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38 SHAPE.COM MAY 2020

bewaterproof

ALTHOUGH FILLER—a sub-

stance injected into or below

the skin—has been around

for decades, the biodynamics

of the formulas and the way

they’re used are new and con-

tinue to evolve. “Depending

on their particle sizes, we can

now sculpt features, improve

the appearance of fine lines,

and restore the volume

skin loses with age,” says

Shape Brain Trust member

Dendy E. Engelman, M.D.,

a dermatologist in New York.

“And we can offer incredibly

subtle results or create major

transformations.” Age is

also a determining factor:

“Most people start losing

collagen in their 20s at an

approximate rate of 1 per-

cent per year,” says Jennifer

MacGregor, M.D., a derma-

tologist in New York. That’s

also when people start to

notice the first signs of aging.

“My patients in their 20s and

30s are turning to filler as

part of their wellness routine;

the tiny tweaks we can do

now are a low-maintenance

way to keep your facial

structure and prevent more

invasive efforts in the future,”

says Morgan Rabach, M.D.,

a dermatologist in New York.

Women in their 40s and

beyond experience more

volume loss and tend to want

bigger restorations. Here,

a guide to each option.

Hyaluronic

Acid Fillers

WHAT THEY ARE: These

are by far the most common

filler. “Hyaluronic acid is

a large sugar molecule that’s

naturally found in the skin,”

Dr. Rabach says. If you’re

looking to add volume to your

lips, cheeks, or undereyes,

the injector will likely choose

this option.

WHAT THEY DO: These fill-

ers range in firmness. Some,

like Restylane Refyne, are

flexible and imitate the feel

of tissue. “They offer the

most natural effect around

LOOKING AHEAD

“As products and techniques

continue to become more

targeted and personalized,

the world of aesthetic med-

icine has a very exciting

future,” says dermatologist

Jeremy Brauer, M.D.

THE FUTURE

OF FILLER

With more than a dozen injectables now approved in the U.S.,

options are aplenty for achieving sculpted cheekbones, plumped-up

lips, straighter noses, and much more. We report. By Erin Reimel

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