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.
@@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
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.
@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 $$$ potentially being considered, not the benefits of the items.
@@KristenKras it’s definitely 100% all about money. Even in the medical industry these are all for profit industries remember. The dollar and profit is always the number 1 priority.
I agree. I got my eyebrows microbladed a few years ago when it was all the craze and the promised land. Mine weren’t botched or didn’t necessarily look awful, but they didn’t heal as nicely as I’d expected. Now they’ve faded but they left a red scar-like tint to my eyebrows. I wish I would have saved my money and skipped it 😆
@@cl0thes0ff I have scarring from cosmetic tattooing as eyeliner. Not so noticeable now but still there. It is expensive and ultimately not worth the $$$.
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!
@@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 🤷🏻♀️
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.
@@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!
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.
@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!
@@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.
@@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.
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!
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.
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?
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.
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
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.
@@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
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!!!
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
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.
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!
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.
My name is Ashley, I am 27 yrs old, and a few days after seeing hyaluronidase degrade my entire face from only having less than 0.5ml of voluma for a scar, I had suicidal thoughts for the first time in my life. From being active, finishing my third degree, and enjoying life, never experiencing a drop of mental health issues, I lost everything shortly after hyaluronidase. For those doctors and people that will call these hyaluronidase damaged people as "crazy", you are only glazing the surface of the trauma caused by this enzyme. Yes, not everyone has a bad reaction, but if there are hundreds of realself reviews, forums, and over a thousand members in a FB group dedicated to hyaluronidase damage, then the medical community needs to take action, and stop putting greed over safety, and actually do more research on the application of the human body. Casabona's study on ONE persons stomach, not face, is no where near the type of research to prove hyaluronidase is safe. Not even close.
The problem is much deeper, they will never assume their guilt, because they will have to assume from the beginning they knew fillers could last for life, since it's easy to see in a simple exam. Hope you the best you're young you re still in a good age to recover your skin, just be patient.
@@courtneyr214 it was for a scar...doesn't help that every social media platform plasters that fillers are safe and just healthy hyaluronic acid, and when you ask the injector they leave out the hundreds of risks for you to find out on your own
@@minkycat66 no the hyaluronidase is what completely degraded the natural tissue of my face. I was unrecognizable. After 9 months of misery and researching for natural ways to restore my face I had to resort to fat grafting surgery. The doctor had to inject 20 cc of fat in the heavily damaged areas of my face. I'm in my 20s and this is coming from a girl who hates needles and meds, and it took a big jump to do filler in the first place. Hyaluronidase is no joke, it will degrade the tissues of your face, there is no way around it. Dr Ben Talel spills the obvious truth on this video
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.
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.
I have three holistic skin care salons where I teach beauty and aging holistically and naturally. I have seen hundreds of thousands of clients over almost 4 decades. I find it incredibly sad that so many women , especially young women feel they need to change their faces for some ridiculous standard that society and marketing has set. Learn to love yourself and you won’t have to worry about bad invasive procedures. I love your honesty Doctor. Blessings to you and everyone here. You are beautiful and you are enough!!!! Wabi sabi embracing the imperfections of life and in ourselves and aging a beautiful gift 🙌🏻🍑🧡Lisa
Marketing definitely amplifies the inherent problems and dangers of having cosmetic treatments. As you said, it often makes people believe that they need something they don't, or for practitioners to sell something that people don't need. Hopefully this video will help to educate and provide perspective on fillers and hyaluronidase so that people can make the right decisions for themselves.
@@viccosmeticinstitute agreed I think younger women are especially vulnerable to this as they do not have the wisdom to think through things yet or haven't had the time to feel confident without the approval or ego boosting of others. Older women can be susceptible to if they fear aging too much and fear it will lead to not being loved or admired . I feel like we all need to do a lot of inner work and the fillers are for the most part a bandaid to cover up the inner work that should instead be done.
@@stayroxy 100% The inner work is VERY challenging because we are brainwashed to hate ourselves, to look outside ourselves for approval and validation, to follow trends, to chase clout and perfection.... instead of transmuting our insecurities in due time (which can take decades).
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.
@@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.
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.
@@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?
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.
It's not necessarily the hyaluronidase. The fillers are stretching your face and stretching your skin of course if you get them dissolve you're going to have loose sagging skin.
I belong to a group on facebook of women who say hyaluronidase botched them (I love my filler no plans to dissolve). Thank you for being the only plastic surgery channel on this platform addressing it!
thanks for your comment Candice. I tried to present this topic in a balanced way and look at both sides carefully. Researching this topic has actually changed my practices with hyaluronidase, and made me much more careful of how I administer it, as well as filler. I believe making the community more aware of this issue - both doctors and potential patients, will make things better for everyone.
@@mariashumyatsky264 Oh yes ... I agree showing botched before n after Hyaluronidase photos and the duration of the filler in the system would do justice ... like I know of people who say within days of getting filled they got extremely deflated by Hyaluronidase, pics would definitely counteract the PSYCHOLOGICAL part
Hi candice I don’t have Facebook so can’t join group. I had tear trough fillers 3 times and on third go had to get them dissolved after 3 years after they migrated. I was left with sunken cheeks (I had chubby cheeks my whole life it was like ageing 20 years) and uneven undereyes. Is there talk on the Facebook group of anything that can help?
@@swimsuitissue123 How long did you find your under eye filler lasted each time? I am trying to decide wether to wait it out or have it dissolved.. the Hyaluronidase gave you sunken cheeks?. I found this group for you
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 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.
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.
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.
5 years later, my fillers have not gone down. As a portraiture artist I can confirm this isn't skewed perception, it's objective and confirmed by the practitioner that did it. Luckily I'm happy with the results and don't mind, but I've always been extremely confused as to WHY on earth they didn't go down! I have hEDS so my connective tissue works a bit differently which might be why.
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.
How we gonna go from cringing at over plucked eyebrows on old pictures to overfilled-then-deflated faces? Our beauty problems were simpler 2 decades ago, these new vicious circles are on another level
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.
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.
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.
Dr Ben Talei is very knowledgeable but needs an update on "bedside manner". Perhaps if patients were told what realilistic results to expect they might not sound so "crazy" when assuming the doctor "deflated" their face. This is a great video. As patients we learn so much more by hearing doctors talk amongst themselves. They often think patients lack the knowledge to understand concepts like the dissolving substance might work on the filler *and* on your natural acids. 🤔 Thanks for sharing this important info!
Patients are simply cash cows to them. The way Ben talked about clients as “crazy” just because someone said a previous person botched them is so dismissive. Botched plastic surgery and fillers can have damaging effects on ppl’s self esteem and mental health
He has to keep up his image among other docs. Only speaking with Drs oversees, who have not fear of the US medical system told me the truth. Very educated doctors, surgeons in their 60's (as long as huyloronidase has been on the market).
@@GingerBun HUGE. Most people like that are. You don't see respectable and good doctors on youtube. They don't even do much marketing, they don't have to. Plus, people like him, and him, HAS RUINED FACES AND LIVES. Their words are not worth anything. I lost my face, my health, my body head to tow is destoyed, and some jokers are going to tell me I am crazy? I was THE HEALTHIEST, young looking, vibrant, attractive person and ran into a predator, a poser emergency medicine dr, who never even practiced medicine posing as a cosmetic dermatologist in INCLINCE VILLAGE NV. She deformed me, and then dissolving the filler has lead to PURE HELL and DEFORMITY. They can say all they want. He thinks the classical music adds seriousness and validity to his fake image? Monsters!!!
