Filler dissolver 'DESTROYED MY FACE'
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- เผยแพร่เมื่อ 25 ก.ค. 2024
- In this video, Dr. Gavin Chan MBBS, General Registration (MED0001175745) investigates why dissolving filler with hyaluronidase gets such a low rating on realself.com. There are many claims that this filler reversal agent causes the destruction of normal tissue. However, without it, we may become 'stuck' with filler problems.
0:00 Introduction to hyaluronidase
1:30 5 expert doctors to provide evidence
2:52 Reversing a case of filler-induced blindness
5:23 The rise of overfilled faces
6:27 Lip filler migration
7:41 The longevity of 'temporary' fillers
9:06 'Stuck' with tear trough filler
10:42 Why 42% rating on realself.com?
11:36 What happens when you dissolve the overfilled?
12:28 A psychological issue or a real one?
13:29 'Insider information' on hyaluronidase from a surgeon
16:21 Does human hyaluronic acid regenerate after dissolver?
19:20 Conclusion
Thank you to Dr. Angelo Tsirbas, Dr. Steven Harris, Dr. Kami Parsa, Dr. Ben Talei, and Dr. Gabriela Casabona for providing expert evidence on this situation.
Also, we hope this video helps those who are considering having filler or hyaluronidase, and we hope to prevent further problems such as those seen on the realself.com reviews of hyaluronidase. - วิทยาศาสตร์และเทคโนโลยี
Fillers when 18?
Bloody tragic how insecure we make teens feel.
Hopefully this video will outline the potential risks and side effects of both filler and filler dissolver, and help to put this in perspective so that proper consideration can be made before undertaking these procedures.
I’m 16 and got botox
And how available and normalized it is.
@@harley8318 You can use botox to treat other conditions, but its utterly ridiculous and a waste of money to get botox to treat signs of aging at 16.
@@Itsunclegabby it was for my teeth grinding
maybe the trend of accepting who you are and your natural look will come back one day. this puts me off filler for life. thank you
It's was never there to begin with
Natural will be trending 2022! That’s a promise it is already in process
I'm hoping that'll be the last body & face trend ever. No more 'trends', unless we're talking about clothes, makeup, jewelry, etcetera.
@@Anna133199 even then, clothes jewelry etc. trends are toxic too. They make us feel like we need to buy new stuff every few months filling up our landfills with fast fashion garbage. In 2022 let’s all practice moderation. 😂
I think majority of people still do stick with their natural look. It just the people we see most often (celebrities and influencers) that are getting these surgeries. The vast majority of us I think are not getting these surgeries
So refreshing when people can admit they were not aware of information and then accept it and share it with others.
OH!!! they were AWERE!!!
Science and maximising profit don't mix well together hehe unfortunately I've seen other doctors here (not dr Chan obviously) who are still adamant that fillers don't migrate if done 'correctly' blah blah and filler dissolver will just undo what was done.
Finally a doctor that really explains fillers, consequences, and how to dissolve them. I am an esthetician and seeing more and more fillers “moving” and edema under the eyes. Hard to do lymphatic drainage. Clients trying Gua sha following Instagram videos without know what they are doing. Thank you doctor for bringing light to this topic.
Hi I have been thinking about using a gua sha or roller. Should I leave it to a professional? I thought it was safe to do at home but I’m not a professional
Grace, he just wants to make you believe he's told you everything when he hasn't. Some of the worst truths about hyaluronidase are some of the ones that are STILL NOT BEING TOLD TO CONSUMERS by the beauty industry. There are a lot more dangers with Hyaluronidase then anyone could even believe, and they go beyond the skin damage that is caused by hyaluronidase as a result of it's capacity to dissolve the natural hyaluronic acid found in the skin. While the dissolution of natural hyaluronic acid is seriously problematic and can lead to volume loss, skin laxity and a host of other skin problems, no person in their right mind would ever inject hyaluronidase in their body if they were aware of the other issues that can result from Hayluronidase. A large body of research studies focusing on natural (or endogenous) Hayluronidase have directly implicated hyaluronidase with a large number of serious systemic health complications and diseases. Some of the health risks of hyaluronidase include the increased metastasis of cancer, and the development of osteoarthritis. In fact, most of the research on hyaluronidase has focused on efforts to find Hyaluronidase inhibitors, or substances that can inhibit the detrimental effects of hyaluronidase in the body!. Despite the KNOWN and scientifically established health risks of hyaluronidase, the beauty industry is still continuing to try to convince consumers that it is "safe" and are claiming that that there are "no studies to show that it is not safe", while people are being seriously harmed in the process and this is not acceptable.
@@jerlisamorris9479 to put it into perspective for you, I'm also an esthetician, and in the state that I live in, we are not allowed to manipulate the flow of lymph because we aren't allowed to manipulate the function of the body. THAT SAID, I've still educated myself on what it is and how to do it on myself. Most people showing you how to do it on IG have not trained to do this, you can absolutely mess up your face and cause premature aging, and you can really mess up the natural flow of the lymphatic system, which runs all over your entire body. Go see an esthetician, or better yet, a massage therapist, before doing that yourself. In my opinion, facial massage can be comparable to the results of plastic surgery, if done correctly. Eating a healthy diet without sugar can really turn back aging due to excess inflammation, and remove a lot of the major skin concerns that have people spending thousands of dollars a year to fix.
@@victoriarobertson266 wow that’s scary I had no idea. Thanks for the info.
@Blue Magpie there are lymphnodes all over and throughout the human body, and getting filler under the eye - which is where some of the most delicate skin and tissue is on a person's face, can block these lymphnodes and cause premature aging as well as many other complications
After working in the beauty industry for 7 years doing cosmetic tattoo my recommendation is wait at least a few years before you decide to get something done, the industry is all smoke and mirrors and so much shit gets approved that either doesn’t do what it says or does or doesn’t fade or wear off like it’s supposed to, poor application and shitty training is where most of these issues start.
