Too much filler in one spot - do I need to fully dissolve and start over? (Photo)

I am a Beverly Hills based oculoplastic surgeon. I wrote one of the earliest papers on treating under eye circles with hyaluronic acid fillers. I do a lot of facial and periocular fillers. I also do a lot of removal of old fillers. There is a lot of misinformation out there. Do filler migrate?...

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. I'm sorry to hear about your concerns; that sounds distressing. Hylenex (hyaluronidase) is typically used to dissolve hyaluronic acid fillers, and...

These fillers can last years. They may not fully break down on their own, ever. For this reason, the enzyme, hyaluronidase, is invaluable. Don’t be afraid of it. It makes getting hyaluronic acid filler practical. The enzyme can and will remove filler in the lip that you might want to preserve. H...

Based on your photos, you appear to have a pleasing facial appearance both at rest and with smiling. I agree with you about your concerns about the dissolving enzyme. And that regard, let nature take its course and see how things are in the next 6 months. Congratulations on overcoming your...

A very small amount of enzyme should be able to accomplish this. Less is more. The challenge is that removing filler is as much art as placing filler. The injector who overfilled you may not possess the skills to thoughtfully feather this treatment. Too much enzyme will blow out the filler....

The filler lasts forever (at least 12-15 years). The precise clinical effect only last for less than a year and then makes generalized facial volume that can worsen as the product ages. The problem is that this old material spreads out. Injectors (physicians and others) are not very imaginative...