Under eye filler migration

Under eye filler migration. Most facial filler products that are injected into this area should ideally be placed in the tissue plane directly on top of the bone, or at least underneath the eyelid muscle layer. Cheek Filler Oct 12, 2023 · 1. Although surgical blepharoplasty can address these issues, there are many patients seeking a nonsurgical correction. Common areas where filler migration may be observed include the under-eye area, lips, and cheeks. Your total cost will depend on the total number of syringes needed. Mostly in the cheekbone area and temples, without getting to an overfilled look. I think it’s one of the most rewarding injection locations. In rare cases, facial fillers may migrate to another site on the face a few days after the injection. 5 wear sunglasses when you go out - cover your under eyes + prevent you from scrunching your eyes + you look cool. While it is possible for fillers to migrate, this side effect is extremely rare and can be avoided by choosing a qualified injector. They cannot pierce anything,second of all injecting filler into the nose is more likely to cause blindness than the under eye due to the blood vessels that run in that area. I think lip fillers are tricky because the lip area can get overfilled easier, which creates that 3rd lip. You can return to work or any other place you want to be soon after the procedure. A lower bleph is taking away fat from the under eye, while fillers are adding in volume. Reduction of fine lines and wrinkles. These side effects should resolve within 14 days so the true results of fillers can appear. May 18, 2022 · Estimates vary widely, but under-eye fillers cost between $600 to $2,000 depending on where you go. Jacono says to wait 48 hours for recovery Jan 25, 2024 · "We're seeing in real time what long-term filler usage does as you age," one Twitter/X user wrote on Wednesday (January 24). If your eyes appear squinting or cat-like, that may be an unfavorable result of filler migration due to too much cheek fillers applied. Dr. When it does so, it can appear lumpy, full, or like a "sausage" in appearance. somethingcatchy48. Keep in mind, it will take 1-2 weeks for final results and a combination approach is needed to get the most improvement under the eyes. Mar 29, 2023 · Ideally, you should avoid exposure to intense heat for at least 12 to 24 hours after your appointment and avoid using exfoliating creams for at least 48 hours after injection. Instant results. (I love botox though and plan to utilize that. • 2 yr. 17 votes, 33 comments. [1] Fortunately, over 90% of adverse events from the use of HA fillers are mild and transient. The lips are also technically more dangerous than the tear troughs because of the major blood vessels that run through there. Kami Parsa. Cold Compress: Applying a cold compress can reduce swelling, particularly in the morning when puffiness tends to be more pronounced. Dark circles under the eyes can be divided into two categories: those resulting from hyperpigmentation, and those caused by thinning skin and visible veins. "With the under eyes, if there isn't good cheek support, the filler has a tendency to migrate down Overfilling when treated with dermal filler is another factor that may increase the risk of filler migration. The crisp, distinctive boundary between the lips and the skin above is diminished. Proper injection techniques and the selection of appropriate filler types can help minimize the risk of migration and ensure that the filler remains in the desired location for a more natural and lasting cosmetic enhancement. One being that the filler was not placed in the proper tissue plane. Todd B. K Nov 1, 2020 · Use of highly cohesive fillers on thin skin may cause swelling and nodularity. Why Facial Filler (Rarely) Migration A MEDLINE search of the English-language literature on filler migration was conducted to investigate the various causes responsible for migration of filler. If you suspect that your own filler has migrated, it will appear like bumpiness or fullness outside of the treated area. Sometimes, when a patient has 2. This is kind of scare mongering because firstly ; cannulas are blunt. ’. If the filler is still present after 12 months, this may be Migration isn’t common with dermal fillers, and it becomes even more unlikely if you take all the appropriate precautions and go to a reputable practitioner who knows what they’re doing. The possibility of migration shouldn’t stop Consider avoiding filler injections if you have a cold, flu or any illness until it has fully passed. Improvement to skin quality under the eyes. This is because with more beautiful and beautiful faces because Botox will tend to be misused for personal gain. Recovery time for under-eye fillers is almost zero. Oct 9, 2023 · How Much Does Under Eye Filler UK Cost? A Comprehensive Guide. If it's the color you have a problem then look into permanent concealer. These photos show a woman in her mid-30s before and three weeks after filler injections to the lower eyelids and midface. ⠀ ⠀ Before the procedure, there are mild under eye bags and hollowing in the inner Apr 9, 2017 · Longterm filler problems include migration, edema, and nodularity. I looked great for that time. However, you may experience slight swelling and bruising, which will disappear after a couple of days. Crying its self wont affect the filler. Aside from that, your own bodily reactions can cause dermal fillers to go wrong. Injection for tear trough augmentation: The tear trough is the landmark of the medial border of sub-orbicularis oculi fat. Minimal to no downtime. 