![]() The lips because of the high muscular function the area, and tissue differences seems from patient to patient. If a patient is presenting with signs of a blockage we will insist on immediate return to clinic to assess in person and if a blockage is confirmed we will start the dissolving process, which again can take multiple sessions until we are contact blood flow and circulation to vessels and tissues has returned. The tear trough because the skin is so thin and unforgiving here and anatomically it is quite unique and more complex. In cases such as these we educate our patients on what to look for in the consultation and we do follow up with a safety check 24-48 hours post treatment. However at times the vessel doesn’t fully block, or these signs aren’t seen right away. The next step is replacement of volume in the deep fat pads under the eye muscles. ![]() As experienced injectors we are aware of the signs and symptoms of a blockage and we will reverse this on the spot if seen. When the tissues don’t have oxygen they start to die and this is known as tissue necrosis. Filler in a blood vessel will cause a blockage and can cease blood flow and diffusion of necessary oxygen to the tissues. An emergency case is where filler in unintentionally injected into a blood vessel. This is where hyaluronic acid fillers are considered safer than other fillers on the market as we have the antidote to reverse them known as Hyaluronidase. The degree of further treatment will depend upon indication, risks versus benefits, side effects from treatment, and patient and practitioner satisfaction. As we go through the process of dissolving with you, we can assess your body's/tissues response and advise further on the process based on your outcomes. Although we rely on hyaluronidase to assist us, the process is not a perfect science, just as injecting dermal filler isn’t either. Hyaluronic acids with a high concentration of HA, larger particle size, and increased cross-linking increases the durability of the filler. Even more so, if we have older filler that has built up over time from multiple sessions that may have accumulated some fine scar tissue around it, at some point the hyaluronidase may start to break down your body's own HA in preference to the more difficult, built up area. Dr Glyn Estebanez offer a range of tear trough fillers to help reduce. ![]() Often a small superficial lump in the lip might be a quick dissolve, however larger nodules, or wide spread areas of filler integration will break down in sections, where one may feel the filler is gone in some areas, while still showing in others. Looking for a tear trough treatment in Chester Look no further than Primaaesthetics. This is why hyaluronidase may require multiple sessions. It works well, however all fillers are different, are knit differently, have built up over time, or have integrated into the tissue very well or in areas we can’t see. ![]() Now here's the important part of seeing the effects. ![]()
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