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
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. 🌿🕊️💕🌍
Some of you are missing the point of this video.. Nobody is saying NOT to get fillers, the lesson we should all be taking from this is, EVERYTHING in moderation. In other words, know when to stop, and know when you are abusing filler/surgery. Not everything is "more is more", and overfilling is not synonymous with aesthetic attractiveness because overall attractiveness is an equation involving ratios and proportions, not just having giant lips or massive cheeks. Not all faces carry oversized features well.. Yes some do, but most require a delicate balance, some people look better with a minor amount of filler versus a major amount, and others may need a bit more. However nobody, let me reiterate, NOBODY needs pillow face, it looks awful on everyone, and is indicative of imbalanced features and overfilling. We need to work on our ability to discern this balance, so as to avoid this issue. Telling people not to get filler or shaming cosmetic practices or those who get them, is not the answer.
false unfortunately...there are many patients that had small amnts of filler (I'm talking less than a ml) and decided to dissolve (upon Dr. Chan's recommendations) and are suffering from continual degradation of the tissues of the face. Women have suffered from even less than 20 units of dissolved. Please read the realself reviews, forums and there is even an FB group of almost 2000 women suffering from side effects from hyaluronidase.
@@Ashley-bl7sk How is a subjective opinion false? If you believe that the minority deciding to dissolve their filler somehow implies that filler should not be injected in the first place, then that is your opinion. One that I personally disagree with, because those women who made the choice to have their filler dissolved, have no implications on the hundreds of thousands of satisfied patients, both female and male, who were able to discern what the right amount of filler for their face was, so as to circumvent the need for Hyaluronidase. That's like telling people not to get plastic surgery because a group of 2000 people were botched.. A) Go to the right professional and B) Have a good head on your shoulders before making life altering decisions. Nobody deserves to be shamed for any of these procedures, but if you are going to try and dissuade people because you had a bad experience, that is absurd, as one experience is HIGHLY variable and anecdotal. And that is the objective truth..
I did not say patients should not get filler nor do I shame those who get filler. I'm saying that even hyaluronidase in moderation or very small amounts have caused detrimental side effects to women. I've met many successful kind women who lost everything after using a small amount of this enzyme. One girl in our support group committed suicide bc of the continual degradation to her face/body. I'm trying to bring awareness so this doesn't happen to any more people. Also many patients are injected by surgeons and doctors, not unlicensed people, yet having horrible reactions. Yes not everyone does, but some people do.
@@Ashley-bl7sk Right, well then perhaps you misunderstood my initial comment. Which was not about hyaluronidase, it was about filler and in turn how everyone can possibly avoid the need for said enzyme by, as I said, injecting small amounts at a time (where the likelihood of dissatisfaction is greatly reduced) and to work on the ability to discern a balance for your face? Which is reasonable, and about the only logical thing we can take away from this video. Again it should not be to tell people to avoid getting injected, and if that's not what you were implying with your response, then frankly I'm not too sure what your point was.. because you were telling me I was wrong, even though what your saying is completely separate to my point.
You said everything in moderation, which I had interpreted as inclusive of hyaluronidase, a big focus of this video. Unfortunately, even small amounts of filler used very moderately, can cause poor outcomes for patients even when injected by highly qualified professionals, and they are not told the risks of hyaluronidase, even told it's completely harmless, when that is certainly not the case so they go ahead and use it. That is what I meant by comment.
I had hyalurindase injected about 6 times in areas of my upper cheek both sides. The doctor overfilled me. All I asked for was tear trough fillers, but he decided I needed upper cheeks as well. When I already had a full face. So I looked like a chipmunk, and my eyes were swollen and dark. But about 2 weeks later I stared my process of dissolving. I couldn’t take it anymore. Then I noticed my right side cheek areas was completely flattened and sagging. So the doctor saying people are used to a full face and hyaluronidaise wasn’t the culprit is wrong. I always had full cheeks. But the dissolver depleted that. So I had to get filler again on my right cheek to match the other side. Had I known it would come back I probably would’ve stuck it out and not got filler. Because I’m not happy having filler in my face. I have been living a nightmare trying to get my face back to what it used to look like. I just wish I could start all over with no filler in my face. But I’m scared to use dissolver again, plus I’m not sure if my face regained its natural hyaluronic acid. This has caused me not to feel comfortable around coworkers and not take my mask off around them. Because I feel like they can tell and my face looks bigger and different then before. I also got sculptra 2 vials. But not sure what that has even done.
did you initially get sculptra? sculptra is not dissolvable. so if you did, the doctor was injecting hyaluronidase for no reason. also 6 vials of it is a lot
I wanted to get fillers in my lips. I got a nose job recently so fillers weren't a big deal to me after that. I did a lot of research because I still had my concerns, and oh my Lord, the things I've found... I've decided that my journey with plastic surgery will stop here. My new nose has helped me with my self-esteem as I was bullied for most of my childhood, but the rest is just not worth it.
After reading the horror stories online about Hyaluronidase, I was absolutely terrified to get my awful cheek filler dissolved. I had 3 sessions of dissolver and I really don't notice any difference with my face. don't let the horror stories scare you. As long as you go to someone who knows what they're doing, you'll be fine. My skin laxity wasn't as good but it was an easy fix with microneedling. Not a big deal
I'm not against fillers but it's concerning how far some people decide to go with them. I've seen people complain when a surgeon or aesthetician tells them no. I think you should really listen when a surgeon gives you this advice. Just look at Kylie Jenner, I honestly wished someone would have said "you've had enough now, dear". She's so young and had so many procedures including a ton of fillers and in my opinion has gone way too far, destroyed her face. She had a very lovely face imo.
agree she looks uncanny valley now . it can look okay in the edited photos but when you see her in videos when she moves her face she does not even look human anymore
I was one of those ppl born with almost zero lip tissue and also anatomically had deep laugh lines starting in my early 20s, just the way I was made. So filler has been a God send for me to fix that and now I feel like a Bombshell. However I also naturally always had dark circles and under eye hollows since a young age and got .5 syringe under each eye. This video has been an enormous aide which has helped me avoid more filler under my eyes and above all kept me from getting hyalase to touch up some spots that were a little off on and above my lips. I also read a lot of the Real Self reviews and had a huge concern. Ppl are getting systemic weakness and degeneration in their connective tissue due to hyalase!!! I already have an autoimmune condition affecting those areas so now I'm dead set and never getting hyalase just in case. I'll be very responsible with further filler use to simply upkeep the benefits I've been receiving in my lips and laugh lines. Thank you.
I had a plastic surgeon put filler around my eyes and it caused a deep ugly wrinkle under my eyes. I resent when people think it's a psychological problem. Also another doctor injected hyalauric acid and the PEG ate away at my tissue leaving a deep ugly indentation in my face which cost $1400 to fill up. Very disappointing to spend thousands and look worse!
I’ve had 5 rounds of dissolving filler in my lips and have had no issues. Happy I saw this video afterwards though, because I would have been scared otherwise.
I’m super curious about your experience. If you don’t mind sharing I’d love to know more. Did you start off with over filling your lips or was it gradually little bits here and there? Did you do the 5 rounds consecutively? Or did you fill, dissolve, fill, dissolve, repeating? You sound like you had a good experience and I know every case is different, I want to know, as a virgin to filler, what others experience is. I have an appointment in 2 weeks for it.
