What do you recommend for over-filled and migrated nasolabial folds?
A patient asked 4 years ago The last time I had filler in my nasolabial folds was 2 1/2 yrs ago. I didn't think that was possible to let that long, but recently learned it is. Also, some of my 'aging' I figured out is actually migrated filler. I discovered a finger length of filler migrated to my low face! What should I do to restore natural folds and cheeks? How can I find all of the migrated filler? I understand it can be dissolved
1 Answers
Dr. Elham Jafari Staff answered 3 years ago Enzyme Injection for Fillers
Hi and thank you for your question! As you indicated, it is quite rare for hyaluronic acid fillers (other than Voluma) to last this long. You did not mention the exact type of filler you got 2.5 years ago, so the first step is to determine the exact type of filler and ensure it was indeed a hyaluronic acid filler, since that's the only type that can be dissolved with hyaluronidase. Additionally, you need to keep in mind that despite having fillers, the normal aging process continues and you need to exercise great caution in linking your current concerns with filler injected 2.5 years ago. If possible, comparison of serial pictures taken over the past couple of years combined with detailed physical examination by your experienced cosmetic doctor should help. This is very important as you do not want to subject yourself to unnecessary (and potentially harmful) injections unless your doctor can determine that your issues are indeed caused by residual fillers. I hope it helps and good luck!IMPORTANT: These answers are for educational purposes only and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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