Does filler always create permanent production because of collagen production?

Question

Hello, My doctor advised that my nose will never go back to its original form because filler stimulates collagen production. Could dissolver aid this? I had filler in 2019. In 2022 I went back to my doctor who said that although my nose hadn’t gone back to how it was originally, all the filler was dissolved. This worried me because my nose was overfilled and still had/has that look. He added more filler, and now I’m horrified because my nose looks so abnormally big. Please help.

Anna Chacon, MD, FAAD · Answer

The concerns you've raised about filler and its effects on collagen production are understandable. Here’s some information that might help clarify the situation:

Collagen Stimulation by Fillers:

Some dermal fillers, particularly those containing hyaluronic acid, can stimulate collagen production in the skin. This effect can lead to a more prolonged improvement in the treated area, even after the filler has been metabolized by the body.
Permanent Changes:

While fillers themselves are not permanent, the collagen stimulation they induce can lead to longer-lasting changes in the skin’s structure. However, these changes are typically subtle and shouldn't drastically alter your appearance permanently.
Use of Hyaluronidase:

If you are unhappy with the appearance of your nose due to overfilling, hyaluronidase can be used to dissolve hyaluronic acid fillers. This enzyme breaks down the filler material, and it can help return your nose closer to its original shape.
Consultation with a Specialist:

Given your concerns and the complexity of your situation, it would be beneficial to seek a second opinion from a board-certified dermatologist or plastic surgeon who specializes in facial aesthetics. They can assess your situation and determine the best course of action.
Managing Expectations:

It's important to have realistic expectations and clear communication with your provider about your desired outcomes. Photos from before any fillers were used can be helpful in guiding treatment.
Your situation can likely be improved with the right interventions, so seeking expert advice is an important step.

Does filler always create permanent production because of collagen production?

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Does filler always create permanent production because of collagen production?

Answers (1)

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Recommended reading

Everything you need to know about Dermal Fillers

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