bridge since she is Filipino and has a naturally low nose bridge. The procedure made her eyes closer together as well due to the augmentation of the radix. Even now the filler is there but she wants to inject again but I tell her she looks beautiful just the way she is now :)
I had no idea, thank you for enlightening us! I recently went to a place to get my lips done again and they actually refused because they said I still have some filler in my lips from last time, it’s good to know some places actually care. Thanks again!
I think your lips look great.
Ktc Far too many women go overboard. They get addicted and lose sight of how they even looked prior to these procedures. Society basically tells us that if you’re not ‘beautiful’ then you have no worth. The key is subtlety.
Their integrity and honesty makes both these men super hot 😉
No joke!
For sure
What you are really saying is they are hot because they most likely ooze $$$.
Juan Wick no the integrity and honesty, don’t twist what I mean 🙄
star Droplet they’re my type as well 😂😂
You're being so transparent here. I like that you two are questioning the migration of dermal filler. Well done.
This better go viral, you did an amazing job with the research
I believe you are on the cutting edge right now. Less is the way to go and patient education around longevity of filler is a key to changing the way we practice. I agree with you both. Thank you for this information. I can't wait to hear more!
Had very deep nasolabial folds at age of 46 - as evidenced with photos . Had juvederm injections and they have never returned - I’m now 56! Have mentioned it to couple of practitioners and they’ve told me it’s impossible......I feel vindicated now. The photos prove it.
Good for you, we know our own bodies.
These drs that say something is impossible are totally insulting.
Lissa T now I will be eating my fillets lasts as long. If mine stayed just like they are I would not complain one bit :)
I’m 3.5 years out and still feel it there as well.
Rose Gold nope - lucky with my metabolism and have been same weight since I was 25. It’s so odd
Justine carrington it was deffo juvederm but not sure which one. I’ve certainly had my money’s worth xx
I’ve been looking into under eye filler since I was a young girl because of my under eye circles. Never seen a video with a doctor who is so informed and obviously loves what he does. Thank you for this information ❤️
It's a great procedure but just make sure you only do a little bit of filler and don't go for perfect. Thank you for the comments. Much appreciated
How much is a little bit?
At 35 I had juvederm just around my mouth and it lasted 11 years at 52 I’m having it done again today.. it’s only slightly noticeable so I would say it was very worth it!!
seems insanely rare to find and ethical cosmetic doctor. thank you for taking pride in your honesty & career. very eye opening.
Wow!! Just watched you both on HOW LONG DO FILLERS REALLY LAST. I'm a 60 yo white women, and was considering Tear trough filler. NOT ANY MORE! ITS AN AMAZING cutting edge you are perusing and I think just in time. So many women I know having been an Ophthalmic Surgical Technician have had these now so called temporary fillers and still want more. And yes, the idea of utilizing the MRI is brilliant!!Can't wait to watch your next video. Thanks for the info.😉😳🎓
I have undereye filler, hyaluronic acid, which I can still feel is there after 3 years. I suspected fillers to last longer than the 6-12 months but it’s good to see proof of it now!
It varies, but we are also have a theory that at different places, it lasts for different times.
Have you had any problems of it moving? I want to have it done but now I'm unsure
Suné v. A. No I don’t think so, I have been able to feel it in the same spots since it was injected
What kind og filler?
Even with HA filler, I thought our body metabolizes this?
Excellent video. It may be a decade or more before we see the full long term side effects of these fillers. It's so tempting to dabble but there's so much more risk involved than is disclosed by the majority of doctors.
Angelica Angel Yes because outside of these two it seems most docs aren’t informed & that’s just the way big pharma likes it! Keep em in the dark & con everyone out of their money & health! And the FDA is in bed with pharmaceutical companies SHOWING THEM THE LOVE🤑; screwing the people over with awful drugs, horrific implantable devices & stuff like filler. It’s an incredible FU to society🤑money over lives🤑
I’m thankful that one person is honest enough to bring this up and confirm my thoughts openly. I have always wondered where fillers go after they disintegrate. I never saw any information about it and suspected that some people’s whose faces look unnatural had used too much of it and it caught up to them over time
Being an injector its why I lean towards counseling clients on the benefits of PRP instead of fillers. Many who have a series of PRP injections and maintenance have stopped getting filler all together. Great video!
