What are the possible underlying causes of asymmetrical results across the face after using Ellansé dermal fillers?

Doctor's Answers 1

Asymmetry is a common trait we all share - no person's face is perfectly symmetrical, and this is for a good reason: we would look rather strange if we were.

So, to start off, asymmetry is normal, and while we try to recreate symmetry in our sculpting, achieving precise outcomes can be tricky. This can be explained by either small errors in estimation during injections (location as well as the volume of product placed), or it could be due to fat pad asymmetries in the face. These fat pads are where fillers are placed, and any asymmetry can result in the filler spreading slightly more on one side than the other.

So to answer your question, asymmetry can be:

  1. Genetic
  2. Due to slight misjudgement during filler placement
  3. Due to the inadvertent spread of fillers to surrounding areas

As Ellanse is a non-Hyaluronic acid filler, the only way to correct this asymmetry is by injecting the side which is under-filled to mimic the opposite side.

More often than not, asymmetries that we see in the mirror are insignificant in reality - how others see us in the 3-dimensional space is rather different from the 2-dimensional image we see in the mirror. As such, if asymmetries are mild, you can rest easy and just let it be.

Similar Questions

Can Ellanse fillers at the forehead migrate downwards to the nose and under-eye area?

Hi there,Ellanse fillers are very viscous (thick) and high G prime (high lifting power ) and they stay where they are injected. That means they cannot migrate unless purposefully manipulated . Sometimes, after treatment , if lidocaine has been used to perform nerve blocks for the forehead injection of ellanse fillers (as ellanse fillers doesn’t come with painkillers, some patients find it a bit discomforting during forehead ellanse treatment without nerve blocks ) , the lidocaine will need a few days to subside as well .

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Is it safe to get injectable treatments like Rejuran, Botox and dermal fillers while on Accutane (Isotretinoin)?

Hi,As long as your active acne is well controlled, injectables are permissible and safe to administer while on isotretinoin. However, if active acne inflammation is still present, injectables may run the risk of aggravating the acne infection and inflammation, hence should best be avoided. In general however, it may be prudent to focus first on completing the entire isotretinoin treatment course before commencing on additional invasive aesthetic treatments. Hope this helps!

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Dr Chin Yee Choong

Aesthetic

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