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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:

In the before photo, his jawline is softer with less definition under the chin.

Lip Filler 10

Surgeon:

Full syringe was used to achieve this outcome.

Nose filler (non-surgical rhinoplasty)

Surgeon:

A nonsurgical nose job can lift the tip, smooth a dorsal hump, refine asymmetries, and enhance contour — all with dermal filler and zero downtime.

Brow Lift 2

Surgeon:

Brow lift at the 45 degree angle view.

Dermal filler

Surgeon:

Some people have a “1,” others have “11s” — and this tiny line looks simple, but it’s actually one of the most dangerous areas to inject.

Lip filler

Surgeon:

Fine lines softened. Border refined.No “overfilled” look—just natural, refreshed lips.Lip filler can be subtle when done with intention 🤍

Brow Lift

Surgeon:

Botox brow lift for this young lady. 🤯with the results.

Radiesse

Surgeon:

This transformation was achieved using our Masculine Package, which includes 5 syringes of Radiesse to enhance the jawline, strengthen the chin, and create a sharper, more structured look.

Radiesse

Surgeon:

This before-and-after is a great example of how we can reshape the lower face to create a stronger, more masculine profile.

Forehead Wrinkles 2

Surgeon:

Forehead Wrinkles

Surgeon:

Chin filler

Surgeon:

Look at this gorgeous before and after! Subtle dermal filler placed directly into the chin creates a beautifully balanced lower face, improves profile harmony, and adds that soft definition so many women love.

Lip Filler 8

Surgeon:

Nose filler

Surgeon:

This series shows exactly what happens over time with a nonsurgical nose job (NSNJ).

Nose filler

Surgeon:

✨ Before & After: Just the Tip ✨This patient wanted one thing — a lifted nasal tip — and you can clearly see the difference.

Lip Filler 7

Surgeon:

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.

Nose filler

Surgeon:

Are you losing support at the base?

Chin filler

Surgeon:

In this before-and-after, you can clearly see how adding structure to the chin transforms the entire lower face.

3D Lift

Surgeon:

After performing this treatment on women for years and seeing incredible, consistent results, we finally named it. The 3D Lift is our signature full-face bioregenerative approach that restores youthful structure and improves skin quality — all without using any HA dermal fillers.

Dysport RHA 4

Surgeon:

This approach restored structure and softened her face without overfilling or chasing every line.

Dermal fillers

Surgeon:

What you’re seeing is subtle, strategic refinement—not a new nose.

Xeomin Radiesse Lip Filler

Surgeon:

This transformation was achieved using a strategic combination of Xeomin and Radiesse for facial contouring and balance.

Dysport Sculptra Restylane-L

Surgeon:

This result was created using a strategic layered approach to facial balancing and collagen stimulation not just filler.

Lip filler Restylane-L

Surgeon:

Not every lip needs more volume — sometimes it needs more structure.

RHA Filler

Surgeon:

In the before image, the lips appear thinner with less definition, especially through the vermilion border and central lip body. There’s mild dehydration and softness loss that’s common with age, without obvious asymmetry.

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