Dermal fillers and scar tissue

Question

My doctor effectively dredged out the whole jawline and chin when injecting hyauloronic acid Volux fillers. He even commented that he was effectively ripping the skin away as he went along. Is this how it’s always done each time you come back to top off the fillers after 12ish months? It seems fairly invasive and aggressive (bruising / swelling etc) Because I would imagine a ton of scar tissue eventually forming from all the trauma and post-procedure inflammation.

Nelson Lee Novick, MD · Answer

From the sound of it, subcision, a procedure ordinarily reserved for releasing tethered down scars, is being performed along with the injection of the filler. I have been performing subcisions for elevating and smoothing all kinds of scars since 1995 and have been injecting fillers for aesthetic reasons for well over three decades. In general, subcision, which sounds like what is being performed here, is not needed unless there are circumstances in this case that have not been mentioned. And, yes, very aggressive subcision does ("ripping the skin away") could conceivably engender an overabundant production of new collagen and elastic fiber synthesis that could conceivably evoke the kind of situation that you express concern about. It would seem wise to express your concerns to your treating physician or perhaps consult with a board certified cosmetic dermatologist to discuss this further.

Peter Andolina, DO · Answer

When we are discussing jawline filler, the product needs to be placed right on top of the bone or as close to the bone as possible. There are different techniques people use to do filler, either direct injection with a needle or a cannula technique which threads the product in. In response to you question about scarring, there is some scar tissue that develops after any sort of tissue trauma but in the grand scheme of things, filler placement does not produce an abundance of scar tissue.

Dermal fillers and scar tissue

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Dermal fillers and scar tissue

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Everything you need to know about Dermal Fillers

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