What do you recommend for overfilled dermal fillers on the temple (24 years old)? (Photo)

Question

Hi, The doctor recommend 1ml temple filler after the injection my temple looked weird and she started to push the filler in but it wouldn't go in I looked like I had horns. I felt very weird and my vein was throbbing two days later I woke up and started to feel weird I fainted and lost vision on my right eye and lost sensation on my right arm.The ambulance came and I was rushed to the hospital. they were worried I had a neurological stroke but it was the filler. what do you recommend ?

Raffy Karamanoukian, MD, FACS · Answer

Longterm filler problems include migration, edema, and nodularity. Filler migration and permanence is a very common problem because there are many different types of HA fillers on the market and each is specified for a specific part of the face. Use of highly cohesive fillers on thin skin may cause swelling and nodularity. If patients have filler migration or nodules, we recommend a combination approach of filler reversal with enzymes Hylenex and Hyaluronidase in different strengths to dissolve the filler. We may also need to add Kenalog to the mix in order to reduce fibrous tissue. If the filler does not dissolve, it either means the filler is not HA material or we need more enzyme. The HA reversal can be combined with other lasers and skin treatments at the same time, and it usually (usually) does not affect adjacent tissue.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Jo Herzog, MD · Answer

It is difficult to know what is going on from this photo. However, If you just had this filler it is possible that this is a bruise or hematoma and you should give it some time before doing anything. If it has been weeks ago then different story. I assume that the visual and other problems have settled down but they are  more important to address then the cosmetic issue.

What do you recommend for overfilled dermal fillers on the temple (24 years old)? (Photo)

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What do you recommend for overfilled dermal fillers on the temple (24 years old)? (Photo)

Answers (2)

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Recommended reading

Everything you need to know about Hyaluronidase

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