I found this fascinating!!! I’m training in MRI while finishing my BA in MRI. I subscribed because of this video and would love to see more videos discussing this topic.
Also many people are mislead by the swollen appearance immediately after having injections. Especially with lip fillers. They think the filler has dissolved too quickly but actually the swelling has subsided. It is the effect you also discussed when talking about lip fillers: They dont remember anymore what they looked like before the injections, pre-swelling, and only have the image of the plump look from the swelling in mind and are disappointed. It is quite misleading, thats for sure, but I find many people also have unrealistic expectations what can be achieved in one session or with this or that amount of filler.
Well put Priscilla!
I had volbella in my lips, looks great!! I love fillers, i use the least amout possible. My only mistake has been Versa by Ravanesse. I'm guessing the tindal effect it left in my upper lip will eventually go away??? It's been over 2 years. It's cheap crap and I'd advise you all to avoid it.
@@marywilson4938 I still have tindell effect on upper lip after 10 years. No one knows how to rid it!
Have to use makeup & the blue still shows through. Sigh. I think they hit a vein.
@@karlakay , oh no. That is me too. It's been too long now. Not changing or going away. I use makeup too
Dr. Weiler in Baton Rouge claims that filler is completely gone after a year and that anyone who claims otherwise is stealing my money. Weiler only makes this claim because he refuses to take responsibility for bad filler. Thank you for being honest.
So glad you post these very informative topics. Especially using language the average person understands. Keep them coming.
Love the video. It made me think that I fell into the filler trap myself. I love my look right after I have fillers then I get used to it and after 2 or 3 months I want more. We need good objective doctors who will say no to filler every few months!!
I did research on this before this video because i theorised this!! A study was done in China saying the exact same thing!!!
Its called the longevity of filler
They also did mri scans
@Confidence or ill get neither done and be happy with what i do and don't have 🤷🏿♀️
@Confidence also, im gorgeous hahahah
@@idontsoshankin you're very pretty he really tried to tell you otherwise though huh? lol trash 🥴
I'm so happy they made this video, helps us all make an informed decision.
I'm really glad I came across this video before I had any filler work done. Thank you for your insight!!
I am SO grateful for this information. I have never had fillers but have allows thought about the tear trough filler. I have always been afraid of looking puffy or overdone. Thank you for confirming that I am fine the way I am. We need more people like you two.
There are better ways to restore the tear trough. The body can replace the lost fat cells through its own regenerative capacity. Just needs a bit of support.
I said this after I received jaw filler. It was my theory that it had moved and is in fact mobile in my face. The practice heavily disagreed. I was and am upset by it. My jawline changes daily and it’s awful. I’m so happy I came across this video. Thank you so much.
I'm wondering if some doctors are more reluctant to use the dissolving agent because of the expense, not just the disagreement of it migrating? I've heard that it's more expensive than filler.
Thanks for sharing.
I'm doing my research and it seems I'll be shying away
Totally get the anger. But here's the good news There are better ways to treat fat loss than filler. By harnessing the body's own regenerative powers. Eat protein, regular moderate exercise. It's slower but it adds up and looks like you.
Thank you! I’m so happy to see practitioners such as yourselves putting patients first. I share the hope that there will be a cultural shift in the cosmetic industry to help guide patients away from an over-filled face. As an injector, I steer away from highly cross-linked fillers. I also gravitate more toward collagen stimulation modalities for face as opposed to traditional dermal fillers. Spending time with a patient and discussing a “less is more” strategy has also helped me in my practice. Again, thank you so much!
thank you Jennifer to you as a fellow injector who appreciates what we are saying and for thinking in a like-minded way
Can you share which collagen stimulation modalities that you do or like Jennifer?
@@leannemarie8956 I like Sculptra, Plasma Pen (fibroblasting/pointillism), and microneedling. I will say that with Sculptra, I take a less is more approach with that. I like to do the minimum amount possible and encourage patients to wait at least 3 months (preferably longer) before considering additional rounds.
