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Ultrasound-Guided Hyaluronidase (Filler Dissolving)

HA Filler— Probable Late Onset Granuloma with Edema/Swelling. Ultrasound dissolving Case. This lovely patient was referred to me by a thoughtful injector after noticing a moderate granulomatous nodule that developed years after HA filler—not even in the undereye! After a virtual consult, I suspected late-onset granuloma, based on her clinical presentation.Fun fact: We animate our faces 10,000–20,000 times per day—smiling, frowning, talking—which explains why filler injected superficially or in large volumes can shift along paths of least resistance, especially over time.I started her on doxycycline pre-treatment (1-2 days before) given the small area of redness and tenderness she experienced, followed by targeted ultrasound-guided hyaluronidase to dissolve.This is a true before-and-after from the same day— after dissolving. 🙌 Grateful to my patient for letting us share her journey, and hats off to the injector who did the right thing by referring her over. This is the kind of collaboration that lifts our industry, happy for the patient and look forward for her to return to her injector. 📆 Follow-up in 1–2 weeks.

Restylane - B&A 1

Surgeon:

Nonsurgical Rhinoplasty Resty-L was used to hide the hump and sharpen the tip.

Restylane, Radiesse & Dysport (facial balancers)

Surgeon:

Xeomin & Botox

Surgeon:

Jawline Filler - B&A 8

Surgeon:

Did you know woman lose their gonial angle as they are? RADIESSE is FDA approved for the jawline and is an amazing filler to bring back that youthful jaw. ⁣

Lip filler - B&A 95

Surgeon:

Hyperdiluted Radiesse for Lipo Fibrosis Correction

Surgeon:

Radiesse - B&A 39

Surgeon:

2 syringes of Radiesse. One for the chin and other for midface. Cannula Technique was used.

Lip filler - B&A 94

Surgeon:

1/2 Syringe of Defyne.

Non-Surgical BBL - B&A 7

Surgeon:

Neurotoxin - B&A 7

Surgeon:

Can neurotox like #botox#dysport®#xeomin® help minimize upper eyelid hooding? Here’s an example of realistic expectations. So how does this happen? Injecting into the muscle that surrounds the eye (orbicularis oculi) and not injecting the forehead muscle (frontalis) to allow it to lift the brow. If you’re wanting more improvement than what is posted here then I’ll refer you to Oculoplastics @drvrcek for a surgical consultation.

Non-Surgical BBL - B&A 6

Surgeon:

Dysport, Sculptra, PRFM, Belotero & Radiesse

Surgeon:

COLLAGEN STIMULATION at its finest. Let me break this treatment plan down…..1.

Lip filler - B&A 93

Surgeon:

Xeomin - B&A 19

Surgeon:

Xeomin - B&A 18

Surgeon:

I used a #xeomin® filter 🤣😂.

Hyperdiluted Radiesse - B&A 3

Surgeon:

HYPERDILUTE RADIESSE was placed in the midface using cannula technique.

Chin Filler - B&A 12

Surgeon:

Selphyl PRFM Sculptra

Surgeon:

Revanessa Versa - B&A 4

Surgeon:

PRFM, Xeomin, Radiesse, Sculptra, Microneedling, ZO Skin Care & BBL/IPL

Surgeon:

Radiesse - B&A 38

Surgeon:

#radiesse® chin augmentation in multiple phases to accommodate tissue expansion.

Chin, Jawline & Lip Filler + Botox Brow Lift

Surgeon:

Chins, lips, cheeks, and brow lift compliment one another so well in facial balancing.

Dysport PRFM Dermal fillers

Surgeon:

Brows lifted with Dysport, under eyes brightened with PRFM, and deep lines filled with dermal fillers. This process didn’t happen overnight.  It’s been done over multiple sessions and we are still working to improve it even more.

Non-Surgical Nose Job & Lip Filler - B&A 2

Surgeon:

Lip filler - B&A 92

Surgeon:

Time for her yearly touch up.

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