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

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.

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