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 filler injections given by other injectors.
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 and Belotero.
Fillers that cannot be refined or removed are Radiesse, Sculptra, and Bellafill, as they are not hyaluronic acid-based products. 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 your specific filler cannot be dissolved, 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 negligible. 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 “BOTOX” needles are used which are much smaller than the needles used to inject the filler. Thus, 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 cosmetic authority?
It is very important for patients to have their filler refinement procedures performed by a cosmetic veteran. A board-certified Facial Plastic Surgeon is the most qualified authority 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 surgery. He is a nationally renowned dermal filler leader.
How do I determine if I am a candidate for a filler refinement procedure?
Patients who have filler complications or are simply unhappy with their results 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 the 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.