Filler used in marionette lines. Can it be massaged? (Photo)

Question

I saw a plastic surgery for my marionette line and he inject 2 syringes of restalyne. Now I have pouches of hard balls that look awful. Is this notmal? Can massaging help? I must not have understood the PS when he said he was building that area up. How long for this to subside and not be so bulky. It's making my cheeks look more saggy.

Nima Shemirani, MD · Answer

Hi @ac1234. I would recommend gentle massages to the area where you feel the lumps. If you are unhappy with the results after two weeks, you can dissolve the product with Hyaluronidase.

Best of luck,

Dr. Nima

Reza Akef, MD · Answer

Hi and thanks for your question. It looks that you still have some swelling in this area . I would suggest some gentle massage on the areas you feel lumps . If the lumps persist see your physician . Sometimes we inject hyaloronidase to dissolve it

Drew Varano, MD · Answer

It is normal to have some degree of swelling for the first 2 weeks after an injection and I tell patients they may feel a "ball" or " marbles" in the lower mouth area after filler is injected into  the oral commissures. 2 syringes is on the higher end of product usage so it will take some time for the swelling of the pockets  to resolve. Manual  Massage  can help. If still present by 2 weeks you may want to seek vitrase or hylaurondiase for removal

Michele S. Green, MD · Answer

It appears from the photo that you are very swollen in the area or too much product was placed too low which is giving you these "pouches".  If after two weeks you still have this same appearance you will need to have the product dissolved with Hyaluronidase.  From your photos it appears that Voluma placed in your mid-cheek area would have been better for you. Please consult an expert injector for the best cosmetic results.  Best, Dr. Green

Filler used in marionette lines. Can it be massaged? (Photo)

Answers (4)

Answer: Restylane in Face

Answer: Restylane in Face

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Filler used in marionette lines. Can it be massaged? (Photo)

Answers (4)

Answer: Restylane in Face

Answer: Restylane in Face

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Everything you need to know about Dermal Fillers

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