Many patients coming to our office have been treated elsewhere with fillers such as Restylane, Juvederm, and Radiesse, who have had this placed either too superficial or too deeply, both of which can be problematic. When the HA (hyaluronic acid) fillers, such as Restylane and Juvederm, are placed too shallow, they can leave a distinct line or a permanent bluish discoloration. When Radiesse is placed too shallow, the result can be a prominent white discoloration from the filler itself or red discoloration from inflammation around the Radiesse particles. Unfortunately, there is very little that can be done about Radiesse placed too superficially aside from applying steroid ointment and occasionally removing the particles if they are just beneath the surface. For the HA fillers, like Restylane and Juvederm, an enzyme can be used to break down the portion of the material that is too shallow. This requires that the enzyme is placed in the proper level of the skin to get a good effect; many doctors are not comfortable with performing this technique, but it is something that we routinely perform at both our Kenwood (Cincinnati) and Centerville/Dayton offices.
If fillers are placed too deeply, the main problem is suboptimal improvement of the fold or line you are trying to address and all too often we see patients that have been treated elsewhere with one or more syringes without any apparent improvement. Injectible fillers are wonderful for improving lines and folds in the face and restoring youthful curves of the face, but these techniques require experience and skill, and the majority of doctors are not fellowship trained in these techniques. If you would like to see some examples of results that are possible with Restylane, Juvederm and Radiesse, click on this link to the before and after page. We look forward to helping you achieve the best possible results!
http://www.cincyfacialplastics.com/Injectable_Fillers_01.html
