"Fillers have a branding problem. For years, they've been associated with overfilled cheeks, swollen faces, and a vague sense that something has gone wrong. It's a safe generalization to say that many men approach fillers with high levels of skepticism. But that reputation has far more to do with outdated technique than modern practice, says Anthony E. Brissett, MD, a Houston-based double board-certified facial plastic surgeon and current president of the American Academy of Facial Plastic and Reconstructive Surgery."
"At the core of Brissett's approach is a simple but often-missed distinction. "Filler is not a shortcut; it's a tool," he says. Used correctly, it isn't about chasing a line or adding volume where something looks off. It's about restoring support in places most people don't immediately notice, reinforcing structure so the face ages better over time rather than being patched together session by session."
"Used thoughtfully, fillers shouldn't announce themselves at all, says Brissett. They should quietly correct what time, weight loss, and biology have taken away, all without changing how a face moves, or who it belongs to. "At their core, fillers do three very specific things," Brissett explains. "Understanding these clears up most of the confusion men often have about the use of fillers.""
Fillers carry a reputation for overfilled cheeks, swollen faces, and a vague sense that something has gone wrong, driving skepticism among many men. Modern practice emphasizes technique over volume, treating filler as a tool rather than a shortcut. Fillers restore lost structure by replacing bone, deep fat, and connective tissue that diminish with age, often under the eyes, midface, jawline, and temples. Proper use redistributes light and softens shadows while reinforcing facial support so the face ages more gracefully. Thoughtful filler work should be subtle, preserve natural movement, and avoid obvious or overfilled results.
Read at Esquire
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