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Has Anyone Use the New HA Dermal Filler Called "Expressions" and What Are Your Comments?

  • susan mckibben
  • 1 year ago

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Had injection to chin area, was ok that night. I use ice, etc. Next day major swelling, very bad bruising and modules that lasted for several weeks. Doctor said was a bad reaction. Definitely not for me.
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I had injection to help fill out chin area, was ok after injection. Next few days swelled, severe bruising and nodules. Took several weeks to subside. Definetly not for me.
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I had Expressions injected Jan 22 and have been dealing with the same problems: swelling, pain, nodules. I've had three Hylenex injections and it's working. Will need several more injections. My injection area were lips and nasolabial fold.
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I had Expression injected in my under eye area two days ago. I left the office with minor swelling, the next day woke up and had one black and blue eye with sweeping and the other eye was complete they swollen with seems like fluid. I went to my dr he put me under a red light I purchased Arnika from him. next day woke up to worse swelling and darker bruising. I look like I was in a car accident. Called Dr again he put me under light and lazer the area and gave me Traumeel to put on area. Still looks the same. Nightmare! I have had fillers in past and never had anything but minor swelling
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Sounds like you are having an allergic reaction just like mine. That seems to be the response, our bodies don't like it. Another reason not to skip the pre test for allergic reactions before the procedure. Sorry to hear your bad luck as well. I'm worse today with purple bruising and blood filling the eye and temple area. I'm staying calm and I'll have a look at my face in another week not before. Good luck.
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I had Expression in my tear troughs, temples, and cheeks about 2 weeks ago and I AM THRILLED with the results. The doctor who did the injecting was Dr. Tom Tzikas in Delray Beach. He was very gentle, patient, and took plenty of time to make sure the results were just perfect! I had some very slight swelling for a day or two, (I did ice afterwards and take the Arnica they gave me), and absolutely no bruising. Prior to having my tear troughs done, I had also used Expression in my nasal labial folds about 7 months ago. I am still very happy with those results as well! The product is very smooth, durable, and certainly more cost effective because of the syringe size!
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I have talked with 3 different practices that have had a single patient each who have reacted poorly to Expressions. While swelling has been the biggest difficulty, out of the many patients that have done well, 3 wound up with nodules. I would not recommend using this in the tear trough area and infact might take a wait and see report before using the product further and seeing more studies. Steroid injections, hyaluronidase and antibiotic are recommended for patients who have had a poor outcome. However, all patients who get any dermal filler out there should know that there was a recent study showing that any patient can develop nodules months to years after getting filler. Choose your injector carefully, placement of product is key
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I concur with you, Patricia. I also had a patient with a horrible delayed reaction to Expressions in the tear trough. I placed only .3cc under each eye and about 6 weeks later it blew up to about 4 times the volume I originally placed. It was as hard as plastic and expanded way beyond the original injection site. I injected hyaluronidase several times before it had any impact. It took about 8 separate treatments with hyaluronidase to finally reduce it to the point where she did not look freaky. It turns out there was a batch of product that was hyper concentrated due to an error in processing. The company did not bother to inform any of its physicians about the problem. After I kept insisting that they do so, I believe they called a few folks in my territory and offered to swap product but they refused to recall the product or inform the majority of their physician customers about this batch.
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Actually the reaction was 3 weeks after treatment, not 6.
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I used it and it's too painful and you swell up way too much. I'm sticking to Juvederm.
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I got a bad reaction from expression filler done 2 weeks ago. My face is swollen the 5 times the size. My eyes are swollen almost shut. The temple areas are bruised hot and throbbing still today. My dr punctured the temple and squeezed out puss for over 4 hrs last Friday. It's worse now. I have a Neanderthal look around the brow bone and my right eye is closing. It's worse today. They gave me a steroid shot then sent me home. I cried all the way home the pain is terrible. I'm scared I'm going to be scarred for life like Mama Elsa on housewives of Miami. Does anyone have any suggestions what I should do now? I will start taking Benedryl from reading the comments here. Thank you for any ideas.
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Why was there pus?The area where he injected feels like that has pus?
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no pus at all.
