My cheeks look too plump after Perlane!

I recently had Botox and Perlane for my cheek area. It looked great the first time, so I came back for a follow-up. We thought the right side of my face looked a bit flatter than the left, so I agreed to have a bit more filler on it. He did some touch-up on the left side too.

Now the results are disastrous--my face looks good when I make no expressions, but my cheeks look too plump when I smile. It looks so wrong on my heart-shaped face! Will this eventually go down, or can I have it removed?

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10 answers to “My cheeks look too plump after Perlane!”

A: Correcting too much Perlane

Amir M. Karam, MD

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... more

A: Wait for swelling resolution

Hisham Seify, MD, PhD

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!

A: Botox and Perlane: Have confidence in your surgeon & time for the results to settle

Otto Joseph Placik, MD

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... more

A: Yes it will improve

Steven Wallach, MD

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.

A: Hyaluronidase will reverse the effect of Perlane!

Stephen A. Goldstein, MD

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... more

A: Needle Extraction is another Option for you

Kamran Jafri, MD

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... more

A: It will get better over time, but you can speed it up with treatment

David A. Dreyfuss, MD

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... more

A: One of the good things about temporary fillers is that they are not permanent.

George J. Beraka, MD

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... more

A: Better is the enemy of Good

Kenneth R. Francis, MD

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... more

A: Will eventually go down, but there are things you can do.

Kari L. Colen, MD

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... more

Comments

drbanda
95 posts
18 Nov 2008

Botox is unlikely to have caused the fullness in the cheek area even if it were injected close to or within the cheeks. If indeed the fullness is due to Parlane, it is not an unusal finding within the first few weeks of the implant. If you feel a lot more than you can see this effect, I'd not do anything about it. The fullness resolve pretty soon. Just about all fillers will create bumps (nodules) when first injected. Again you should be able to feel but not see them that much. These resolve much sooner (weeks) than the total effect of the filler. You should probably have someone else take a look and see if they appreciate an obvious defect. As noted by Dr. Colen, one of the advantages of hyaluronic acid based fillers over the rest is that hyaluronidase can dissolve the filler. Discuss the feasibility of this with your physician if indeed that is the approach you choose to take. If you do nothing at all the effect of parlane will be gone by the 12th month after injection. Another advantage of temporary fillers.

Kaasi
1 post
28 Mar 2009

I had perlane injections yesterday and my cheeks feel like there is a hard lump in them. While it looks like my cheekbones are high, I am not sure it looks natural. Will this go away in time?

AZgurl
9 posts
15 Apr 2009

I just had Perlane put into my upper cheeks (under eyes) yesterday and I am thrilled with the results. My cheekbones are high and my entire face got a little lift out of it. Downsides are that I did get one bruise from bleeding, but its easily covered with make up. The area hurts and is sore whenever I make a facial expression. My doc wanted to inject me with 2 syringes and I said I could only afford 1 and I am glad I didn't put any more product in there because it would have been too much. I would do this again, but would be very careful about how much of this stuff your Dr. wants to put in there.

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