@@severdecstacy of course! I had 2 really bad lip filler experiences about 4 years ago. I didn’t really realize it , but i had a huge “shelf” from the side. So i wanted to have it dissolved in June. To be honest I think the woman who tried to dissolve it wasn’t a good practitioner I realize as I have an amazing one now. He said he never had to dissolve 5 times on a patient, 3 times was the most he had to do in his career. So we dissolved it one last time and I think everything is gone now, and I will get it refilled in two weeks. Please please please go to someone who specializes in natural results and doesn’t do russian lips! You will love your results if you chose your dr wisely :) feel free to ask more questions.
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.
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 saw another video regarding autopsy.. the doctor found particles of Calcium Hydroxyapatite under the skin which means the filler was never totally disintegrated by the body.
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.
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!
THANK YOU for making this! My lip filler has migrated and I want it dissolved. I canceled my dissolver appointment and got so scared when I looked at the RealSelf reviews. Really helpful to see this properly researched and feeling comfortable about getting it done now (with a doctor with ten years of experience as opposed to the random inexperienced injector who led me here)
I want to add I started getting all my filler done years back thinking it was gone and I needed more every 6-12 months. It wasn’t until I saw one photo of myself recently where I realized it had migrated badly and now I can’t unsee it! Now that I realize 6-12 months is a myth and migration seems to always inevitably happen, I think I’m going to resist the urge to refill afterwards and stop messing with my face. Feeling so grateful that the filler in my cheeks hasn’t migrated oddly these years later as well.
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.
I have not even started watching. I absolutely had hyaluranidase destroy my face in 2017. I have since had two SURGERIES to try. to restore my looks. I. will forever regret the hyaluranidase. I will never look the same. I still struggle with depression. I still want one additional procedure . I wish I had never done the hyaluranidse. I wish they would do actual clinical trials and warn people about this. I have to move forward..
I kind of relate because I have dermatilomania and have destroyed my own face. I have to learn to live with the damage and enjoy the beauty I have left. We will all make mistakes and we will all age one day. Let it make you more powerful, more confident, more open, and more attractive.
It, along with very aggressive microneedeling destroyed my whole body, severe alopecia, all over subcutaneous damage, skin dry and saggy. Life destroyed.
@@Nn-ng9tp Total subcutaneous layer damage. Who knows, the hyloronodaze is only to be used diluted. And I had a provider shoot me up with a whole bottle 3 years post fillers. My whole body is gone. I call it my personal Chernobyl. What they did to me and others is CRIMINAL.
@@Nn-ng9tp It destroyed my subcutaneous layer completely, and caused a reaction all over the body. It has completely destroyed my body, health, life. Because of drs just like Dr. Chan, a former emergency room medstudent, who jumped on a cashcow cosmetic train and deformed a life. Not just mine, but my family too.
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 !
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 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
I'm a 34yr old male, I had hyaluronidase injected to my temples to dissolve excess fillers that was injected beforehand. Afterwards, I have this horrible depressed and hollow look to my temples. This chemical is literally people's faces with no repercussions to the dealer. Can the drug makers be held accountable for not warning countless of sufferers the potential damage it could cause??
It is important to note some related in vitro studies, such as those of Marazzi and colleagues, evaluated the role of hyaluronidase in skin and soft tissue vitality [53]. High concentrations of this enzyme have been reported to inhibit skin vitality. It has also been mentioned that concentration-dependent hyaluronidase toxicity is the cause of postoperative periorbital inflammation after cataract surgery after regional anesthesia.
For drs to say the patients are mental for saying their face was ruin after dissolver is disappointing. I was told that the dissolver can effect the natural HA in the spot injected a while back. And then these “drs” saying they thought it would be “selective” truly goes against molecular science… this is so frustrating This topic should’ve been brought up sooner Thank you for this it’s been very informative
A lot of doctors can be really close minded. They always think they are right, sometimes completely ignoring obvious signs and even logic if it goes against their "beliefs". Many of them are super rigid and stuck in the years they did med school knowledge wise, often refusing to evolve as science and new findings emerge
@@dismol9707 True, but likewise patients can also be absolutely mental. The amount of misinformation they carry often fuels wild imaginings that doctors get to listen to over and over again. I think it's quite fair for a doctor to say that, even when his patients are absolutely insane, he still pays attention because that insanity seeded from a reason and he tries to figure out what it is. Is that wrong?
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
@@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!
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!
Just want to say, for everyone considering getting fillers, I absolutely regret getting fillers. They made me look far worse. and I honestly could have achieved an improvement by just sleeping more, drinking water, eating better. Please, I beg you to stay away from this procedure. The occulofacial surgeon I went to sold this to me as something that will go away on its own in 3 months, but as the doctor explains this is permanent. I have to now live with a face I hate forever because dissolvers can deform your face even worse. I cry and have nightmares about it. Please avoid the headaches and tears. Just Don't do it 🙏🙏🙏
I believe the fillers will dissolve over time from your face depending on the type of filler used. A true professional will not place a non dissovable filler in your face.
@@Megasaurusify and this makes me so unsure about what to do. have the undereyefiller (Juverdèrm) for about 2 years now and get tearbags from it (I'm 24 and never had those) scared it gets worse by time but even more scared of getting it dissolved. Don't know what to do. Please never do this to yourself...
@@nimpfaelyn Go to a very qualified doctor. What happens is people go to cheap doctors and expect very good results. Please do your research , have a conversation go on online forums before you go under the knife. People have gotten fillers for years and decades and are fine.
@@qwerty1994ize Hi ♡ thank you for your answer. I don't know... As I understood it, you can't really control hyalurondaise. I just found out about Topilase, it's hyalurondaise as cream, sounds way safer but not every ps seems to know about / have it. But thank you so much for making a lil hope :)
My biggest regret is my filler. My mom kept bugging me that my lips are “too small” and she was adamant I needed it. Then I had filler in my nasolabial folds. The filler eventually migrated, now I’m looking to dissolve but am too scared it’s going to look worse. Really annoyed with myself.
I really think the dissolver ruins the surrounding tissue. I had an autoimmune response to filler in my cheek and had it hyalaised twice, one side with more than the other and Its not only deflated, but indented. I'm having fat transfer to try and put some volume back in but it's very hard to retain because my metabolism is so fast. I wish I had known the true risks before having fillers.
If you are going to dissolve your fillers do it gradually so the body has time to heal and replace the fillers with your normal bodily products, never do it all of sudden at all it will put your body in a shock
Young girls are out here doing the most to their faces. So many are beautiful naturally, but they all want to have the exact same alien shaped reverse triangle face shape with angular cheeks and masculine jawline with swollen "fish" lips. Due to body dysmorphia, they don't know how artificial, aged and crazy they actually look. I cringe when I think about what they will look like when they're older. It's sad because instead of aging graceful, they will be aging very badly.
Considering doctors also said there is no way for filler to be in the face after a year, I'm dubious these same people will openly state hyaluronidase has negative effects. I can say as someone who had to get eye filler dissolved due to swelling at age 29 while still having leftover filler 5 years later, both filler and hyaluronidase prematurely age your eyes. I have met with several plastic surgeons and none of them want to use more hyaluronidase under my eyes to remove the remainder but all admit I have filler left under my eyes. If it wasn't dangerous, they would do it.
