Male, 35, hyaluronidase diluted with kenalog messed my face, is this skin atrophy? (Photos)

Question

Hi, 35 Male. I had fillers 3 years ago which caused intermittent swelling and post inflammatory reaction. Since antibiotics and oral steroids couldn't fix it, doctor recommended to dissolve it with kenalog and 5fu 2 months ago. From that moment my face became textured, oily and red. I noticed new wrinkles and have edema under my left eye which I never had. Is this permanent? When it will go away? Is this skin atrophy? Please share your experience. I really need that

Whitney Florin, MD · Answer

Hello, sorry to hear about what you've been through. Yes, it looks like you have some tissue atrophy from the Kenalog and 5-FU injections. Unfortunately this is common. However, it usually will improve and resolve over 6-12 months. It would be best to be patient with this process. You can also do facials (lymphatic massage) to help with swelling to your under eye. You can also microneedling to help with skin texture and consider using medical grade skin care products like retinol to help with skin texture and redness. I also suggest you see another provider to assess if the swelling under your eye is due to filler (if so, it could be dissolved). It's possible the area of swelling is not filler, but due to you being hollow nearby from the filler dissolve. Hope this helps but give it time and only try conservative treatments for now while your tissue continues to heal.

Michael A. Persky, MD · Answer

Hello F,
It does appear that the treatment to dissolve filler in your face with kenalog and 5FU have caused subcutaneous atrophy.  It is most likely a permanent effect.  After examining you, I would likely treat you with bioregenerative fillers like Sculptra and/or hyperdilute Radiesse to replace your lost volume.  Be sure to choose your treating physician very carefully.  Good luck and be well.

Michael Persky, MD
Encino, CA

Male, 35, hyaluronidase diluted with kenalog messed my face, is this skin atrophy? (Photos)

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Male, 35, hyaluronidase diluted with kenalog messed my face, is this skin atrophy? (Photos)

Answers (2)

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Everything you need to know about Dermal Fillers

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