Abstract
Introduction and Importance: Dermal fillers are pivotal in aesthetic enhancement, offering minimally invasive solutions for facial rejuvenation. This case underscores the stark contrast in appearance following elective hyaluronidase dissolution of long-term fillers and examines the challenges of transitioning to fat transfer as an alternative.
Presentation of Case: A 50+ year-old Asian female, with a history of dermal fillers over 10 years, sought hyaluronidase dissolution to facilitate fat transfer. The dramatic aging effects post-dissolution left the patient deeply dissatisfied. Subsequent fat transfer in another country failed to meet aesthetic expectations, despite undergoing 2 sessions.
Clinical Discussion: This report highlights the transformative benefits of dermal fillers, the risks associated with high-dose hyaluronidase, and the complexities of achieving comparable outcomes with fat transfer.
Conclusion: Properly placed fillers provide profound aesthetic benefits. The case underscores the importance of careful evaluation before administration of hyaluronidase.