Filler misplacement in cheeks - what can be done? (photos)

Question

The fillers were misplaced and put in bizarre areas of my cheek. The left side is beneath the place that needed to be filled making it stick out and the place that needed filling sink in more. She didn’t fill areas that needed to be filled because she placed all the filler almost completely below my cheek bone. She placed it all in one spot rather than a little bit here and there. It looks like a big ball sticking further out than my cheek bone on the lower hall of my face.

Kenneth D. Steinsapir, MD · Answer

Assuming it was a hyaluronic acid filler, this service can be removed with the enzyme hyaluronidase. It is likely you had treatment with a runny filler. Many fillers have a relatively low G prime. It means these product behave more like liquids than solids after being placed in the face. The drift of these runny products accounts for many of the undesirable effects after filler service. Products touted as "smooth" fall into this lower G prime category. Manufactures push these products because they think injectors make lumps with their treatments and these runny products spread out after placement eliminating the lumps. Unfortunately drift of these products means volume in the wrong places after treatment. You will need a significant enzyme service to remove these products. A "squirt" of enzyme is not going to do it. What the attached video to understand what is possible.

Camille Cash, MD · Answer

If HA fillers were used during your treatment you can have them dissolved with hyaluronidase.  It may take more than one treatment to completely dissolve them.  If you choose not to, the filler will dissolve gradually over time.  Always see an expert injector for treatment.

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for questions and sharing your photos. The previously injected fillers should be dissolved and then you should be injected by an experienced injector. See an oculofacial surgeon for proper guidance and treatment. Good luck.

Randal Haworth, MD, FACS · Answer

Hello !

It is possible to dissolve it using Hyaluronidase, an enzyme that breaks down hyaluronic acid. Dermal fillers can be reinjected after 14 days.

I hope this helps,
best of luck !

Filler misplacement in cheeks - what can be done? (photos)

Answers (5)

Answer: Incorrect placement of fillers

Answer: Incorrect placement of fillers

Answer: Hyaluronidase

Answer: Hyaluronidase

Recommended reading

Everything you need to know about Restylane

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

Filler misplacement in cheeks - what can be done? (photos)

Answers (5)

Answer: Incorrect placement of fillers

Answer: Incorrect placement of fillers

Answer: Hyaluronidase

Answer: Hyaluronidase

Browse related questions

Recommended reading

Everything you need to know about Restylane

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