I have heard from Dr Davin Lim that these dermal filler has permanent effect when a lot of dermatologists will say the effect only lasts for 6 months. Thank you so much for uploading this video for up-to-date information about fillers and I really hope this video reaches many health professionals and patients.
Wow, refreshing to find honesty. I had a bunch of injections (liquid face lift) 4 plus years ago, in my left cheek I had some filler pushing on a nerve. Dr said it was impossible, it felt wildly uncomfortable for 18 months, when it either migrated or resolved. Who knows what is left, but I feel it triggered an autoimmune episode.
My congratulations Gavin on investigating the adverse consequences of filler injections and then, to have the integrity to alter your injection practice. based on the evidence you have obtained through your collaboration with radiologist colleague Mobin Masters. You can see the community significance of your reporting by the over 2000 people responding with their story and appreciation. This information needs to be reported in a scientific way. As a plastic surgeon who helps people who come to hate their 'filler face' after 5 to 10 years, it becomes apparent that fillers do not stop facial aging, they conceal it. All the time, aging has continued behind the 'mask' of the filler. The final time of revelation comes when the fillers are dissolved when rejuvenation surgery is undertaken to refreshen the appearance. Now the appearance can become natural again with freedom from the anxiety of being dependant on fillers. It takes a certain courage
Thank you for educating US‼️everything you guys said it makes a lot of sense. Some places get offended when you ask them questions. I wish there was more patient Doctors like you guys‼️
I think I’ll just wear the face I’m given! With grace...
Yesss 🙏🏽🙏🏽🙏🏽🙏🏽
Amen sista!
Sherry Mcgraw yes...because you cannot be graceful if you want to look a bit fresher.
My thoughts exactly
As someone who has bee getting fillers for the past 16 years i can very much agree on the long lasting part. Ive found myself needing less and less for touch ups
and did ur skin get swallown or sth i got mine more than 2 years ago and i feel its completely dissollved
hope its gone
@UltimaThule most last years. New studies show they do infact last years and years. When someone says their lips or where ever didn't last more than 6m/1yr it's that it has migrated out of the position and spread so you don't notice as much
Share with us your experience with dermal fillers and how long they have lasted for you? We would be very interested to hear what your experience has been.
Victorian Cosmetic Institute My Juvaderm filler lasted 4 years. Back to my plastic surgeon for a touch up in about one week.
I always theorized that my daily oral dropperfuls of hylauronic acid were what kept the area plump.
After watching this video, however, the longevity may due to a) the actual location of my filler or b) the fact that these fillers are semi permanent in some respects.
Either way, I am grateful my filler seemed to stay put.
Location: short (1/2”) downturned lines, moderately deep, at mouth corners.
thank you for sharing your experience with us. It's a great example of the possible longevity of dermal fillers.
Victorian Cosmetic Institute I got my cheeks done 2-3 weeks ago by a lady in Penrith and she said they’d last 9-18 months and my cheeks already look sunken in? I’m worried 🤨
As a plastic surgeon in Venezuela I’ve seen this kind of behavior with Biopolymers (now those are proscribed , but years ago a lot of cases were used) These migrated to other area or outside, but in “lucky” patients they just stay in the same spot without moving, nor showing any changes (this could Happen until 50 years later according to reaearches). I was sure (with no scientific evidence) that h.a lasted longer than 2 years, now you have gave me that evidence!
@@yosimenavarro6358 great to hear the experience of a plastic surgeon in this area. Do you ever see HA filler when you are doing a facelift? Maybe filler that was put there a long time ago?
I had my first and only lip filler treatment done in May 2018 - it’s now Dec 2019 and my lips absolutely still have plump to them. They are, in no way, as thin as before. I see old pics and videos I’ve made and can tell.
I love the way they look now (after a year worth of time); naturally plump looking and no need for more.
What filler did you get pray tell? I'm looking in to getting lip filler...
You are so right about the fact that we forget what we used to look like before fillers. This weekend i filled My lips for the first time in almost a year and i Still had fillers left from a year ago. I didn't think there were anything left but when i looked at My nurses pictures from before i did any fillers i Saw that there were actually quite a lot left!
