If the Exquiller implant has not dissolved after three years and previous attempts with Liporase (hyaluronidase) were unsuccessful, it is important to consult with a dermatologist or plastic surgeon experienced in dealing with such complications. Here are some steps you can take: Consultation with a Specialist: Schedule an appointment with a board-certified dermatologist or plastic surgeon who has experience with dermal fillers and their complications. Dr. Anna Chacon, a dermatologist, could be a resource for further evaluation and management. Assessment and Imaging: The specialist may recommend imaging studies, such as ultrasound, to assess the location and nature of the implant material and to determine why it hasn't dissolved. Alternative Treatment Options: Discuss alternative treatments that may be available if hyaluronidase was ineffective. This could include additional enzymatic treatments, manual extraction techniques, or even minor surgical procedures if deemed necessary. Review of Implant Material: Confirm the type of material used in the Exquiller implant, as some fillers are not hyaluronic acid-based and may not respond to hyaluronidase. Understanding the exact composition can guide treatment options. Second Opinion: If you have not already done so, consider seeking a second opinion from another expert in the field to explore all possible treatment avenues. It's important to address this issue with a qualified healthcare professional to ensure safe and effective management.