Perlane: Q&A
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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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15 Doctor Answers |
Asked by
Baby Face
in Victoria BC Canada
+2
Botox and Perlane: Have confidence in your surgeon & time for the results to settle
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...
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+2
Hyaluronidase will reverse the effect of Perlane!
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...
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Englewood Plastic Surgeon
+2
Needle Extraction is another Option for you
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...
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+2
One of the good things about temporary fillers is that they are not permanent.
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.
+2
Better is the enemy of Good
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...
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+2
Will eventually go down, but there are things you can do.
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...
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+1
Perlane and over treatment
You should consider posting a photograph to show your area of concern, but yes, you can have it removed and your provider should be happy to follow up with you to address your over-treatment.
+1
Solving the problem of too much Perlane or Juvederm injection
When too much hyaluronic acid (HA) filler is injected and the affected areas get too puffy, there is a simple cure. Injection of the enzyme hyaluronidase will break the HA filler into small particles that get metabolized by the body quickly, almost like sugar. Usually normal or baseline appearance can be restored within days. Our patients are reassured that Perlane, Juvederm and Restylane (as the well as the new HA filler Bolatero) are completely reversible.
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+1
How long will this Swelling last?
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...
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+1
Perlane can be Reversed
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...
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+1
Hyaluronic Acid Treatments Can Be Reversed
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.
+1
Correcting too much Perlane
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.
+1
Wait for swelling resolution
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!
+1
It will get better over time, but you can speed it up with treatment
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....
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+1
Yes it will improve
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.
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