Can Fern Pattern Technique on the cheeks cause puckering? (Photo)

Question

I had an injector talk me into quite a bit of fern pattern technique with restalyne on both sides of the face. The more I emoted the more she filled and I have never been so swollen in my life. My question is can this cause puckering and creasing of the skin that’s around the cheek lines that were filled? It doesn’t look smooth and when I smile the filler is clearly in the way causing new dimples and creases that didn’t exist before. Face feels puffy and heavy.

Anna Chacon, MD, FAAD · Answer

I'm sorry to hear about the discomfort and dissatisfaction you're experiencing after your procedure. It's important to understand that swelling, bruising, and changes in facial contour are common immediately following the use of dermal fillers like Restylane. These side effects typically subside within a few days to weeks as the body adjusts to the new filler.
However, if you're noticing significant changes in your facial appearance such as new dimples and creases, or if your face feels puffy and heavy, it's possible that too much filler was used, or that it was injected into the wrong areas.
The "fern pattern" technique is often used to create a natural, lifted appearance. But if not done correctly, it can lead to unevenness or lumps under the skin.
Here are your possible options:
1. Wait: If it's been less than two weeks since your treatment, it might be worth waiting a little longer to see if the swelling reduces and the filler settles into a more natural appearance.
2. Hyaluronidase: If the appearance does not improve, you may want to consider having the filler dissolved with hyaluronidase. This enzyme breaks down hyaluronic acid-based fillers like Restylane.
3. Consultation: If you're unhappy with the results or if your symptoms persist, you should return to your injector for a follow-up consultation. If you're uncomfortable with that, seek a second opinion from another experienced provider.
Remember, it's important to have these types of procedures performed by a board-certified dermatologist or plastic surgeon who is experienced in facial anatomy and filler techniques. They can provide the safest and most effective treatment.

Darryl J. Blinski, MD · Answer

Based on the posted photo in my over the Real Self internet opinion you had incorrect filler injection used! Plus always be careful not isng expert injector or injecting MD! I might have used very little amounts of the HA filer over weekly sessions or even use the "new" Shin Vive from Allwrgan to achieve the results desired. Now very hard to determine without in person or virtual consult with.... Might recommend diluted HA dissovlers or even anterior mini face lift.

Can Fern Pattern Technique on the cheeks cause puckering? (Photo)

Answers (2)

Recommended reading

Everything you need to know about Cheek Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.

Can Fern Pattern Technique on the cheeks cause puckering? (Photo)

Answers (2)

Browse related questions

Recommended reading

Everything you need to know about Cheek Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.