What sucks about many so called pharmaceuticals being approved is that life saving ones are hard to get through but fillers get approved?! There is a lack of morality in this regard in my opinion and I wonder if its the amount of $$$ potentially being considered, not the benefits of the items.
@@KristenKras it’s definitely 100% all about money. Even in the medical industry these are all for profit industries remember. The dollar and profit is always the number 1 priority.
I agree that's why I like to watch people who get various procedures done and follow them up years later to see what happens
I agree. I got my eyebrows microbladed a few years ago when it was all the craze and the promised land. Mine weren’t botched or didn’t necessarily look awful, but they didn’t heal as nicely as I’d expected. Now they’ve faded but they left a red scar-like tint to my eyebrows. I wish I would have saved my money and skipped it 😆
@@cl0thes0ff I have scarring from cosmetic tattooing as eyeliner. Not so noticeable now but still there. It is expensive and ultimately not worth the $$$.
Ever since I found this channel, I don't want to get filler. I'm 40 and have been considering filler for a couple of years now. Lucky for me, I'm a coward and have never had any treatment on my face. This channel has educated me so much and I'm so grateful to have waited for such a long time! People, stay away from filler!
Speak for yourself I love my filler
@@candicewatson5508 and that's exactly what she's doing, speaking for herself smh 😒 good for you to love your filler, nobody's hating on you for it 🤷🏻♀️
@@jocelynramirez6623 she actually said, people stay away from filler…not actually having any to be able to provide experience concerning…very weird!
I've considered it too but never pulled the trigger. So glad 😊
Filler is amazing when done by the right person
Dr Chan, how is it possible that the entire world shared the belief that fillers last 6-18 months? Could this indicate some level of dishonesty from the companies that manufacture fillers? I am mostly concerned about the longevity of fillers and not so much social media and celebs, I don’t believe they are the ones who should be held accountable. The ”overfilling pandemic” feels a lot like a global case of medical neglect/malpractice.
Edit: PLEASE keep the discussion on fillers and quit the vaccine conspiracies.
💕
@@AH--173 oh god please stop. Masks prevented me from spreading covid in my household. Nobody caught it. We KNOW that masks will partially contain a cough and reduce the chance of spreading. It’s just about reducing chances.
@@Softnsweetbb and reducing oxygen into your lungs!
@@lanaalazan5569 - That is utter rubbish! Surgeons performing complex surgeries standing on their feet for hours on end, with tighter fitting masks, then what we’ve ever worn throughout this pandemic, are not suffering from Lung diseases or, have ever, collapsed in an Operating Room from lack of oxygen, likewise nurses in intensive care wards. STOP with the endless lies & spread of misinformation! Many people have DIED unnecessarily because of lies perpetuated by people like you! STOP this nonsense once & for all!
It's the same reason we are all believing that these "vacksines" are what they're telling us they are. It's all about money and propaganda.
this feels like a casual review paper on the matter. great work, thanks for sharing
Thank you Zey K. Tried to get as much 'evidence' as possible for the video as it is an important topic that affects many - millions of people have had dermal filler. I also learnt a lot doing the video that has changed my views on hyaluronidase!
@@viccosmeticinstitute Thanks for the video!
Couldn't profhilo be used concomitantly after injecting hyaluronidase to rehydrate the possible sunken area?
Exactly. Maybe a bit too casual though :)
Come on algorithm do your thing. This needs to be shared!
I can't tell you how much I appreciate a doctor who prioritizes integrity. I hope your heart is full of warmth for all the people you have truly helped.
Yes!
this video should have been watched by millions not thousands. This information is worth everything. Thank you.
This makes me more convinced we should put more time into natural beauty and healthy lifestyle.
@Mi Mi up until 40 I never had ANYTHING. I looked 25-27. I went in for a skin consult one day, I had pigment living in the sierra mountains elevation and ran into a poser "dr" rebecca Gelber in Inline Village NV. She manipulated me into 7 syringes of filler, telling me things like: it's only a teaspoon of volume, it can be 100% reversed. She was a predator and a poser. She literally mangled my face! And then dumped me as a patient. Now my whole body is sick, I lost my hair, skin - post dissolving it. So please don't judge us! Please stop blaming the victims! no one goes in wanting to be deformed!
@@mariashumyatsky264 7ml is an awful lot. What a wicked woman. I hope she gets some karma. And you get a happy ending
@@personalcheeses8073 She deformed me on purpose. There is no other explanation. She drugged me with Vicadin and benzodiazopine, she did all 7 syringes in one appointent. She never showed me the product she was injecting. I didn't know anything about this UGLY industry and the sick charters with their delusions of grandeure to use a human body and life for their perverse disfuncions. She mangled my face, I was bruised, lopsided and absolutely deformed and the next day she BRUTTALY massaged me - it was HELL. And to this Horror she said: now you look like yourself but better! She is a SADIST. Rebecca Gelber of Tahoe Aesthetic Medicine in Incline Village NV. Criminal.
@@mariashumyatsky264 OMG don’t you have any recourse through the law? She should be behind bars. For a very long time 🤗
@@personalcheeses8073 She should be. I tried. No lawer would take my case. I was under such shock and trauma and soooo deformed and handling this all by myself in an completely unknown to me UGLY WORLD. And then I got so weak I had to save myself. Although I have to say that my lefe ended at 40. And I looked like A KID!
These people deform our lives and the lives our lived ones.
They deleted bad reviews. I was able to post my pics on her yelp. Yes, she did criminal things for which in any other circumstance there would be criminal case of abuse and damage, pain and suffering.
Huge respect for openly talking about risks. Fillers now are advertised like this super safe thing you can just go and do at your lunchtime, forgetting that it is still something invasive that has some risks.
