Filler Longevity, Male Aesthetics & the Future of Regenerative Treatments with Dr. Terrence Keaney

In this episode of More Than A Pretty Face, Dr. Azi talks with Dr. Terrence Keaney, a Washington DC dermatologist specializing in injectables, regenerative medicine, and body contouring. They discuss why patients are more cautious with fillers, how long results last, and what causes the "overfilled" look. The conversation covers PRF, fat transfer, filler migration, biostimulators, and emerging treatments like exosomes and PDRN. Dr. Keaney also shares insights on male aesthetics, hair restoration, and his go-to treatments for natural, long-lasting results. Timeline of what was discussed: 00:00 – Introduction 01:19 – "Filler fear" trend among patients 02:10 – Why overfilling happens 03:01 – How long fillers actually last 04:01 – Variation in filler longevity between patients 05:04 – Evaluating where to place filler 06:15 – Goal of fillers: restoring natural volume 07:13 – "Natural fillers" vs fat transfer 08:05 – Long-term filler safety & migration myths 09:12 – Why filler "migration" occurs 10:33 – Choosing the right filler and injector 12:11 – Emerging injectables (PDRN, exosomes) 15:14 – Safety concerns & lack of data on new injectables 15:50 – Biostimulators (Sculptra, Radiesse) 18:12 – Male aesthetics & growing interest 19:22 – Top male concerns: hairline, eyes, jawline 19:58 – New hair-loss research  21:22 – Hair restoration methods (medical, PRP, surgical) 22:52 – Robotic hair transplantation 23:05 – Rapid-fire Q&A 25:45 – Where to find Dr. Keeney 26:07 – Host closing remarks & listener outro   ______________________________________________________________ Follow Terrence Keaney on Instagram: @drtkeaney Check out his clinic: https://skindcderm.com/ Terrence Keaney, MD, FAAD, is a board-certified dermatologist, researcher, and educator based in the Washington, D.C. area. He is co-founder of SkinDC, a practice dedicated to personalized dermatology, where he blends medical, surgical, and aesthetic techniques to treat skin, hair, and aging concerns. ______________________________________________________________ Submit your questions for the podcast to Dr. Azi on Instagram @morethanaprettyfacepodcast, @skinbydrazi, on YouTube, and TikTok @skinbydrazi. Email [email protected]. Shop skincare at https://azimdskincare.com and learn more about the practice at https://www.lajollalaserderm.com/ The content of this podcast is for entertainment, educational, and informational purposes and does not constitute formal medical advice. © Azadeh Shirazi, MD FAAD.