08/31/2026
Sometimes the best thing I can do after dissolving old filler is… nothing. Yet. 🤍
One of the principles reinforced throughout my advanced injector training—including learning from master injectors like Nicola Lowrey, PA-C and Julie Bass Kaplan, FNP-C in cadaver anatomy training in her Head and Breakfast hands-on deep dives— is that dissolving and immediately refilling isn’t always the best approach.
When filler has been sitting in the tissue for years—especially when it has migrated, accumulated, or created those telltale lumps, bumps and unnatural contours—it has occupied and potentially distorted that tissue space.
If we dissolve it and immediately put new filler back into the same area, that fresh product may preferentially track into those previously expanded tissue planes—the very places we were trying to correct.
So I prefer to give the tissue time.
After dissolving migrated or poorly placed filler, I typically wait at least 4 weeks—and often 6–8 weeks—before reassessing and refilling. This allows swelling and inflammation to settle, the tissues to retract and remodel, and the true underlying anatomy to reveal itself.
Then we can start again with a cleaner canvas and place filler intentionally, anatomically and conservatively.
Because the goal isn’t to dissolve old filler just to immediately replace it.
The goal is to restore beautiful anatomy. ✨
Sometimes creating the best result means knowing when not to inject.
