203 articles

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203 articles

Is a Cannula Safer? Weighing Blunt Cannula Against Sharp Needle for Vascular Occlusion Risk

Cannulas lower occlusion risk by an order of magnitude, but lower is not gone. What large-sample data and a cannula occlusion case report actually show.

blunt cannulasharp needlefiller vascular occlusion

Oct 11, 202610 min

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Upper Eyelids Bulging After a Fat Graft: Right Eye First, With the Comparison Inside the Same Photo

Fat was grafted into her upper eyelid hollows. Three months later the eyelids began to bulge, more so after weight gain. Ultrasound showed the fat sitting superficially, and we removed it in stages through a pinhole, starting with the right eye only. In the one-month photo, the right eye is treated and the left is not: same day, same light, same body weight.

upper eyelid fat graftsunken upper eyelidfat graft complications

Oct 10, 202611 min

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Collagen Stimulator Nodules: They All Feel the Same, But Ultrasound Shows Four Different Things

Firm lump after a collagen stimulator? Your fingers cannot tell what it is. The four things ultrasound shows, and which ones should not wait.

collagen stimulator nodulebiostimulator lumpultrasound-guided assessment

Oct 5, 20269 min

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Two Years of Ellansé Forehead Lumps: From Ultrasound Map to Three Months After Repair

Ellansé in the forehead had hardened into stone-like lumps for two years. Hyaluronidase did nothing and a saline flush could not wash it out. Three months ago we published this patient's ultrasound lump map. This is what came next: how the lumps were located and removed, and why the photos used to judge a result are only taken at three months.

Ellansé lumpsforehead filler lumpsPCL nodules

Sep 28, 20268 min

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Large-Volume Hyaluronic Acid Injections: Why Body-Site Complications Are Harder to Handle Than Facial Ones

The same hyaluronic acid behaves differently in the face and in the body. A facial session uses a few millilitres across several points. Making a visible change to a body site takes a whole order of magnitude more, and once the volume jumps, the shape of the risk changes with it. This article walks through what happens as volume scales up: the pressure problem once tissue is stretched past what it can hold, the possibility of filler travelling toward the heart and lungs after it enters a vein, and why the reassuring line that hyaluronic acid can always be dissolved stops holding at large volumes. It also covers what to do if you have already been injected, which symptoms need attention the same day, and what can be done when hyaluronidase no longer moves the material.

hyaluronic acidlarge volume fillerfiller vascular occlusion

Sep 17, 20268 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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Articles

Category

Repair Type

By Symptom

By Material

Is a Cannula Safer? Weighing Blunt Cannula Against Sharp Needle for Vascular Occlusion Risk

Upper Eyelids Bulging After a Fat Graft: Right Eye First, With the Comparison Inside the Same Photo

Collagen Stimulator Nodules: They All Feel the Same, But Ultrasound Shows Four Different Things

Two Years of Ellansé Forehead Lumps: From Ultrasound Map to Three Months After Repair

Large-Volume Hyaluronic Acid Injections: Why Body-Site Complications Are Harder to Handle Than Facial Ones

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?

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