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I Said Yes to a Refresh With Facial Fillers

The fix for my eye bags and laugh lines took just minutes, but subtracted years from my face—without surgery or downtime.

photo collage of syringe injecting into raisin on pink background
AARP (Getty Images, Shutterstock)

There is an old saying, “don’t look like what you’ve been through.” Hitting a milestone birthday, the loss of my husband of 40 years, and life that keeps life-ing all mean that I have been through a lot. At 60-plus, even with good under-eye concealer—and Photoshop for pictures—I was looking every bit of it.

I’d spent the last few years putting out fires and hadn’t spent much time taking a good, hard look at what my face was telling me. My particular brand of Black didn’t crack, but it did sag and bag—especially under my eyes. I was pretty sure no cream or serum was going to give me a tight, fresh look without some real intervention.

I set up a consultation with Charles Boyd, MD, a Detroit-area, triple board-certified plastic surgeon who treats patients of all ethnicities and has a great track record of working with Black skin. I wanted to know what the non-surgical options were, because I knew I didn’t want to do lower eye blepharoplasty surgery (a.k.a “bleph” surgery—basically a procedure where a surgeon removes or repositions under-eye fat and sometimes trims skin to reduce under-eye bags). I also didn’t want to do too much. I wanted a natural look, and I told him that was the most important thing to me.

Minimally invasive options such as Botox for wrinkles and injectable fillers that specifically address bagging and sagging can be great temporary options for people like me. According to the Cleveland Clinic, between 3 million and 5 million of these procedures are performed each year. But they’re temporary, lasting anywhere from six months to two years. And they can be the gateway to more aggressive procedures such as facelifts and surgical sculpting. The last thing I wanted was to look like an overdone Black Barbie.

Dr. Boyd and I discussed my goals and what he could do to help. I also asked what could be done about the laugh lines (nasolabial folds) that had developed around my mouth. Dr. Boyd recommended Juvederm, an injectable gel—one of several options for people who want to explore fillers. In addition to my eyes, he recommended an injection near my upper cheekbones to lift and improve the appearance of those pesky laugh lines. But the idea of anybody coming close to my face—and my eyes—was a little frightening. Still, my need to see change led me to agree to have the work done.

It was much better than I expected. I had two visits, with the second two weeks after the first. That week in between gave my face time to settle before the next round. Each session took about 15 minutes, including the time for the numbing cream to take effect. There was no downtime. I had no injection pain and no scarring after. I paid $1,000 for each set of injections, and they’ve lasted two years.

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It was the perfect investment for me. Before I got the injections, I felt like I looked tired and old in person and in photos. I felt like the bags and lines added 10 years to my face. No makeup made a real difference. After the injections, I felt more confident about my look. And no, I no longer looked like what I had been through. Two years later, it’s time for a tune-up, and I am definitely down for it.

Courtesy Andrea Collier

 

Five Tips Before You Go for It

1.   Photos from a plastic surgeon or dermatologist alone may not be the most accurate representation.

Get recommendations from friends and colleagues who have had the procedures you are considering and talk to them about their experiences.

2.   Get an in-depth consultation from a board-certified plastic surgeon or dermatologist before you let anyone do cosmetic injections.  Also, make sure you and the provider discuss whether you are a good candidate for fillers. If you have a history of allergies and bleeding disorders, you need to discuss this with your doctor. This is not the time to look for a deal by going to a spa or a non-medical provider. Again, make sure your doctor is experienced in injecting fillers and in managing any allergic reactions or emergencies that may arise. And even if you are going to a physician for a consultation, make sure you ask who will be performing your procedure.

3.     Get your procedure quotes before you say yes to any work. You don’t want a big surprise bill in the thousands of dollars. Prices vary based on the provider, location, filler type, and how many you may need. But expect to pay between $700 and $1,500 per visit.

4.     Insurance will not pay for fillers or other injectables, so be prepared to pay out of pocket for these services. According to Truemed, you may be able to use your Health Savings Account (HSA) or Flexible Spending Account (FSA), if you have them, to pay for your “tweaks.” The advantage of using an FSA is that you’re spending pre-tax dollars (money set aside from your paycheck before taxes), which can lower your taxable income and effectively reduce what the procedure costs you overall—depending on your tax situation and your plan’s rules.

5.   Talk to your provider about payment options. Most offer credit plans specific to medical and dental procedures. But note that using credit may not be the best way to pay for a procedure. Medical debt, which is the leading cause of personal bankruptcy, continues to be on the rise, according to KFF and the Commonwealth Fund.

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