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Why aren't my fillers dissolving? 1ml Voluma in chin 2 years ago

LoveRosesFeb 18, 2023
I had 1 ml of Juvederm voluma in my chin almost 2 years ago and noticed really pronounced migration and a heaviness to my lower face. I've had two syringes to dissolve it thus far on two separate occasions. I notice little difference after the Hyaluronidase. An ultrasound confirmed it's still in my face! It's migrated in such a way that I look like a ventriloquist dummy. Is this ever going to go away? It looks so boggy and awful, I just want my old face back.

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. Raffy Karamanoukian, MD, FACS
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Dr. Raffy Karamanoukian, MD, FACS
Board Certified Plastic Surgeon
4.6 | 125 Reviews
Answered on Apr 6, 2024
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Nima Shemirani, MD

Hi @Ellajane501! This does appear to be filler migration. I recommend dissolving your lips and starting with a fresh canvas. I also suggest using a different filler. I hope this was helpful!

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Shanthala Shivananjappa, MD

Hyaluronidase is an enzyme that breaks down hyaluronic acid, which is commonly used in dermal fillers. In some cases, hyaluronidase can be used to dissolve excess filler or to correct filler that has been injected improperly. Hyaluronidase works by breaking down the hyaluronic acid molecules,...

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Giuseppe Fiore, MD

Hi, Thanks for your question. Unfortunately without pictures it is not possible to give you a specific answer. In aesthetic medicine, complications could happen but the most important is how to prevent/reduce or correct them e.g. dissolve the filler (if required) and re-filled them. This...

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Hung William Song, MD

I'm not sure what the question is, but you do bring up a very good point. Although we typically say that HA fillers will last 6 to 8 months, that does not necessarily mean that all of it will go away especially when a big bolus of filler is injected. Sometimes your body will encapsulate the...

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James R. Gordon, MD, FACS, FAAO

Thank you for sharing your questions and posting your photos. I’ve been able to dissolve fillers 5 years out from its placement. If you truly have filler in your cheek it should not be a problem to dissolve with hyaluronidase. Good luck,

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