A medical surgeon attracted widespread attention after sharing magnetic resonance imaging (MRI) film that showed how a patient’s injected amount of hyaluronic acid fillers grew and migrated autonomously over time.

Thousands of viewers were shocked by the results, admitting that their injected fillers had never dissolved.

Dermal fillers, as defined by the American Board of Cosmetic Surgery, are gel-like chemicals injected into the skin to improve facial features, smooth wrinkles, soften creases, and restore lost volume.

Every year, over a million men and women choose this popular facial rejuvenation therapy, according to the board.The most common type of injectable filler is hyaluronic acid-based, which is also the most temporary. Fillers composed of hyaluronic acid typically last six to 18 months.

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Dr. Kami Parsa, an oculoplastic surgeon from Beverly Hills, California, shared a video of a patient’s MRI on his TikTok page on Friday, July 12. The film showed how the patient’s face had transformed as a result of injections.

The patient, a 33-year-old woman, had received more than 12 CC (or 12 milliliters) of hyaluronic acid filler injections over the previous six years.

The MRI was shown in the movie, which has had over 7.2 million views, as a grey face with green spots lighting up in various locations, such as the cheeks and lips, to represent the residual hyaluronic acid filler.

What procedures had the patient undergone? Dr. Parsa didn’t elaborate. He did, however, emphasize that after doing a volumetric assessment to estimate the woman’s entire filler amount, the material amounted to 28 CC.

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“Which is more than twice the amount of filler that was injected,” the doctor said in his video.

He further explained: “What this shows us is that hyaluronic acid fillers are hydrophilic.”

This indicates that they both enjoy being in water and stimulate tissue growth.

The MRI sparked concerns, as a TikTok user commented: “I just don’t see how this wouldn’t completely destroy the lymphatic system.”

“FINALLY THIS IS BEING TALKED ABOUT,” a person wrote. “The mass production and insane usage without WARNING. I need to know more. What about Botox?”

“Botox has a long history and is safe if performed correctly,” was Dr. Parsa’s response.

The MRI showed how the amount of hyaluronic acid fillers injected into a patient had doubled

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Someone retained: “Okay so water is key to keeping my filler.”

A viewer admitted: “I keep telling people I only got my lips done 3 times 0.5ml each time and it’s been 5 years since then and my lips are still the same because it DOES NOT DISSOLVE.”

“When it first came out, all injectors said it would only last 6 months,” a netizen penned, to which the medical expert responded: “That’s what the filler companies were telling us.”

An observer noted: “I got chin filler ONCE a decade ago, never needed a touch-up since. It’s stayed the same this whole time.”

Another person commented, saying, “I had my lips done 8 years ago. It still hasn’t gone away.”

Over time, fillers have gained popularity, and celebrities who overuse them are frequently chastised.

Ryan Gosling and Eva Mendes had to endure the wrath of social media beauty reviewers last month after images of the couple’s older and more recent pictures began to circulate online this year.

On March 29, Meredith West, a physician assistant with a Master of Science and 15 years of experience in plastic surgery and injectables, shared a joint reel with Mountcastle Medical Spa, a Virginia-based medical spa, on her Instagram profile.

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Ryan and Eva’s “before and after” photos in the film seemed to show a dramatic change in their physical appearance, with the married couple appearing somewhat “puffier” than they had in the past.

“I assume they’ve both had recent cosmetic procedures,” Meredith captioned the Reel.

“I think Eva might have had facial surgery (possibly a facelift +/- fat grafting), and they both probably had Botox and facial fillers,” the spokesperson said in her explanation.

The most popular type of injectable fillers are made of hyaluronic acid

According to the NHS, botulinum toxin injections, like Botox, relax the facial muscles to minimize wrinkles and lines like frown lines and crow’s feet.

Negative effects can result from using fillers and Botox excessively. Overdosing on Botox can result in severe muscle weakness, which can impair facial expression and provide an artificial appearance, according to Nurse Gemavie.

According to dermatologist Jessica Weiser, “we see a good amount of [overdone filler], unfortunately,” Allure reported in March 2023. “That classic pillow-face appearance—very puffy with strange anatomic proportions” is how it appears.

While a myriad of factors contribute to the condition, poor judgment on the part of select injectors is, no doubt, a root cause, Allure reported.

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“I think they both looked amazing before and didn’t need anything other than a little preventative toxin and maybe some biostim (i.e., Sculptra) for collagen stimulation,” Meredith said in the caption of her hypothetical Ryan-Eva cosmetic procedure reel.

Of course, medical-grade skincare products, including CO2, radiofrequency, laser, and microneedling for upkeep and prevention, are all included.

Aesthetics physician Jonny Betteridge is among the medical professionals who have commented on the Barbie star’s physical transformation.

In a Reel that was uploaded on March 28 and garnered 2.2 million views, Jonny talked about the actor, 43, and how his face has changed over time.

“He’s always had very masculine-looking features, well-structured, cheekbones, a squared, jawline, and a wide chin,” the doctor admitted as he analyzed Ryan’s pictures from earlier years.

Dr. Parsa measured the fillers in a 33-year-old patient using a volumetric analysis.

Jonny continued: “The certain part of his face which is very characteristic of his appearance and that’s this mid-face flatness.”

Once more, this is visible when the face appears sunken-like.

“I perform mid-face restorations using dermal filler in these four areas for the majority of my patients that come in for treatments.”

“I’m trying to bring back the volume and structure of the cheekbones.”

“Notice a change in this area of the face where it looks much fuller and less sunken,” the doctor continued, implying that the actor had probably undergone filler injections around 2021.

The aesthetics expert continued by saying that the Canadian native’s appearance has become more “overfilled” in recent years.

“It’s clear to see the change in his facial proportions and the fullness to his mid-face and cheeks,” Jonny said. “This is further exacerbated [by] dynamic movement of the face when someone smiles, and this appearance is classic of what I see when someone’s had too much filler put in this area.”

One person said, “Me and my fillers panicking [right now].”

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