Exactly 👏🏽
So cool to see you interviewing Dr Harris - love his work!
What a great video! I enjoyed hearing all of the doctors speak on the matter.
So sad so many doctors blame patients and they think they are crazy, botched patients go through hell, of course they cry and feel lost
Yes it’s called Victim blaming which is way worse here ... Cus the ones blaming are THE DOCTORS who are supposed to be always Right
These doctors have terrible attitudes. Just take our money and then dismiss us as crazy if anything goes wrong.
Including the "dr" who made this opportunistic video after getting money from the patient he ruined. These are not "drs". They are nothing short of criminals, only even worse, because they have a license to harm.
@@MsSilkyJuneja it's not always doctors. Plenty of people get filler with estheticians and people truly not qualified to do so. It goes by state.
@@forwardrecording1445 I agree that people sometimes go to unqualified sources since we are not talking about generic cases here but the cases specifically taken up by dermatologists and fillers even minimal quantity like 0.5 ml or their dissolution has been disruptive ... so we r being focussed n specific here , no confusion
Thank you! This was the final nail in the coffin for my interest in filler of any kind. Especially after doing lots of research of all the potential complications. Excellent content!
I've been considering filler but wanted to learn more. I've watched a few of your videos on filler along with a couple other surgeons. I truly feel that I now have the information necessary to consider the risk vs reward for this decision I don't think it is for me but I still watch because it's interesting :)
Don't do it. I sincerely regret getting fillers. I cried for weeks because it made me look FAR worse than before and unfortunately the effect can be permanent as the doctor here explains. I am not going to use the dissolvers because of the risks. But it's depressing to think I now have to live with this for decades. The doctors literally pitch this to you as something that will disappear in 3 months or less. lies!!!
Injecting something to your face whether is natural or not will have consequences .
Never ever touch your face .
@@june2420111what did you do? Under eye filler?
@@june2420111also curious what it was
As a pharmacist I would like to add to this amazing video. We use hylauronidase for extravasation/ infiltration (swelling of tissue around IVs from leakage that causes a blockage in lymphatic drainage). Any time I dispense this medication to a nurse I explain that doing a test dose is important. Each person has a different sensitivity to this enzyme. In my setting it is quite clear that this does way more than dissolve filler.
Like the old filler concept of building it up to what you would like, in non emergent dissolving i would highly recommend using small test doses for sensitivity and then test sized doses in the desired location especially if you can get the tiniest amount inside a filler gel ball. Do not rub or massage it out of the filler ball. Allow that tiny amount of enzyme dissolve that ball from the inside and follow up in 48 hours when the dermal barrier should be completely restored.
Also possibly helpful: blood components may inactivate hylauronidase. Hylauronidase is also antigenic, which means multiple large doses to dissolve filler will likely result in the formation of neutralizing antibodies.
For the MDs administering cool youtube video research idea that will benefit your practice: you can do an invitro test take a known amount in mL of filler have a sample size you like and varying amounts of hylauronidase. Inject into the middle of the filler to the best of your ability. Wait and document how much hylauronidase it takes to dissolve x amount of filler and the timeframe. You may find it to be proportional or possibly exponential or inversely proportional.
Oh btw test doses are 3 or 4 units 0.02 mL and doses for extravasation are 15 to 25 units that can be diluted in a 1 to 10 ratio over five injections. So 3 to 5 units as 0.02 or 0.2mL *5 sites. A large section of filler you could try the 0.2 mL dilution and for small balls I would try 0.02 mL.
With the example of hydration capacity and injecting the smas and it not being retained: hylauronidase is also used for subcutaneous clysis or introducing large amounts of fluid into the body. Those 150 units of hylauronidase can facilitate the absorbtion of 1000 mL aka a liter or more of fluid. The site in said persons lip has essentially become a clysis site... ok so thats my rant for the day.. hope this helped patients and clinicians alike.
@UC6Fhv0lkHiU7VBHPvCrRVTA Basically do a test site first to see if the skin reacts poorly to the medication. Don't use a large amount and just mush it around the whole area, try smaller doses directly into a filler lump. In general old skin regenerates slower than young skin but it isn't really a matter of old and young skin each person is different with regard to this medication. The more you use hylauronidase the more likely you are to develop neutralizing antibodies to it making hylauronidase ineffective or may react to it.
MRI does show filler as seen in this video. I am not sure how well you can see it on ultrasound
You should discuss any medical procedure with a doctor who understands your specific needs. However, If they say let's just inject all 150 units of hylauronidase into your face massage it around to dissolve this filler. I would leave because to me that shows a lack of knowledge as to what hylauronidase is used for, dose required, and administration. They make bottles of 150 units for clysis not filler dissolving.
So back to 1. Test pt for sensitivity using small amount 2. Use smallest amount possible to dissolve the filler ( i recommended for MDs to do this as education for themselves. How much hylauronidase will dissolve lets say 0.5 mL of filler brand they stock? (Will they do this costly experiment?)
3. Inject only the amount needed to dissolve the filler and inject only into the filler. If it is a large amount of filler or large site i recommended using the extravasation administration instructions of 15 to 25 units over the course of 5 sites in the filler gel and not the surrounding area of natural tissue. (If they have visualized it with an mri or ultrasound before injection that sounds like a great idea) if they are basing their dose off of the known amount to dissolve it based on the invitro experiment i suggested, 👏 amazing!
4. Do not massage the injection site, instruct patient to not rub area and follow-up in 2 days
If your question refers to aftermath of too much hylauronidase because they used a large amount of hylauronidase and massaged it into your face i suggest you find a new doctor and possibly talk to a lawyer if you have been left disfigured. If the lawyer says you have a case, request a pharmacist to evaluate dose used.