@@jfknightom Thank you. Did you find it went down a little bit on its own over the time or still 5 years on was just as prevalent as when you got it? Im not sure wether to waitit out or dissolve
@@dandelions2414 after the first year it went down a decent amount then I would say very gradually went down each year at a snail's pace. Now I'm 6 years out and it's still there. Meaning with yet another surgeon to see what he thinks but it's definitely still there and some days are better than others (sleep/diet/allergies/etc.)
Awesome discussion... I've just finished writing an integrative literature review on hyaluronidase. Great work getting these experts on to discuss this 👏👏👏👏
@@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?
Thank you!!! Truth about hyaluronidase finally!!! It's horrible. I have scars under my eyes from hyaluronidase. My skin has recovered some but will never be the same. It's so refreshing to see this. People need to know the risk.
How much time it needed to recover? I had it done in may and I am desparate now.I dissolved lips and my face lost a lot of volume and i never had any filler except in lips.
@@elaelena4871 I'm sorry you're experiencing this. It really depends on your skin texture, age etc. I don't have an answer. Some people have no complications while others have permanent scars. My advice is to take really good care of your health. Seek out a doctor who validates your concerns and acknowledges the reality of hyaluronidase. What really helped bring my skin back was CO2 skin resurfacing, Morpheus 8 treatment and time. It's been three years and I'd say I'm about 80% healed. I don't expect it to continue to improve at this point, but I've mostly let it go. I look normal - just not as fresh faced under my eyes as I used to. Remember to always wear sunscreen, sunglasses and use high quality skincare. Skin boosting supplements can't hurt either.
@@beccacontis3101 Thank you Becca so much for taking time to answer.The biggest problem now is finding a doctor that will listen but I hope for the best, because I am still young and thank God my face looks normal it's just not round and full as it used to be just months ago.And these comments scared me so much, I hope at least it won't get worse.I saved your comment hope it'll help.Thanks so much again I am glad you were able to recover.
No prob! I know how scary and awful it is. I lost so much sleep over my appearance. The worst part is knowing you did it to yourself and the endless regret. Ugh - wouldn't wish it on anyone. Just know that it will improve and there are things that can be done to help. You must also come to terms and eventually come to peace with the possibility that you won't fully recover. As women we are our own harshest critics - try not to obsess. It's likely not as bad as you think. Good luck!!
I allways hate my face shape, specially my noose (as a brazilian, Im mixed races, my mom side has catalan, portuguese, french, angolan and syrian; my dad side has indigenous and portuguese). In 2019 I went a doctor wondering filling my face and noose job. He put me in front of a mirror and show a picture a greek statue. "U look like her, dont change nothing because u have a exotical and unique beauty" I wish all these girl had contact with Professionals who has more humanity and respect tho the natural beauty. Now I've 36, going 37 and loving getting older, as a gift of life.
I am very grateful for the information given on this Chanel. I’m 50 and many of my friends get fillers. And some have said I need it under my eyes. I’ve been scared too do it. But after watching your Chanel periodically I always refrain from doing it. Now later down the track, I notice the friends that have had filler are starting to look a little strange. So I’d rather look natural and and perhaps have a lift instead one day down the track. I can not believe teenagers are getting fillers! This is quite heartbreaking to think young girls feel the pressure to “enhance” the beauty of youth further. What has become of society when the concept of beauty has become so distorted? True beauty is not just on the exterior, but also comes from within. Thank you Dr for your fabulous UA-cam Chanel
One French influencer I am following just got her whole face injected with fillers to remove jowling as well as balancing the chin in her profile. She looks inflated with air :/ some doctor told her she is too young for a facelift at 51. I don't know which doctors she is seeing in Paris but it's terrible! The trend is to get tastefully made surgery versus tonnes of filler I believe. I am surprised docs in Paris don't go this route Brilliant vid. Maybe I should send it to her doctor haha
This is why they tell you to get only 0.5 of filler and then wait the 2 wks and only then if you desire more then you go back. Nothing over done ever looks good.
I've seen a lot of your videos about filler..and none of them suggested replacements.. when I tell this to girls I know they always ask why don't these complications happen with Famous people..and what can we do if the case is serious not just a person trying to follow a trend ??? ... I'm a medicine student and I'm a big fan of plastic surgery..I trust you doctor and I hope to get some answers
Looking at some celeb faces these complications do happen. However, a celebrity is not going to be over injected, a celebrity is not going to go to a medspa, the level of professionalism they seek is much higher. And providers know that to mess up a celebrity face theres money for a lawsuit. So they are careful.
Doctor Ben Talei shouldn't casually throw around words like "crazy" and "psychotic" to describe his patients. I understand that there may be a psychological component to all of this and I think the other doctors approached the topic with tact. I know that plastic surgeons sometimes deal with patients who have mental health problems which can affect their self-image but labeling them as "insane" is just unprofessional. It seems to me that he had a few bad experiences and is still bitter about it, or maybe he's just uneducated on the topic. Just my opinion.
Common sense told me that hyaluronidase would also attack our own hyaluronic acid . I’m not finished watching yet to see what else it causes . But I just knew it couldn’t be good . Scared of filler anyway. Now I’m even more scared because I know the cute can make it worse .
I wish I never put filler in my face. I regret is so much. I wish there was more education on fillers and how much damage they actually to do peoples faces. PLEASE reconsider before getting any filler. I always warn people not to. Good skin care and skin treatments will do the job.
no country in the world has conducted clinical trials of the safety of hyaluronidase (inzymes)! there is officially no antidote to fillers! and it is not possible to remove the filler from tissues without damaging your own tissues!
The thing is that nobody volunteers for participating in such a clinical research which has a risk involved and if I were to be honest then why would they. This leads to big pharms doing human trials on people from poor countries, like they are some kind of sub-human species being only used for trials so that the rich in developed countries can feel good about themselves.
You are so full of dook your eyes are brown. Go to PubMed or even Google scholar and type in clinical safety trial of hyaluronidase and pages and pages of papers will appear. Stop spreading misinformation.
The problem is also lack of knowledge of people getting the fillers. Both knowledge that is provided to them and knowledge available for self research.
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.
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 👏🏽
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.
Come on algorithm do your thing. This needs to be shared!
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
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 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 :)
this video should have been watched by millions not thousands. This information is worth everything. Thank you.
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
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
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
@@june2420111 what filler did you get and where?
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.
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!
My name is Ashley, I am 27 yrs old, and a few days after seeing hyaluronidase degrade my entire face from only having less than 0.5ml of voluma for a scar, I had suicidal thoughts for the first time in my life. From being active, finishing my third degree, and enjoying life, never experiencing a drop of mental health issues, I lost everything shortly after hyaluronidase. For those doctors and people that will call these hyaluronidase damaged people as "crazy", you are only glazing the surface of the trauma caused by this enzyme. Yes, not everyone has a bad reaction, but if there are hundreds of realself reviews, forums, and over a thousand members in a FB group dedicated to hyaluronidase damage, then the medical community needs to take action, and stop putting greed over safety, and actually do more research on the application of the human body. Casabona's study on ONE persons stomach, not face, is no where near the type of research to prove hyaluronidase is safe. Not even close.
The problem is much deeper, they will never assume their guilt, because they will have to assume from the beginning they knew fillers could last for life, since it's easy to see in a simple exam. Hope you the best you're young you re still in a good age to recover your skin, just be patient.
