Artefill removal - Do I need a lower blepharoplasty?

Question

Had arteflll injected under the eyes, lips and cheeks in ~2013 and it hardened a couple years later. Had removed from lips and under eye by provider in WI in 2020 however I’m still seeing a ‘beesting ‘ like spot on one side of my face that I think may still be due to the artefil. What is causing this and do I need a lower Bleph done again to remove ? Is there something that can show me where this stuff is left over so we can be sure that it’s all being removed ?

Raffy Karamanoukian, MD, FACS · Answer

Longterm filler problems include migration, edema, and nodularity. Filler migration and permanence is a very common problem because there are many different types of HA fillers on the market and each is specified for a specific part of the face. Use of highly cohesive fillers on thin skin may cause swelling and nodularity. If patients have filler migration or nodules, we recommend a combination approach of filler reversal with enzymes Hylenex and Hyaluronidase in different strengths to dissolve the filler. We may also need to add Kenalog to the mix in order to reduce fibrous tissue. If the filler does not dissolve, it either means the filler is not HA material or we need more enzyme. The HA reversal can be combined with other lasers and skin treatments at the same time, and it usually (usually) does not affect adjacent tissue.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Artefill removal - Do I need a lower blepharoplasty?

Answers (1)

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