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Yes I have yellow pus
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I am going in to see the doctor again about the Expressions that she injected under both eyes that has not dissolved all the way and is creating divets under my eyes. Has anyone use Hylorinidase to decrease the swelling after using Expressions filler? If so, what was the result? I have read good and bad things about Hyla. and Vitrase but usually when it was used to dissipate Juviderm or Restylane. Thanks.
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I've had the same reaction but worse what was your outcome? Did the swelling go down finally? Thank you.
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The depressions or "divets" as you call them are often related to the swelling and will resolve once the swelling resolves. Be sure your provider is cautious when injecting steroid to bring down the swelling. If steroid is injected to often or too deep it can cause a depression in the skin even after the swelling goes down. Sometimes it will resolve itself but that can take time too. Like any new product that comes on the market, patients can have reactions to it, and unfortunately we cannot determine who will and who won't other than by the information we are guided by through the manufacturers studies. Patients can get swelling from most any products and there is research out there now showing that this can happen even from some of the most popular Ha's months and years later. However, in general when you get swelling from a product be sure to communicate with your injector, they should be willing to see you through the process.
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From what I've read, most of the problems with hyaluronidase have invariably been related to injecting in the eye / tear trough area. I've had hyaluronidase injected before to dissolve poorly done filler, and it is unpredictable. It can cause atrophy of native tissue, but luckily the divot went back to normal. I would, however, exercise a lot of caution with hyaluronidase in the eye area. Also, what's very telling is that I went to a few doctors before I found one willing to inject hyaluronidase.
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In my opinion, any doctor who is an injector of filler should also be an experienced user of hyaluronidase. Hyaluronidase is not a steroid. It is an injectable enzyme. It is expensive, which is why many injectors don't keep it on hand. Additionally, many injectors won't work to fix another injector's work. But any experienced injector needs to have hyaluronidase on hand and be able to use it properly if they are doing any type of hyaluronic acid fillers.
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Thank you. He injected Vitrase and squeezed out fluid but they are twice the size from last Friday. It's been 3 weeks since the first injection. How long should it take to drain and look somewhat normal? Any idea ?
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I am sorry to hear that. I wonder if it was because you were so swollen that once the swelling went down it caused the divets? How long after taking the steroids did your swelling go away? i was supposed to get my picture taken in 5 days. Should i cancell? this is what happened at the doctors office. They called me back and the next thing I know the doctor, nurse and the rep were looking at me. I was given a prednisone shot and was told to take oral prednisone, Zantac, Zyrtec, Benadryl as well as two epi pens in case I have trouble breathing. She wants to check me out in the morning. What a way to kick off thanksgiving weekend/week. The rep said that it has only happened one other time. It was a patient in California. When I say I was swollen, I mean I am unrecognizable. My sister was insisting I go to the hospital.
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Oh my gosh, that is awful! That is worse than mine. Mine is just looking bad, not that swollen. Although the 1st 72 hours my right eye looked pretty bad. I think that since the tear trough is so swollen it creates more of the divets under both eyes. If it was a bit flatter the divets might not be so noticeable. They originally only gave me 2 steroid pills than 2 more a week or so later. The last 5 days I've been taking 1 Benadryl at night. I would forego the photo taking unless you take your own photos as documentation of what happened. Does you doctor seem to know what she is doing? How much experience does she have with injections? Just curious. My doctor was great with the botox, but is really not good with the injections.
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This just happened to me I had it injected on Sunday I called yesterday crying how swollen my face was. I woke up this morning my eyes were shut I called the injector frantic, She said I know you don't believe me but its normal. I told her I was going to the emergency room, she said I will take you to the dr that she works with. He agreed I was very swollen and prescribed a 6 day steroid. I am not fond of steroids and still very scared?
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I've already tried a steroid shot and it created divets under my eyes. It works for some folks, not for others. Not for me particularly well. It brought down the swelling but created another problem. It is not smooth under my eyes now.
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I feel your pain, literally! It has now been 18 days after the Expressions injection and it is STILL SWOLLEN and creating BAGS under my eyes that never existed before. I am wondering if the Dr. overfilled the area. Some days it looks worse than others and as the day goes on it looks better and better. I've been taking Benadryl every night before bed and it seemed to work for about 2 days and now isn't working at all. This filler, in my opinion, is as bad as the Artefill. Either that or my injector doesn't know what she is doing!
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