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2 vials restylane for v mild n/l & marionette lines + lips 17 mos ago. Cause of tissue changes post-op? What are the solutions?

citrusgreenSep 14, 2017
Disliked from the start, felt overfilled, waited for it to dissolve. 6 mos in had extreme spontaneous swelling. Now 17 mos overfilled look still a problem. Feel palpable masses under skin both sides. I just want all volume to go away. Dr verifies resty was def used. 3 conservative rounds of vitrase helped maybe minimally but not back to baseline. What is causing? Encapsulation/granuloma? Have visitited new dr, no answer.

Answers (4)

From board-certified doctors and trusted medical professionals
Dr. Aldo Guerra, MD
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Dr. Aldo Guerra, MD
Board Certified Plastic Surgeon
4.9 | 276 Reviews
Answered on Sep 25, 2017
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Dr. Monika Soni, MD
Dr. Monika Soni, MD
Board Certified Anesthesiologist
Answered on Mar 11, 2018
Answer
Dr. Melvin Elson, MD
Dr. Melvin Elson, MD
Board Certified Dermatologist
Answered on Sep 18, 2017
Answer
Dr. Michele S. Green, MD
Dr. Michele S. Green, MD
Board Certified Dermatologist
Answered on Sep 17, 2017
Answer

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Kenneth D. Steinsapir, MD

It is also possible that volume added just below the ridge would smooth out this issue.  Generally the enzyme will be the more economical approach to this. I encourage my patients to return for assessment about a week after their treatment because in the first 3 weeks, it is also possible to ...

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Aldo Guerra, MD

I am not sure what is causing your blue bump. I suggest you have your injector examine you carefully. If this is filler material, perhaps expressing it out or dissolving might work well for you.Best wishes, Dr. ALDO 

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Aldo Guerra, MD

If you can infection, it's not the filler material that gave it to you. It's the technique and the fact that lip mucosa cannot be completely sterilized. You should listen to the doctors who examined you. You should consider dissolving any remaining filler material before getting injected again. 

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Soheila Rostami, MD, FAAO, FAACS

The floaters in the eye are due to cell s in the vitreous. This is due to aging and usually is due to vitreous turning to liquid from gel.  

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Aldo Guerra, MD

You can use the Realself website to find a physician that does this procedure. As far as using the "fern pattern", I believe you're better off asking each office.Best of luck, Dr. ALDO 

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