Aquamid in Cheeks 2 Years Ago - Overfilled: How Can it be Removed?

One way to remove some of the Aquamid without direct excision, it with a very fine cannula the surgeon can aspirate the Aquamid, this leaves a minimal scar and it is effective.

Because aquamid is a permanent/semi permanent filler, the only way to assure removal is by direct excision of the material.  Best of Luck...RAS

We are seeing many longterm problems associated with permanent fillers in our office. Complications from silicone biopolymers, Artefill, Bellafill, PMMA, and biopolimero should be addressed by an expert in the field.  

In my practice, I specialize in the removal of Bellafill and Artefill injections, in addition to silicone biopolymers, from the face and body. Initially, treatments are non-surgical with corticosteroids and immune modulators. If unable to be corrected, we can also perform surgery in some cases. 

Patients should undergo biometric screening, clinical assessment of Karamanoukian Grade of Soft Tissue Reaction, and ultrasound examination. 

Silicone biopolymers can also be removed from the body if there are signs of migration or inflammation. All of these filler-types should be removed as early as possible. 

Lastly, our office is conducting ongoing studies of plasma-assisted corticosteroid application, which allows for diffusion of the treatment medication in superficial tissue without causing atrophy. 

Best, 

Dr. Karamanoukian 

Realself100 Surgeon