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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.

Radiesse - B&A 30

Surgeon:

Radiesse was used for this midface enhancement.  Notice how his bi-zygomatic with doesn’t equal or match his bi-gonial width. So the goal was to balance out his face by using 2 syringes of #radiesse. Cannula technique was used, 22g 2 inch.

Brow lift - B&A 4

Surgeon:

Look at this radiant skin! This is a two week follow up appointment from having a toxin treatment. Look at the fine lines (11’s & forehead) and how much they have improved.

Brow lift - B&A 1

Surgeon:

#browlift using toxin. This was my cat eye injection pattern that I like to do, and involves about 3 or 4 injection points. Dosage and cost varies.

Radiesse, Sculptra & Dysport - B&A 4

Surgeon:

As we age our face becomes more square and she complained of her face “sagging.”

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Restylane Refyne & Defyne

Surgeon:

Sculptra Xeomin

Surgeon:

Lip filler - B&A 57

Surgeon:

Cannula & Needle technique- i really enjoyed this combination technique.

Non-Surgical BBL - B&A 5

Surgeon:

Non-Surgical Nose Job & Lip Filler - B&A 1

Surgeon:

Non-surgical BBL - B&A 2

Surgeon:

Non-Surgical Nose Job, Lip Filler & Cheek Filler

Surgeon:

Restylane Contour

Surgeon:

Nefertiti Lift & Hyperdiluted Radiesse

Surgeon:

Chin Augmentation with Radiesse

Surgeon:

Chin Augmentation with Radiesse

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PRFM Hair Restoration - B&A 1

Surgeon:

PRFM Hair Restoration after just 2 treatments.

Radiesse, Kybella & Xeomin

Surgeon:

Restylane Refyne

Surgeon:

Botox - B&A 17

Surgeon:

Amazing what subtle changes can be achieved with full face botox.

Xeomin - B&A 12

Surgeon:

Before and after Xeomin treatment. Wrinkles erased.

Sculptra - B&A 6

Surgeon:

This client is 5-6 weeks status post full face sculptra.

Facial Slimming, Radiesse, Lip Filler & Xeomin

Surgeon:

#xeomin for facial slimming (temples & jaw), and full face toxin.

Lip & Cheek Filler - B&A 3

Surgeon:

Requested for top lip to be lifted, chin to be more square, and cheeks to be more masculine.

Lip & Cheek Filler - B&A 2

Surgeon:

Before, after, and healed.

Non-surgical BBL - B&A 1

Surgeon:

Restylane Kysse - B&A 7

Surgeon:

A touch of Restylane Kysse for a subtle and natural appearance to the lips

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