Best RX: Y Plastic and Reconstructive Surgery

Dr. Asaf Yalif from Y Plastic and Reconstructive Surgery answers a reader’s question about a botched filler injection.

dr asaf yalif


Q: What can be done to fix a botched injection of Botox or another filler?

A: Depending on the filler utilized, we actually have a “cure.” Vitrase is an injectable that degrades hyaluronic acid fillers, such as Juvederm, Restalyne and Voluma. Unfortunately, non-hyaluronic fillers such as Radiesse and Sculptura can’t be removed as easily, and one has to wait for them to degrade over time or address the outcome with a more invasive option. Botox will also “wear out” over time. Also with Botox, if there is a significant asymmetry, the doctor can likely do additional injections to create a more aesthetic, symmetric appearance.

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