Stay Don’t Stray - Dermal Filler Migration and the Dissolving Dilemma
Commitments can be tricky to fully master in life, whether it’s picking a major your freshman year of college, settling down with the right person, or as many have learned the hard way when choosing their signature hair style. How many of us have gotten bangs, and then regretted it? The answer: too many. These dilemmas of dedication bring to mind one of Shakespearean proportions when treating with injectable fillers. To dissolve or not to dissolve? That is the question. Whether you feel like you may have gone a little overboard with lip injections, need to correct improperly placed existing filler, or seek to remedy migrated product there is hope in the deft dissolving power of hyalurondaise, or name brand Hylenex.
No matter reason in considering dissolving with hyalurondaise, what can be done in practice of dermal HA fillers can also be un-done. Hyaluronic Acid, which occurs naturally in the body, also comprises many of the most commonly used dermal fillers we’ve all come to know and love such as Juvederm, Restylane, Belotero, and Versa. Once injected the body breaks down the HA fillers naturally and Hylenex allows injectors to speed that process up significantly to remove filler from a treated area. Only experienced and highly qualified injectors, such as Dr. Steven Porto at Porto Cosmetic Surgery in Fishers, Indiana, should be tasked with dissolving fillers should the need arise.
As the popularity of filler treatments among celebrities and social media influencers has increased and the candor regarding their use of these treatments for maintaining a youthful glow, so have the number of treatments globally among the general population. This increase in demand of dermal filler injections has inspired variety of new facilities and injectors who may not be as well versed in both the products and practice of injectables. Patients often seek the help of injectors like Dr. Porto following treatments done by less experienced injectors who have misplaced, overfilled, or incorrectly followed treatment protocol with dermal fillers. Especially in regard to filler that has migrated from the original treatment area but in actuality is a fairly uncommon complication of dermal filler injections.
Common causes of migration can include too much filler product in an area, treatments performed too close together, improper product use for a treatment area, too much handling of the treatment area post injection, and finally poor injection technique. Careful selection of highly skilled injectors, such as Dr. Steven Porto and nurse injector Katy Barnes here at Porto Cosmetic Surgery, serves as a first line of defense against potential issues that can arise following filler. Providers can also equip their patients with proper product knowledge, treatment education, and aftercare instructions to ensure dermal filler continues to stay right where it was intended. Happy and rejuvenated patients yield even happier providers.
There are a host of reasons a patient may need filler dissolved ranging from the aesthetic to the more rare and emergent adverse reaction to injectables. Lumps and bumps following the placement of filler or the irregular look or feel of the product even after gentle massage could mean dissolving may be the best course of action. Treatment areas like lips or under the eyes have such thin and delicate skin that misplaced or migrated filler can be readily apparent to even the untrained eye. Commonly treated areas for hyalurondaise can include the lips, cheeks, under eye, chin, jawline, nasolabial folds, and marionette lines. Patients should always communicate with their injector any previous or existing filler or treated areas to avoid any potential filler misplacement or overfilling.
A reduction in volume can begin immediately following the introduction of hyalurondaise in a treated area but due to swelling noticeable change may take up to 72 hours or more. Most treated areas can be dissolved within a single Hylenex treatment visit but occasionally more than one treatment may be needed to completely dissolve a tougher or more heavily treated area. Much like a typical filler treatment in an office visit, Hylenex is injected after applying a topical numbing cream to the desired area. Burning or tingling following this treatment to dissolve filler especially in more sensitive areas such as the lips or under eye area but only temporary.
Of course, despite the skill level or experience of an injector, patient anatomy still plays a key role in where filler ultimately settles post treatment. Being equipped with product knowledge, superior injectors, unparalleled technique, and proper aftercare allows each patient at Porto Cosmetic Surgery to rest assured their filler is second to none. So fear not the dreaded filler’s remorse and take the plunge! Call to schedule your consultation today!