Im so sorry for what you've been through. And that you felt the need for fillers at all! : (
@@courtneyr214 it was for a scar...doesn't help that every social media platform plasters that fillers are safe and just healthy hyaluronic acid, and when you ask the injector they leave out the hundreds of risks for you to find out on your own
The voluma destroyed your face?
@@minkycat66 no the hyaluronidase is what completely degraded the natural tissue of my face. I was unrecognizable. After 9 months of misery and researching for natural ways to restore my face I had to resort to fat grafting surgery. The doctor had to inject 20 cc of fat in the heavily damaged areas of my face. I'm in my 20s and this is coming from a girl who hates needles and meds, and it took a big jump to do filler in the first place. Hyaluronidase is no joke, it will degrade the tissues of your face, there is no way around it. Dr Ben Talel spills the obvious truth on this video
Your videos should be taught in schools. You are doing an incredible job here.
Agreed.
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.
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?
I have three holistic skin care salons where I teach beauty and aging holistically and naturally. I have seen hundreds of thousands of clients over almost 4 decades. I find it incredibly sad that so many women , especially young women feel they need to change their faces for some ridiculous standard that society and marketing has set. Learn to love yourself and you won’t have to worry about bad invasive procedures.
I love your honesty Doctor.
Blessings to you and everyone here.
You are beautiful and you are enough!!!! Wabi sabi embracing the imperfections of life and in ourselves and aging a beautiful gift 🙌🏻🍑🧡Lisa
Marketing definitely amplifies the inherent problems and dangers of having cosmetic treatments. As you said, it often makes people believe that they need something they don't, or for practitioners to sell something that people don't need. Hopefully this video will help to educate and provide perspective on fillers and hyaluronidase so that people can make the right decisions for themselves.
@@viccosmeticinstitute
Love this and respect what you do here very much.
Blessings 🙌🏻🍑Lisa
@@viccosmeticinstitute agreed I think younger women are especially vulnerable to this as they do not have the wisdom to think through things yet or haven't had the time to feel confident without the approval or ego boosting of others. Older women can be susceptible to if they fear aging too much and fear it will lead to not being loved or admired . I feel like we all need to do a lot of inner work and the fillers are for the most part a bandaid to cover up the inner work that should instead be done.
@@stayroxy 100% The inner work is VERY challenging because we are brainwashed to hate ourselves, to look outside ourselves for approval and validation, to follow trends, to chase clout and perfection.... instead of transmuting our insecurities in due time (which can take decades).
ok. so i’m assuming that you also preach the same thing for makeup, too, right?
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😢
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.
It's not necessarily the hyaluronidase. The fillers are stretching your face and stretching your skin of course if you get them dissolve you're going to have loose sagging skin.
I belong to a group on facebook of women who say hyaluronidase botched them (I love my filler no plans to dissolve). Thank you for being the only plastic surgery channel on this platform addressing it!
thanks for your comment Candice. I tried to present this topic in a balanced way and look at both sides carefully. Researching this topic has actually changed my practices with hyaluronidase, and made me much more careful of how I administer it, as well as filler. I believe making the community more aware of this issue - both doctors and potential patients, will make things better for everyone.
@@viccosmeticinstitute Dr. Both sides would be to show botched faces and bodies and lives. That would be balance.
@@mariashumyatsky264 Oh yes ... I agree showing botched before n after Hyaluronidase photos and the duration of the filler in the system would do justice ... like I know of people who say within days of getting filled they got extremely deflated by Hyaluronidase, pics would definitely counteract the PSYCHOLOGICAL part
Hi candice I don’t have Facebook so can’t join group. I had tear trough fillers 3 times and on third go had to get them dissolved after 3 years after they migrated. I was left with sunken cheeks (I had chubby cheeks my whole life it was like ageing 20 years) and uneven undereyes. Is there talk on the Facebook group of anything that can help?
@@swimsuitissue123 How long did you find your under eye filler lasted each time? I am trying to decide wether to wait it out or have it dissolved.. the Hyaluronidase gave you sunken cheeks?. I found this group for you
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.
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.
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.
5 years later, my fillers have not gone down. As a portraiture artist I can confirm this isn't skewed perception, it's objective and confirmed by the practitioner that did it. Luckily I'm happy with the results and don't mind, but I've always been extremely confused as to WHY on earth they didn't go down! I have hEDS so my connective tissue works a bit differently which might be why.
I have hEDS and so the dark under eyes that come with it. I’m looking at fillers to fix…would u recommend?
@Lucy please don't do it. I had fillers before getting an eds diagnosis and it made my symptoms flare for 2 years now. It's not worth it.
@@sanfooras5799 I feel like anything and anything can trigger a flat with us tho aha
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.
How we gonna go from cringing at over plucked eyebrows on old pictures to overfilled-then-deflated faces? Our beauty problems were simpler 2 decades ago, these new vicious circles are on another level
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.
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 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?
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 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 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.
Dr Ben Talei is very knowledgeable but needs an update on "bedside manner". Perhaps if patients were told what realilistic results to expect they might not sound so "crazy" when assuming the doctor "deflated" their face. This is a great video. As patients we learn so much more by hearing doctors talk amongst themselves. They often think patients lack the knowledge to understand concepts like the dissolving substance might work on the filler *and* on your natural acids. 🤔
Thanks for sharing this important info!
Patients are simply cash cows to them. The way Ben talked about clients as “crazy” just because someone said a previous person botched them is so dismissive. Botched plastic surgery and fillers can have damaging effects on ppl’s self esteem and mental health
He has to keep up his image among other docs. Only speaking with Drs oversees, who have not fear of the US medical system told me the truth. Very educated doctors, surgeons in their 60's (as long as huyloronidase has been on the market).
Oh yes he does need to stop being so rudely dismissive And the other doctors to stop being so Politely Dismissive
That guy is a big 🚩🚩🚩
@@GingerBun HUGE. Most people like that are. You don't see respectable and good doctors on youtube. They don't even do much marketing, they don't have to. Plus, people like him, and him, HAS RUINED FACES AND LIVES. Their words are not worth anything. I lost my face, my health, my body head to tow is destoyed, and some jokers are going to tell me I am crazy? I was THE HEALTHIEST, young looking, vibrant, attractive person and ran into a predator, a poser emergency medicine dr, who never even practiced medicine posing as a cosmetic dermatologist in INCLINCE VILLAGE NV. She deformed me, and then dissolving the filler has lead to PURE HELL and DEFORMITY. They can say all they want. He thinks the classical music adds seriousness and validity to his fake image? Monsters!!!
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 ?
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?
Thank you for not keeping quiet about this issue! ❤️
Some of you are missing the point of this video.. Nobody is saying NOT to get fillers, the lesson we should all be taking from this is, EVERYTHING in moderation. In other words, know when to stop, and know when you are abusing filler/surgery. Not everything is "more is more", and overfilling is not synonymous with aesthetic attractiveness because overall attractiveness is an equation involving ratios and proportions, not just having giant lips or massive cheeks. Not all faces carry oversized features well.. Yes some do, but most require a delicate balance, some people look better with a minor amount of filler versus a major amount, and others may need a bit more. However nobody, let me reiterate, NOBODY needs pillow face, it looks awful on everyone, and is indicative of imbalanced features and overfilling. We need to work on our ability to discern this balance, so as to avoid this issue. Telling people not to get filler or shaming cosmetic practices or those who get them, is not the answer.
false unfortunately...there are many patients that had small amnts of filler (I'm talking less than a ml) and decided to dissolve (upon Dr. Chan's recommendations) and are suffering from continual degradation of the tissues of the face. Women have suffered from even less than 20 units of dissolved. Please read the realself reviews, forums and there is even an FB group of almost 2000 women suffering from side effects from hyaluronidase.
