Hyaluronic Acid Fillers: What You Need to Know
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Hyaluronic acid (HA) fillers are popular cosmetic injections used to restore facial volume, smooth wrinkles, and enhance contours.
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They are considered temporary, typically lasting between 6 to 18 months.
Surprising MRI Findings
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Dr. Kami Parsa, an oculoplastic surgeon from Beverly Hills, shared a viral MRI video showing how HA fillers injected over six years in a 33-year-old woman actually increased in volume and migrated across her face.
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The patient had initially received over 12 CC of filler, but the MRI volumetric analysis revealed about 28 CC present—more than double the original amount.
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This occurs because HA fillers are hydrophilic (water-attracting), causing tissue expansion over time.
Public Reactions and Concerns
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Viewers expressed concerns about the long-term effects, including possible lymphatic system impact.
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Some people shared their experiences that fillers never fully dissolved even years later.
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Dr. Parsa clarified that Botox has a longer safety history but emphasized that fillers behave differently.
Context and Wider Cosmetic Trends
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Overuse or misuse of fillers and Botox can lead to unnatural appearances, such as “puffy” faces or “pillow-face” looks.
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Celebrities like Ryan Gosling and Eva Mendes have faced public scrutiny for facial changes possibly due to cosmetic procedures.
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Experts recommend careful and professional administration of injectables, alongside medical-grade skincare and less invasive treatments to maintain youthful skin.