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Fillers can swell and migrate unpredictably, especially when a filler with a high-edema quotient is used in thin areas. Our office uses disciplined approaches to help patients with acute or chronic issues related to hyaluronic acid fillers. We begin by assessing for any tissue compromise and advocate early treatment to avoid complications with vascular occlusion. In chronic issues, it is important to gradually break up and dissolve filler so there is no further migration of loose filler substrate. Conservative staged dilution may also help avoid volume loss. If the filler is not dissolving, we may consider stronger concentrations or surgery. Best, Dr. KaramanoukianRealself100 Surgeon
There is no reason why you cant ice after a procedure, arnika and vitamin C and vitamin K also help. Best, Dr. Emer.
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...
Hi @mm73! Hyaluronic acid facial filler products that were previously injected into an improper tissue plane can be dissolved by hyaluronidase injections. Best of luck, Dr. Nima!
The LN swelling is unrelated. It's my theory that there will be no significant change with the hyaluronidase. Start on medication for trigeminal neuralgia.
Amphadase comes from a bovine source (cows).Vitrase comes from an ovine source (sheep). Hylenex comes from a recombinant human product.BestDr karamanoukian
Thank you for your question. Normally I like to wait a few weeks depending on how much is injected to dissolve the filler. Consult with a Board Certified Plastic Surgeon for a treatment plan that is best for you.