@@Ashley-bl7sk How is a subjective opinion false? If you believe that the minority deciding to dissolve their filler somehow implies that filler should not be injected in the first place, then that is your opinion. One that I personally disagree with, because those women who made the choice to have their filler dissolved, have no implications on the hundreds of thousands of satisfied patients, both female and male, who were able to discern what the right amount of filler for their face was, so as to circumvent the need for Hyaluronidase. That's like telling people not to get plastic surgery because a group of 2000 people were botched.. A) Go to the right professional and B) Have a good head on your shoulders before making life altering decisions. Nobody deserves to be shamed for any of these procedures, but if you are going to try and dissuade people because you had a bad experience, that is absurd, as one experience is HIGHLY variable and anecdotal. And that is the objective truth..
I did not say patients should not get filler nor do I shame those who get filler. I'm saying that even hyaluronidase in moderation or very small amounts have caused detrimental side effects to women. I've met many successful kind women who lost everything after using a small amount of this enzyme. One girl in our support group committed suicide bc of the continual degradation to her face/body. I'm trying to bring awareness so this doesn't happen to any more people.
Also many patients are injected by surgeons and doctors, not unlicensed people, yet having horrible reactions. Yes not everyone does, but some people do.
@@Ashley-bl7sk Right, well then perhaps you misunderstood my initial comment. Which was not about hyaluronidase, it was about filler and in turn how everyone can possibly avoid the need for said enzyme by, as I said, injecting small amounts at a time (where the likelihood of dissatisfaction is greatly reduced) and to work on the ability to discern a balance for your face? Which is reasonable, and about the only logical thing we can take away from this video. Again it should not be to tell people to avoid getting injected, and if that's not what you were implying with your response, then frankly I'm not too sure what your point was.. because you were telling me I was wrong, even though what your saying is completely separate to my point.
You said everything in moderation, which I had interpreted as inclusive of hyaluronidase, a big focus of this video. Unfortunately, even small amounts of filler used very moderately, can cause poor outcomes for patients even when injected by highly qualified professionals, and they are not told the risks of hyaluronidase, even told it's completely harmless, when that is certainly not the case so they go ahead and use it. That is what I meant by comment.
I had hyalurindase injected about 6 times in areas of my upper cheek both sides. The doctor overfilled me. All I asked for was tear trough fillers, but he decided I needed upper cheeks as well. When I already had a full face. So I looked like a chipmunk, and my eyes were swollen and dark. But about 2 weeks later I stared my process of dissolving. I couldn’t take it anymore. Then I noticed my right side cheek areas was completely flattened and sagging. So the doctor saying people are used to a full face and hyaluronidaise wasn’t the culprit is wrong. I always had full cheeks. But the dissolver depleted that. So I had to get filler again on my right cheek to match the other side. Had I known it would come back I probably would’ve stuck it out and not got filler. Because I’m not happy having filler in my face. I have been living a nightmare trying to get my face back to what it used to look like. I just wish I could start all over with no filler in my face. But I’m scared to use dissolver again, plus I’m not sure if my face regained its natural hyaluronic acid. This has caused me not to feel comfortable around coworkers and not take my mask off around them. Because I feel like they can tell and my face looks bigger and different then before. I also got sculptra 2 vials. But not sure what that has even done.
Maybe get fat grafting to that area?
Same here 😢
Any improvement? I have the same issue 😢
@@Godiswith_HERme to
did you initially get sculptra? sculptra is not dissolvable. so if you did, the doctor was injecting hyaluronidase for no reason. also 6 vials of it is a lot
I wanted to get fillers in my lips. I got a nose job recently so fillers weren't a big deal to me after that.
I did a lot of research because I still had my concerns, and oh my Lord, the things I've found... I've decided that my journey with plastic surgery will stop here. My new nose has helped me with my self-esteem as I was bullied for most of my childhood, but the rest is just not worth it.
After reading the horror stories online about Hyaluronidase, I was absolutely terrified to get my awful cheek filler dissolved. I had 3 sessions of dissolver and I really don't notice any difference with my face. don't let the horror stories scare you. As long as you go to someone who knows what they're doing, you'll be fine. My skin laxity wasn't as good but it was an easy fix with microneedling. Not a big deal
When did you get better? I have laxity 3 weeks post dissolver and it’s freaking me out..
Did it get better
Mine is a still loose full body damage 1 year later
I'm not against fillers but it's concerning how far some people decide to go with them. I've seen people complain when a surgeon or aesthetician tells them no. I think you should really listen when a surgeon gives you this advice. Just look at Kylie Jenner, I honestly wished someone would have said "you've had enough now, dear". She's so young and had so many procedures including a ton of fillers and in my opinion has gone way too far, destroyed her face. She had a very lovely face imo.
agree she looks uncanny valley now . it can look okay in the edited photos but when you see her in videos when she moves her face she does not even look human anymore
Love the info... ( maybe tone down the background score ? It's a little hard to block it out and concentrate )
Im highly self conscious but watching this makes me feel grateful for not messing with my face
You’re beautiful!
I’ve had filler removed as well, they used ultrasound so they injected the hyaluronidase directly in the filler. I had no issues with it at all.
I wish I could find a doctor in the NYC area who does this! I’ve had filler dissolved multiple times but I can tell there is still some left.
Where did I go
You*
I was one of those ppl born with almost zero lip tissue and also anatomically had deep laugh lines starting in my early 20s, just the way I was made. So filler has been a God send for me to fix that and now I feel like a Bombshell. However I also naturally always had dark circles and under eye hollows since a young age and got .5 syringe under each eye. This video has been an enormous aide which has helped me avoid more filler under my eyes and above all kept me from getting hyalase to touch up some spots that were a little off on and above my lips. I also read a lot of the Real Self reviews and had a huge concern. Ppl are getting systemic weakness and degeneration in their connective tissue due to hyalase!!! I already have an autoimmune condition affecting those areas so now I'm dead set and never getting hyalase just in case. I'll be very responsible with further filler use to simply upkeep the benefits I've been receiving in my lips and laugh lines. Thank you.
I had a plastic surgeon put filler around my eyes and it caused a deep ugly wrinkle under my eyes. I resent when people think it's a psychological problem. Also another doctor injected hyalauric acid and the PEG ate away at my tissue leaving a deep ugly indentation in my face which cost $1400 to fill up. Very disappointing to spend thousands and look worse!
I’ve had 5 rounds of dissolving filler in my lips and have had no issues. Happy I saw this video afterwards though, because I would have been scared otherwise.
I’m super curious about your experience. If you don’t mind sharing I’d love to know more. Did you start off with over filling your lips or was it gradually little bits here and there? Did you do the 5 rounds consecutively? Or did you fill, dissolve, fill, dissolve, repeating?
You sound like you had a good experience and I know every case is different, I want to know, as a virgin to filler, what others experience is.
I have an appointment in 2 weeks for it.
