What is pillow face?

Pillow face often describes an overly puffy, swollen, or unnatural facial appearance caused by excessive or poorly placed dermal filler injections. It occurs when too much filler is injected into areas like the cheeks, under the eyes, or jawline, leading to a bloated or distorted look rather than a youthful, natural enhancement.

What causes pillow face?

1. Overfilling – Injecting too much filler in one session or layering excessive amounts over time.
2. Poor Injection Technique – Incorrect placement of filler, especially in areas prone to swelling.
3. Inappropriate Filler Choice – Using a filler that retains too much water or lacks proper integration with facial tissues.
4. Frequent Touch-Ups – Over-correcting or continuously adding filler without allowing it to settle naturally.
5. Aging-Related Skin Changes – As skin loses elasticity, excess filler can create an unnatural, heavy appearance.

How to avoid pillow face?

• Choose an Experienced Injector – A skilled provider understands facial anatomy and proper filler placement.
• Use Conservative Amounts – Gradual enhancement over multiple sessions provides a more natural result.
• Prioritize Facial Balance – Fillers should complement facial proportions rather than create excessive volume.
• Consider Filler Dissolution if Needed – Hyaluronidase can be used to dissolve HA-based fillers if overfilling occurs.