5 Mistakes people make with their cosmetic treatments

[su_dropcap style=”flat”]H[/su_dropcap]aving been in the non-surgical cosmetic industry since it started, we have seen it all. Overfilled cheeks, ludicrous lips and crazed jawlines. Here we’re going to share the most common mistakes that patients and their doctors make with injectable cosmetic treatments.

If you are guilty of any of the following, seek help 🙂

  • Underestimating the importance of volume loss.
  • Underestimating the importance of the upper third of the face.
  • Over treating their upper third with muscle relaxants creating a larger upper third of their face, in effect making them look older.
  • Obsess over injecting while neglecting their skin.
  • Zoning on one area only while the others get older and older.


1. Underestimating the importance of volume loss

They say that in ageing, there are “saggers” and “sinkers”. The saggers often have large, heavy faces that are quite round/square. As they age, their jowls become large and saggy. The “sinkers” are those with minimal sag, but a LOT of volume loss. Their faces are small and have been losing bone and fat since their 20s. They are often quite narrow in the face, with hollow temples and a lot of hollowing under their cheeks. Their ageing is more skelton-like, rather than saggy.

Volume loss starts early, in women at approximately 26. Most people are starting to notice it by the age of 30. If there is volume loss, start treating  it early. At the first signs of a mid face losing its volume, add a small amount of dermal filler. If you start early, the maintenance will be a much smaller and easier job in the future

When we want to make patients look naturally younger, we need to treat the actual problem, so for volume loss, it’s as easy as replacing volume. 

2. Underestimating the importance of the upper third of the face

In general, with injectable treatments, the mid face is an over treated part and the upper and lower face are the under treated parts. The poor upper face is allocated the least amount of filler of all, when it probably should be getting as much as the mid and lower face.

Patients tend to notice their cheek volume loss, their Nasolabial folds (the folds from the sides of the nose down to the mouth corners, and their marionette folds (the folds from the corners of the mouth to the jawline).

For some reason, patients dont see their upper third volume loss. They notice their forehead wrinkles and their eye wrinkles, but they do not notice even when those areas have lost a lot of volume. It is vital to look at and treat with dermal filler the temples, the forehead and the upper eyelid area, if you want a naturally young look.

3. Over treating their upper third with muscle relaxants creating a larger upper third of their face, in effect making them look older

This is a very common problem. In everyone, as we age our upper third of our face becomes longer and out of proportion with the other thirds. The hairline moves backward, and in some people, the brows descend. Patients who have been treating their horizontal forehead lines for years have a very smooth forehead BUT it comes at a cost of lengthening the forehead. When the frontalis muscle contracts the forehead is smaller, but when relaxed (ie after muscle relaxant injections) the forehead gets longer.

It depends on your anatomy whether this is important. For those who start with an overly low hairline, it can be fantastic as they age, as they may end up looking prettier in their thirds as they age. This is one reason I get upset when people remove too much hair with laser hair removal to move their hairline back! I worry for the future!

The answer to this is to use less product in the frontalis muscle as you age.

4. Obsess over injecting while neglecting their skin

This is SUCH a common in injectable patients. They have very young volume appearance from all of their fillers, but with very old and sun damaged skin. It’s so important to treat the overlying skin when you’re having injectables!

Keeping on top of your skin colour and texture is not that great a maintenance, We recommend regular BBL (a form of IPL) and also fractional laser as yearly maintenance treatments

5. Zoning on one area only while the others get older and older

There are SOO many patients guilty of this one. The worst offenders? Patients who are obsessed with their tear troughs. These patients will often have treatments only on their tear troughs, and their tear troughs end up looking 15 years younger than the rest of them, which is quite weird. 

The other areas that people zone in on and over treat, are cheek or lip filler. After a lot of injections, these patients end up needing filler everywhere BUT their cheeks and lips, but just keep pumping it in there.

I hope my tips on the common mistakes that people make with injectables helps prevent you from looking worse with cosmetic treatments! 

If you would like further fun tips about cosmetic medicine and injectables, please follow us on social:





Dr Naomi McCullum

The Manse Clinic