There should be specific dosing instructions for filler dissolving procedures using hylauronidase readily available in clinical databases but their aren't. Maybe in the plastic surgery world their are case report they go by but 150 or thousands of units seems awfully excessive considering the doses that are documented in clinical databases for extravasation.
What does this mean for the lay person? Dont get filler until the medical world can decide on a proper dose to reverse each filler brand. Unless the doctor did this experiment on their own to know. Because you may end up being disfigured one way with the filler and the other with the hylauronidase.
this is pretty solid advice. quick question, would
it be plausible to use hyaluronidase twice a year without any of the potential adverse effects you’ve mentioned? the reason behind me wanting to utilize it twice a year is because i plan to seek a doctor who would be willing to go the extra mile & take your advice (about testing everything beforehand) & i am planning to give my face a break every 6 months after getting the filler administered. for example, i’ll have the fillers injected & left there for 6 months, while
also having the doctor massage it into place to help keep the fillers in place/cohesive during this 6 month cycle. & then during the rest of the year, i plan to give my face a break & indulge myself in some collagen inducing/skin tightening therapies to guide the skin to regenerate itself as best as possible. i plan to do this indefinitely. how plausible is this & what are the chances of habituation? i wouldn’t think having hyaluronidase administered twice a year would lead to habituation but you would know best.
thanks!
@@livedontletdie do you do dissolving of facial fillers? If you do how can I contact you
Such a comprehensive approach, inventing multiple specialist and covering different issues. 🙏 thanks!
Thank you for making these videos. Every time I think about getting fillers, I watch these to put myself back in check.
Hey Chris. Good for you for resisting. We just did a video about how fillers don't work for where you really need them. The mouth.
Thank you for not keeping quiet about this issue! ❤️
Please continue making these types of videos. We need more people like you! Thank you for all you do! ❤️
Agreed. He is really an exception.
Please keep on posting your videos, you’re the best 🙏🏻
Wow! The amount of research and effort and credibility in this video is just fantastic. Amazing job.
Agreed.
Havent watched yet but the timing of this video is nothing short of chilling... THANK YOU
Very information video. Thanks a lot Dr Chan for putting the time into this and other MRI video
Love this video and thanks to everyone who participated 🙏
your videos are so profound, well researched, and understandably explained, they deserve millions of views :-)
Wow, thank you! I hope this video does get lots of views as you said - the message is an important one for anyone who has fillers or is considering having fillers done. Thank you for your support.
Agreed.
Please make a video about the safest ways you can use fillers (amount/location etc), it would really help a lot of people. Thank you for making these videos.
Thank you for your honesty. You are a professional that shows true integrity and I respect that very much.
Great video ! Keep these going I am a medical injector in NY and I love learning new things and staying up to date ! I actually stopped filling under eyes because of you’re other video showing ligament that 50% of people may have on the orbital floor ! So thank you !
What do you mean by this about ligament on orbital floor? Do you have a link to the video?
I'm very grateful you finally addressed this topic. Please do video about PDO threads! How long do they really need to dissolve, complications etc....
Good idea.
Your videos should be taught in schools. You are doing an incredible job here.
Agreed.
Thank goodness there are honest doctors out there who are willing to educate and more importantly admit when something cosmetic is a Bad Idea.
This is an amazing video that should have millions of views. Thank you for what you do.
Agreed.
Dissolver changed my skin in nasolabial fold in a negative way . The doctors should properly share the risks! The doctors should say it’s unpredictable
What happend?
Did it ever bounce back?
@@dee27206 no
@@tylermadsen4771 how long did you wait? I’m
told its supposed to bounce back eventually, some ppl it takes 3 years.
@@dee27206 it’s been since I got it done in February. I think the skin itself heals but it’s like pouring bleach on a shirt . It changed the shape in a way I think is permanent
I always look forward to your videos. I had noticed the long lasting effect of filler on myself. Fortunately I didn’t overfill, as I’m very cautious anyway. I have a better understanding of filler because you’ve shared information.
Thank you Julia. That's great feedback
I’m like you. Very judicious w filler in my lips only. I last had them done almost 4 years ago and they still look good! Like you I don’t overfill. I fill over 2 visits because I swell so quickly it’s hard or see what’s filler and what’s swelling. His videos are so good!
I’ve always wanted filler since they always seemed like the safest way to go but this has given me a lot to think about. Thank you for your unbiased objective review
I got lip filler 3 times at 18 and regret it… I’m 20 now and I can’t wait until it dissolves. Please don’t rush your decision :)
unbiased when he’s making money off of this “”disruptive” content?
Absolutely, stay away please. Don't do it. The doctors pitch this as low risk, safe and temporary. Mine told me they would go away in just 3 months. I look far worse than before and I may have to live with it forever, because of how risky these dissolvers are.
@@goldmanstacks7463he's a doctor who does fillers, too, though. What he shares is his own experience and what he's discovered having worked with it for so long. He's also admitted to making the mistake of overfilling in the past, but has become much more cautious about it and that's what he shares.
Thank you for investigating this as it is very helpful. Makes you think twice about fillers (what goes in most of the time must come out) and understanding hyaluronidase not only through your experience, but also through other experienced doctors.
I'm fascinated by this stuff. I've always been fascinated by different types of body modification and the history behind it.
Thank you for making such a great video with other experts in such an easy to understand way for us normies.
I have one suggestion for future videos. Could you leave photos, diagrams etc up for a little longer? I couldn't even pause in enough time and kept having to rewind. Maybe I'm too slow on the draw.
thank you for the work and research you do! personally i think people are entirely too cavalier about things like filler. they think of it like getting their nails done. it's wild. actions have consequences and we barely know anything about filler yet. personally, i'm so glad that i chose to do the work in therapy instead of in a medispa. it's saved me a lifetime of "what if's" and my mental health and self esteem are better than ever.
