He first gave me an injection in tear trough area about a year ago; it went fine. A year later, I went back for a minor "touch up." The amount he injected was far too aggressive, despite my request for a very modest (and what I hoped to be final) injection. He was rushed that day and, as I look back, wasn't fully engaged. I should have listened to the alarm bell when his medical assistant insisted that he "always uses two syringes" after I said I wanted only very modest additions.
At two weeks out, the asymmetrical results were clear: one side overfilled, the other with an odd "line" or ridge. I massaged it at one week as instructed but clearly there was too much product. Also, I developed what may have been the beginnings of a biofilm infection. At that point I was no longer in the DC area. I went to another board certified plastic surgeon who agreed with the asymmetrical results and the need to use vitrase to "undo" the filler.
Two months later, I've developed a noticeable and growing depression in my cheek, well below where the filler went and likely related to the vitrase. The attempt to solve Dr. Bitar's overfill created a new problem!!
For a sanity check, I went back to the surgeon who did the vitrase, and a dermatologist to examine the depression. Both acknowledged the depression of skin, as though I had lost volume / soft tissue. I sent Dr. Bitar pictures and asked for his help in deciphering what was happening to my cheek and what to do about it. I noted my growing alarm. While he was prompt in his response back, he was dismissive and -- shockingly -- said he saw nothing. While it's true he was going off of pictures I sent him, they showed an obvious depression. I'm not sure why he said there was nothing to see.
My experiences with Dr. Bitar have been deeply disappointing and left me a bit distraught, as I'm now scrambling to find other doctors to help diagnose what's wrong and how it can be fixed (if at all).