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Horrific Results of Perlane for Periorbita - Miami, FL

UPDATED FROM songvoice
3 months post

Moved onward and upward!

songvoice
$9,350
Additional comments from this doctor on June 20 2015 attempting to discredit me and my results from his work and these pictures as being false, (of which they are not!) and now further attempting to slur or infer a psychological issue underlies this review is disturbingly unethical on his part to say the least!

The positive side of being able to read his comments here is that you get experience first hand who you be dealing with if you choose him and something goes wrong.

No this doctor doesn’t consider that maybe my results from his procedure were like that because he used a product that is not recommended as the best filler for the tear troughs, as well as having used far more than is recommended at any one given time by the manufacturer, and according to my new practitioner, he applied it above the rim--which according to her is an industry no no. It was quite tricky for her to remove. Nope, for this guy, it’s all these other excuses of which, if he truly believes is why this horrific result occurred, and he knew about it beforehand, it begs the question, “why would he then ethically go forward with the procedure?” He recommended this procedure saying it would be the best “bang for my buck.” This whole situation with his comments has become comical. What a disappointed this guy is!

To his credit, he used a product that is reversible. This is the saving grace of my entire experience. My new practitioner has reversed this horrific result, and I have moved on from this original doctor and experience. Because of that, I will no longer post replies here, regardless of what he continues to write. If you would like to know more, feel free to send a direct message.

Good luck to you!

songvoice's provider

Rian A. Maercks, MD

Rian A. Maercks, MD

Board Certified Plastic Surgeon

4.7 | 148 Reviews
PROFILE

songvoice rating for Dr. Maercks:

Overall rating
Doctor's bedside manner
Answered my questions
After care follow-up
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Replies (5)

June 22, 2015
July 15, 2015
July 16, 2015
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July 30, 2015
September 13, 2015
THAnk you!!!! His writing all the excessive comments denotes ALL to Me!!!! Pretty dumb on his part. You're a gem for the info. You look great since fix and b4. Xx
October 23, 2015
Thank you. I'm very happy since the fix, all is well ;-)
September 24, 2015
GF, this is your forum, not his. Trust me, everyone on here BELIEVE you. We will all stay away from this man as he is obviously an inexperienced injector.
October 23, 2015
Thank you I appreciate your support of the intent of this forum.
September 24, 2015
If he is sending you rude, threatening and vulgar comments, make sure to make copies of all these, get the account names and have your atty subpoena RealSelf so you can prove that it is coming from this doctors office and/or employees and/or associates and that will reflect even worse in your lawsuit against him. GOOD LUCK! WE ALL SUPPORT YOU!
April 2, 2021
He used 11 syringes for around the eyes??
UPDATED FROM songvoice
2 months post

GREAT NEWS! Excellent reversal results!

songvoice
I am easily the happiest woman om this planet right now! I have my first filler reversal session with the new practitioner today and wow!!!! Look at these results! I am crying with joy! To add to this glorious blessing, it only cost me $75.00 because I was treated as a return customer! What a gift after the very difficult, emotionally draining experience I've had along the way. I go back in two weeks for a follow up :-) thank God for this outcome!!!

Replies (5)

