Which procedure would correct double smile lines and sagging caused by Restylane defyne filler? (photos)

It sounds like you may have experienced some unintended effects from your Restylane D injections. If you are still experiencing double lines in your smile lines and can feel the filler in your face after all these years, it is recommended that you speak with a healthcare professional who specializes in cosmetic treatments to determine the best course of action for you.

It is understandable that you may be hesitant to try hyaluronidase due to the negative experiences you've read online, but it is important to keep in mind that these experiences are not representative of everyone's experience. Hyaluronidase is a safe and effective treatment for dissolving hyaluronic acid fillers, but it should only be performed by a qualified and experienced healthcare professional.

In terms of alternatives to fillers, there are several non-surgical cosmetic treatments that can help with facial volume loss and sagging, such as thread lifting or radiofrequency skin tightening. These treatments work by stimulating collagen production in the skin, which can help to improve its elasticity and firmness over time.

However, it is important to keep in mind that these treatments may not be as effective as fillers for filling in deep wrinkles and folds. A healthcare professional can evaluate your specific concerns and recommend the most appropriate treatment for you.

Finally, if you are concerned about the purple coloring around your eyes, you may want to consider consulting with a dermatologist or ophthalmologist who can evaluate the area and recommend any necessary treatment.

Best of luck !

Hello, and thank you for your question. Filler will disintegrate over time, but may not fully dissolve. Hyaluronidase is a great way to dissolve, however, if you are hesitant to dissolve, there are additional procedures that can help with skin tightening/laxity. Radiofrequency microneedling is a great option to help tighten skin, help with texture, and boost collagen production. This is usually recommended in treatments to 3, with each session 4-6 weeks apart. RF microneedling can be used on the face and neck, as well as several other parts of the body. By treating the face and neck together, this can help tighten up the jawline and provide more support to help reduce skin laxity. I would recommend scheduling a consultation with a provider that can offer dissolving agents, filler, and additional devices that can help with skin tightening/laxity. Hope this helps!

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

I'm not sure what happened to cause this result or whether you still have filler present or not but this is how I would attack this. I would put fille(would choose REstylane Lyft or Radiesse)r in your mid and lateral cheeks. I think that the volume out there needs to be replaced. Replacing that volume might lift everything to where you want it and if you still have filler present might even put it to use. This before dissolving but I so think hyaluronidae every safe.Be sure to use a very experience dermatologist for plastic surgeon as a good injector is key.

After nearly 30 years of using restylane and similar products, it is not unusual for some patients to retain the filler for nearly a lifetime. As the person ages, they lose volume in the face and body, in terms of fat and muscle bulk. I restore the youthfulness in the face by means of fat grafting. Fat grafting can easily make a person look 15 or 20 years, younger, while keeping their natural appearance. When fat grafting is done by a plastic surgeon with a lot of experience in fat grafting techniques, the results are extremely natural and pretty much permanent. I believe you need to be evaluated in person in order to determine what to do with respect to those lines on your face besides fat grafting. I hope this helps and good luck from New York City Plastic Surgery.