My Cheeks Look Too Plump After Perlane!

If you had this treatment before and were satisfied with the results, it is unlikely that it will ultimately be that drastic a change from your previous experience. Of course, each time you have an injection the results can vary slightly but a qualified injector is likely to be precise and able to reproduce earlier results. Give it at least two weeks before you draw any conclusions. If you remain dissatisfied with the Perlane, hyaluronidase can be used off-label (after skin testing) to... more

Baby Face: Perlane is a soft tissue filler comprised of hyaluronic acid which is a chemical found naturally occuring in human skin. Perlane is a "stiffer" product of larger particle size purposefully designed to be injected into the deeper layers of the skin. Typically, Perlane lasts about six to nine months. Perlane can be reversed by injecting hyauronidase into the treated areas. Please see your treating physician and discuss your concerns with him/her. Study your before and... more

Hello Babyface, Very good advice given to you on this post. I would like to add two additional comments that may be of assistance to you. First of all, the swelling you are experiencing is not due to the Botox. In my experience Botox can be used very effectively in the cheek area to help "soften" the nasolabial folds. By doing this the filler can be more effective since the wrinkle is not as deep as it was before the Botox. Secondly, depending on how long it has been since the... more

Time will take care of this, but it will probably take several months. The skin injected with Perlane is getting " bunched up " when you smile and so it creates too much fullness. Perlane can be dissolved with injections of hyaluronadase, but these injections can also cause irregularities in a large area. So, hard as it is, I would just wait, knowing that you will look better in a few months.

Baby Face, Sometimes in an effort to achieve perfection we turn a good result into something less desirable. This is the best argument for experience in the cosmetic field -- knowing when to stop. One of the negative attributes of Perlane is that it is a temporary filler and lasts on the order of 6-9 months. In your situation this a positive attribute, since your results are dissatisfying. Also, the degradation of the product is gradual so that by 6-9 months the product is completely... more

I am sorry that you are not happy with the result of your injecttables. First, you should let your doctor know that you are unhappy and he/she may be able to give you options for treatment. You said that you had Botox and Perlane to treat your cheek area. Botox and Perlane do different things. Botox paralyzes muscles to stop getting deep wrinkles and lines that are made with movement. I am not sure where you doctor treated you with Botox in your cheek. Usually we use Botox to treat... more

How long has it been since you were injected this most recent time? If less than two weeks, wait some more for any residual swelling to go down before taking any corrective actions. If it has been longer than two weeks and you just can't live with the results, there is a product call hyaluronidase that will desolve this filler but may leave you uneven again. Your surgeon can inject this into the same are in order to disolve some of the filler you had put in... more

Baby Face - How long ago was it that you had the injections? I would recommend waiting at least 2 weeks for the swelling to subside before making a decision. If after 2 weeks you still think your cheeks are too full, there is a product called Vitrase or Hyaluronidase that can dissolve the Perlane almost immediately. If you were to nothing at all, Perlane is temporary and it will dissolve and go down on it's own. Perlane will last... more

Fortunately, hyaluronic acid treatments, such as Perlane can be reversed with an enzyme called hyaluronidase. If you choose not to use hyaluronidate, fortunately the Perlane will wear off in about 6 months to a year.

The good news about hyaluronic acid products such as Perlane is that if you are not satisfied with the results, you can always dissolve it with an enzyme called hyaluronidase. I would wait a couple of weeks until any swelling settles down, and then if it is still present, a very small amount of the enzyme can be used to reduce the size and improve the results. I hope this helps.

It is prudent to wait for the swelling to completely subside. Few weeks should do it. If things still look the same injecting Hyaluronidaze into the cheek will help to dissolve the hyaluronic acid product. Good Luck!

If you are unhappy with the result, it can be treated with hyaluronidase. Or, you can allow the product to degrade on its own, but it will take 6-9 months.

The advantage of temporary fillers is just that, they are not permanent. They will go away and your contour will return to the pre treatment appearance. You can speed up the process with hyaluronidase injections into the areas of the Perlane. This type of injection will dissolve the filler product and return it to the natural state. It may take more than one treatment. We are very conservative with our injections. Not unlike the comment from another doctor, more is not always better.... more