The best approach is “less is more”. More filler can always be added, but it is more difficult to take away if you’ve gone overboard. When you are over 50, problems can also arise as the loss of facial volume is too significant and so the results are less subtle. At this age, you might need to tighten and lift the skin with a face lift. The reason you see so many bad cases of fillers is because the media sensationalise the worst ‘botched’ cases, but generally speaking, you can achieve very natural looking results when administered correctly.