Filler won't dissolve after 6 years - what can I do?

Question

I got filler on my smile lines in 2017, and it's still there. It looks like "worms" on both sides. I got it dissolved 2 times, but it made no difference. What can I do?

Eric M. Joseph, MD · Answer

In my opinion, there is a misconception that the use of ha fillers can be completely undone with the dissolving enzyme. This is not the case. Any injectable filler is a foreign body and some people form scar tissue around fillers that does not go away with hyaluronidase. Depending on your examination, dilute steroid injections may be considered for smoothing out the raised areas of your nasolabial folds. If this is not helpful, direct excision of the area tends to lead to a favorable result with minimal scarring and minimal downtime. I hope this is helpful! Sincerely, Dr Joseph

Nelson Lee Novick, MD · Answer

Sorry you are having this problem. It would be helpful to know exactly which filler was used, since not all (especially semi-permanent and permanent) fillers do not typically respond to hyaluronidase alone. For persistent filler-related nodules, bumps and lumps, i typically use with gratifying results an algorithm of varying combinations, concentrations and amounts of intralesionally injected anti-inflammatory agents and have good results even with nodules arising from the use of semipermanent and permanent fillers. You would be wise to make sure to consult an experienced, board certified cosmetic dermatologist. Best of luck.

Filler won't dissolve after 6 years - what can I do?

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Filler won't dissolve after 6 years - what can I do?

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Everything you need to know about Hyaluronidase

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