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"Dosing by the Decade" with Dermal Filler

As we age, our skin loses collagen and elastin, which are the proteins that give our skin its firmness and elasticity. This can lead to wrinkles, fine lines, and loss of volume in the face. Fillers can be used to restore lost volume and smooth out wrinkles and fine lines. However, the amount of filler needed may increase as you get older. The concept of "dosing by the decade" can be used to give a rough estimate of the number of syringes of filler that may be needed for comprehensive facial rejuvenation.


If you are in your 40s, you may get your best result with approximately 4 syringes of filler. These syringes may be spread out into different areas and using the most appropriate choice of filler for each area. We may choose two syringes of Restylane Contour to volumize the cheeks, Restylane Kysse for the lips, and RHA3 for jawline enhancement, for example. If you are in your 70's with more advanced volume loss and thinner skin, it may take more syringes to achieve an appropriate result - and the dosing by the decade paradigm may guide you towards the expectation of needing 7 syringes of filler to fulfill your goals.

Why do I need more than one syringe of filler?

There are a few reasons why you may need more syringes of filler as you get older. First, the loss of collagen and elastin causes the skin to become more wrinkled and to sag. This can be improved by injections of filler such as RHA2 and Redensity and Juvederm Skinvive directly into the skin to help improve the glow of the skin. Second, our facial skeleton undergoes aging changes, and restoring skeletal support using fillers like Restylane Lyft to enhance the cheekbones and jawline may be beneficial. Finally, as we age we lose facial fat volume, which is where fillers like Restylane Contour and RHA4 come into play to restore a healthy natural appearance of the cheeks.

Filler By the Decade

In Your 20s: A Preventative Approach

During our 20s, our skin is typically at its prime. Collagen production is high, and signs of aging are minimal. At this age, the primary focus is on preventive measures and maintaining the skin's youthful appearance. Minimal dermal filler treatments may be used for minor corrections or enhancing certain features like lip augmentation. The goal is to maintain balance and harmony, rather than making drastic changes.

In Your 30s: Addressing Early Signs of Aging

As we enter our 30s, the first subtle signs of aging, such as fine lines and loss of facial volume, may become apparent. Dermal fillers can be employed strategically to target specific areas, such as nasolabial folds, marionette lines, and under-eye hollows. The dosage is typically conservative, aimed at restoring volume and enhancing the skin's natural contours.

In Your 40s: Restoring Volume and Contours

During our 40s, the effects of aging become more noticeable, and there is a greater emphasis on addressing volume loss. Dermal fillers become an essential tool for replenishing lost facial volume and restoring youthful contours. Areas that commonly receive treatment include the cheeks, temples, and jawline. The dosage may be slightly higher than in previous decades, as more significant volume restoration is often required.

In Your 50s and Beyond: Comprehensive Rejuvenation

As we reach our 50s and beyond, the signs of aging become more pronounced, including deep wrinkles, sagging skin, and hollowed areas. Fillers play a crucial role in comprehensive facial rejuvenation, aiming to restore lost volume, lift sagging skin, and soften deep folds. The dosage may be more substantial, as the focus shifts towards more extensive corrections.

The Importance of Individualized Treatment

It's important to note that dermal filler dosing is not solely determined by age. Each individual's needs and goals are unique, and our experienced injectors assess each patient holistically before recommending a specific treatment plan. Factors such as skin quality, facial structure, and overall health are crucial considerations.

With proper care and maintenance, your filler injections can last for 12 months or more. Here are some tips for getting the most out of your filler treatments:

  • Choose a reputable injector: Make sure to choose a doctor who is board-certified and who has experience with filler injections, or an injector with an excellent reputation, portfolio, and backup from a qualified medical director.

  • Understand the risks: In the rare event of complications, you want to know that your injector can support you through the healing process.

  • Do your research: Talk to your doctor about the different types of fillers available and the risks and benefits of each.

  • Be realistic: Don't expect filler injections to completely erase the signs of aging. Fillers can help to improve your appearance, but they are not a "magic wand". Dr. Givens is fond of saying "We can turn back the clock, but can't stop the clock".

  • Be patient: You may decide with your injector to treat over multiple sessions for the most natural-appearing results.

If you are considering filler injections, it is important to talk to our injectors about how much filler you may need. They can assess your individual needs and recommend the best course of treatment. It is also important to choose an injector with experience, such as Double Board Certified Facial Plastic Surgeon Dr. Givens, and Nurse Injector Kassy Moore.


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