
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.
Kybella Sculptra Radiesse (classic, plus) Xeomin Dysport
So what all has been done here? #kybella for submental fat to enhance the jawline.
Lip filler
1/2 syringe touch up for these beauties. She gets them done about every 9 months.
PRFM
PRFM (Platelet Rich Fibrin Matrix) for the undereyes. All natural treatment. No dermal fillers were used for this. This was just after one treatment, she has two more left. So stay tuned. .
PRFM
PRFM under eye treatment. All natural. Using his growth factor to improve the under eyes.
Baby Tox Dermal Filler Radiesse
Getting prettier year to year! So over the past two years we’ve been making slight changes.
Sculptra Selphyl PRFM
I had @sculptraaesthetic injected into my mid face and @selphylprfm injected into my under eyes. Combining these two yields amazing results. #Sculptra ignites an inflammatory response that helps tell the Mesenchymal stem cells where to go and what to do. Synergistically they work together.

