What can I do to ensure that all filler is dissolved completely?

Question

I have had injection of Teosyal Rh3 in my nasolabial folds and smile lines.As i had a hypersensitivity typ 4 reaction to the filler, i am dissolving it ultrasound targeted. Unfortunately the ultrasound shows integrated filler rather than bubbles of filler. How can i be sure, all fillers are dissolved completely? I cannot find any scientific publication on that. I was recommended to do MRI again, but as far as i know, MRI resolution is limited? It would be Tesla3 MRI. Thank you

Kenneth D. Steinsapir, MD · Answer

The provider performing the ultrasound may not be correctly interpreting the ultrasound. Many nonspecific findings of ultrasound and MRI are interpreted as evidence of filler. This would be a type of false positive. For you I strongly advise you not waste more time or money on imaging. If you have a type 4 hypersensitivity to the filler, residual inflammation would be a very reliable sign of persistent filler and the need for additional enzyme.

What can I do to ensure that all filler is dissolved completely?

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