Filler went wrong & still in smoke lines after 3 years, advice? (Photos)

If there is any filler present you can have it dissolved with hyaluronidase. Kenalog injections may help if indicated. To improve overall texture you can explore laser resurfacing. This can improve skin tone and texture for the whole face, giving a rejuvenated look.

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. One option might be to use hyaluronidase to dissolve any remaining hyaluronic acid filler if that’s the type you received. This can help eliminate the unwanted filler and may improve the overall appearance of the area. Since hyaluronidase can affect both the filler and any natural HA, it’s important to discuss potential outcomes with your injector. If you’re concerned about the texture or appearance of your skin post-dissolution, treatments like microneedling or laser resurfacing can help improve skin texture and stimulate collagen production. These options can soften the appearance of lines and enhance overall skin quality. Another consideration is to explore new filler options or techniques after the previous filler has been addressed, which can help create a smoother, more even appearance. I hope this helps and best of luck!

Depending on your examination, dilute steroid injections might be helpful for dissolving some scar tissue that may have formed around your filler. The up the other option to consider might be light Electro surgery to flatten the raised areas. This could be done in the office with topical anesthesia and minimal inconvenience. I hope this is helpful. Sincerely, Dr Joseph