Will pressure used when molding a filler after injection cause damage to my own soft tissue?

Question

I recently had perlane and juvederm in my chin and cheeks. I don't like the look and now planning on removing it with hyalase/hyaluronidase. My practitioner used very very heavy pressure to mold the filler after injection. It really hurt and i was really bruised and swollen afterwards. I'm really scared that she damaged my own facial fat/skin or other soft tissues and that I will look worse than before i had the filler once I remove it. Is this possible? Feel like I've ruined my face :(

Mitesh Kapadia, MD, PhD · Answer

Fillers often need to be molded after injection to optimize results. There is no long-term damage to the surrounding tissues. If you are unhappy with the results, have the fillers dissolved and your face should return to the pre-injection appearance within a few weeks.

Jason Emer, MD · Answer

I tend not to massage, some do massage. this is a technique and a personal approach.  It shouldnt affect your skin/tissue long term. cannulas in the future will help. Best, Dr. Emer.

Michael A. Zadeh, MD, FACS · Answer

Sorry to hear about your experience. It is very common to mold fillers after injection, however, you don't have to use a lot of pressure and it definitely should not cause pain. Your bruising and swelling may be a part of the injection process itself and not necessarily from the molding. Make sure your physician has experience in dissolving filler with Hyaluronidase as it is not a straightforward process and knowledge of the dosing is required. Sometimes multiple sessions may be needed to fully dissolve the filler. Your tissues should not look any worse than before your fillers. Best of luck to you.

Harold J. Kaplan, MD · Answer

Hi Firmafest.  It's very common to mold dermal fillers after injection - at least for the injector.  After we mold them,. we do not want patients to apply further pressure at home.Bruising is more often related to the injection itself than the pressure applied after the treatment.Finally, we are sorry to hear about your dissatisfaction with the treatment.  To view photos of Juvederm reversal for another Los Angeles patient that was unhappy with previous injections, click on the link below.

Payman Danielpour, MD, FACS · Answer

Generally speaking, there should NOT be painful pressure placed when "molding" a filler.  Placing filler in the face should be a delicate process that is rather painless and very straightforward.  The injector most likely hit a blood vessel and was holding pressure to avoid bleeding and bruising.  Feel free to see a board certified PS if you still think that it needs to be looked at.  Best of luck!

Will pressure used when molding a filler after injection cause damage to my own soft tissue?

Answers (5)

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