12/01/2025
So… is filler good or bad?
The answer isn’t as simple as it’s often made out to be.
As many of you know, I run an ultrasound-based complications clinic and regularly see the full spectrum of aesthetic outcomes. I also see the issues with fillers. In most cases, the true problem isn’t the filler itself, but the placement or amount.
Occasionally, changes in structure over time can create issues as well. And every once in a while an inflammatory response or infection is to blame.
Here’s an example where we removed AND added filler for optimal outcome.
This patient came in with persistent under-eye puffiness from filler placed elsewhere. Using ultrasound, we identified the issue and were able to treat it in a single session. One session isn’t always enough, but in this case, it was.
Once the tissue settled, the puffiness resolved, and she didn’t need any refill in that area. Subtle, restrained treatment of the chin and lips improved her overall facial balance.
Before anyone puts words in my mouth:
I stand by my belief that filler is not the villain.
Overfilling and poor technique are.
And with the right approach, most of these issues can be fixed.
Questions about your own filler or swelling?
Let me know or book a consultation.
