The magic wand 🪄 of filler… You have likely heard it before, it is often said and relied on during the decision-making process around getting facial filler - if you don’t like your filler, we can just dissolve it and make it go away. Well the truth is, it’s not that easy, and it’s not that simple. First of all, the enzyme hyaluronidase, used for dissolution, only dissolves hyaluronic acid fillers. Even in that world, for which it is very specific, it is not perfect, let alone even great at dissolving those fillers. The fillers are built to be resistant to degradation, which is what makes them last decades in our tissue! It is unpredictable and far from complete, even with multiple rounds, and even with ultrasound guidance. I surgically remove high hyaluronic acid filler that has been dissolved multiple times with ultrasound guidance on a regular basis. The dissolution itself is also not without consequence. This is a highly debated topic, with many vehemently denying that hyaluronidase can have detrimental effects on native facial tissue by also affecting our own inherent hyaluronic acid. Surgically, we can see the effects of dehydrated soft tissue (usually SMAS) when a patient has had dissolution close to surgery. For many, this recovers, yet for some… Please check out my recent visit with Daniela, 22 years old from Peru 🇵🇪 , to understand her story. An issue that I commonly see, including with Daniela, is that the injector starts chasing problems created by the initial filler by simultaneously dissolving and adding more filler, sometimes at the same visit, or in short succession. PSA: Adding more filler is not the solution to a problem created by filler in the first place. Many of you are shaking your heads: 🫨 Like with many things related to filler, knowledge is power, and understanding the support and fact can help you make ultimate decisions about getting filler in the first place, or getting more filler. What questions do you have? . .
#drc#drchesnutller @Cal Callahan
#fillerproblems #dissolvingfiller