Too swollen, too firm, too visible. solutions to failed cosmetic surgery

It is too swollen

This is the famous one pillow face (face like a pillow) so feared by patients.

The reason : excess hyaluronic acid on the face or too bulky a product injected at the wrong depth. These failures can be seen on the cheekbones, lips or dark circles (where this time we risk the Tyndall effect, swelling accompanied by a bluish reflection).

The parade : “Do not panic, there is an antidote – hyaluronidase, which dissolves the excess product within a few hours, even a few months after the injection,” assures D.^r: Jean-Sebastien Durier, aesthetic doctor.

Does not hold

Hyaluronic acid : the doctor did not inject enough medicine, or it was too liquid and deteriorated at lightning speed. Simply repeat the injection with the appropriate amount and product.

Botox : the dose was insufficient (which will then be easily corrected), or you went to the sauna or did intense sports training in the following days, which destroyed the product. Or, you have to deal with an unscrupulous professional who thinned it out behind your back (this also shows).

Son : the number of wires placed, their caliber, the material they are made of, the thickness and degree of relaxation of the skin, the technique used… All this contributes to the result. A poor evaluation of one of these points can be enough to compromise everything. “However, some areas present more difficulties than others, such as the neck and browbones, where muscle restrictions are strong and where the threads are placed more superficially. Therefore, the grip is less firm,” explains D^r: Michael Margulies, aesthetic doctor. Finally, it is possible for the wires to break within two weeks of their installation, for example, during sudden movement. To protect against early removal, you can have a Botox injection fifteen days before threading to relax the muscles. In any case, if the result is not satisfactory, it is always possible to fix it by removing or adding wires.

HIFU, radio frequency : some machines are more powerful than others, the results are not always equivalent. Furthermore, this technique requires regular maintenance. Have you done it?

Laser : There is often a complaint that the treatment of spots does not last. But we must not forget the daily stimulation of UV and visible light. If you want flawless skin, you need to repeat the pigment laser sessions every year. “For the treatment of redness, sure, the harder you hit, the longer the result, but at the cost of consequences that can be serious, such as pulsed dye laser purpura, i.e. purple spots within fifteen days. D. explains.^r: Jean-Michel Mazer, dermatologist. You have to decide what you prefer. soft but not effective treatment or long lasting but “worse” treatment.

I don’t see anything

Botox : The observation often comes from patients with very pronounced frown lines. Botox is not enough to completely erase them. A small gap remains, requiring an additional injection of hyaluronic acid two weeks later. Haven’t you forgotten him?

Son : Don’t confuse chopped threads, which provide a lifting effect, and boosting threads, which fill in wrinkles. Remember that the result with them is not immediate. You have to wait two months before you can benefit from the collagen boosting effects.

HIFU/Radiofrequency These methods of thermal stimulation do not offer reproducible results. Non-responders are 15 to 20%. And, of course, the note must be well placed. “In this case, HIFU is not a treatment for very sluggish skin or cheekbones. The main indication is a moderate relaxation of the oval, without stems,” explains D^r: Hair: As for radio frequency, its stimulating effect is greater when heat is combined with needles (RF microneedling). Simple radio frequency, after a certain age, gives modest results. And it is understandable: the skin no longer has the same regenerative capabilities. You need to knock harder to wake them up.

IPL (intense pulsed light) to remove spots and redness, the result of the flash lamp may sometimes be insufficient. Although the technology makes it possible to solve both problems at the same time, it still lacks precision. Therefore, it is common to supplement its action with a pigment or vascular laser. Best indication: dark spots on fair skin with mild rosacea without diffuse redness.

Peeling : “Surface peels that are used to provide radiance and that don’t peel, such as glycolic acid, perform less well than those that peel less, such as trichloroacetic acid, Jessner’s or salicylic acid,” reveals D.^r: Bernard Peyronet, dermatologist.

I can feel it under my fingers

Hyaluronic acid : after the injection, you may feel a small thickness under the fingers. You can massage it to promote tissue integration. It should disappear within a week. On the other hand, if the volume is maintained, it is because the product was probably too voluminous and/or injected too shallowly. Then it is possible to dissolve it and repeat the injection. Warning: if the mass is red, swollen and painful, consult a doctor. This somewhat severe inflammatory reaction should be treated as quickly as possible.

Son they can be felt within two weeks of installation. They are then integrated into tissues. If the sensation persists after several weeks, they may have been placed too shallowly or their caliber was too large. Certain areas where the skin is thin, such as the forehead or neck, are more prone to the problem. But without stress, it is possible to remove the constriction wire and then reinsert a new one. Sometimes its tip can also curl and form a small blister under the skin. Then you have to go back to the doctor who will cut it out again.

It’s too painted

Son “Immediately after threading, the result is always overcorrected and even a little asymmetrical. There is no need to panic. After two weeks, everything returns to normal,” warns D^r: Margulies.

It’s unbalanced

Hyaluronic acid This occurs after injection when the product is poorly selected, injected at an inappropriate amount and/or depth. This is easily remedied by dissolving excess or adding product where it is lacking. “The most common imbalance is found at the level of dark circles. Always wait a few days for the swelling to subside before worrying,” says the doctor.^r: Durie.

Botox : we can all have stronger muscles on one side of the face. For example, on the forehead, which can unbalance the eyebrows. Then one rises above the other. “It is easily compensated for two weeks after the injection by adding a drop of Botox on the strong side of the forehead,” assures D.^r: Robin Mukherjee, plastic surgeon.

Son A too strong pull on one side of the face can be compensated without problems. All that remains is to return to the doctor, who will perform a local massage of the thread to open the notches.