Filler has distorted my face. What do you recommend?

Question

I had filler in my cheek but the doctor only recommended having it on one side of my face. The eye on this side of the face was very slightly larger than my other side but since having the filler, it now looks significantly larger. A few months ago I had filler lower down in this same cheek and I'm therefore worried if I get this new filler dissolved, it may interfere with the filler below. On top of this, my mouth now has limited movement on this side too. What do you recommend I do?

Raffy Karamanoukian, MD, FACS · Answer

Fillers can swell and migrate unpredictably, especially when a filler with a high-edema quotient is used in thin areas. Our office uses disciplined approaches to help patients with acute or chronic issues related to hyaluronic acid fillers. We begin by assessing for any tissue compromise and advocate early treatment to avoid complications with vascular occlusion. In chronic issues, it is important to gradually break up and dissolve filler so there is no further migration of loose filler substrate. Conservative staged dilution may also help avoid volume loss.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Eric M. Joseph, MD · Answer

The good news is that your face isn't "distorted". Its only with careful inspection that one could see that you were likely treated on your right side. Without seeing what you started with, it's difficult to advise what to do. If in doubt - don't do anything. Hope this helps. Dr Joseph

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