In my experience, women in their 20s and 30s frequently request ‘tweaks’ or ‘tweakments’. It has become increasingly apparent through my detailed consultations that ‘tweakment’ is being used to mean ‘natural’ results, with patients considering unnatural results to be caused by ‘too much’ filler. Although many undesirable results seen on television and social media are partly a product of over-administration of dermal fillers, the volume of filler is not the sole cause.1 Personally, as practitioners we should always seek to administer the minimum level of treatment to achieve the maximum results, but we must also educate patients about the fact that 1ml of the wrong filler placed poorly may give a more unnatural result than 8ml of appropriate filler placed effectively.2
In my opinion, it is therefore our responsibility to educate ourselves about detailed facial anatomy as well as physical and chemical properties of the fillers on the market.