Best video I've ever seen regarding fillers, and it's reversal agent.Thanks, a bit to think about. I'd love to hear and learn your thoughts on a threadlift.
This was an absolutely needed episode. Thank you so much
So interesting, especially the filler migration part. I do wonder when/if this lip filler craze will end. So glad I have so far resisted the urge to get injectables as there is still so much to learn about them.
It won’t until their is a better anti aging and augmentation method. Ageism is real and people will get stuff done on them.
This is seriously one of the best channels on TH-cam. THANK YOU for your videos 💛
Thank you M W! What a lovely comment to read. So happy you like our channel.
Thank you for honesty and integrity.
The production of this is *chefs kiss*
Thank you for your integrity Dr Chan. I appreciate this video so much. I tend to believe the people who suffer these unwanted side effects. I had a bad experience with botox travelling into my nervous system. It was horrific. What made the whole ordereal worse is that my surgeon told me he had never heard of it and no one believed me or helped me. I had to turn to online support groups where thousands of other women had suffered similar side effects. If you would consider a video on that subject that would be amazing.
Omgg can you please make a video about this for awareness? I’m 34 and just started getting baby Botox, I have no clue about the nervous system side effects but this sounds scary. Thank you for sharing I will look into this before getting more Botox
Yes, the outliers have to be believed. Not just BOTOX, but RF, lasers, retin-A. Everything that is "standard of care" doesn't get the scrutiny it needs. We did a first video about preventative BOTOX and then got some questions. So we are going to do more in the future.
This doctor is so amazing!!! Thank you for being honest and looking out for patients!
Excellent video Dr. Chan. Thank you so much for this invaluable information 🙏
Glad it was helpful!
I love love love your videos. It's very clear the research and work you put into them and I imagine that's why you can't make them extremely quickly. The months in between are very worth it to me as the quality of your videos are worth it.
Tell us about your experience or thoughts about hyaluronidase. Have you had any concerns with it? Or have you had a problem with filler that you need to dissolve?
I had dissolver above and in my lips. Cause i had bumps and migration above the lip. Looked awfull. After dissolving i had this devil mouth trend going on. Very strange that what it looked like and above my lips dents. The doctor asked do you think all is dissolved??I was worried very much. How do i know. Like you are the doctor. It looked so teribble he filled my lips again and said it would take away the wrinkles but it weren't wrinkels but little dents. Anyways filler again above my lip. And it still does not look right. Now i do not know what the fuk really happend!! I am from holland and i really have no idea plus everybody says filler dissolving is safe here. I wish i never have gotten them in the first place. Rather would have had a liplift but not many surgeons do that over here. At least i have no filler anywhere else. Will never do that shit again. I just wanted some lost volume restored with getting older and distance between lips and nose shorter. But now i feel i still have a ledge like dr. Harris classification system between 2 and 3 but i am afraid to dissolve again and i just hope it will get better with time. Its been a year untouched. Should i just leave it alone??
I swell a lot and one cheek dissolved more than other. now I have a bigger cheek and one eye with two much filler left. takes time .
I have gotten hyarulonidase altogether 6-7 times now. First time I had filler dissolved when I got it done in Korea and the clinic insisted I must be under narcosis during the treatment. I had moved my head during the treatment while unconscious and the filler was misplaced so after couple days I went back to the clinic to get it dissolved. The head surgeon injected a little bit of hyarulonidase and I waited at the clinic for couple hours to see if it was all gone and then he injected another dose to get rid of any remaining filler. The filler was dissolved completely.
Some months later I got filler again and I had the worst luck and turned out my doctor is not really a doctor but a nurse. I had asked for the lightest filler and he injected my lips with Juvederm Voluma. I got some sort of immune reaction and the filler started to turn into hard crystals and quite a lot of it came on the surface giving me Tyndal effect. I went to a plastic surgeon to get it dissolved but she didn't want to dissolve it but gave me an antibiotic and a steroid course instead. The lip healed but I got extreme swelling at times and the shape was ugly. I didn't have the chance to go to get it dissolved for a while and first time I got it dissolved was one year later. Only a small part of it dissolved with the Vitrase and I went again after one month. I still had some filler left but the doctor didn't want to dissolve more of it since dissolving is so unpredictable. A year from that I went to a plastic surgeon to evaluate what's my issue and he said that I might have gotten some sort of flu related immune response to the filler since it keeps swelling at times. He dissolved some of the filler but I still had some left and I went to a different doctor because I didn't want to travel to another city every time. He refused to dissolve anything.
Finally I got two dissolving treatments within last month. Now it's already 3 years since I got the filler. Unfortunately the filler won't dissolve completely and I'm afraid it's become permanent since I didn't get it dissolved immediately after the treatment. It's only above my lip and it's not visible unless it swells but because of the swelling I want it all gone.
Instead of a dentation or loss of elasticity hyarulonidase makes my lips swell more. The swelling happens only in the mornings but it's really visible. Also I get a tingling sensation. This lasts each time at least a month after the treatment and it's more prominent than the usual swelling I get from the remaining filler.
This became an essay but I want to share my story because people seem to think filler is non permanent and cannot cause permanent issues and that it's always reversible. I think people should treat fillers like they treat plastic surgery and consider many times if it's worth it and put the same effort into researching providers as they would when researching plastic surgeons. Also filler can easily become more expensive than plastic surgery. I would have already paid for a lip lift or two with the amount of money I spent on filler and treating the complications caused by it.
Thank you for sharing. Sounds like you had a type IV delayed hypersensitivity reaction that is often seen with Voluma or other low molecular weight hyaluronic acid fillers. They tend to stimulate the immune system. You are right in saying that we need to treat fillers more like 'plastic surgery' and do our research about providers.