May 6, 2015
The product she used to reverse the Perlane is Hylenex! Some spots were a little tricky as she said the Perlane filler was injected very high above the rim, but this stuff is working like a magic eraser!!!!!
May 6, 2015
IT appears that you had a great result with " the dissolver" ,I am happy for you. In my humble opinion after looking at your before photos you did not need it.... you are beautiful.
May 7, 2015
Thank you so much! Funny you should say this. My husband and I were shocked when we went back to the original doctor and saw the before and afters they took at his office. I looked beautiful and 10 years younger in my before. My after looked terrible and old. My husband was NOT happy, but we are finally able to put it behind us on this reversal path. Thank you again for your kind comments!
May 16, 2015
I can't find any post that states that you are trying to get your money back. Just wondering if your dr is giving you a refund. Also I agree you are very pretty and I am sorry that you did this. I'm glad the reversal is working though. I just hate that you went through all of this. It's strange so many people say only use a board certified MD and the both times that I did I was not happy. I go to a nurse at my ps office and she is the best. It's just so hard to find a good injector and the most expensive aren't always the best. Good luck to you.
May 16, 2015
Hello and thank you so much for your comment. The Dr. Did not offer me a refund, however, he attempted to fix it at no cost. That attempt failed. I would love to have all that hard earned money back. However, I entered into the agreement to pay the quote price for the material and service. It's my loss all the way around and greatest on learned. You are so right about who is doing the injecting. I have now learned that just because a person is a qualified surgeon, it does not mean not guarantee, that they will be an expert filler injector. This is a learned fact I'my case. The person who has turned out to be the right person in my case, is a degreed Physician Assisant, who is also National and International expert trainer in filler injections, for the actual manufacturer of this particular product! She does not advertise, does not have a profile on Real Self or any social media, etc. she doesn't need to. Digest on that for a moment! :-) it says a lot!
May 16, 2015
PS... Sorry for all the autocorrect typos! Hard to maneuver via smartphone!
June 9, 2015
so happy for you!!!!!!!!!! looks so much better.
June 21, 2015
Thank you! I agree!
June 9, 2015
i just had to have a area under my eye dissolved as well i was so scared to do it but i went to another dr and it looks so much better!
June 18, 2015
Wow what a recovery! The things we women do in the name of "beauty!" Your outcome is very beautiful. I have also highly considered going to your initial doctor. I am now looking in my local area for highly skilled/reviewed doctors. Thank you so much for sharing your story with us "the world" I know it's time consuming, but if it weren't for people like you it's hard for others to make informed decisions. Thank you again for sharing.
June 21, 2015
Your welcome. I wish this result would not have happened in the first place but it is important to provide these reviews, especially when doctors give you the link to this site in order to give them reviews, such as this doctor did. I am doing much better now as this horrific result and experience continues to fold deeper into the past, though additional comments from this doctor attempting to discredit me and my results and pictures as false, and now attempting to slur or infer a psychological issue is disappointing unethical. His own comments all over my review are disturbing to say the least. So disappointing. Good luck to all. If I were you I would consider every review you read about anyone on this site, and make your own judgment. What happened to me may not happen to you, but you should always be aware that no doctor is perfect and even the greatest have had bad results. I pain over the fact that if this doctor believed everything he now says about my result and the reasons he thinks they occurred, then I struggle to understand why he went through with performing the procedure that could cause such a horrific result. Moving on from this situation has been my best step forward. I will not be responding to further posts on this review going forward. Let the truth stand, and let others believe what they want. Such is the way of things always. Be and stay well!
UPDATED FROM songvoice
2 months post

Dr. Review Periorbita and Temple Balancing with Perlane

songvoice
Note to anyone considering this product for use in your tear troughs or around your eyes. I believe you should do your homework on what types of filler is best for the different areas on your face before you commit. Check the manufactures information provided to doctors on all products, and get several opinions from filler injection experts, such as the national trainers for the companies that make them. Collect a lot of opinions and read a lot of reviews. This will still not guarantee your outcome, but it will help discern what product and how much is safe to use on any area of your face.

Here is the review I gave Dr. Maercks under my new account "FaithBook" on May 4th, while trying to close this one. However, Real Self combined them both into this one instead, where I not had yet give the Dr. a review. Below is the full official account of my Perlane experience with Dr. Maercks.

In January of 2015, I had a consultation with Dr. Maercks for his facial balancing procedure. I found his character, professionalism and level of intelligence to be very impressive! His office and staff are wonderful. Better treatment is very hard to find!

Dr. Maercks reminds me of a trend setting, cutting edge personality, who is unafraid of pushing boundaries set forth by those before him, in order to raise the bar. I mean this is the utmost sense of all that is good-willed and positive.

I was initially interested in fat transfer facial balancing, but feared the fact that it was permanent, and there was no way to gauge a result without going through the very costly surgery to do it. Dr. Maercks then discussed the option of temporary filler. My husband and I decided to test if his facial balancing procedure was right for me using filler before I would commit to fat transfer. Dr Maercks recommended that I have the treatment applied to my periorbita area as the most bang for my buck, quoted at $5,100.00.

I reviewed results of his own application of juvederm (similar to Perlane) to his face and periorbita (includes tear troughs), which is publicly displayed on his youtube site. His results are impeccable! There weren't many client results available in pictures for my husband and I to review, but his own demonstration on his own face, and our impression of him and his staff in person was good enough for us.

