McCall McPhersonFounder, Modern Thyroid Clinic.

Filler Trends: From Overfill to Natural Beauty #shorts

7 Jul 2026 · 1 min

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1:21

In this brief interview, McCall McPherson asks an aesthetic practitioner about recent shifts in filler practices. The practitioner explains that the industry moved from a period of aggressive overfilling—often resulting in botched, migrated, or unsatisfactory outcomes—to a current focus on dissolving existing filler and transitioning to more natural solutions such as Sculptra, biosimulators, and autologous fat grafting. These alternatives not only address previous complications but also improve skin quality and can be used in many areas. The conversation highlights a broader cultural trend toward a "dramatic yet undetectable" aesthetic, mirroring wider beauty preferences in 2026, where patients seek noticeable results that appear natural and seamless.

I'd love for you to share a little bit about what you've seen over the past few years become pretty common, and then what you feel like things are evolving to either fix or just the next trend.
I think everyone's imminently aware of filler being like a bad thing nowadays, and it's not. But I think there was this huge push for filler. Everyone was getting filled, and if you had good work, you were almost lucky, and lots of people were just getting botched and overfilled. And so the trend in the last year and a half, 2 years is dissolving everything, restarting, or just going to something more natural like Sculptra or fat. And that is twofold, right? It does correct some of the issues that people had with filler migration or just unhappy results. But it's also just a better, better option to do fat grafting. You can use it almost anywhere. It helps skin quality last longer. So that is a huge trend. But the other thing that people, I think, are catching on to is that these aesthetic trends follow beauty trends. So we're not like— we're not in 2016, we're in 2026 where people are really going after that more natural aesthetic, both in beauty and plastic surgery. So people want a dramatic result, but they want it to look very undetectable. And that is, I think, resonating with people now. It just— the pendulum has swung so much in favor of dramatic but natural. So you see it in before and after, but you don't see it in person.
I love that.
That— so in my office, I think we probably do 10% injectables or fillers. The rest is biosimulator or fat injections.