3. Oct 18, 2017 · Answer: Tear Trough Migration with Fillers (Belotero, Volbella, Restylane Silk) It is unlikely that the filler will migrate. The fillers do not remain in the dermal structure, which Jun 24, 2021 · Under eye filler is priced by the syringe. The results were immediate. Sep 13, 2023 · However, unreported cases and cases of migration which are subclinical or not perceived by patients, would not have been represented. November 18, 2018. Jun 24, 2023 · For example, if you've had fillers injected into your left cheek but it moves downward towards your chin, that means you have experienced filler migration. I may think about filler migration in the future because of my puffy eyes and nasal folds. The thin skin in this area is very unforgiving for a lot of patients. Have a look at the picture below which will identify how filler migration looks in the lips. Hello, and thank you for your question. This is usually easy to spot, as it will result in fullness appearing outside of the lip lines where the filler has migrated to. Filler in general is something that people have to be Mar 11, 2024 · Lip filler migration occurs when the injectable medication used to plump the lips moves away from the injection site and unintentionally settles into another area of the lips or mouth. ” “My experience is mainly with hyaluronic acid filler. Yes. I’ve never experienced an issue with filler migration in these areas. Oftentimes, these patients look swollen and feel like they don’t look like themselves. Go to a dr that specializes in under-eye filler bc there’s a certain technique used. Injectable fillers can improve several under-eye concerns in the appropriate set of circumstances. Can hardly open my eyes they get so swollen. Schwarcz. Plus with all of the migration (it definitely migrates and hangs around for longer than they admit) I feel like you can lose track of your natural face shape and that’s how you get an amorphous pillow face. I’d say hydration and sunscreen are key at this point. Based on your photo - you can see on the right side where there is a pocket of protrusion - this looks like filler edema. May 16, 2023 · An ideal candidate for under-eye filler is someone who has some shadowing under their eye that is due to volume loss or the migration of fat in the area, he explains. It can move away in any direction and at variable distances. If patients have filler migration or nodules, we recommend a combination approach of filler reversal with enzymes Hylenex and Hyaluronidase in different strengths to dissolve the filler. Filler Migration: Filler that moves under the eyes isn Aug 19, 2022 · Hi there, yes filler can definitely migrate. You could potentially dissolve some of the filler or inject a little more in certain areas to help camouflage this. I used the one from glow recipe but there are plenty of affordable options. The older celebrities who have avoided the fillers are aging more gracefully IMO. My restylane lasted 36 hours. A “best” candidate has a hollow area in which filler can be placed and does not have large fat pads under the eyes. Sherber. Madnani advises, “Dissolving migrated filler before considering additional filler placement is paramount. It might look like you lack definition in the border of your lips, or you I don’t have under eye filler and my eyes still puff up like I’m having a severe allergic reaction. Tear fillers are usually charged by the syringe, with a single 1 ml treatment starting at £390 (depending on the area being treated). Using ice helps minimize swelling May 25, 2019 · The incidence of foreign body reaction to HA, which is used most frequently, varies from 0. Addition of volume under the eyes. Jan 1, 2021 · Answer: Dissolve edematous filler. Jan 20, 2020 · 1 answer. Generally, fillers placed in this area are metabolized over 4 to 12 months. Where Facial Filler Migration Occurs. Mark Kearns, MBChB, BSc, FRACGP. However, disastrous outcomes can occur, including necrosis, vision loss, and cerebrovascular accidents. Sometimes, when a patient has Tear trough filler treatment has many benefits: Reduction of dark circles. You will not be disappointed. ”. , F. For instance, when fillers migrate out of the treatment area and create a distorted version of your face, you may be experiencing filler migration. Fillers can migrate at times but this is generally uncommon. "The typical scenario is that the filler will migrate just beyond the border of the lip, which is called the vermilion border, and it goes into the skin or cutaneous portion of the lip," usually in the top lip but sometimes Time course of adverse filler effects: