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Fat Grafting Gone Wrong: FOS, Calcified Lumps & Granulomas

What to do when fat grafting goes wrong? Dr. Liu at Liusmed Clinic explains the pathology behind facial overfilling (FOS) and calcified lumps. Rejecting risky steroid injections, we use ultrasound-guided micro-pinhole extraction to precisely restore facial contours.

Feb 18, 20267 min

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Fat Grafted Under the Eye Turned Into a Lump, Then a Stimulator Was Added to Hide It: A Full Record of Removing Five-Year Stacked Nodules

Fat was grafted under the eyes to fill the tear troughs, and it left a firm, visible bulge. To hide that bulge, a collagen stimulator was placed beside it, which left a second nodule. Both stayed there for over five years. This is the full four-stage record of the case, covering how the two materials are told apart, why adding more material does not level an under-eye bulge, and what pinhole removal actually involves.

under-eye lumptear trough fat graftfat graft nodule

Aug 27, 20269 min

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A Dent After a Scar-Reducing Injection: Can Steroid Atrophy Be Repaired?

You had a steroid injection for a keloid or a raised scar. The scar flattened, but the healthy tissue around it sank with it — one of the most common side effects of scar-reducing injections. Using a real case, this article explains why the surrounding area collapses, how this kind of depression differs from an ordinary scar dent, when it may recover on its own and when it will not, and how the lost volume is actually replaced. It also clears up a common misunderstanding: fat grafting and scar-fading are two separate courses of treatment.

scar injection depressionkeloid steroid injectionsteroid atrophy

Jul 23, 20269 min

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A Dent After an Acne Steroid Shot: Will It Fill Back on Its Own, or Should You Repair It?

An acne or anti-inflammatory steroid shot flattened the lump — but months later that spot has sunken into a dent. Will it come back on its own, or does it need repair? This is why steroid dents so often can't be filled from the surface, when waiting is just wasting time, and how a real repair restores the lost volume with your own fat.

steroid injection atrophyacne shot dentcortisone shot atrophy

Jul 21, 20269 min

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Chin & Jawline Filler Removal: Ultrasound Mapping and Single-Pinhole Reshaping of the Side Profile

When chin or jawline filler goes wrong — a block jutting forward on your side profile, a lump you can feel — the thing that actually needs fixing is usually the proportion, not the fact that something is there. This is how I actually do it: first look on ultrasound to see which layer the filler sits in, how close it runs to the mental nerve and the vessels, and whether it is already wrapped in fibrosis; then remove, through a single needle hole, the part that is causing the unnatural bulge. The chin is always moving, so material that cannot be dissolved has to be physically removed. My principle is to smooth and even out the side-profile proportion, not to clear everything out — taking it all away often just returns you to the starting point or leaves you short. The HA that can be dissolved can be dissolved first; the collagen stimulators (HArmonyCa, Radiesse, Ellansé) and permanent materials that cannot be are taken out under ultrasound through one pinhole.

chin filler removaljawline fillerultrasound-guided extraction

Jul 21, 202611 min

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How Is a Steroid Dent Repaired? Ultrasound-Guided Fat Grafting, Restoring the Loss Layer by Layer

You've tried lasers, creams, repeated saline — and the dent from a steroid shot is still there, because what's actually missing is several layers down. This is how I repair that kind of dent: map which layer, how deep, and where the vessels run on ultrasound first, then use your own fat to restore the lost volume in reverse, layer by layer — and how I talk about what's realistic.

steroid atrophy treatmentfat grafting for depressionultrasound-guided fat repair

Jul 21, 20269 min

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A Facial Dent After an Injection: Is It Steroid Atrophy? Telling Facial Dents Apart and Repairing Them

There's a dent on your face and you're not sure whether it's from an injection, an acne scar, migrated filler, or ageing. This helps you first tell which kind of facial dent you have — especially how to tell if it's steroid-induced atrophy — because different dents are repaired differently, and a dent on the face, where skin is thin and vessels are many, needs extra care.

facial dentsteroid atrophy facedent from steroid injection

Jul 21, 20268 min

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RE2O Skin-Booster Keeps Flaring: Foreign-Body Reaction, Biofilm, or NTM Infection?

