Can I dissolve filler while on Accutane? (photo)

Question

I almost ( 11 days ) finished my 5 Month cure of accutane. I have to much fillers under my eye and one overfilled oval bump under my right eye that a give a lot of pressure with little pain. There is to much filler at that spot, I think. I also use paracetamol and ubiproven now. Because of that I want to dissolve the filler. Is that possible with accutane? Our and the end of my accutane course? And Will I end with a hole? :( Our irregular loose skin? I have also fillers in my cheeks

Raffy Karamanoukian, MD, FACS · Answer

Filler complications are common and can cause emotional distress and in some cases, physical deformity. Swelling, lumpiness, and uneven facial volume are just a few of the complications associated with hyaluronic acid fillers. 
  
Our office is a global center of excellence for the management of facial complications. Once we receive a consultation for filler complications, it is imperative that an examination is performed with a detailed history to determine the type of facial filler and the severity of swelling and nodule formation. 
  
Hyaluronidase can work on facial fillers that are primarily comprised of hyaluronic acid. In some cases, we see patients who believe that they have had HA fillers; but may have had some other category of injections such as silicone or Artefill Artecoll. 
  
Management of HA fillers is complex; may require multiple sessions; and depending on the severity and volume of filler; may not be possible given facial biometrics or filler-specifics. 
  
We are often asked if hyaluronidase can affect normal tissue; and this is a question that may not have a simple answer. Hyaluronidase can affect hyaluronic acid, which is contained in your tissue. The degree of effect depends; lending us to perform conservative reversals.  
  
In a small subset of patients, surgery is required to remove fillers. 
  
Best, 
  
Dr. Karamanoukian
  
Realself100 Surgeon

F. Victor Rueckl, MD (in memoriam) · Answer

There is no issue with dissolving fillers while you are on Accutane or if you've just finished. The issues arise when you don't seek an expert for this kind of treatment. Remember that removing fillers is just as much an art as putting them in to begin with. "This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. Seek in-person treatment with a trained medical professional for appropriate care."

Can I dissolve filler while on Accutane? (photo)

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