@@severdecstacy of course! I had 2 really bad lip filler experiences about 4 years ago. I didn’t really realize it , but i had a huge “shelf” from the side. So i wanted to have it dissolved in June. To be honest I think the woman who tried to dissolve it wasn’t a good practitioner I realize as I have an amazing one now. He said he never had to dissolve 5 times on a patient, 3 times was the most he had to do in his career. So we dissolved it one last time and I think everything is gone now, and I will get it refilled in two weeks. Please please please go to someone who specializes in natural results and doesn’t do russian lips! You will love your results if you chose your dr wisely :) feel free to ask more questions.
Same I never had any problems with hyaluronidase
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.
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 saw another video regarding autopsy.. the doctor found particles of Calcium Hydroxyapatite under the skin which means the filler was never totally disintegrated by the body.
That's interesting. Is it on UA-cam?
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!
THANK YOU for making this! My lip filler has migrated and I want it dissolved. I canceled my dissolver appointment and got so scared when I looked at the RealSelf reviews. Really helpful to see this properly researched and feeling comfortable about getting it done now (with a doctor with ten years of experience as opposed to the random inexperienced injector who led me here)
I want to add I started getting all my filler done years back thinking it was gone and I needed more every 6-12 months. It wasn’t until I saw one photo of myself recently where I realized it had migrated badly and now I can’t unsee it! Now that I realize 6-12 months is a myth and migration seems to always inevitably happen, I think I’m going to resist the urge to refill afterwards and stop messing with my face. Feeling so grateful that the filler in my cheeks hasn’t migrated oddly these years later as well.
who are you getting your filler dissolved with? struggling to find someone
hey, did you get it dissolved? how’d it go?
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.
I have not even started watching. I absolutely had hyaluranidase destroy my face in 2017. I have since had two SURGERIES to try. to restore my looks. I. will forever regret the hyaluranidase. I will never look the same. I still struggle with depression. I still want one additional procedure . I wish I had never done the hyaluranidse. I wish they would do actual clinical trials and warn people about this. I have to move forward..
I kind of relate because I have dermatilomania and have destroyed my own face. I have to learn to live with the damage and enjoy the beauty I have left. We will all make mistakes and we will all age one day. Let it make you more powerful, more confident, more open, and more attractive.
It, along with very aggressive microneedeling destroyed my whole body, severe alopecia, all over subcutaneous damage, skin dry and saggy. Life destroyed.
@@Nn-ng9tp Total subcutaneous layer damage. Who knows, the hyloronodaze is only to be used diluted. And I had a provider shoot me up with a whole bottle 3 years post fillers. My whole body is gone. I call it my personal Chernobyl. What they did to me and others is CRIMINAL.
@@Nn-ng9tp It destroyed my subcutaneous layer completely, and caused a reaction all over the body. It has completely destroyed my body, health, life. Because of drs just like Dr. Chan, a former emergency room medstudent, who jumped on a cashcow cosmetic train and deformed a life. Not just mine, but my family too.
How are you doing today?
No dr should refer to any patient as “ crazy” that is absolutely unacceptable and unprofessional
I got so mad when that doctor kept saying it was a "psychiatric" issue. Talk about medical gaslighting.
Truth hurts but lies killed let’s keep it real 🧐
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.
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
I'm a 34yr old male, I had hyaluronidase injected to my temples to dissolve excess fillers that was injected beforehand. Afterwards, I have this horrible depressed and hollow look to my temples. This chemical is literally people's faces with no repercussions to the dealer. Can the drug makers be held accountable for not warning countless of sufferers the potential damage it could cause??
So cool to see you interviewing Dr Harris - love his work!
It is important to note some related in vitro studies, such as those of Marazzi and colleagues, evaluated the role of hyaluronidase in skin and soft tissue vitality [53]. High concentrations of this enzyme have been reported to inhibit skin vitality. It has also been mentioned that concentration-dependent hyaluronidase toxicity is the cause of postoperative periorbital inflammation after cataract surgery after regional anesthesia.
What a great video! I enjoyed hearing all of the doctors speak on the matter.
Taking credit for Mark Ashton?
For drs to say the patients are mental for saying their face was ruin after dissolver is disappointing. I was told that the dissolver can effect the natural HA in the spot injected a while back. And then these “drs” saying they thought it would be “selective” truly goes against molecular science… this is so frustrating
This topic should’ve been brought up sooner
Thank you for this it’s been very informative
A lot of doctors can be really close minded. They always think they are right, sometimes completely ignoring obvious signs and even logic if it goes against their "beliefs". Many of them are super rigid and stuck in the years they did med school knowledge wise, often refusing to evolve as science and new findings emerge
@@dismol9707 True, but likewise patients can also be absolutely mental. The amount of misinformation they carry often fuels wild imaginings that doctors get to listen to over and over again. I think it's quite fair for a doctor to say that, even when his patients are absolutely insane, he still pays attention because that insanity seeded from a reason and he tries to figure out what it is. Is that wrong?
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!
Welp, I wish that I had watched this video before getting my very first filler 2 days ago
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!
Just want to say, for everyone considering getting fillers, I absolutely regret getting fillers. They made me look far worse. and I honestly could have achieved an improvement by just sleeping more, drinking water, eating better. Please, I beg you to stay away from this procedure. The occulofacial surgeon I went to sold this to me as something that will go away on its own in 3 months, but as the doctor explains this is permanent. I have to now live with a face I hate forever because dissolvers can deform your face even worse. I cry and have nightmares about it. Please avoid the headaches and tears. Just Don't do it 🙏🙏🙏
Totally agreed. You skin / body has the capacity to regenerate. Sometimes it just needs a push. But it doesn't need to be taken over by injections.
I believe the fillers will dissolve over time from your face depending on the type of filler used. A true professional will not place a non dissovable filler in your face.
@@Megasaurusify and this makes me so unsure about what to do. have the undereyefiller (Juverdèrm) for about 2 years now and get tearbags from it (I'm 24 and never had those) scared it gets worse by time but even more scared of getting it dissolved. Don't know what to do. Please never do this to yourself...
@@nimpfaelyn Go to a very qualified doctor. What happens is people go to cheap doctors and expect very good results.
Please do your research , have a conversation go on online forums before you go under the knife. People have gotten fillers for years and decades and are fine.
@@qwerty1994ize Hi ♡ thank you for your answer. I don't know... As I understood it, you can't really control hyalurondaise. I just found out about Topilase, it's hyalurondaise as cream, sounds way safer but not every ps seems to know about / have it. But thank you so much for making a lil hope :)
Wow! The amount of research and effort and credibility in this video is just fantastic. Amazing job.
Agreed.
This has to happened specially because so many young women that don’t even need fillers are the #1 consumers.
My biggest regret is my filler. My mom kept bugging me that my lips are “too small” and she was adamant I needed it. Then I had filler in my nasolabial folds. The filler eventually migrated, now I’m looking to dissolve but am too scared it’s going to look worse. Really annoyed with myself.
I really think the dissolver ruins the surrounding tissue. I had an autoimmune response to filler in my cheek and had it hyalaised twice, one side with more than the other and Its not only deflated, but indented. I'm having fat transfer to try and put some volume back in but it's very hard to retain because my metabolism is so fast. I wish I had known the true risks before having fillers.
I was thinking the same thing must happen these things cannot possibly have good long term effects
If you are going to dissolve your fillers do it gradually so the body has time to heal and replace the fillers with your normal bodily products, never do it all of sudden at all it will put your body in a shock
Young girls are out here doing the most to their faces. So many are beautiful naturally, but they all want to have the exact same alien shaped reverse triangle face shape with angular cheeks and masculine jawline with swollen "fish" lips. Due to body dysmorphia, they don't know how artificial, aged and crazy they actually look. I cringe when I think about what they will look like when they're older. It's sad because instead of aging graceful, they will be aging very badly.
