Can the Effects of Dermal Fillers Be Reversed?

Dermal fillers are one of the most popular ways to minimize fine lines and wrinkles, restore fullness to the face and plump up lips and cheeks. When administered by a qualified plastic surgeon or nurse, these injectables create beautiful, natural looking results. The overwhelming majority of patients love the outcomes of filler treatment.

However, dermal fillers are not perfect. On occasion, a mistake can lead to overcorrection or asymmetry, or the body may react poorly to the product used. Sometimes, a patient may end up not liking the way they look afterwards, and want the outcome reversed.

According to Bay Area cosmetic surgeon Dr. Alexander Ereso of Pearl-Ereso Plastic Surgery Center, “un-doing” the results of dermal filler treatment depends on the specific filler used, as well as the nature and severity of the problem.

Reversing Hyaluronic Acid-Based Fillers

Fillers formulated with hyaluronic acid, like Juvederm and Restylane, can be un-done with an enzyme called hyaluronidase. The enzyme dissolves the particles of hyaluronic acid to reverse its effects. This may reverse problems such as overcorrection, overfilling, lumpy texture or asymmetry. The treated area should return to its pre-treatment appearance (although there is no guarantee).

Reversing Non-Hyaluronic Acid-Based Fillers

Fillers not formulated with hyaluronic acid, like Radiesse and Sculptra, behave differently and require a different approach than using hyaluronidase.

Sometimes, massaging the treated area can resolve minor issues like lumpiness or asymmetry. But in most cases, the most effective way to see the results reversed is simply to wait for the body to absorb the filler, to surgically remove the filler or to strategically inject additional filler to cancel it out.

In the case of Sculptra, a longer-lasting filler, it is especially difficult to reverse its effects because the product stimulates the body’s own production of collagen. The collagen must break down naturally over the course of a year or so; it cannot be selectively removed. With that in mind, Sculptra may respond to some extent to steroid injections.

Because reversing the effects of dermal fillers is unpredictable, it’s important to work with a qualified plastic surgeon that understands how to use fillers safely and precisely. This increases the chances of a successful and satisfactory result.

To speak with Dr. Ereso at Pearl-Ereso Plastic Surgery Center, please call 650-964-6600 or email us today.

The Best Buttock Augmentation Procedures for Slender People

There are two ways that talented Bay Area plastic surgeon Dr. Alexander Ereso can enhance the size and shape of the buttocks: with the placement of an implant or with the Brazilian butt lift procedure.

Buttock implants are safe medical devices inserted into the buttocks to add volume and fullness. Two implants are used and they are placed on either side of the buttocks. They are available in different sizes and shapes to create a range of results.

Brazilian butt lift involves taking unwanted fat from an area of the patient’s body (e.g., the abdomen or thighs), purifying it and injecting it into the buttocks to add fullness. Many patients love their Brazilian Butt Lift because the results look and feel natural, and because the procedure transforms more of the body — including the donor area. The area around the buttocks is sculpted to accentuate the shape of the buttocks.

Is There Enough Donor Fat?

Achieving a successful Brazilian butt lift is contingent upon the patient having sufficient fat to add to the buttocks. The amount of volume that can be added to the buttocks is proportional to the amount of volume that can be taken from other areas of the body. To make a noticeable difference, at least 500 ccs need to be placed on both sides of the buttocks. The average Brazilian butt lift patient has 800 ccs placed per buttocks.

Now, slim patients generally need less fat to achieve the desired results. And many small patients have achieved beautiful outcomes from Brazilian butt lift.

Nevertheless, patients that are naturally very slender and have a low BMI may find they do not have enough fat to make a noticeable difference. They may be asked to gain weight prior to surgery; or, they may opt to maintain their weight and use a buttock implant instead.

It is impossible to make this determination without an in-person consultation and physical examination of the patient’s anatomy. If you want to enhance your buttocks for a more curvaceous look, Dr. Ereso can help you select the procedure that is best for your unique and specific needs.

Please call 650-964-6600 or email Pearl-Ereso Plastic Surgery Center to schedule a consultation with the plastic surgeons and discuss your options.