Does filler cause permanent lymphatic blockage and can it be reversed?

Question

I’ve had filler done about 2/3 year ago, I’ve had 0.5 mil in book cheeks and about 1 mil in my chin and another 1 mil around 6 months later, I’ve seen so many things about how there’s new studies saying that filler can cause permanent lymph blockage and it’s making me have really bad anxiety about this, is there a way to reverse this?

Anna Chacon, MD, FAAD · Answer

Dermal fillers, particularly hyaluronic acid–based ones, are generally considered safe and widely used. While there have been discussions in recent years about fillers potentially influencing lymphatic drainage, there is no strong evidence to suggest that they cause permanent lymphatic blockage.

In some cases, filler can alter tissue dynamics or contribute to swelling that may mimic or temporarily affect lymphatic flow, but these changes are not typically permanent. If there are concerns about filler placement or lingering effects, hyaluronic acid fillers can be dissolved with an enzyme called hyaluronidase, which provides an option for reversal.

If your anxiety persists, discussing your history with an experienced provider and reviewing imaging or exam findings can help reassure you. For most patients, fillers remain a safe, effective, and reversible treatment option.

Anna Petropoulos, MD, FRCS · Answer

Hello megco! Thank you for your question. If the filler is made of hyaluronic acid it can be dissolved using hyaluronidase. However, if your filler was placed 2-3 years ago it may already be largely metabolized. If you are not experiencing any signs of lymphatic blockage such as pain, swelling/edema, or nasal congestion then it is unlikely to be an issue at this point. If you can find a provider experienced in dissolving fillers, they would be able to properly analyze your face and determine if dissolving is necessary. I hope this helps, best of luck! Genie Alexander, RN BSN for Dr. Anna Petropoulos, MD FRCS at Center for Classic Beauty, Boston and Danvers, MA

Camille Cash, MD · Answer

If you have not experienced any issues related to your filler treatment it is unlikely that any new symptoms will arise.  If you are nervous and HA fillers were used for your treatment you can elect to have the remaining product, if there is any, dissolved with hyaluronidase.

Mostafa Bayati, MD, FRCR, PhD · Answer

Hi
The impact of dermal filler on the function of the lymphatic channels and drainage in the face is not entirely known and there are no robust imaging studies to answer this. Because we are seeing more patients with fluid retention and puffiness related to historic filler treatment, an emerging theory is that excessive application of filler may disrupt the natural flow and drainage of fluid via the lymphatic system. It is still largely hypothesis rather than clinically proven.
Ultrasound or MRI scanning can help with filler mapping to guide targeted dissolving of problem areas where one may be noticing puffiness or fluid retention. This is currently a better approach than 'blind' dissolving regions of the face.
I hope the above helps.
Best WishesDr Bayati, LONDON

Berat Cigdem, MD - Account Suspended · Answer

There is no strong evidence to suggest that dermal fillers cause permanent lymphatic blockage. If you’re experiencing issues, consulting with a professional is key. Hyaluronidase can be used to dissolve the filler if needed, which may alleviate any concerns.

Does filler cause permanent lymphatic blockage and can it be reversed?

Answers (5)

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