Your RE2O particulated human-dermis skin booster keeps flaring — red, swollen, better then worse again. Is it a sterile foreign-body reaction, or is a biofilm or nontuberculous mycobacterial (NTM) infection hiding underneath? This explains how to tell the three apart, why an ordinary swab often misses them, and why you should not reach for high-dose steroid before infection is ruled out.

RE2O complicationsforeign-body reactionbiofilm

Jul 17, 20268 min

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Ellansé Lumps: What to Do When You Feel a Hard Nodule

You've had Ellansé, and now you can feel something hard under the skin. Is it swelling, is it the collagen you were promised, or is it a genuine nodule? Dr. Ta-Ju Liu explains why ultrasound is the step that decides everything, when a lump can be watched and when it needs treating, and why PCL lumps are more stubborn than hyaluronic acid — there is no enzyme that dissolves them.

Ellanse lumpsEllanse nodulesPCL filler

Jul 15, 20268 min

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How to Use Silicone Scar Sheets: Timing, Hours, and Reuse

Silicone sheets have the strongest evidence base of any over-the-counter scar product — but almost all of the benefit depends on how you use them. When can you start? How many hours a day? Can you wash and reuse the same sheet, and how do you dry it? Dr. Ta-Ju Liu walks through the details patients ask about most, including what to do when sheets won't stick, feel hot, or irritate the skin.

silicone scar sheetscar preventionpost-surgical care

Jul 15, 20267 min

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How to Apply Surgical Tape: Direction, Showering, Changing

Surgical tape has to run perpendicular to the wound, not along it — get the direction wrong and it does nothing, no matter how long you wear it. So can you shower with it on? Does it need to come off the moment it gets wet? What if it keeps peeling? Dr. Ta-Ju Liu explains how to apply it properly, when to change it (every two or three days, or once it lifts), and why getting it wet is far less of a problem than you've been told.

surgical tapehow to apply surgical tapetension relief tape

Jul 15, 20267 min

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Can You Use Scar Gel and Surgical Tape Together? The Right Order and Timing

You're already applying scar gel — do you still need to tape? Would using both work better? In fact these products do completely different jobs, and layered on the same patch of skin the tape simply will not stick. Dr. Ta-Ju Liu explains how the three scar products divide the work, the correct handover sequence, and how long after stitches come out before gel can start.

scar gelsurgical tapesilicone sheet

Jul 14, 20266 min

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How Long Should You Wear Surgical Tape? Three Months After a C-Section, Two to Four Weeks Otherwise

How long do you actually keep taping after your stitches come out? Two to four weeks for an ordinary wound — but a caesarean or laparoscopic incision needs a full three months, because taking the tape off early is exactly how a scar gets pulled wide. Dr. Ta-Ju Liu explains the difference, how often to change it, why the direction you tape decides everything, and when silicone should take over.

surgical tapescar preventionpost-operative care

Jul 14, 20269 min

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Articles

Category

Repair Type

By Symptom

By Material

Featured Articles

Fat Grafting Gone Wrong: FOS, Calcified Lumps & Granulomas

Fat Grafted Under the Eye Turned Into a Lump, Then a Stimulator Was Added to Hide It: A Full Record of Removing Five-Year Stacked Nodules

A Dent After a Scar-Reducing Injection: Can Steroid Atrophy Be Repaired?

A Dent After an Acne Steroid Shot: Will It Fill Back on Its Own, or Should You Repair It?

Chin & Jawline Filler Removal: Ultrasound Mapping and Single-Pinhole Reshaping of the Side Profile

How Is a Steroid Dent Repaired? Ultrasound-Guided Fat Grafting, Restoring the Loss Layer by Layer

A Facial Dent After an Injection: Is It Steroid Atrophy? Telling Facial Dents Apart and Repairing Them

RE2O Skin-Booster Keeps Flaring: Foreign-Body Reaction, Biofilm, or NTM Infection?

Ellansé Lumps: What to Do When You Feel a Hard Nodule

How to Use Silicone Scar Sheets: Timing, Hours, and Reuse

How to Apply Surgical Tape: Direction, Showering, Changing

Can You Use Scar Gel and Surgical Tape Together? The Right Order and Timing

How Long Should You Wear Surgical Tape? Three Months After a C-Section, Two to Four Weeks Otherwise

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