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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.

Jawline Filler

Surgeon:

Masculine Package – Jawline Contouring with Radiesse 💪✨

Xeomin Restylane

Surgeon:

Parallel lines of beauty, IYKYK. This is her second treatment! The first session included a full-face refresh with #Xeomin and #Restylane for the lips — giving that glowy skin and beautifully plump lips. ✨

Sculptra Temporal Brow Lift

Surgeon:

How much lift from the Sculptra Temporal Brow Lift? 👀No neurotoxin here — this is 100% Sculptra and the lift speaks for itself! 🔥Results last over a year, giving that refreshed, snatched look without surgery.

Chin + Lip filler Full face toxin Lutronic Ultra laser skinpen microneedling sculptra radiesse

Surgeon:

Before and after from being seen at Bougie Aesthetics for 2 years ✨This gorgeous transformation is the result of consistent, customized treatments designed to keep the face balanced, refreshed, and natural.

Hyelenex

Surgeon:

This lovely client came to me with old misplaced filler, resulting in misshapen lips.

Chin filler

Surgeon:

✨ When I smile, my chin dimples! ✨Her main concern was the dimpling that appeared every time she smiled — and yes, we can fix that! 🙌

Sculptra Dysport

Surgeon:

Collaborative care at its finest. 💫

Sculptra Temporal Brow Lift

Surgeon:

Before & After — Sculptra Temporal Brow Lift ✨Performed at Bougie Aesthetics in Fort Worth, Texas.

Sculptra Temporal Brow Lift

Surgeon:

Why does this happen?The Sculptra Temporal Brow Lift works by transposing the superficial fat pads of the face.

Sculptra Dysport

Surgeon:

✨ Jawline enhancement results ✨

Forehead filler Sculptra Eye opening tox

Surgeon:

Forehead Filler | Sculptra Temporal Brow Lift | Eye Opening Toxin Technique

Chin filler

Surgeon:

CHIN FILLER | Before & AfterA subtle yet powerful enhancement using Radiesse placed supraperiosteally to emulate bone structure and Restylane Defyne placed subdermally to recreate soft tissue.

Sculptra

Surgeon:

Sculptra results that speak for themselves! 👏

Nefertiti Lift

Surgeon:

✨ Nefertiti Lift Results! ✨

Lip Filler 17

Surgeon:

Full syringe of #volbella for this first timer.

Rhinoplasty 7

Surgeon:

Client requested her tip to be lifted & nose to be straightened.

Cheek Filler 3

Surgeon:

2 syringes of Restylane-L was used with cannula and needle technique for her first session. Mid-cheek correction is session 1 and tear trough will be session 2.

Lip FIller 16

Surgeon:

1/2 syringe of #restylanedefyne. Like I always say, it’s not about how much filler you use. It’s the choice of filler and techniques used to achieve the desired outcome. I choose my fillers by the outcome my clients are trying to achieve. I like to take the time to find out what their goals are before ever touching them. That’s how I decide the amount of filler and the type.

Chin Filler 5

Surgeon:

A subtle yet powerful enhancement using Radiesse placed supraperiosteally to emulate bone structure and Restylane Defyne placed subdermally to recreate soft tissue.

Full Face Botox

Surgeon:

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.

Gummy Smile and Lip Flip

Surgeon:

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.

Rhinoplasty 6

Surgeon:

Narrowed the bridge and camouflaged the hump in this #liquidrhinoplasty.

Lip Filler 15

Surgeon:

1/2 Syringe touch up of #restylanekysse for these already gorgeous lips.

Dermal Filler 3

Surgeon:

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 14

Surgeon:

It’s amazing what a 1/2 syringe can do when choosing the right product and knowing where just to put it.

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