I traveled to Miami and had the procedure done on March 13th. During the procedure, Dr. Maercks realized he needed to add one more CC to my left eye, bringing the total to 7 CCs. During the application we saw that my temples were very hallowed, which stood out more now that the filler had been applied to my periorbita, so I had 4 more CC's applied. (2 to each temple). I had a total of 11 CC's (MLs) of Perlane applied that day.

The procedure itself was easily tolerable and almost painless. Dr. Maercks has a very interesting and unique method for applying filler. I found it quite fascinating. His bedside manner is outstanding and he takes his time explaining everything he does. He is very careful and respectful. He does not use numbing cream, but freezes the skin with a harmless product, and adds a numbing agent to the filler. It seemed to work very well!

When he finished, I was extremely swollen on both sides, and bruised under my left eye. This wasn't abnormal under the circumstances. However, when I got home, it got a lot worse. The bruise under my left eye increased as did the swelling, which increased the downtime to 2 full weeks. I was not expecting this result after speaking with Dr. Maercks about what the average downtime his patients experienced, to which the answer was several days and almost no bruising. However, the truth is that no two patents are alike and it is very possible that one can experience massive swelling and bruising, while another experiences none at all. So while I was not delusional about this fact, I was extremely disappointed that for me, it took 12 days for the swelling and bruise to go away.

At 4 weeks post after all was said and done, I had a horrific result with the Perlane applied to my periorbita and temples--rendering significant dents, bulges and discoloration as can be seen in the pictures. Due to other obligations and the distance between my home location and Dr. Maercks office, I wasn't able to get in to see him for correction until week 6 post the initial procedure. Dr. Maercks was very sensitive, empathetic and sympathetic toward my results and needs. He was also very generous in offering 2 additional CC's of Perlane (1 for each tear trough) and some Hyaluronidase to dissolve the large bulge under my left eye, free of charge, and applied on the same day. This honest attempt to correct my result did not work. It unfortunately rendered a worse result, and did not address the dents and bumps outside my tear troughs and around my periorbita.

I am now in the process of reversing the initial and corrective procedure with another practitioner. Not because Dr. Maercks wouldn't care for me. I really liked his ideas, it's just unfortunate that my actual results don't match up to my experience with his practice otherwise. My husband and I are very disappointed because we do like Dr. Maercks and hoped for a long-term relationship. It is my choice to use another practitioner, as well as a different product and method at this juncture. The good news is that because Perlane is an HA filler, it can be completely reversed. I am very relieved that I chose the trial route with filler as opposed to the permanent fat transfer route.

My experience is but one experience. This doesn't mean that everyone or even anyone will experience the same. I did my homework with Dr. Maercks and there was absolutely nothing to cause me to fear this result would occur. It just happened, and is very important that I (and others) are very honest and detailed about their experiences when giving a review. I have read mostly great reviews about Dr. Maercks, though very few pictures included with them. I have read less than a handful of bad reviews, with no pictures included, which all seem to attack his character. I cannot agree with any of those reviews, even though I am devastated at my results and what I have to go through to correct them.

From all my experiences with Dr. Maercks, I can honestly say that I believe he is a good guy, as well as is a very smart and caring Dr.

If you are considering a procedure with Dr. Maercks, I believe you need to make the decision after meeting him and doing all the homework yourself. Reading other peoples reviews is not a guarantee of your own results. Be keen and be careful! I wish Dr. Maercks and his staff the very best! Good luck to you as well!

Replies (2)

