Varun Sharma, MBBS

I’m not sure how recently you had the Threadlift done, but it appears it may have been quite recently.

It does take time for it all to settle down, and remember cone Threadlifts fully dissolve in some months.

It would be interesting to see whether any threads are visible without you pulling your skin back?

It is very unusual to develop a scar from the filler. It appears there is a very clear asymmetry still present.

I wonder whether enough Hylenex has been used to dissolve the filler. 


For dissolving, I use Hyalase brand hyaluronidase. Whilst the product is the same, a vial of Hyalase contains 10x as much hyaluronidase as a vial of Hylenex.

I have encountered lumps that have required a large dose of Hyalase to be fully dissolved.

It is unusual to have a side that ‘won’t respond’ to a Botox treatment. If sufficient units are used, the treatment should be successful.

Two things to consider with this:

1. How much Botox has been used.
2. Has it been injected deep enough/in the right area of the muscle.

It is difficult to say whether eczema has given this appearance to your hands - but it is certainly possible!

There are several options that you have available to try, ranging in downtime, costs and effectiveness.

1. Medical / cosmeceutical skin care regime - Effective skin care can improve the pigmentation, ‘softness’ and appearance of the hands.
2. Fillers - Good quality fillers can last 2 years or more and can flesh out the bony appearance of the hands.
3. Platelet Rich Plasma (PRP) - Using your own blood to stimulate collagen and elastin in the hands. I have personally had fantastic results with this.
4. Laser resurfacing - probably a last resort option, and likely not needed at this stage!

It is very unusual to have such a reaction from Botox treatments.

I would recommend seeing your injector as soon as possible to get this looked at.