Optimize Outcomes with Paul Fulford

Overfilled Faces Are Out. Natural Is In Says Top Dermatologist

The era of overfilled faces is finally breaking down — and Dr. Rishi Chopra is one of the leading voices explaining why. A Harvard-trained, board-certified dermatologist, Dr. Chopra has seen the effects of filler fatigue up close: bloated cheeks, distorted proportions, patients coming in desperate to dissolve what was once promised as subtle enhancement. In this episode, he lays out the problem — how aesthetics became more about trends than trust — and what needs to happen next to bring the field back to its roots.

We dive into the rise of skin tightening, the shift toward collagen banking, and why lasers and energy-based devices are becoming the go-to tools for natural, long-term rejuvenation. Dr. Chopra shares how he educates patients overwhelmed by social media misinformation, why he’s not afraid to say no to a treatment, and how understanding anatomy — not chasing likes — is what actually leads to better outcomes.