Dissolve Filler or Wait?

Question

Hello, almost three months ago I had Juvederm injected around mouth and smile lines. It looked bumpy and uneven so I had some of it dissolved. It still looked bad, so I had some Belotero injected to smoothe it out a bit. I just want my face back and don't think I should risk dissolving again. Will my face return to normal after all these injections or will there be some stretched skin and residual filler remaining causing contour irregularities? Should I just have it all dissolved?

Kenneth Hughes, MD · Answer

You could do either.  The skin and contours will return to their former status using either approach.  Kenneth Hughes, MD Los Angeles, CA

Jerome Edelstein, MD · Answer

Generally speaking, results from hyaluronic acid based fillers like Juvederm Ultra last from 6 months to a year. If you don't want to have another treatment with hyaluronidase, then you can wait until the results wear off. However, I suggest seeing your injector to determine if it is actually product that is causing your lumps. Best of luck.

Asif Pirani, MD, FRCS(C) · Answer

Without pictures, it is difficult to suggest the best option.  In general, if you've not been happy with hyaluronidase, then perhaps you should wait 3-9 months for the products to dissolve and then reassess whether you want to try fillers again or not.

	Make sure you see a board certified plastic surgeon in your area about this.

	Best,

Jonathan Kulbersh, MD · Answer

Hello, and sorry to hear you were not happy with your initial result. Are you happy with your appearance following the Belotero? And how long has it been since you had the Belotero? In general, you should wait about two weeks before judging the final result or having any touch ups. The fillers are temporary. When the filler wears off or is dissolved, your face will look how it did prior to the treatment. There will be no stretched skin following the treatment, as the skin is elastic enough to withstand the minor changes that take place. From here, I would recommend the following:

	1) Waiting 2 weeks after the most recent injection if you have not done so already
	2) Posting photos for professional analysis if you have further questions.

	I hope this helps, and I wish you the best of luck.

Harold J. Kaplan, MD · Answer

Hi Claremont.  Only you can answer the question about whether or not to dissolve the filler.  If you cannot stand to wait until it goes away on it's own, then you have your answer.  If you are ok with your results, but just want something better than give it a rest for 6 months and pick up where you left off.  

	We have an office in Orange County and offer Vitrase injections so if you decide to dissolve it, feel free to contact us.

Toby Mayer, MD · Answer

Your face will go back to normal once the Juvederm etc. is gone if you want to dissolve faster you can do this but probably just waiting another three or four months to let it dissolve is probably better.

Michael I. Echavez, MD · Answer

Juvederm and Belotero should not last more than several months and once they have dissolved, your face should return to how it looked before your injections. If your appearance still bothers you now, I would recommend having the area treated with hyaluronidase to dissolve the products. If you don't mind waiting a few more months, you could also do that and just let them dissolve naturally.

Edward E. Dickerson, IV, MD · Answer

I recommend that you wait and let things return to normal naturally; the filler should be fully dissolved within 6-9 months of the last injection. After this you can start out from square one. At my practice I use Radiesse for nasal labial folds because it typically lasts longer and has a thicker consistency which is good for that area. Juvederm, Belotero, and other hyaluronic acids are great for more superficial lines or the lips because the molecule is much softer, allowing it to be injected close to the surface of the skin. “Dr. D”

Tracy Kayan, MD · Answer

Hi - I am sorry to hear that you are not completely happy with your results. If you can wait out another 3-6 months, most of the original filler should be gone, as it tends to disappear quicker in areas that move more. Having further injections of hylauronidase may cause your own native tissues to "dissolve" which is more likely to cause contour problems in the future and could potentially be permanent.

Steven Wallach, MD · Answer

You may just want to let the filler dissipate naturally.  Give it time it will go away.  Good luck.

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