Botched filler? Can this be removed? (Photo)

Question

Please use the picture. I can provide a 2 year old before.. but this picture is pretty self explanatory. One of my cheeks disolved on its own about a year after injection. The other one refuses to dissolve. It's been 3 going on 4 years. I REALLY don't trust Hyalurondaise so don't suggest that. Can someone manually remove this filler from the inside cheek? What does something like that cost? It was filled to correct a slight malar line that had begun to appear at 28 years old.

Anna Chacon, MD, FAAD · Answer

It sounds like you are experiencing complications from a filler treatment.

If your cheek filler is not dissolving on its own, it's possible that you were treated with a long-lasting filler such as Radiesse or Sculptra. The type of filler used will determine the best course of action for removal.

If the filler used was a hyaluronic acid-based filler (like Juvederm or Restylane), the usual course of action would be to inject an enzyme called hyaluronidase, which can dissolve the filler. However, as you've mentioned that you don't trust hyaluronidase, your options may be more limited.

Manual removal of filler is typically not recommended due to the risk of causing more harm than good. It can lead to scarring and other complications.

As per the cost, this would vary widely depending on the specific procedure, the professional performing the procedure, and the geographical location. It would be best to consult with a board-certified dermatologist or plastic surgeon who can provide a more accurate estimate based on your specific situation.

Please note that this information is general in nature, and individual health circumstances can vary. It's crucial to consult with a healthcare professional who can examine you in person and provide personalized advice.

Eric M. Joseph, MD · Answer

All injectable fillers become encapsulated and part of your soft tissue. If you wish to have a reduction in the volume of the larger cheek, you may wish to consider dilute steroid injections which can be helpful for decreasing the effects of fillers. I hope this is helpful for you. Sincerely, Dr. Joseph

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