Dermal filler treatments occasionally need to be refined or optimized for a number of different reasons. Dr. Stephen Weber, a double board-certified Facial Plastic Surgeon in Denver, CO, has extensive experience revising dermal fillers injections given by other surgeons. The most common reasons for a filler refinement procedure include overfilled areas of the face, lumps or bumps, and irregular contours of filled areas. The goal of a filler refinement procedure is to turn a filler complication into a beautiful result.
A Filler Refinement Procedure with Dr. Weber
A filler refinement procedure with Dr. Weber is performed in an in-office procedure suite. No anesthesia is needed during the procedure. A topical numbing cream is available upon request, however, the overwhelming majority of patients find it is not necessary as little to no pain or discomfort is associated with the procedure. After the patient is relaxed and comfortable, Dr. Weber strategically injects Hylenex into areas that need refinement. Hylenex breaks down hyaluronic acid, the main ingredient in many fillers, so it can be naturally removed by the body. The procedure usually only takes about 5 minutes.
One of the things patients love about filler refinement procedures is that the recovery is immediate. Patients leave Dr. Weber’s office and can return to work and normal activities right away. Many patients actually choose to have their procedures performed during their lunch break so they do not miss work. In rare cases where swelling, bruising, or discomfort presents, it can be easily controlled using ice and over-the-counter anti-inflammatory medications.
Results are typically apparent within 24 hours. Depending on the dose of Hylenex and the number of injections, existing fillers can be reduced, softened, contoured, or completely removed. Results include improvement of the following:
- Overfilled or asymmetric areas, “duck lips” and puffy bags under the eyes
- Lumps, bumps, or lines in any facial area
- Bluish discoloration also known as the Tyndall effect
- Vascular complications following injection of hyaluronic acid fillers into or around blood vessels
Treatment plans are always customized to provide results that help patients reach their individual aesthetic goals. Countless patients who have experienced poor results from injectable fillers have been completely satisfied with their filler refinement procedure results.
Men and women who have filler complications may be candidates for a filler removal procedure. In most cases, procedures are only performed on patients who have no serious medical conditions or illnesses. Patients who smoke will be asked to stop doing so before and after their procedures as smoking interferes with the healing processes and negatively impact results. Patients will need to attend an initial consultation with Dr. Weber to determine individual candidacy.
An Initial Consultation with Dr. Weber
An initial consultation is the first step in the filler refinement procedure process. Consultations are carried out as follows:
- Medical history review. Weber obtains important information regarding the patient’s medical history, including previous procedures and the initial filler procedure.
- A physical examination. Weber examines the patient’s face to identify areas that have been negatively affected by fillers.
- A discussion. Weber and the patient discuss treatment goals. The patient is invited to ask questions and state concerns so Dr. Weber can appropriately answer and address them.
Dr. Weber’s patient-focused approach allows him to create a customized treatment plan that aligns with the patient’s aesthetic goals. He uses before-and-after photos to show the patient what type of results they can expect after their procedure. The treatment decision is always left up to the patient. Should the patient decide a filler refinement procedure is right for them, a procedure is scheduled for a convenient date and time.
Dr. Weber did a great job. Dr. Weber has a great "eye" for the face and he took his time with small injections, making sure I ended up with a balanced and natural look. I couldn't "see" what Dr.
I am a 45 year old woman who has always had a long/drawn face. As the years have crept on, I have lost serious volume in my face and cheeks, exacerbating the drawn look. Basically, I had no cheek definition prior to Voluma. Voluma has made an amazing difference in the look of my face by filling out, raising and rounding my cheekbones, making both my profile and frontal view much more appealing. I had no swelling and the improvement was instantaneous! I saw Dr. Stephen Weber for the injections. After properly numbing the area, Dr. Weber did many small (painless) injections of the Voluma in various areas, to be sure he was getting the exact look he was going for. Dr. Weber has a very good eye for aesthetics and he really took his time with the injections. I can't imagine trusting just anyone with my face and fillers, but Dr. Weber made me look far better than I could even imagine. I'm hoping the results last quite a while as I'm so pleased!
Frequently Asked Questions (FAQs)
What fillers can and cannot be refined or removed with a filler refinement procedure?
Fillers that Dr. Weber can refine or remove with a filler refinement procedure include all hyaluronic acid type fillers. This includes Juvederm, Voluma, Volbella, Vollure, Restylane, Perlane and Belotero.
Fillers that cannot be refined or removed are Radiesse, Sculptra, and Bellafill, as they are not hyaluronic acid-based formulas. For the same reason, silicone injections and fat transfer procedures also cannot be refined or removed. However, in many cases a targeted addition of filler can often salvage poorly placed injections of fillers that cannot be removed.
Is there anything I can do to improve my appearance if my filler cannot be refined or removed?
In cases where abiding fillers or fillers that cannot be dissolved were used, improvement can often be created with strategic placement of a small amount of additional filler. This will not help with overfilled areas, but may be able to smooth contours and improve the results.
Are there risks associated with a filler refinement procedure?
Like all minimally invasive procedures, filler refinement procedures have risks, but they are generally minimal. Dr. Weber explains risks and the measures he takes to reduce them to patients during initial consultations. The biggest risk associated with a filler refinement procedure is a small bruise. The overwhelming majority of patients find that the potential results of the procedure far outweigh the risks. In some cases, multiple injections of Hylenex might be required to achieve the desired improvements.
How is Hylenex administered?
Dr. Weber administers Hylenex via injection. Very tiny needles are used. Patients feel little to no pain or discomfort.
What is the Tyndall Effect? Can a filler refinement procedure be used to correct it?
Fillers that are injected too superficially may cause a bluish appearance of the skin known as the Tyndall Effect. The condition may be corrected using a filler refinement procedure.
Can I receive fillers after my procedure?
Patients who wish to receive filler injections after their procedure may do so. Dr. Weber will recommend injections at an appropriate time. Patients who had their initial filler procedure performed with a less experienced injector than Dr. Weber are impressed at the patient-focused approach used by Dr. Weber. They are also happy to learn that Dr. Weber’s knowledge, skill, and experience drastically decreases the chances of filler complications occurring again.
Is there anything I need to do to protect my skin after my filler refinement procedure?
Dr. Weber provides patients with specific post-procedure instructions regarding protecting the skin and maximizing results. One of the most important protective measures he recommends is applying sunscreen. Moisturizers may be used to prevent dryness and improve skin health and appearance.
Is it important that my filler refinement procedure is performed by a specialist?
It is very important for patients to have their filler refinement procedures performed by a specialist. A board-certified Facial Plastic Surgeon is the most qualified specialist to perform filler refinement procedures. Their understanding of fillers, filler refinement and facial aesthetics is unprecedented.
Is Dr. Weber board-certified?
Dr. Weber is a double board-certified Facial Plastic Surgeon. His practice focus is on facial filler, facial filler refinement, and facial rejuvenation procedures. He is a nationally renowned dermal filler specialist.
How do I determine if I am a candidate for a filler refinement procedure?
Patients who have filler complications may schedule an initial consultation with Dr. Weber to determine if they are candidates for a filler refinement procedure. Patients who received fillers that cannot be refined or removed are still encouraged to schedule an initial consultation as alternative treatment options may be used to improve appearance.
What should I bring to my initial consultation?
You should bring a list of the medications and herbal supplements you take and are allergic too. You should also bring a list of questions and concerns. If you would like to bring pictures for Dr. Weber to review, you may do so.