What is a pillow face?

By Dr. Aaron Stanes

Treatment guide

Discover the vital information you MUST know about cheek augmentation with our detailed guide written by expert cosmetic doctors.



    Share

    The term “pillow face” has gained prominence in recent years, often used to describe a puffy or swollen appearance of the face. While this condition can be caused by various factors, including allergies, medical conditions, and lifestyle choices, it has also been linked to the use of dermal fillers. In this blog post, we will explore the connection between dermal fillers and pillow face, as well as other potential causes and treatment options.

     

    Understanding Pillow Face

    Pillow face is characterised by a swollen appearance of the face. This condition typically results from excess fluid retention in the facial tissues, which may results from allergic reactions, medical conditions, medication side effects, or lifestyle factors.

     

    While not a universal side effect, some individuals may experience pillow face after undergoing dermal filler treatments. This can occur for several reasons:

    • Overfilling: Injecting too much filler into the facial tissues can lead to a puffy or swollen appearance.
    • Incorrect Placement: If dermal fillers are not placed correctly, they can obstruct lymphatic drainage, causing fluid retention and swelling.
    • Underlying Medical Conditions: Existing medical conditions that contribute to fluid retention, such as kidney disease or heart failure, may be exacerbated by dermal filler treatments.

     

    Other Causes of Pillow Face

    In addition to dermal fillers, other factors can contribute to pillow face, including:

    • Allergic Reactions: Allergies to certain foods, medications, or environmental factors can cause facial swelling, although this resolves when the allergen is removed.
    • Medical Conditions: Certain medical conditions, such as kidney disease or heart failure, can contribute to facial edema.
    • Medication Side Effects: Some medications, particularly corticosteroids, can cause facial swelling as a side effect.
    • Lifestyle Factors: Poor diet, excessive alcohol consumption, and lack of sleep can contribute to facial puffiness.

     

    Treatment Options for Pillow Face

    If you are experiencing pillow face after undergoing dermal filler treatments, it is important to consult with your healthcare provider. They can assess the underlying cause and recommend appropriate treatment options.

    • Dermal Filler Dissolution: In some cases, the filler may need to be dissolved to alleviate swelling. This can be done using an enzyme called hyaluronidase.
    • Massage: Gentle facial massage can help improve lymphatic drainage and reduce swelling.
    • Cold Compresses: Applying cold compresses to the affected area can help reduce inflammation.

     

    Prevention Tips

    To minimise the risk of pillow face after dermal filler treatments, consider the following tips:

    • Choose a Qualified Practitioner: Ensure that your injector is experienced and skilled in administering dermal fillers.
    • Communicate Your Goals: Clearly communicate your desired results to your injector to avoid overfilling.
    • Follow Aftercare Instructions: Adhere to your healthcare provider’s post-treatment instructions to ensure swelling settled quickly.
    • Opt for non-hyaluronic acid based dermal fillers, which have far lower rates of water retention.

     

    While pillow face can be a frustrating side effect of dermal fillers, it is often temporary and can be addressed with appropriate treatment.

    Cheek augmentation

    Read more