In the field of cosmetic enhancements, where standards of beauty often seem to be dictated by social media trends and celebrity influence, a shocking revelation has emerged that challenges the conventional understanding of injectable fillers.
Recent footage shared by a prominent surgeon has raised eyebrows and sparked debate, revealing an unexpected and alarming transformation of a patient’s facial structure over the course of several years.
Surprising MRI images showed not only the persistence but also the mysterious migration of hyaluronic acid fillers, which many believed would dissolve over time.
The revelation has sparked debate about the safety, longevity, and potential risks of dermal fillers, leading many to question what’s really going on beneath the skin’s surface when they choose to enhance their features.
After viewing a magnetic resonance imaging (MRI) film that revealed how the amount of hyaluronic acid fillers inserted into a patient spontaneously migrated and multiplied over time, the doctor went viral. Thousands of viewers were amazed by the results and some admitted that their injections never went away.
According to the American Board of Cosmetic Surgery, dermal fillers are gel-like materials that are injected under the skin to improve facial features, eliminate wrinkles, and restore lost volume.
The board claims that more than a million men and women opt for this popular facial rejuvenation procedure each year.
Injectable hyaluronic acid fillers are the most common type and are usually the most temporary option. Hyaluronic acid fillers usually last six to eighteen months.
Dr. Kami Parsa, an oculoplastic surgeon, went viral after sharing a video of an MRI scan.
Dr. Kami Parsa, an oculoplastic surgeon in Beverly Hills, California, posted a video of a patient’s MRI on his TikTok page on Friday, July 12, showing how the injections changed the patient’s face.
During the previous six years, the patient, a 33-year-old woman, had received injections of more than 12 CC (equivalent to 12 milliliters), i.e. 12 syringes of hyaluronic acid filler.
An MRI in the film, which has had over 7.2 million views, revealed a gray face with green spots that flared up in various places, such as the cheeks and lips, where the hyaluronic acid filler was still present.
Dr. Parsa did not specify the treatment the patient in question received.
However, he specified that the volume measurement of the woman’s contents revealed a total amount of the drug of 28 CC.
In his video, the doctor stated, “Which is more than double the amount of filler that was injected,”
“This suggests that hyaluronic acid fillers are hydrophilic,” he added.
“That means they love water and also cause tissue expansion.”
One TikTok user expressed concern about the MRI, saying, “I don’t see how it wouldn’t completely destroy the lymphatic system.” I agree.
“FINALLY IT’S BEING TALKED ABOUT,” someone wrote. “Crazy usage and mass production without warning. I need to know more. How about Botox?”
The answer from Dr. Parsy was, “Botox has a long history and is safe if done correctly.”
@kamiparsamd #kamiparsa #fillers #hylenex #dissolvingfiller #dermalfillers #lips #teartroughfiller ♬ Blade Runner 2049 – Synthwave Goose
An MRI revealed that the patient had received double the amount of hyaluronic acid fillers.
According to someone who was detained: “Okay, so water is the key to keeping me full.”
One viewer commented: “I keep telling people I’ve only had my lips done 3 times 0.5ml each time and it’s been 5 years and my lips are still the same because they do NOT dissolve.”
One online user wrote, “When it first came out, all the injectors said it would only last 6 months,” to which the doctor replied:
“That’s what the filling companies told us.
One onlooker commented: “I had a chin filler ten years ago and haven’t needed one since.
He remained unchanged throughout.
Another person added: “I had lip surgery eight years ago. It still hasn’t gone away.
Over time, fillers have gained popularity and celebrities are often punished for overusing them.
Ever since pictures of Ryan Gosling and Eva Mendes contrasting their older and newer photos started circulating online earlier this year, the couple has been the target of the ire of beauty reviewers on social media for the past month.
Meredith West, a medical assistant with a Master of Science degree and 15 years of experience specializing in injectables and plastic surgery, shared a joint Reel with Mountcastle Medical Spa based in Virginia (USA) on her Instagram profile on March 29.
Ryan and Eva’s “before and after” photos in the film appeared to reveal a dramatic change in their physical features, with the married couple looking slightly “chubbier” than they once were.
“I’m guessing they both had some cosmetic work done recently,” Meredith captioned the video.
She said: “I think Eva may have had facial surgery (maybe a facelift +/- fat grafting) and both probably had botox and facial fillers.”
The most commonly used type of injectable filler is based on hyaluronic acid. Does anyone else think Ryan Gosling’s face has fillers or is it just me? She has an unnatural face. image.twitter.com/nRcOHXWJAs… — May 6, 2024 82 Intellectua DorkWeb (@Intel_Dork)
According to the NHS, botulinum toxin injections, such as Botox, relax the muscles in your face to reduce wrinkles and lines such as wrinkles and crow’s feet.
Both Botox and fillers can have adverse effects when overused. An overdose of Botox can cause severe muscle paralysis, which can impair facial expression and cause unnaturalness, according to Nurse Gemavie.
“Unfortunately, we see a lot of Loverdon fillers,” dermatologist Jessica Weiser told Allure in March 2023. It has “that classic pillow look—very puffy with weird anatomical proportions.”
Although there are several causes that contribute to the disease, Allure said the main contributor is undoubtedly the poor discretion of injectors.
“I think they both looked amazing before and needed nothing more than a little preventative toxin and maybe some Biostim (i.e. Sculptra) to stimulate collagen,” Meredith added in the caption of her hypothetical Reel of Ryan and Eva getting cosmetic treatments.
“Plus of course medical skin care and laser/microneedling/radiofrequency/co2 for maintenance and prevention.”
Jonny Betteridge, an esthetician, is one of several doctors who have commented on the Barbie star’s physical transformation.
Jonny spoke about the 43-year-old actor’s facial changes over the years in Reel, which he filmed on March 28, which has had 2.2 million views.
Looking at old photographs of Ryan, the doctor said: “He always had very masculine features, well-structured cheekbones, a square jaw and a broad chin.”
Dr. Parsa measured fillings in a 33-year-old patient using volumetric analysis.
Viral MRI footage shared by Dr. Kami Parsou not only opened a dialogue about the longevity and effects of hyaluronic acid fillers but also highlighted the crucial need for transparency and education in cosmetic procedures. As more and more individuals turn to injectable treatments for aesthetic enhancement, understanding the long-term implications becomes essential.
The striking revelations from the MRI serve as a reminder that while dermal fillers can provide immediate results, their behavior over time—especially in terms of migration and retention—requires careful consideration and discussion.
Viewer reactions underscore the growing concern about the effects of these procedures, as many individuals have shared their own experiences with fillers that don’t dissolve as expected.
This awareness can encourage potential patients to engage in informed conversations with their doctors about what to expect and how to responsibly maintain their results.
As cosmetic procedures continue to evolve, continued research and open dialogue between medical professionals, patients, and the wider community will be essential. Balancing the desire for aesthetic enhancement with safety and realistic expectations is paramount.
Ultimately, understanding the intricacies of these popular treatments will empower individuals to make choices that best suit their needs and promote a culture of informed beauty.