Will sagging improve after overfill and hyaluronidase? (Photos)

Question

Mid thirties. Was severely overfilled with 1 syringe under each eye and 2 syringes per cheek (6 total!!!). Was devastated. Had hydase injected 2 months ago (30 units each cheek bone, 30 units each lower cheek where no filler injected). Cheeks extremely saggy, very heavy around mouth. Used to have tight narrow face. Am I doomed or can I get my face back? Do I need facelift now due to damage?

Raffy Karamanoukian, MD, FACS · Answer

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 cause swelling and nodularity. If patients have filler migration or nodules, we recommend a combination approach of filler reversal with enzymes Hylenex and Hyaluronidase in different strengths to dissolve the filler. We may also need to add Kenalog to the mix in order to reduce fibrous tissue. If the filler does not dissolve, it either means the filler is not HA material or we need more enzyme. The HA reversal can be combined with other lasers and skin treatments at the same time, and it usually (usually) does not affect adjacent tissue.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Amy K Hsu, MD, FACS · Answer

Hello Randy3241~
Thanks for sharing your photos.  Sorry to hear that you did not get the results you were looking for after filler injections.  It often takes several sessions of hyaluronidase to dissolve filler, especially with the quantity of filler that you are trying to remove.  Assuming that you had all dissolvable fillers injected, your face should return to its original appearance once all the filler has been removed and the swelling has resolved.
Hope that helps!
Best wishes,Dr. Amy Hsu

Will sagging improve after overfill and hyaluronidase? (Photos)

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Will sagging improve after overfill and hyaluronidase? (Photos)

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Everything you need to know about Hyaluronidase

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