I had been getting filler maybe once a year and in 2019 I had my lips filled. I immediately noticed blanching and bruising. Ten days later I looked like I had been in a boxing match. I was bruised and swollen. I went back and asked her to dissolve it and she would not do it saying I would be unhappy. Well I was already unhappy 🙁. My upper lip looked odd and ducky. It was really terrible and in photos it looked worse. I believe the filler migrated because I had a bluish cast above my upper lip. I wrote the clinic head doctor who would not respond. I finally decided to call and make an appointment with another nurse injector. I found out the person who did my lips was no longer there.
I explained the situation and she insisted the filler was no longer there so I showed her before and after which clearly illustrated my lips did not look right. She did the lip dissolver and 10 days later I looked 100% better. She focused on the philtrum where it was poking out and looking unnatural. I was very lucky and she was skilled. I am blessed not to have any ill effects and looking much better. The bluish cast is not as prominent either. I do not want fillers anymore after that experience as well as after watching your videos warning us of the serious consequences.
Very informative video. Can you please make a video about PDO threats and your opinion on them?
Great video! Thanks for keeping us informed!
Kudos to Dr. Chan for getting Dr. Casabona on this video. She is very clear about how quickly the natural hyaluronic acid comes back. This comports to our experience with the skin's regenerative powers. They are NOT to be underestimated.
I was so close to getting my nose done, I worked as a videographer in a spa that did fillers and they asked me if I wanted to get my nose for free to appear in the video as a patient in a video meant for new doctors working in the spa to watch and learn, I declined cause I was scared, time after I felt like I lost a good chance to fix my nose and felt regret, now I'm so glad I turned that offer down!
OMG. This comment says it all.
Im glad that you declined also. You never want to be a guinea pig for anything even if its free. God forbid you got necrosis.
I did get my nose done, and it's been an amazing choice for me. I researched well beforehand (saw lots of vids on this channel) and went with a good idea of what to expect and what would be silly to demand. 9 months have passed and there's no sign of reabsorption but I will definitely be retouching in the future once it's needed.
It's a decision I took my time in taking, and then took my time in executing. And it's been a fantastic decision for me.
@@orchardlea im glad it worked for you!
Once again, another awesome vid Dr Chan. Very thorough and informative ! Saves me doing all the research because I trust you.
Hi Mark, nice to hear from you. Glad you liked the video.
Trust, but verify. ;)
@@aeducator1 bit late for that. Been with Dr Chan for many many years, through many many procedures. 😉
@@jessemrk 😄
Really interesting video. Thanks, Dr. C!
This is a fascinating discussion. I think knowing where you’re going is a good thing. Beyond that we all take a risk if you are doing fillier. I got a little bit of it and I love it. It lasted for a long long time actually it’s going on a year for just Botox I mean people think that it’s not working but they need to step back and remember that most images online are doctoed photographs and real life is imperfect. That’s what beautiful is. I did mine so my concealer would go on really good and easy and quick. I like it and my doctor won’t put it in my face if I don’t need it. Listen to your doctors. I am heartbroken for the women that were harmed. That is so sad
Love the info... ( maybe tone down the background score ? It's a little hard to block it out and concentrate )
Thank you for this video. Timing seems serendipitous! I happened to be researching this today and *boom* your new video popped up. I'm 49, and I had a bit of lip filler added to my lips 2 weeks ago. My doctor (a very experienced dermatologist) injected only about 60% of one of the small syringes of Juvederm Volbella. There were no issues during the procedure, and things were fine until about 8 hours later when I noticed a bluish coloring to the area above my lip. I phoned the clinic, and my doctor told me to come in immediately. He suspected an occlusion (likely from compression vs. an actual injection into a vein). We had to use hyaluronidase over two sessions about 48 hours apart. The occlusion cleared quickly, and my skin never experienced any damage. However, it has been two weeks and the skin above my upper lip still looks a bit depleted. Life the hyaluronidase traveled a bit. My doctor is confident things will bounce back, but he can't say how long it will take (days? weeks? months?). I wasn't overfilled; I've never done lip filler before and did not want larger lips. I only wanted to smooth them out a bit. I would love to know if there is range of time this can take. He has offered to add a wee bit of filler in the area above my lips in the future as I wait for my own body to reboud (after all is fully healed), but how long does rebound take? Any insight is appreciated.
My experience is that this phenonemon is very rare . If you weren't overfilled, then it is most likely you will be completely fine.
@@viccosmeticinstitute Thank you! I appreciate your prompt reply. I've been pretty stressed that my skin won't regain its elasticity after the use of hyaluronidase, since it's been two weeks and the skin above my upper lip still seems flat and depleted. But at 49, I imagine it could take a month or so?
@@ellietrager8201 how’s your skin now?
@@ellietrager8201 hi there!! I’m about to get hyaluronidase, can you let us know how is you skin?
So hold up. You get some shit injected into your face. It completely fucks up and probably is blocking blood vessels? And damaging skin? And you're debating going back in go get more shit injected into your face? That's just completely retarded. Maybe your body is trying to tell you that it's a bad idea? Like wtf.
This was really interesting. Thank you for making this video.
OMG the panel of experts is amazing ♥️♥️♥️
Thanks for making the body culture more positive. As someone mentioned "Finally a doctor that really explains fillers, consequences, and how to dissolve them". Totally agree
One thing that concerns is the availability of these things, basically anyone can pay for the biggest amount of filler possibly to their face.
Agreed. It's way too easy.