June 20, 2015
Please be careful with assumptions made from a solitary review. To make any kind of true judgements standardized pictures are required which I have provided to this patient and kindly asked her to use instead of blurred altered and shopped photos. My practice treats patients every day with high volume HA filler balancing with exceptional patient satisfaction and wonderful results. Keep in mind that one practitioner can not be accountable for previous treatments in the spa or other medical offices and each patient is different in this regard. Plastic surgical interventions are not magic erasers and do not obviate past traumas and treatments. There are many different motivations and psychological needs that lead people to post negative reviews. I warn all to be cautious of claims that are not supported by clear pictures accurately depicting starting point and post treatment status as well as clear pictures of any claimed "reversals." There is a lot that must go into the decision of selecting a practitioner and positive and negative reviews should always be assessed for authenticity and motivation. I hope this helps and all the best to all Realself readers!!!
September 24, 2015
Now now Dr. Maercks, you used an abnormal amount of non-FDA approved (in tear trough) product in your patient, how can you, could you dispute that. I read everything on different fillers and by far you overfilled this lady without doubt. Not only did you over fill her, the lumps and bumps show you did NOT go deep enough and you deposited in globs rather then feathering and smoothing. Its very apparent your work is amateur! This forum is for us, the people that have had treatments, be it good or bad this forum is for us to warn others or to encourage others. It's NOT for you to get on here and try to debate and/or "state your case". The pictures are proof of the botched work and hopefully you have learned a lesson from this patient. You always, always use 1ml syringe at a time. Less is more! If in a week your patient doesn't feel she had enough and the effect is loved, then you offer more. To throw in 7cc's - 11cc's is insane. SHAME ON YOU! Remember Dr., this is her experience to comment on, not yours!
June 22, 2015
Excuses! Additional comments from this doctor on June 20 2015 attempting to discredit me and my results from his work and these pictures as being false, (of which they are not!) and now further attempting to slur or infer a psychological issue underlies this review is disturbingly unethical on his part to say the least!

The positive side of being able to read his comments here is that you get experience first hand who you be dealing with if you choose him and something goes wrong.

No this doctor doesn’t consider that maybe my results from his procedure were like that because he used a product that is not recommended as the best filler for the tear troughs, as well as having used far more than is recommended at any one given time by the manufacturer, and according to my new practitioner, he applied it above the rim--which according to her is an industry no no. It was quite tricky for her to remove. Nope, for this guy, it’s all these other excuses of which, if he truly believes is why this horrific result occurred, and he knew about it beforehand, it begs the question, “why would he then ethically go forward with the procedure?” He recommended this procedure saying it would be the best “bang for my buck.” This whole situation with his comments has become comical. What a disappointed this guy is!

To his credit, he used a product that is reversible. This is the saving grace of my entire experience. My new practitioner has reversed this horrific result, and I have moved on from this original doctor and experience. Because of that, I will no longer post replies here, regardless of what he continues to write. If you would like to know more, feel free to send a direct message.

Good luck to you!
June 22, 2015
Dear Songvoice,

It is great news to hear you are happy and I am happy for you. I am also happy to hear that you will discontinue posting here. I would like you to take a moment however to consider the appropriateness of this post of "Horrific results" and your attack on my ethics, practice and person. I know that in your heart you carry the truth that I am an ethical person and practitioner that deeply cares for the well being of my patients. Please recall that you NEVER walked out of the door of my practice anything but happy. You also NEVER walked out the door of my practice with any concerns unaddressed. You received patient thoughtful and warm tailored care from me. Please also realize that the area you are criticizing here, the tear trough is less than 5% of the treatment you received. On our last meeting we reviewed your pictures and I spent detailed time with you to exactly understand your concerns. You agreed that the areas I treated, the brow, cheek, high malar region, temples and supraorbital rim were dramatically improved. You were not happy about a bumpy appearance that showed in certain lighting situations. We took the first gentle ( and completely complimentary) step in improving this area that is a small part of your overall treatment and as you know completely treatable. After achieving some immediate improvement you left happy with planned follow up and then proceeded to post that I did horrific things to your face.

I know that you as a spiritually focused woman realize that this is not appropriate and really gives the wrong idea to other potential patients out there. This kind of attack is indeed damaging to my practice and is a disservice to other potential patients as well. Again any procedure can have hick ups and have different responses in different patients and different patients react differently to similar changes. This is all ok and even in the worst outcomes and physical or psychological responses all can usually be corrected to have a happy patient in the end as long as there is an intact doctor patient relationship. I provide treatments like yours on a daily basis with all kinds of patients with all kinds of unique challenges but end up with happy patients and wonderful results. Occasionally it takes more than one intervention to get things perfect. Although we will not re-enter the doctor -patient relationship I would hope that you could carry some respect and thoughtfulness with you. It is exceedingly rare for me to have an unhappy patient after treatments and I am deeply sorry that your experience was anything but wonderful with my practice. I did do my best to ensure your happiness but that did not happen. You know very well of the professionalism with which I conduct myself and of the positives that I delivered to you. Again I ask that you rethink the descriptions here as they represent, well, something "horrific." I wish you the best in all your future endeavors.