The time course is divided into reversible or temporary (caused by collagen and hyaluronic acid); late and long-term (caused by poly-L-lactic acid (PLLA), calcium hydroxylapatite, alginate, and dextranomer beads in hyaluronic acid); and delayed and permanent (caused by vaseline, paraffin, silicone oil, hydroxyethyl methacrylate fragments Jun 29, 2023 · When it comes to the under-eye area, migration can happen if there's not enough cheek support. These fillers are effective and generally well-tolerated, but complications do arise. Filler migration is a potential side effect from all fillers, not just from a chin filler (again, the term chin Importance of the SMAS in Facial Rejuvenation6:35. For the latter, dermal You can spot filler migration as it can give that ducky or “shelf-like” appearance above the lip border. “It can give the look of puffiness under the eyes after under eye filler or create a ‘filler mustache’ above the upper lip after lip filler,” says Dr. The overall incidence of complications was only 0. [1] Oct 21, 2019 · SAN FRANCISCO — Orbital complications after dermal filler injection may be due to inadvertent direct injection or may occur latently after filler migration, according to a retrospective review Dec 13, 2019 · Answer: No migration when dermal fillers are injected correctly. Some people prefer to wait a few months, hoping their lips will reabsorb the filler on their own, but in reality, it can take years. “There are various reasons as to why it occurs, including poor injection technique, poor product choice for a particular indication, massaging of the area, muscle activity, lymphatic spread, intravascular injection and Jan 2, 2023 · According to Dr. She had no adverse effects. Elmer Purtle 10-09-2023 1 minute read 0 Comments. cutaneous lymphoma. Softer products can be more favorable than thick and stiff products. I’ve been getting filler on-and-off for six years and with nasolabial folds, under eyes, cheeks, chin, and jaw injections at different times. This is entirely up to you. “The face has fixed facial compartments and filler can only move where there is adjacent space,” he says. Use of highly cohesive fillers on thin skin may cause swelling and nodularity. View this post on Instagram. Kami Parsa dissolves dermal under eye filler on a patient. Under eyes can be very tricky to get right. Understanding the causes, signs, and how to manage or prevent this issue is crucial for maintaining the desired aesthetic outcome and ensuring patient satisfaction. If you rubbed your eyes hard during the crying you may have but I'm sure your injector will be able to have a look and reassure you. Sometimes more than one dissolving session is needed. The term “rich girl face” had just been coined by U. A lower bleph is the opposite of filler/fat transfer. kimchifriedriceplz. If a facial filler product is placed too Feb 14, 2023 · Yes, under eye filler can migrate downward. Lip filler migration makes the lips 3) Bodily reactions. 7% (14/2,089), with HA fillers showing an even lower rate of less than 2 per 1,000. Migration means the lip filler has moved from where it’s supposed to be and has migrated from the site of injection. dermatomyositis. I think the fillers migrate wherever they are placed and the fillers attract fluid when we aren’t well. In rare cases where there is facial filler migration, it typically occurs in two locations. D. Jan 25, 2023 · As mentioned before, under-eye filler’s main benefits are to smooth out fine lines and wrinkles and add volume. That said, I highly recommend only seeking treatments from a reputable injector. Jul 6, 2023 · Injections close to the eye: Injection of fillers in the vicinity of the eye can facilitate their migration under the conjunctiva, most probably due to lymphatic spread . Injecting it into distorted lips will erase the migrated lip filler quickly. But I feel tense thinking about the outcomes as I can see girls look much older than their age after filler migration. Hyaluronic gel is the preferred filler and when administered with a blunt Jan 30, 2023 · Conditions that may mimic the appearance of dermal fillers or their complications include 1: orofacial tumors. The second reason to avoid strenuous activity is that raising metabolism can prevent the filler from being fully absorbed. Migration of fillers is defined as the process of spreading or “migrating” the dermal filler to another area beyond the injection site. So you would use fillers if you have blue, sunken in under eyes and you would have a lower bleph if you have a jelly roll of excess fat and skin under your eyes. sarcoidosis. Jan 6, 2024 · Under eye fillers, when done correctly by a skilled professional, can provide excellent results for many years. Undereye filler migration? Only thing I can think that's happening here lol also she looks so forced in the 2nd one lol comments sorted by Best Top New Controversial Q&A Add a Comment Aug 6, 2019 · Fillers have little to no recovery time; side effects include bruising and swelling. You may actually spend closer to $950 to $1600 per procedure, says Dr. 8%, and it usually develops 6 to 24 months