Private consultation
DR JASON EMER
Dr Jason Emer evaluates previous filler, tissue changes and the possibilities and limits of correction
Silicone and PMMA are not hyaluronic acid fillers. When a previous injection leaves nodules, excess volume, discomfort or an unwanted contour, the first step is to identify the material and understand the tissue. Removal may be incomplete or impossible; a responsible plan starts with that reality.
PERMANENT FILLER / REVISION ASSESSMENT
A lump, a change in contour or discomfort after an injection begins with a simple question: what was placed, where, and when?
Silicone and PMMA are permanent materials. Dr Emer’s revision assessment considers the original injection, the surrounding tissue and the concern now. Management can be limited or staged; a promise to remove every trace would skip the decisions that matter.
Explore removal optionsSILICONE AND PMMA REMOVAL ASSESSMENT, EXPLAINED
Silicone and PMMA differ from temporary fillers. Knowing what was injected, where and when can change the choices available for evaluation and revision.
Bring product names, treatment dates and previous procedure records when available. A remembered name or appearance alone may not establish exactly what is present.
Silicone and PMMA cannot be treated as though they were hyaluronic acid. Material may be dispersed among tissues, and removal can be difficult or incomplete. These samples illustrate material categories, not your tissue.
The plan may address symptoms, contour or specific affected areas. Discuss the possibility of staged care, remaining material, scars and other risks before agreeing to a procedure.
FROM THE PRACTICE
Treatment depends on where the material was injected. Permanent lip filler, facial injections and buttock injections involve different anatomy and correction options. Learn about lip-filler removal below, or request an assessment for the area that concerns you.
PERMANENT LIP FILLER
Learn how permanent lip filler is evaluated and what removal may involve. Bring your product information and treatment history to the consultation if you have them.
Learn about permanent lip-filler removalYOUR CARE, IN SEQUENCE
The extent of any intervention determines wound care, activity restrictions, follow-up and whether later correction is possible.
Discuss your individual planBring injection dates, locations, product names, approximate amounts and previous treatment for complications. Mark anything that is uncertain.
Describe when changes began and whether they come and go. New pain, skin breakdown or suspected infection needs clinical assessment, not just cosmetic planning.
Ask what the clinician intends to treat, what may remain and whether the plan involves medication, a procedure, surgery or referral.
Discuss wound care, review visits and possible later stages. Correction should include a plan for unresolved symptoms or new concerns.
THE QUESTIONS WORTH ASKING
Open a question for the details. Bring your own questions to the consultation, too.
No. Hyaluronidase is not a dissolving treatment for silicone or PMMA. Material identification is central to the discussion.
No. Permanent material may be difficult or impossible to remove fully. A clinician should explain the realistic aim of any proposed intervention.
This page concerns injected filler material. An implant and its surrounding capsule require a different surgical assessment.
That cannot be promised. Tissue changes, scars and volume loss may remain or follow treatment.
Do not assume that adding volume will solve a problem involving previous material. First discuss the existing injection and any symptoms.
Say so clearly and bring any records or photographs available. The treatment plan should account for that uncertainty.
The Evolution of You™
Share the location, symptoms, timing and known material with the practice. An individual assessment establishes which options are appropriate.
Request your consultationIllustrations explain anatomy and treatment concepts. They do not show a patient’s diagnosis or treatment result.