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Ultrasound-Guided Filler Dissolving (Hyaluronidase Injection) - B&A 2

This is a perfect example of ultrasound-guided accuracy in dissolving dermal filler. This client struggled with a persistent pocket in the anterior cheek for years—despite multiple prior dissolving attempts elsewhere. Using real-time imaging, I was able to identify subtle filler transition into the superficial medial cheek fat—a common but often missed culprit for puffiness.Fun fact: This was actually one of my very first ultrasound-guided Hylenex cases from almost three years ago. Having spent nearly a decade working with ultrasound in various clinical settings, I’ve gained a lot of experience along the way.I recently came across this image again and felt inspired to share it. I truly appreciate the trust of my clients and colleagues, and I’m grateful for the opportunity to continue learning and growing through each case.Stay tuned for more insights and case highlights — I’m thankful to be able to share these moments, thanks to the permission of those I treat! 🙏

Lip filler dissolver

Surgeon:

She came in complaining of old lip filler that migrated above the upper lip.  We decided to dissolve the old filler and start fresh. So how does this happen? 1. Poor product choice 2. Poor injection technique 3. Too much too fast Choose your provider wisely. An experienced practitioner can help you avoid these pitfalls.

Dysport - B&A 18

Surgeon:

Full face wrinkle treatment with Dysport.

Botox - B&A 18

Surgeon:

Before and after 1 week out.

Lip filler - B&A 86

Surgeon:

The goal was to bring height to the top lip without making it wider and the goal for the bottom lip was to make it wider and pouty.

Lip filler - B&A 85

Surgeon:

Lip fillers for this first timer.

Lip filler - B&A 84

Surgeon:

Lip filler for this first timer. ⁣

Lip filler - B&A 83

Surgeon:

BEFORE - AFTER - 2 WEEKS @revanesse#versa full syringe was used.

Lip filler - B&A 82

Surgeon:

Full syringe for these beauties.

Xeomin - B&A 15

Surgeon:

Gummy smile correction with Xeomin.

Dysport & Xeomin - B&A 2

Surgeon:

Dysport and Xeomin combo for brow lift and wrinkles.

Xeomin & Dysport - B&A 2

Surgeon:

Get rid of those pesky 11 lines! These were done over a few sessions. Used a neurotoxin to stop the muscle from contracting. You have to completely freeze the complex including the depressor supercilii and nasalis due to a compensatory pull. The dermal filler Versa was placed in the lines strategically to optimize safety. This area is very dangerous as the supratrochlear artery runs through this area.

Jawline & Lip filler

Surgeon:

Jawline, chin, mid face, downward turn of the mouth, lips and nasolabial fold treated.

Xeomin - B&A 14

Surgeon:

Facial slimming with the #neurotoxin#xeomin® Want to look like you lost 20 lbs with out dropping any weight? Here’s your answer.

Lip filler - B&A 81

Surgeon:

Been overseeing these beauties for over three years now. We built them up year one and have been doing half syringes on a yearly basis.

Kybella - B&A 4

Surgeon:

Kybella to melt chin fat to enhance the jawline.

Radiesse - B&A 34

Surgeon:

Mid face correction with @radiesse. 3 syringes was used. Visit website www.bougieaesthetics.net to see blog post on Radiesse and all the areas it can be used.

Chin Filler - B&A 4

Surgeon:

Chin Augmentation with #chinfiller

Calf Enhancement with Radiesse

Surgeon:

Calf Enhancement with Radiesse.

Hyperdiluted Radiesse - B&A 2

Surgeon:

Cheek & Chin Filler

Surgeon:

Radiesse for chin and cheeks. ⁣

Lip filler - B&A 80

Surgeon:

Great depiction of building lips out over two separate sessions.

RF Microneedling - B&A 2

Surgeon:

So this is the front of the neck vs the back of the neck. No one really does RF Microneedling to the back of the neck which makes this an amazing example. This was after just one treatment. PRFM was also injected directly into the lines directly after the RF treatment was done.

Lip filler - B&A 79

Surgeon:

DAY BY DAY depiction for lip filler as it settles

Lip filler - B&A 78

Surgeon:

She came in for her yearly touch up. She’s been with me for nearly 3 years now.  So how do I maintain a natural looking lip over the years? Product choice, volume, injection technique, and know when to say no. Feel free to DM me for any questions.

Cheek Filler - B&A 7

Surgeon:

Cheek filler was placed in the mid face and lateral cheek.

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