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

  • susan mckibben
  • 1 year ago

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The FDA just released this statement about Expressions:

A Safety Communication has been posted titled, "Adverse Events Associated with Use of Enhancement Medical's "Expression" Intranasal Splint as a Dermal Filler." The FDA has become aware of adverse events associated with the use of Expression (also known as Expression Injectable) as a dermal filler, and these events have included swelling, tenderness, firmness, lumps, bumps, bruising, pain, redness, discoloration, itching, and the development of hard nodules. The FDA has not approved this product for use as a dermal filler and recommends that health care providers stop using Expression by Enhancement Medical LLC as a subcutaneously administered substance. To read the Safety Communication, please see: http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/ucm407900.htm
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It is very important for the Realself community to understand the importance of dealing with ethical physicians and surgeons. A "new" product that no one else is offering is an immediate red flag. If you have never heard of a product no matter how great it sound, don't agree to be injected. Unfortunately this has become a reoccurring story with unscrupulous individuals looking to make a fast buck by injecting unapproved drugs and filler devices that harm the public. If you have never heard of the product, give yourself a cooling off period. Go home and do your research. Once you have checked it out and know what you might be getting, you will be far less likely to be taken advantage of. Products like Juveni, Bio-Alcamid, Silicone oil, and others are being using inappropriately on trusting individuals in the United States. These products have been proven to be harmful. If you are not sure, please say no. These products can't be reversed or dissolved. Surgery is often the only way to remove these products and often reconstructive surgery is needed after the removal of these products. Save yourself and don't be a first adopter. Know who your injector is and what product they are proposing to use. See the sealed packages. Stay safe and if you are not sure about a product or service, post a questions on Realself for the straight story!
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Very useful info- thanks for sharing.
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I had very bad reaction last December. Would never use again.
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I would bet that this product will be taken off the market soon and there will be pending litigation. This product was only approved for use in the nasal cavity after surgery. It was never approved for use as a dermal filler. Although physicians frequently use products "off label," this is one that was never approved for injection and would have been really risky to try. I would discourage anyone from trying this product other than for its intended use. The FDA just released a statement today warning against using it as an injectable filler. The company was even promoting it as such which will bring a severe penalty from the FDA. Again, do not use this product for a filler!
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Thank you for that info.
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Please reply to below comment at this email address or post for community. Thank you.
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Channelle137
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The email address below is incorrect. I'll repeat my question, has anyone sued this Company or their place of injection over this horrible experience?
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unfortunately not. I'm hoping this fall when things are in a better place. That office didn't even do a follow up.
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Not yet but it's in the making. The office didn't even do a follow up or inquire about the healing process. NOTHING -
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Has anyone sued this Company or their place of injection on these horrible experiences? I am going through them now.
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Due to the large number of complaints, as of 7/3/2014 ALL lots of "Expressions" have been recalled and no longer being recommended for use as a dermal filler. The company cannot guarantee the correct amount 20 mg/ml of HA per syringe. Some vials were over concentrated with HA and caused the adverse reactions you are reading from the comments below.
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KAM, is it a certain batch? Like, is there a time period when you received it that you should be worried about? Thank you.
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At this point the company cannot guarantee and batch or lot has the correct amount of HA per syringe. That is why they have recalled all it. The problem was too much HA concentration in some of the syringes and many patients experience severe swelling and other adverse side effects soon after it was injected. If u have been injected with expressions and didn't experience anything bad initially then you should be fine.
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This bigger problem is that this product was NEVER approved for injection. You are HOPEFULLY correct in that if someone has experienced no ill effect from a previous injection, they should be fine. However, granulomas may still form overtime. This has also happened in the past with injectable silicone (and still continues to happen with the off-label use of a product used for correcting retinal detachments). My advice is to stay away from this product and hope for the best.
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I had this filler in November of 2013 and it was my first time ever using filler. My face and lips swelled up for 3-4 days to the point I looked deformed. I was very scared as my doctor said there wasn't supposed to be any reaction. After about a week and when the swelling went down my lines were still there and even worse on the left side of my face. It's like my body absorbed and broke down the product after my initial adverse reaction My doctor stated it happened to a few other patients and that it was a "bad batch". He has since switched back the perlane. I would never recommend using this product and see that others have had similar experiences. I don't think these are coincidences.
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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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