#443: Unmasking Cosmetic Myths: Dr. Cameron Chesnut on Fillers & Botox Realities

Types of Fillers

In the realm of cosmetic enhancements, hyaluronic acid fillers are among the most popular. Cameron Chesnut explains that these fillers, derived from a natural component of our skin, promise temporary results, typically lasting between six to 24 months 1. However, the reality is more complex, as these fillers often persist in the body far longer than anticipated. Chesnut notes, "I see it there 20 years, 30 years after it was placed," highlighting the misconception of their temporary nature 1. This longevity can lead to unintended consequences, such as migration to other facial areas, challenging the notion of fillers being a risk-free cosmetic choice.

   

Long-Term Effects

The long-term effects of fillers extend beyond their intended aesthetic enhancements. Cameron Chesnut discusses cases where attempts to remove fillers have resulted in damage to native tissues, due to the enzyme used for dissolution also affecting natural hyaluronic acid 2. This can lead to changes in facial structure, as the body reacts to the foreign material by encapsulating it, similar to how it would respond to a breast implant 3. Chesnut describes finding fillers decades later, often resembling "wet sugar" or encapsulated nodules, underscoring the complexity of their removal and the potential for long-lasting physiological impacts.

   

Impact on Perception

Fillers not only alter physical appearance but also affect psychological perception over time. Cameron Chesnut introduces the concept of "perception drift," where repeated filler use shifts an individual's perception of normalcy, leading them to continually seek enhancements 4. This drift can also affect injectors, who may experience a similar shift in their aesthetic standards due to constant exposure to altered appearances. Mark Groves adds, "We can't pretend that's not right. We know that we're hardwired that way," acknowledging the innate human tendency to equate certain physical traits with beauty and fertility 5. This psychological impact highlights the broader implications of cosmetic procedures beyond their immediate visual effects.