Considering doctors also said there is no way for filler to be in the face after a year, I'm dubious these same people will openly state hyaluronidase has negative effects. I can say as someone who had to get eye filler dissolved due to swelling at age 29 while still having leftover filler 5 years later, both filler and hyaluronidase prematurely age your eyes. I have met with several plastic surgeons and none of them want to use more hyaluronidase under my eyes to remove the remainder but all admit I have filler left under my eyes. If it wasn't dangerous, they would do it.
What kind of filler did you have? I want to dissolve my under eye filler but dont want to age my eyes further with hyaloronidase
@@dandelions2414 I had juvederm
@@jfknightom Thank you. Did you find it went down a little bit on its own over the time or still 5 years on was just as prevalent as when you got it? Im not sure wether to waitit out or dissolve
@@dandelions2414 after the first year it went down a decent amount then I would say very gradually went down each year at a snail's pace. Now I'm 6 years out and it's still there. Meaning with yet another surgeon to see what he thinks but it's definitely still there and some days are better than others (sleep/diet/allergies/etc.)
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
The production of this is *chefs kiss*
Thank you!!! Truth about hyaluronidase finally!!! It's horrible. I have scars under my eyes from hyaluronidase. My skin has recovered some but will never be the same. It's so refreshing to see this. People need to know the risk.
How much time it needed to recover? I had it done in may and I am desparate now.I dissolved lips and my face lost a lot of volume and i never had any filler except in lips.
@@elaelena4871 I'm sorry you're experiencing this. It really depends on your skin texture, age etc. I don't have an answer. Some people have no complications while others have permanent scars. My advice is to take really good care of your health. Seek out a doctor who validates your concerns and acknowledges the reality of hyaluronidase. What really helped bring my skin back was CO2 skin resurfacing, Morpheus 8 treatment and time. It's been three years and I'd say I'm about 80% healed. I don't expect it to continue to improve at this point, but I've mostly let it go. I look normal - just not as fresh faced under my eyes as I used to. Remember to always wear sunscreen, sunglasses and use high quality skincare. Skin boosting supplements can't hurt either.
@@beccacontis3101 Thank you Becca so much for taking time to answer.The biggest problem now is finding a doctor that will listen but I hope for the best, because I am still young and thank God my face looks normal it's just not round and full as it used to be just months ago.And these comments scared me so much, I hope at least it won't get worse.I saved your comment hope it'll help.Thanks so much again I am glad you were able to recover.
No prob! I know how scary and awful it is. I lost so much sleep over my appearance. The worst part is knowing you did it to yourself and the endless regret. Ugh - wouldn't wish it on anyone. Just know that it will improve and there are things that can be done to help. You must also come to terms and eventually come to peace with the possibility that you won't fully recover. As women we are our own harshest critics - try not to obsess. It's likely not as bad as you think. Good luck!!
I allways hate my face shape, specially my noose (as a brazilian, Im mixed races, my mom side has catalan, portuguese, french, angolan and syrian; my dad side has indigenous and portuguese). In 2019 I went a doctor wondering filling my face and noose job. He put me in front of a mirror and show a picture a greek statue. "U look like her, dont change nothing because u have a exotical and unique beauty"
I wish all these girl had contact with Professionals who has more humanity and respect tho the natural beauty.
Now I've 36, going 37 and loving getting older, as a gift of life.
So glad now I never got that crap. You saved my face, cuz I was starting to think about it. Thank You.
I am very grateful for the information given on this Chanel. I’m 50 and many of my friends get fillers. And some have said I need it under my eyes. I’ve been scared too do it. But after watching your Chanel periodically I always refrain from doing it. Now later down the track, I notice the friends that have had filler are starting to look a little strange. So I’d rather look natural and and perhaps have a lift instead one day down the track. I can not believe teenagers are getting fillers! This is quite heartbreaking to think young girls feel the pressure to “enhance” the beauty of youth further. What has become of society when the concept of beauty has become so distorted? True beauty is not just on the exterior, but also comes from within. Thank you Dr for your fabulous UA-cam Chanel
One French influencer I am following just got her whole face injected with fillers to remove jowling as well as balancing the chin in her profile. She looks inflated with air :/ some doctor told her she is too young for a facelift at 51. I don't know which doctors she is seeing in Paris but it's terrible! The trend is to get tastefully made surgery versus tonnes of filler I believe. I am surprised docs in Paris don't go this route
Brilliant vid. Maybe I should send it to her doctor haha
Who is she ?
This is why they tell you to get only 0.5 of filler and then wait the 2 wks and only then if you desire more then you go back. Nothing over done ever looks good.
I've seen a lot of your videos about filler..and none of them suggested replacements.. when I tell this to girls I know they always ask why don't these complications happen with Famous people..and what can we do if the case is serious not just a person trying to follow a trend ??? ... I'm a medicine student and I'm a big fan of plastic surgery..I trust you doctor and I hope to get some answers
Replacement is fat transfer or stem cell therapy
Looking at some celeb faces these complications do happen. However, a celebrity is not going to be over injected, a celebrity is not going to go to a medspa, the level of professionalism they seek is much higher. And providers know that to mess up a celebrity face theres money for a lawsuit. So they are careful.
Doctor Ben Talei shouldn't casually throw around words like "crazy" and "psychotic" to describe his patients. I understand that there may be a psychological component to all of this and I think the other doctors approached the topic with tact. I know that plastic surgeons sometimes deal with patients who have mental health problems which can affect their self-image but labeling them as "insane" is just unprofessional. It seems to me that he had a few bad experiences and is still bitter about it, or maybe he's just uneducated on the topic. Just my opinion.
It's called gaslighting. People are not crazy, I believe them when they say it affects their tissue permanently.
He's clearly not uneducated on the topic.
I definitely agree with you. There was no value add in him labeling and talking about his patients like that. Very unprofessional
Common sense told me that hyaluronidase would also attack our own hyaluronic acid . I’m not finished watching yet to see what else it causes . But I just knew it couldn’t be good . Scared of filler anyway. Now I’m even more scared because I know the cute can make it worse .
That story about the woman going blind is truly terrifying.
Havent watched yet but the timing of this video is nothing short of chilling... THANK YOU
I wish I never put filler in my face. I regret is so much. I wish there was more education on fillers and how much damage they actually to do peoples faces. PLEASE reconsider before getting any filler. I always warn people not to. Good skin care and skin treatments will do the job.
no country in the world has conducted clinical trials of the safety of hyaluronidase (inzymes)! there is officially no antidote to fillers! and it is not possible to remove the filler from tissues without damaging your own tissues!
Terrifying!
The thing is that nobody volunteers for participating in such a clinical research which has a risk involved and if I were to be honest then why would they. This leads to big pharms doing human trials on people from poor countries, like they are some kind of sub-human species being only used for trials so that the rich in developed countries can feel good about themselves.
You are so full of dook your eyes are brown. Go to PubMed or even Google scholar and type in clinical safety trial of hyaluronidase and pages and pages of papers will appear. Stop spreading misinformation.
The problem is also lack of knowledge of people getting the fillers. Both knowledge that is provided to them and knowledge available for self research.
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.