The last time I had filler in my nasolabial folds was 2 1/2 yrs ago. I didn't think that was possible to let that long, but recently learned it is. Also, some of my 'aging' I figured out is actually migrated filler. I discovered a finger length of filler migrated to my low face! What should I do to restore natural folds and cheeks? How can I find all of the migrated filler? I understand it can be dissolved
October 13, 2022
Answer: Morpheus8 and filler reversal 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.
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October 13, 2022
Answer: Morpheus8 and filler reversal 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.
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June 30, 2021
Answer: Enzyme Injection for Fillers Hi and thank you for your question! As you indicated, it is quite rare for hyaluronic acid fillers (other than Voluma) to last this long. You did not mention the exact type of filler you got 2.5 years ago, so the first step is to determine the exact type of filler and ensure it was indeed a hyaluronic acid filler, since that's the only type that can be dissolved with hyaluronidase. Additionally, you need to keep in mind that despite having fillers, the normal aging process continues and you need to exercise great caution in linking your current concerns with filler injected 2.5 years ago. If possible, comparison of serial pictures taken over the past couple of years combined with detailed physical examination by your experienced cosmetic doctor should help. This is very important as you do not want to subject yourself to unnecessary (and potentially harmful) injections unless your doctor can determine that your issues are indeed caused by residual fillers. I hope it helps and good luck!
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June 30, 2021
Answer: Enzyme Injection for Fillers Hi and thank you for your question! As you indicated, it is quite rare for hyaluronic acid fillers (other than Voluma) to last this long. You did not mention the exact type of filler you got 2.5 years ago, so the first step is to determine the exact type of filler and ensure it was indeed a hyaluronic acid filler, since that's the only type that can be dissolved with hyaluronidase. Additionally, you need to keep in mind that despite having fillers, the normal aging process continues and you need to exercise great caution in linking your current concerns with filler injected 2.5 years ago. If possible, comparison of serial pictures taken over the past couple of years combined with detailed physical examination by your experienced cosmetic doctor should help. This is very important as you do not want to subject yourself to unnecessary (and potentially harmful) injections unless your doctor can determine that your issues are indeed caused by residual fillers. I hope it helps and good luck!
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May 25, 2021
Answer: What do you recommend for over-filled and migrated nasolabial folds? Thank you for your pictures and questions. I also answered another one of your questions! In regards to the question of the migrated filler, the easiest thing to do is dissolve it and start fresh. If you inject the dissolver and it goes away, then it was residual filler. If it does not change, then it is something else that needs to be evaluated. My guess would be that what you are seeing is aging related changes rather that migrated filler, but that is just a guess. Make sure you see a plastic surgeon who is board certified by the American Board of Plastic Surgery.
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May 25, 2021
Answer: What do you recommend for over-filled and migrated nasolabial folds? Thank you for your pictures and questions. I also answered another one of your questions! In regards to the question of the migrated filler, the easiest thing to do is dissolve it and start fresh. If you inject the dissolver and it goes away, then it was residual filler. If it does not change, then it is something else that needs to be evaluated. My guess would be that what you are seeing is aging related changes rather that migrated filler, but that is just a guess. Make sure you see a plastic surgeon who is board certified by the American Board of Plastic Surgery.
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