This patient had been injected at a different practice in New Jersey, and when she came in to see us, she felt like the results looked weird – and they did. The injector had injected a bunch of filler (way more than she needed) into the wrong parts of her cheek, and it was causing her cheeks to sag so that the fullest part of the cheek was the center of her cheek, not the upper “cheekbone” area. She’s a young woman, and anyone who looked at her could tell something was off – it’s not normal for such a young patient to be experiencing that kind of sagging (unless they’re ill or have lost a lot of weight – generally over 100 pounds).
Having injected so many patients, and having seen so many complications and bad results from other injectors, Dr. Chasin is really able to tell just by looking at someone what has been done, and if it’s been done properly or not. As Brielle mentions in the video, correction is normally not a one-and-done thing. There’s a bit of a journey to be made, as the incorrect filler first needs to be dissolved, and then later, we can correctly inject the area. We understand how emotional and distressing this can be, and if you’re experiencing this, we want you to know we can help you to understand what to expect, and we will be there every step of the way, but doing the correction of filler in the right way is a process, and it needs to be properly in order for you to fix the problems, truly.
As Brielle says in this video, “it’s very easy to get filler – but it’s also very easy to get it misplaced!”
There’s no substitute for experience and knowledge with filler, and it’s not something that physicians (or PAs or ARNPs) receive full training on during their schooling. Injectors have to seek out education and experience to become knowledgeable and good at creating natural results. Most healthcare providers have other areas of focus, and that’s not wrong – they need to be good at their primary role, as an OB/Gyn, Dermatologist, or Dentist – but it does mean that the best injectors end up being those who have made it the focus of their career, not their side hustle.