11/29/2025
It’s 2025. The time has come to ask:
Is filler really the problem?
It’s become very popular lately to bash filler and blame it for almost everything. Some surgeons have jumped onto the “filler is the devil” bandwagon. It’s an easy way to get instant recognition: strong opinions, lots of likes, and a stream of patients you can sell on much more expensive procedures.
Dear plastic surgeons, you need to chill.
There are not many 30-year-olds who need a facelift. Not many 40-year-olds either.
It’s true: overfilling is bad. Very bad. And I probably see more filler problems than most, because I run a complications clinic.
But in the interest of balance, it’s worth noting how many beautiful, well-lasting filler results I’ve also seen over the past 20 years. As a facial plastic surgeon, I’ve personally performed thousands of filler injections and facial surgeries. Many of my patients have had both.
Used thoughtfully, filler can be a beautiful tool for maintenance and subtle rejuvenation. Used poorly, it’s a problem. But it is still less of a problem than poorly performed or unnecessary surgery.
Maybe instead of telling everyone “never have filler,” we could stop overdramatizing and learn more about indications, technique, and complications.
Let’s remember why we went into medicine in the first place, to help patients, not to self-aggrandize.
I would love to hear your stories and opinions on this. What do you think?
I’ll also be sharing more examples soon, regular filler and complications treatment.
