blahblah82

Hey everyone,

So I've scoured these boards for quite a while, and mainly the conversation has been dorminated by lasers.

I want to hear about people's experiences with the fillers with greater longevity, specifically Silikon 1000, radiesse, and artefill. With the controversy around delayed reactions to silicone (which is driven by a lot of misinformation I believe), I'm curious as to why there's virtually no mention of Artefill. To my knowledge, it is the only FDA approved permanent filler (Silikon 1000 is used off-label as a medical device).

The mechanism by which it works is in some ways similar to Radiesse and Silicone. It is similar to Silicone because there are microspheres of PMMA (a kind of plastic) that cannot be absorbed by the body. This causes a foreign body response where the body walls off the microspheres with collagen, which creates fullness and lifts the depressions. Imagine a grain of sand that gets caught in a clam that is walled off and becomes a pearl. It's the same idea here. In radiesse, there is also a similar fibrotic response, however, the augmentation is not permanent like silicone or artefill.

My background:

Fair skinned Asian male

Scarring Types - you name it. Rolling, ice picks, deep craters, even excision scars from previous botched scar revisions.

Treatments To Date: you name it, I've done it.

- Fillers of all kinds - Silikon 1000, Radiesse, Perlane, Restylane
- TCA Cross
- Punch excisions
- C02 Laser (Mixto specifically)
- Subcision

Be interested to hear about your experiences with long term fillers.