Double chin after chin filler - is this a side effect or filler migration? (photos)

Question

Hi, I’ve gone through chin filler one year back. I’ve always had a great jawline, getting chin filler was a misunderstanding, the idea was to reduce cheek volume instead practitioner added more volume to chin and Jaw to match cheeks. Now, I’ve a sudden double chin that I never had, my weight is under control. Could it be post side effect- migration of chin filler? Can Kybella resolve it ? Or HIFU ? Tried RF & Microneedling but no results. Attaching pictures pre(before filler) post(after 1 year)

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Raffy Karamanoukian, MD, FACS · Answer

Filler migration, swelling, and granulomas can cause significant discomfort and cosmetic ramifications. Our office specializes in the use of enzymes and filler reversal techniques without hyaluronidase to help improve the results of botched cosmetic fillers, whether caused by Juvederm, Restylane, or foreign fillers. Our plastic surgery institute provides expertise in filler removal. We begin by examining the facial fillers and assessing the likelihood of fluctuance or liquid volumization. If appropriate, we use Hylenex, or other filler reversal agents to reduce swelling and filler migration. Hylenex can be targeted into the areas of concern using multiple layered injection techniques. If the filler does not completely resolve, then additional concentrations may be employed. The technique has the potential to reduce the filler and may slightly impact normal hyaluronic acid. Treatments are repeated and results can improve immediately and with time.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Double chin after chin filler - is this a side effect or filler migration? (photos)

Answers (2)

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