I found this title intriguing bc I had some filler under my eyes - once, over a decade ago - and I have thought for a very long time that it seemed to be lasting, and lasting, and lasting...I guess I'm lucky that I don't have the funds to keep pumping my face full of filler, ha ha, but I have recently been thinking of trying to re-fill some volume loss around my lips. This video has been incredibly helpful in deciding how to proceed.
Thanks and keep up these amazing videos!
do you think your under eye filler is still there?
I'm curious if facial massage can keep filler in the intended area, or shift it once it's migrated.
ladyveracity same here!
It's probably due to gravity more then anything
As a massage therapist, it probably wouldn’t help at all. It would be more likely to distribute it throughout the face.
I think it s not how it works
Massaging does help move it! Only up to 2 weeks after filler tho
if only we had doctors like this in the uk!!! saying it again!
retreat medispa in Putney has this same approach
Dr Harris. His instagram is drharrisclinic
Солнцевская Братва WOW Zack is amazing I’m following his Instagram now
zack who?
Respect to this doctor for his honesty 👏👏
Why people don’t make a bigger deal out of doctors like you two is beyond me. Your brains are just incredible and we should be celebrating beautiful brains instead of beautiful people.
Also you guys have made me want to get my filler removed. I have it under my eyes and in my lips. I will say that my doctor is very good he told me when I needed to stop and he uses my pictures as advertisements for his other clients and on his website so I guess he looks at the work he did on me like his walking billboard.
Great video Dr. Chan. I have been injecting as minimal amount as possible just to restore or enhance patient’s facial anatomy. This is a great topic which I absolutely agree with that most of my colleagues go for profits. However, I myself being more cautious and preservative, often times other physicians do not appreciate my pov. On the other hand, my patients end up coming in less frequently and are happier with long term results.
So it means the less is better doctor davis? Like i have been getting 1 cc of juvederm voluma in my cheeks every year even though the doctor said i need 2 cc for me to see the fullness effect because i have round face with no cheeks.
Barbie Lee not necessarily less is better, sometimes you just need the right amount to work with. My suggestion is: experienced/skilled facial plastic/dermatologist can diagnose the exact underlying problem to restore/enhance anatomical function by as minimal amount of HA/fillers as possible to have best results. Cheers !
I had filler once in my life only, in the nasolabial fold lines, 1 ml I believe.The Doctor said the filler would dissolve with time but it is still there 14 years later.
The good thing though is that it hasn't migrated.
And thank you for being so honest and straight about fillers bringing up the risks having fillers injected.
Woohoo, wonderful human, and good dr , I have been seeing all the ladies who have filler, immediately, you could just tell what have be done, not only that, they are also looking alike. thanks God I waited, till now, am going on a holiday again to Australia, than I could visit this dr, please ladies go to a honest dr, so that you look natural, i don't want to go around as someone carrying apples on my cheek. this what I see around me, know how is given all of them that apples look.
Same
So you've reaped the benefits for 14 months?
@@wackity.7879 sounds like it! Thank goodness for her, it hasn’t migrated.
Is it possible that they used permanent fillers instead? I thought the dissolvable ones have only been used for the past 8 to 10 years or so...
The problem here is that pharmaceutical companies continue to lie about their products jeopardising professionals careers and clients health while they rake in billions of $$$$$$. Thank you for exploring this and sharing, I will not be in a hurry to get fillers now.
Gianna S 💯
BEST BEST BEST video ever. I just couldn't THANK YOU TWO ENOUGH. I'm 35 and had a tiny amount of fillers on my temples and chin. I WILL NOT add any more. I do have enough volume of fat on my face. The problem is many doctors are forced to be associated with big medical companies like A.....and can not speak up their suspicion even though they want to for their own sake and careers after decade of study I do understand they don't want their life to be destroyed.
I’m so glad I found this video cuz even though your mri findings are a bit concerning, it feels good to have my long-held suspicions about filler confirmed, and to know I’m crazy or imagining things.
