Over 1 year post op and filler won't dissolve - what could be causing this and what are my options? (photos)

Based on your photos, you appear to have a deviated nasal septum to the left that is causing your columella and tip to veer to the right. Is it possible that your injectable filler treatments had nothing to do with this? Please consider Consulting with a reputable rhinoplasty specialist to discuss your concerns, and to receive a thorough examination. Thank you for your question and I hope this helps. Sincerely, Dr Joseph

Based on the information provided, it is possible that the filler could be stubborn and resistant to dissolving, or it could indeed be a case of tissue damage. However, without a physical examination or the ability to view the photos you mentioned, it's challenging to provide a definitive answer.

Hyaluronic acid-based fillers are generally dissolvable through the use of an enzyme called hyaluronidase. If you've already attempted this multiple times without success, it could be that the filler is not hyaluronic acid-based, or that the filler has integrated with your tissue, making it harder to dissolve.

It's also possible that a granuloma, which is a type of inflammation, has formed around the filler. This can occur when the body perceives the filler as a foreign substance and tries to "wall it off." Granulomas can sometimes mimic the appearance of persistent filler.

Given the complexity of your situation, I would strongly recommend seeking specialist advice. A plastic surgeon or a dermatologist experienced in the use of fillers should be able to evaluate your condition and advise on the best course of action. They may suggest additional treatments to dissolve the filler, or they may recommend other approaches if they suspect tissue damage or a granuloma.

This advice should be used as a guide only and does not replace a consultation with a healthcare professional. It's important to discuss this issue with your doctor or a specialist who can provide appropriate treatment options based on a comprehensive understanding of your medical history and current condition.