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-L - B&A 2
2 syringes of Restylane-L was used with cannula and needle technique for her first session.
Restylane Defyne - B&A 3
1/2 syringe of #restylanedefyne. Like I always say, it’s not about how much filler you use.
Botox - B&A 11
Full face #botox injections. Glabellar complex - 20U Frontalis - 22U Orbicularis Oculi - 24 total Orbicularis Oris (lipflip) - 8U Levator Labii Superioris Alaeque Nasi (gummy smile)- 4U Mentalis Muscle - 6U.
Botox - B&A 10
Gummy smile and lip flip combo. When you smile, the bottom part of your top lip should line up with the top of your teeth.
Liquid Rhinoplasty - B&A 1
Narrowed the bridge and camouflaged the hump in this #liquidrhinoplasty.
Lip filler - B&A 32
1/2 Syringe touch up of #restylanekysse for these already gorgeous lips.
Dermal Filler - B&A 9
4 syringes of #dermalfillers used for #facialbalancing. Filler was placed in temples, cheeks, anterior jawline, and chin. Both needle and cannula techniques were used.
Lip filler - B&A 31
It’s amazing what a 1/2 syringe can do when choosing the right product and knowing where just to put it.
Chin Filler - B&A 10
2 Syringes of filler to augment the chin and anterior jawline using cannula and needle techniques.
Selphyl PRFM - B&A 3
Platelet Rich Fibrin Matrix #prfm was used for #teartrough, #nasolabialfolds, and #cheeks.
Vollure
Full syringe of #vollure for this #gorgeousgirl. My goal was to give her a sharp, crisp look without much volume. Vollure was the perfect choice 👍🏻.
Lip filler - B&A 27
This is session 1 for this beauty. With M-shaped lips 👄 this small, I inject them in 2 to 3 sessions in order to get the desired outcome. Majority of the filler was placed in the upper lip. Techniques used...fencing, hashtag, and linear threads.
Restylane Defyne & Restylane Kysse
1 ml of Restylane Defyne and 0.2 ml of Restylane Kysse for these beauties.
Revanessa Versa - B&A 1
Full syringe of #revanesseversa. Their new syringes have 1.2ml in them 😁.