Thank you both for sharing this video and for all that you do... Your honesty, integrity, and dedication to your craft are truly inspiring. The world needs more doctors like the two of you ❤️
Fillers fill more pockets than Gaps
From doctors to pharma companies .... Short span is prompted to have repeat visits and repeat sales ... But doctors like u make the best for patients ...that's a great thing ... Let the fillers be a corrective measure and not an obsession ....for both the ends
You should speak to Lisa Hilton, who wrote before you on here, who doesn't believe the evidence, who has filled those companies pockets with 2 BMW car loads!
Very educational! Every person that has or is having or considering fillers should watch this. I love fillers but you need to be smart and go to the right professionals. It’s your face after all. Thanks so much for this video 💉😉
Dear God, please make me stay away from fillers in my journey to age gracefully. 🙏🏻
Having fillers is a choice you can make. It will really depend on the concerns/problems you have versus the potential risk in your situation. Everyone is different. Hope the video helped you work out what you want to do.
Or, you can use Ounce Of Nature's Hyaluronic Acid Facial Hydrator instead of getting fillers. @ounceofnature
I don’t think the phrase “age gracefully” is entirely helpful, there are a lot of people who choose to do cosmetic treatments - are they ageing disgracefully?
Oliver Céleste what I meant was naturally and slowly...
Amen to that!
I am 43 and consulted to get tear troughs done. My injector said no, because filling my slightly hollow temples and cheeks would take away the hollowness under my eyes, mind you my hollows under my eyes aren’t that bad. She won’t fill troughs on anybody. She wanted to do FOUR syringes (I have no clue how big a syringe is or what type of filler). After watching Dr Chan’s videos I have changed my mind. I don’t want to go blind or have my filler migrate to another part of my face as MRI’s have proven. Thanks Dr Chan.
I place filler at my office and what I've noticed is filler does move. I notice it especially on the side people sleep on. That side is always more flattened and more filler is needed on that side. I have my patients use the Beauty Loop Pillow so that their facial filler stays in place while they sleep. I use it myself and don't need retouches as often. I learn so much from your videos. Thank you!
Great topic. Can you clarify on the following:
How long does each filer last based on MRI- Juvederm vs Restylane vs others
Does using a cannula lead to more migration over time since you are creating tunnels under the skin for product to move?
We haven't done head to head studies on the longevity of different brands of fillers - but this might be something for the future. Same with cannula vs needle. Both topics will need to be studied further.
great questions!
@@viccosmeticinstitute I have heard the cannula is less likely to penetrate blood vessels (which can cause necrosis), because of the rounding / bluntness.
I recently had a consultation for under eye filler and got turned down as I was significantly lacking in volume in my cheeks and was told the filler would migrate from my under eyes down into my cheeks unless I was also to have cheek filler. Very glad I trusted this doctors recommendation and didn’t decide to try and go elsewhere now after watching this video!
Wow, you’re calling her ugly? 👀👀👀 who hurt you man? Seriously.. where did they hurt you?
Confidence aww cheers babe! Have a good day xox
Well... now we know what's happened to Madonna..
yes... that could be a possibilty. Well spotted
@@viccosmeticinstitute Thank you. You are so knowledgeable and thorough, it's amazing. I wish you were in the states, I would probably come to you for.. well everything lol
I think Jaclyn looks gorgeous
@@cervina Jaclyn is gorgeous but she does look far more swollen and puffy in the face than she did when she 1st started TH-cam. You would have to be a long time subscriber to even notice the difference.
I thought that too about Jaclyn, she looks odd now.
Love this doc, rarely honest and ethical. Gives you all the information you need. 👏🏼👏🏼🙌🏽❤️
Your channel is well overdue! Glad to have found you!!!💕
this is so interesting! it’s been almost a year since my lip filler was topped off and tho i perceive it as “gone,” when i look at old photos i can tell my lips are still bigger than what they used to be.
So many people in the comments are coming out of the woodworks and saying the same thing!
@@viccosmeticinstitute i told my injector i was sad about them going away. she palpated my lips and said, "you actually still have filler in there!"
i think one of the factors is how much someone may swell after injection. that swelling subsides and the person may have had unrealistic expectations because they thought the swelling was all filler.
another thing i find super interesting is my lip size depends on how much water i'm retaining. if i wake up puffy and bloated, my lips look supple. if i'm dehydrated, they look a lot smaller!