This was SOOO helpful!! I was considering getting some filler removed!
i'm really enjoying your videos!! i appreciate how candid you are - it's helped me to know how to best counsel friends who've asked my opinion. thanks for the work you've put into this channel, and for being willing to change your views with the evidence!
i do want to raise one point. at around 13:00 you said (not an exact quote) "is this a psychological or real issue", which is an unfortunate attitude i've noticed that many physicians have. psychological issues ARE real issues and dividing them like this is a huge reason many people refuse psychological help. (i'm on my phone atm so i can't link research but i'm certain the Blue Dog Institute/Sane or some similar organisation has spoken about it.) i've personally been denied life-saving care because a physician decided my issue was psychological, not "real" (obviously i ended up receiving it or i wouldn't be here today). i know others who've experienced the same thing.
i think it comes from a *good* desire to do the best for the patient, which is what physicians are required to do of course! "First, do no harm" and all that. unfortunately, i think, that care often crosses the line from professional concern to paternalism and that opens the door to denying patients the bodily autonomy they deserve - even if that means they do some damage to themselves! it's every human's right to listen to the advice they're given and then throw it out the window.
Ultimately, i think it's a physician's duty to be as well informed about the relevant issue as they can be, give the patient the information they need to make an informed choice, and then respect their decision. like, certainly i don't expect anyone to break their oaths or seriously violate their values! it's more that i think physicians would benefit from thinking "if i don't do this, someone with less training/experience/skill will do a worse and more damaging job, and that will cause more harm in the long run" before refusing a service. especially services that are somewhat reversible!
i personally respect physicians far more when they treat me like the adult i am and expect me to act like it, as opposed to denying me information due to a misplaced concern for my wellbeing. my various medical conditions only improved once i found some like that.
imho, informed consent is key in these kinds of situations; after all, telling people how to look is what got us into this mess! research suggests that telling people they're wrong or misinformed only reinforces their beliefs (see the research on covid denial/antivaxxers); i've personally found that making the other person feel respected and understood *first* means they'll be far, far more likely to listen.
and as someone with BDD, telling me i had it while denying me care made things so much worse. it was only when my physician showed me that kind of empathy that i've started to truly heal.
wow, that was longer than i intended, lol. to be clear, i really really appreciate your videos! (i personally once considered duct fillers (and would have got them if i had had the cash); learning about the various mechanics makes me glad i didn't!) i just wanted to raise this issue in case you weren't aware.
This video was very comprehensive, I learned a lot.
Omg this is groundbreaking! Thank you so much. 🙏
Beautiful calm medical honest conversation that educates and improves learning.
Agreed.
What is so baffling is how fillers and dissolvers can be used by everyone, every consumer can just decide for themselves.. yet the study done by dr. Gabriela is one of the only in vivo studies.. We should have more and better research on these products. Thank you so much for sharing all this valuable information and these expert insights!
Outstanding info. Thank you so much.
So glad now I never got that crap. You saved my face, cuz I was starting to think about it. Thank You.
Omg I miss you so much! You must never stop posting!
thank you Shazeeda!! I'll try to post more for you!
@@viccosmeticinstitute 🤗🙏
Thank you so much for this video Dr Chan!
Amazing video! Amazing info, so rich. Thank you
Omg I’m so happy you made this! I actually was reading that real self a few months back before i got my lips dissolved and was wondering what was going on
N ur dissolver experience went fine ?
@@MsSilkyJuneja yep! I’ve gotten my lips completely dissolved twice over thr last few year and another 2 times in specific areas (from filler migration). Everything went fine, no issues.
@@nadiiiine89 Thank God for that 🙏🏻A lot of people go through actual hell , it’s not just in their head no matter what the doctors say ... There’s no known factor as to who will get effected adversely and who won’t
@@MsSilkyJuneja thanking God is great. however, most people don’t experience adverse effects like what you may have read. people who don’t have negative results usually don’t go out of their way to complain about their results. it’s usually just the people who had bad results, & who knows what actually happened since none of these claims are verifiable. also, yes there are known factors that determine how your results will turn out. diet, lifestyle & exercise. skin care methods. those things play a huge role. health & wellness isn’t some magical random thing. your health is determined by epigenetic factors.
@@goldmanstacks7463 There can be no end to Victim blaming .... u have my friend just not been as direct as people who call the terrible Visible adverse on “some” “of course not all “unfortunate ones As Hallucinations or Crazy conclusions and called it a result of a Bad lifestyle without asking a thing about their Wellness and Health Habits .... and Epigenetics ?? Oh a Fancy word ... So then it’s easy why don’t doctors check the Genes of a patient before injecting ? It’s very easy to stand on one side and say nasty things to people suffering and it’s an altogether different subject to be Going through the challenge ... and I stand by those people without asking for verifications of their Pain ... and one thing I don’t get is ... ur saying “those who don’t get side effects don’t go out of their way to complain ?” Like what ?? What do they have to complain about ??? How does it even make any sense ??? Listen why don’t u find a better thread to troll ...
Thank you for these videos. At 53 I was feeling like I was starting to look old. After watching a few of your videos I realize that I actually look great! I recently went on an anti-inflammatory diet and have noticed a huge difference in the elasticity of my skin and overall hydration. Maybe one day I might want a tweak her or there but not yet!
What does your diet look like please?
verybinformative and I love the music in the background, very relaxing
Never had a strong opinion with or against fillers but this video was an interesting watch nonetheless. You learn something new everyday
it's remarkable as a practitioner that you appear at least to be procedure-free. Aging after some time blogging here, but still look so ruggedly handsome and youthful, without the pressure apparently to resort to all the tools of the trade on yourself. Bravo.
The problem with RealSelf is you mostly only hear from people who have had terrible experiences. There’s a lot of drama there. Also, happy satisfied people tend to move on with their lives and don’t both writing positive things once their problem is resolved. I’ve had 3 hyaluronidase sessions to get rid of cheek/tear trough filler that was causing edema for years. Best thing I ever did. Thank you for raising awareness here.
Agreed, the vibes I get from this one particular group is so dark. I have to do a full cleanse after I read the comments. 😅
Where did you go to get it disolved?
