Why Hyaluronic Acid Fillers can Remain Longer than Expected, and How to Treat it
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New York facial cosmetic surgeon Amiya Prasad, M.D. reviews what can be done about hyaluronic acid fillers that haven’t metabolized, including: how these fillers can reach a deeper level than originally placed, or migrate past its original location; the possible causes of rare reactions to hyaluronic acid fillers; and how hyaluronidase treatments may not dissolve all the filler material, due to the practitioner’s inexperience:
0:22 - Introduction to hyaluronic acid fillers
1:11 - Dr. Prasad details his background training in cosmetic oculofacial plastic and reconstructive surgery, as well as his experience as an eyelid rejuvenation specialist
2:11 - Variables that can impact the longevity of hyaluronic acid fillers
2:20 - Why thicker fillers are placed in facial areas with little to no muscle movement, and how long they can last
2:38 - Why softer fillers are better for facial areas with more muscle movement
2:55 - How hyaluronic acid exists naturally in the body, and gradually metabolizes hyaluronic acid fillers
3:04 - The possible causes of rare reactions to hyaluronic acid fillers
3:30 - Why the rare incidence of filler encapsulation can prevent metabolization
4:00 - How encapsulated hyaluronic acid fillers can be dissolved with hyaluronidase without the need for surgery
4:22 - What hyaluronidase is
4:40 - Why the precise injection placement of hyaluronidase can be challenging
5:07 - How hyaluronic acid fillers can reach a deeper level than originally placed, which may require additional treatment
5:35 - How hyaluronic acid fillers can migrate past its original location
6:21 - How filler can still be encapsulated after it migrates
6:30 - What biofilm infection is and its effects
7:07 - Why the immune system cannot respond to biofilm infections, and how to treat it
7:30 - How hyaluronidase can dissolve the hyaluronic acid where the biofilm occurs
7:45 - Why biofilm is often misdiagnosed, and can be mistakenly treated
8:09 - Why hyaluronidase treatments may not dissolve all the filler material due to the practitioner’s lack of experience with tissue anatomy
8:56 - How hyaluronidase was previously used as part of the anesthetic procedure for cataract surgery
10:00 - The common fear of hyaluronidase affecting native hyaluronic acid, and why it’s not a significant issue
10:39 - How choosing a doctor with knowledge and experience of the anatomy of the treatment area, and how hyaluronidase can help achieve the best outcome
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