@@meerschweinchennOMG me too. In the morning my lips are so full and they unswell during the day! Didn't know it was a thing !!
@@emmav4579 SAME! i'm pretty sure it has to do with water retention. if i wake up super puffy, my lips are pretty plump.
Brilliant video. You might have just triggered a paradigm shift. I'd be interested to know how Pharmaceutical companies come up with the numbers for their longevity. Are they in vivo. Or vitro? If they are in vivo then surely they must have done MRIs or ultrasounds themselves. Surely such clear radiological findings can't have been overlooked. The question needs to be asked.
Ali Rashid indeed it’s in vitro and in vivo studies. There are no long term studies on with imaging, I’m already doing research on it and about to publish a paper on a small cohort. It’s still one of the only studies - approx 7 have been publish on MRI of various products, none dedicated to HA. Mine will be the first.
This is really interesting. Needs further study and to be written up in a peer reviewed journal. Thanks for posting.
I'm so grateful to you! I have never heard this before. After this video, I decided to stay away from fillers. I am not ready to take risks and I am only 22 years old. It can wait.
Great information! Fillers are addicting and after watching this video I’m reconsidering. Thank you so much for sharing this with us 😊
Thank you so much for such an informative video which awakens us, you are truly a great doctor who cares about us wanting to look good , but there are problems that we will face or not if we are lucky enough, Thank you once again with gratitude, Bee 👍🏻👍🏻👍🏻👏🏻👏🏻👏🏻😍🙏🏻
This is some great insight!! Since I’m quite young with a lot of media influences I too thought about filler, just the bare minimum to upgrade my look. Hearing this really does detail the fact that filler isn’t as ‘simple’ of a procedure most claim it to be. Thank you for this information!!
It is refreshing to see two doctors who are actively observing the effects of their medium and methods over the long term, that are inquisitive enough to dig deeper to get to the root of what’s happening instead of just brushing off patient observations in favor of what the manufacturer/big pharma is pushing, or what the industry has yet to acknowledge as a whole. It should be the way anyone approaches any practice (medical or otherwise), which is through continuous observation, learning and improvement in their practice. Well done!
Since this was posted a year ago, I am wondering if this filler migration phenomenon has picked up more recognition globally, especially in the states where I am from? Seems like using a dissolver in between (annual) filler replenishments might be a plausible solution for the time being...
I think I realized the reason there are so few facial MRIs being performed... They look like fucking nightmares.
Apparently he destroyed this lady's face with execive fillers back in 2015 when she wanted them removed he kept injecting hyluronidase but to her was clear the fillers were there after years. She went to another doctor who ordered an MRI and saw 4 ml of fillers still there even after all this time and hyluronidase. She took her findings back to him he only offered more hyluronidase and ended up stealing the finding of MRI to detect fillers and coining it as his.The ladys face is all deflated and aged now after all this. Lol so ya not so great of a guy afterall.
I saw her photos on reddit! The damage is so obvious too, the poor lady 🥲
The fella on the left is very handsome ☺️💕 as well as very honest n helpful , both of you
@lanah007 I'm so very sorry for what you have gone through. Hard to believe the judge threw it out! Seems like any decent dr would pay to get your facelift done. If for no other reason than having a walking NEGATIVE billboard walking around town. I'm sure it would be embarrassing but have u thought about making a sign telling what Dr did that to you, and then walk past his office a few times a day. In the meantime save your money or take out a loan and get your face fixed. Choose your surgeon wisely.
It definitely lasts for many many years. If only every doctor who deals with facial aesthetics was as careful and observant as you. Beauty, especially the beauty of an individual face is so complex and really takes an artists eye to appreciate and treat. Wish I lived in Australia.
This was the most inter video I’ve watched in quite some time. It’s new information and discovery by these two men.
Very informative!!! I had tear trough fillers done several years ago had think they have migrated. I didn't know it was possible, but I felt that's what it was. I have bulges under them, almost like puddles. I'm going to talk to my doctor about this. Thanks so much!!!
if after doing a few treatments of hyaluronidase and it is still there, then get an MRI too!