Filler correction restores facial balance by dissolving, redistributing, or revising poorly placed dermal fillers. Expert correction can safely and precisely reverse overfilling, asymmetry, and unnatural contours.
Filler correction is one of the most technically demanding procedures in aesthetic medicine, requiring far more than familiarity with injectable products. At Starkman Facial Plastic Surgery, correction is approached with the same level of precision, planning, and accountability as facial surgery.
Dr. Sidney Starkman is a double board-certified facial plastic surgeon with extensive experience in complex revision cases, including secondary and tertiary facial surgery. This background is critical when addressing filler-related complications such as migration, overcorrection, asymmetry, vascular compromise, or distortion of underlying anatomy.
Improper filler placement—particularly when injected too superficially, too deeply, or in excessive volume—can lead to migration, compression of vascular structures, lymphatic congestion, or distortion of natural facial anatomy. These issues may worsen over time rather than resolve spontaneously, making early expert evaluation critical. Filler correction addresses complications or undesirable outcomes from previous dermal filler treatments. The appropriate approach depends on the type of filler used, depth of placement, time since injection, and the specific anatomical issue involved.
Correction may involve one or more of the following strategies:
You may benefit if you experience:
Dr. Starkman’s background in facial reconstructive surgery and revision rhinoplasty uniquely qualifies him to manage complex filler complications. Because our practice is dedicated exclusively to the face and neck, filler correction is guided by an advanced understanding of facial vascular anatomy, soft tissue planes, and long-term facial balance.
Whether correction involves precise use of hyaluronidase, staged reversal, or structural restoration, the goal is always the same: to safely restore natural contours and facial harmony while preserving the integrity of the tissues for the future. This surgical-level approach allows us to manage complex cases conservatively and thoughtfully, with an emphasis on long-term facial health—not short-term cosmetic fixes.
When filler results don’t align with how you look or feel, the solution requires meticulous discernment; as such, filler correction at Starkman Facial Plastic Surgery is guided by patience, precision, and a long-term view of facial health. Contact us today to book your consultation and learn more about your filler reversal options.
In many cases, earlier evaluation is beneficial, especially if there is pain, blanching, firmness, or rapid swelling. However, some corrections are best performed after initial swelling subsides. Timing is determined on a case-by-case basis.
Temporary changes can occur, particularly during filler dissolution. Swelling, softness, or asymmetry may be present briefly, but these effects are expected and typically resolve as tissues rebalance and heal.
Hyaluronidase can affect both injected filler and naturally occurring hyaluronic acid in the skin. When used conservatively and precisely, the body replenishes its native hyaluronic acid over time, preserving long-term skin quality.
Some cases improve significantly after one session, while others require staged correction over multiple visits. Gradual correction is often safer and produces more natural, stable outcomes.
Not all fillers can be dissolved. Hyaluronic acid fillers respond to hyaluronidase, whereas biostimulatory or permanent fillers may require alternative strategies, such as observation, camouflage, or surgical management.
Yes. In many cases, filler can be safely reintroduced once tissues have stabilized—often with a different product, technique, or placement strategy designed to avoid recurrence of the original issue.
Discomfort is typically mild and well-tolerated. Topical anesthetics or local numbing agents are used when appropriate to ensure patient comfort during correction.
Possible side effects include temporary swelling, redness, bruising, tenderness, or unevenness during healing. Rare risks include allergic reaction to hyaluronidase or unintended overcorrection, which is why correction should be performed conservatively by an experienced facial specialist.
This is common. When filler type is unknown, correction is approached cautiously, often starting conservatively and using clinical response to guide next steps. Prior records are helpful but not always required.
Filler correction is typically considered an elective aesthetic procedure and is not covered by insurance. Costs vary based on complexity, materials required, and whether multiple sessions are needed.
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