A doctor has shared an MRI scan detailing what can happen to hyaluronic filler used in the face.
Dr Kami Parsa, an oculoplastic and reconstructive surgeon, recently discussed a patient who received 12 syringes of hyaluronic filler over the course of six years.
According to the American Society for Dermatologic Surgery, injectable hyaluronic acid is a filler that naturally exists throughout the body. In cosmetic treatments, it’s commonly used to soften lines and wrinkles, enhance volume (including creating fuller-looking lips), and help the skin appear smoother.
In a recent video, Dr Parsa said imaging showed the 33-year-old’s face contained close to 28 cubic centimeters of filler-related volume—almost double the amount originally injected.
In the footage, he highlighted multiple green sections on the scan that he said represented filler that had not dissolved, then explained why the measured volume appeared significantly higher than the amount administered over time.
“What’s interesting here is that when we did volumetric analysis, when we measured the amount of filler, it ended up being close to 28cc which is nearly twice the amount of filler injected. What this shows us is that hyaluronic acid fillers are hydrophilic, that means they love water and they also cause tissue expansion,” he explained.
Dr Parsa added to Newsweek: “We feel that, sometimes, hyaluronic acid fillers have been overused for many years. We felt it’s important to share our findings.
“We hope that people will learn that less is more when it comes to the HA filler.”
The discussion prompted strong reactions in TikTok comments, with many people expressing surprise and concern based on their own experiences.
One viewer wrote: “I got my lips done at least 10x since 2018. at first it would dissolve now I haven’t had them done in 3 years and they are still so full.”
Another commented: “I got 1ml of lip filler one time 4 years ago and I’m stressed now.”
A third added: “I got lip filler ONCE and I’m convinced they are above and below my lips and will never go away.”
After someone asked, ‘how long does it last? I thought it was just for like a year and then it broke down?’ Dr Parsa replied: “Studies show they can last 10+ years.”
Another person questioned what other options might be better, writing: “What’s the best alternative though? I inquired with a surgeon about fat transfer and he was very against it. Said the body would reabsorb 80% of it. Thoughts?”
Dr Parsa answered: “Fat transfer if performed right is the best filler.”