@@ryflint6104same . I blocked the page .
i think they just want to spread awareness for people who have experienced this. no one for sure knows what caused it. it’s happened to people of all ages, with small amounts of hyal yet still some ended up permanently damaged. i still want to get my filler dissolved but not sure if i am willing to take the risk. there are a lot of people with good experiences but enough with bad experiences to scare me
I love your honesty. Thank you so much
This is a really great video. 🙏 Thank you!
This is a major reason why I’m scared to get any kind of modification. All these new methods and we don’t really know the full effects until years later. And there’s always more uncovered after. I’ll continue to deal with my face as it is.
It's even worse. Once the methods become established, no one questions them. Retin-A, for example.
@@aeducator1 oh no, what’s wrong with trentinoin?
This channel is just amazing. Apart from major disfigurements/injuries from accidents we all need to start liking ourselves as we are. So many of my friends have had fillers in their lips and not one of them haven't had some issue. Lumps forming, blistering, pain, discoloration that lasts months, changes in skin texture. Please stay away from fillers people 🙈🙈💉💉
What about coloring our hair? Tattoos? Makeup? There is plenty of body modification that is accepted in society. No need to add shame onto folks who are already feeling bad about themselves. Although I hear you, it would be really ideal if we could just be happy with how we are.
I think lip fillers are fine as long as you have a qualified professional doing them. No cheap back alley injectors. Look at reviews and do your hw. This is what any and all body modifications.
@@annahenning7234amen sista
@@annahenning7234 ; makeup isnt a body modification. hair grows back out and tattoos are ink in your skin but thats artwork not reshaping your face. just like any invasive procedure, you should only do it if its really something necessary. I think weve grown too accustomed to medical science becoming more advanced that we forget that part of a doctors job is to keep you AWAY from as much medication and ESPECIALLY foreign objects in the body as possible.
I have done it today and regret it😢
Thanks for sharing these insights! so helpful!
Thank you for this amazing informative content !
I’ve had lip filler once in my life. I started developing granulomas and other scar tissue because of the filler and got it dissolved rather than wait for it to dissolve naturally and cause further scarring (which by the way I still have). There was no issue at all for me. I wouldn’t say that if the filler itself is causing damage it should be left in just because there are risks with the dissolving agent
I got my lips dissolved due to migration. They don’t look the same anymore. I feel like I have scar tissue above my lip now 😔 do you know how to get rid of it? I regret fillers so much
Hi was it juvederm ?
Thanks you so much for such immensely useful informative videos
Thank you . Glad it was useful P.
Can you do a video on the different types of fillers and if there are ones that are more safe/naturally dissolve more than others? I want to get small hyaluronic acid fillers in my eye area
I just want to say you have an amazing voice Dr. Chan 😍
Dr. Chan, thank you so much for all these videos. After having cheekbone filler and filler in the both sides of my nose, My teardrops started to swell and by now it looks like 09:52 . It took me 2 years and a MRI to get to the descision to dissolve it. In 2 monts Î have the appointment with the doctor. All your videos were a big support for me! Thank you and greetings from europe
That's great to hear that the videos helped you decide to get an MRI and dissolve the filler. Hope you are looking much better now.
Did you get dissolve how is your skin
@@vocalofqueen5707 I let dissolve twice within about 4 months. the skin is fine. at first right after the treatment the skin starts to get a bit more wrinkely lets say. but it recovers and in some days it gets back to normal. I look like myself again, so best desicion for me!
@@meinefantasie i have lumps all around my cheeks and tyndal effect in my eye its not a filler but a skin booster i m thinking of reversing it but i am aftraid
@@vocalofqueen5707 for me the dissolvement was the right thing to do. Ive got no complications and the problem is solved.
I truely understand your fears, since I had them too.
Nevertheless I can not recomend anything for anybody. most importently consult with your doctor of trust, look at the options given and descide what is best for you.
- but again: make sure you choose a good doctor!
I just mentioned how my already thin (56 year old) lips are shrinking even more and trying to embrace it. Although I long for full, luscious lips because I love lipstick. Questioning whether or not filler would be a good idea. Someone recommended this viewing. So glad I listened. I did not really want filler, and have never had any injections or plastic surgery, but am fascinated by what it can do for others.
I will remain thin lipped and aging naturally. Might not like it always but my health and wellbeing is most important to me. 🌿🕊️💕🌍
Hi Wendy, would you be interested in trying a topical?
Outstanding video. Thanks for doing all the research. Love that you mentioned the patient psychological component and the normalization of overfilled anatomy. Filler blindness, ESPECIALLY in the lips and cheeks is real.
Thank you Emily. Honoured that you like the video.
@@nurigo3472 I think they mean people don't realize how much filler they already have and get more when they don't need it
@natural injector how hypocritical of you
@@iam2908 what?
Thank you so much for sharing this valuable information! 🙏☺️
Awesome discussion... I've just finished writing an integrative literature review on hyaluronidase. Great work getting these experts on to discuss this 👏👏👏👏
Jenna, you should talk to thousands of victims. most of the info is not available in the US. Did you read the experiments on mice?
Congrats! Will it be published?
@@mariashumyatsky264 are you referring to the trials that created VO's to see if hyaluronidase could break down the HA product? Which victims are you referring to?
@@Katyayay maybe. It would be good to get some more information out there on the topic.
@@Ru4real1 good luck! I was thinking the same thing, so hopefully I see your paper out there
Would skin boosters such as profhilo help with the HA depletion? Rather than refilling with a HA filler?
The top comment on this video says it all.... you provide truth rather than prioritise profit. It is SO refreshing and enlightening to watch yourself and your peers discuss these topics.
Thank you!!
I would like to know this answer
I had a skin booster 2 months because I didnt want filler per say ago and its fudged up my under eye area. It looks like I have a bug eye or swollen constantly. I am so upset about it
Dear doctor! You are doing amazing job! Thank you very much!
Dr Casanova is awesome!!! Loved her knowledge and POV