I have crepey skin after misuse of filler and hyaluronidase - are there any solutions? (Photos)

Question

Hello! I had juvederm Volumna poorly placed 2 years ago in my cheeks. The doctor had injected the filler near my undereye too close to the skin as well by accident. I was able to live with it as I did not know hyaluronidase existed at the time. Over the 2 years it's gone down a little but was persistent so I had hyaluronidase dissolve the bump. The crepey skin remains but is only in that small spot (almost like an empty blister). What can be done? Thank you for your time!

Michael P. Morrissette, DDS, FACS · Answer

There are several treatment options. Microneedling and PRP, lasers, chemical peels are all viable options. The previously placed filler is probably completely gone. Good luck

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser.  Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.  
Best,
Dr. Karamanoukian 
Realself100 Surgeon

Nima Shemirani, MD · Answer

Hi @jb_23. Thank you for sharing your photos. I recommend Morpheus 8. Morpheus 8 is a non-surgical treatment for full body skin resurfacing, skin tightening, and fat reduction of stubborn areas. It uses minimally invasive fractional radiofrequency energy (RF) to penetrate the skin deeper than other microneedling devices, triggering the skin’s natural healing response to promote skin tightening and lifting.

Best of luck,

Dr. Nima

Best of luck,

Dr. Nima

Jason Emer, MD · Answer

I suggest seeing a cosmetic dermatologist to get you on a long term plan with lasers, microneedling/prp, Cosmelan, peels, facials and skin care. Best, Dr. Emer.

I have crepey skin after misuse of filler and hyaluronidase - are there any solutions? (Photos)

Answers (4)

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