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How to fix SMAS layer after hyaluronidase?

sagitt777Feb 20, 2023
have had smile line on one side filled & dissolved 2x (going on filling a 3rd time after) from dr taking it wider than the line (my request) i have an extensive skin care routine & going to be getting microneedling with prp 1 week after, im 24 & take collagen & HA supplements + vit c d & e & other antioxidants will i be able to restore it if its damaged in any way?

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. Connie Hiers, MD, FACS
Board Certified Plastic Surgeon
Answered on May 3, 2023
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Lucian Ion, FRCS

Thank you for your question. I am sorry to hear about your ongoing difficulties. In general, one of the possible albeit rare events related to surgery in general is chronic pain or neuropathic pain. This can be exacerbated by scar tissue tension . It can happen without injury to larger nerve...

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Connie Hiers, MD, FACS

I would wait at least 3 months and then use only a very low setting and shorter time for the next 3 months. At 6 months, you should be able to do what you like.

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Lucian Ion, FRCS

Thank you for your question. What you are describing may be related to the combination of SMAS and scar tissue build-up in the upper lip, following your surgery. The SMAS layer is generally strong enough to hold tension, but would not usually be as rigid as what you are describing. Scar...

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