after the injection. Answer: Crying after eye filler. If the area appears unsightly, hyaluronidase is an enzyme which can be injected to dissolve the filler. ” Why do we see filler migration in some areas more than I got my first filler about 8 years ago and have dabbled in them on and off since then. The costs of tear channel filler start from £199 to £319 per 1 ml, depending on the product used. Take a super hydrating retinal cream cause under eye area is more prone to dehydration. New York facial cosmetic surgeon Amiya Prasad, MD reviews the causes of cosmetic filler migration, from superficial placement, compression of filler in facial movement, and inexperienced injectors; as well as avoiding migration with deeper placement. lacrimal gland tumors. This can occur when the filler is not injected correctly or when it is not placed in the correct location. Based on the photos one year post treatment with voluma without having your prior treatment photos the possibilities are filler migration, superficial placement of the filler, asymmetry in correction, natural process of filler degradation. Apply cold compresses to the cheeks and under eyes after your treatment. They are soft, pliable, and most importantly, reversible. skin tumors. More commonly, it makes the lip edge (vermillion border) less defined. This occurs when the filler moves before it has fully adhered to the facial tissue. What is dermal filler migration? Dermal filler migration refers to the movement or shifting of a dermal filler from its intended location after it has been injected into the skin. ) Edit: I wanted to add that I don't want to discount people who have had a good experience with filler, like people who have had their under eye areas filled and it's made a huge difference for them. aesthetics Under-eye dark circles, bags, and volume loss are common aesthetic concerns that can develop with aging. Autologous fat, collagen fillers and hyaluronic acid belong to the rapidly resorbable fillers and usually last a few months up to a year. Over time, the filler can also break down and move with the natural movement of the face. Let’s travel back to 2019 for a moment. Filler Migration: One side effect not often discussed is filler Ditto. Feb 26, 2024 · Dr. This usually happens when you use hyaluronic acid filler injections. Complete dissolving avoids irregularities. I use this at night 2. An injectable filler dissolver called hyaluronidase can be used to reverse Jul 30, 2023 · While it is possible for fillers to migrate, this side effect is extremely rare and can be avoided by choosing a qualified injector. Mar 10, 2022 · Answer: Filler before rhinoplasty: What you need to know. The second thing is that if botox and fillers are used only for fun and to get inadequate benefits from them, then the law is haram is not allowed. Fillers take about two to three weeks to fully settle into your skin. Over-the-counter options are optional treatments to treat dark under-eye circles. instantcoffeeisgood. It's like a skin tattoo to color correct for blue green under eyes. Jan 10, 2024 · The likelihood of this complication depends on the location of the injection, with the under-eye area having the highest risk. Koch, MD, FACS Request Consultation. Rejuvenation under the eyes - less appearance of ‘tiredness. , a Pasadena, California-based facial plastic surgeon. Wait until health is restored. Additionally, patients that have slow metabolism of the filler, migration / lymphatic blockage or granuloma formation (depending on what filler) can occur. On the left it appears more smooth. Dec 24, 2020 · Incidence of Filler Complications. As you can imagine, filler migration can distort your facial features. . Engelman says that it can also reduce the appearance of dark circles and Mar 18, 2024 · Dr. Migration is not always an immediate side effect, as it can take weeks or months to occur. I have no scientific proof but I do not trust long-term filler use in young people because I feel like it has to stretch your face out. Avoid over-analyzing results in the first few Oct 9, 2018 · Under-Eye Filler for Men Using Belotero, Dr. The more skillful and experienced the Apr 18, 2024 · Filler migration occurs when the product moves from the original injection site, potentially causing a distorted appearance. Feb 7, 2018 · There are a few reasons for this swelling. An ideal candidate for under-eye filler is someone who has some shadowing under their eye that is due to volume loss or the migration of fat in the area, he explains. View More Answers From This Surgeon. If patients have filler migration or nodules, we Feb 19, 2022 · Answer: Under eye filler. 5cc under each eye. Photo courtesy of Dr. Thankyou for your question. Green adds that patients who present with bulging from water retention or sagging skin due to loss of elasticity should avoid under eye filler. This can be above or below the lip, beside it, or even underneath the lip. When choosing your provider, look to a trusted, board-certified dermatologist About five years ago, my mom had Hyaluranidase injected to dissolve filler under her eyes that she didn't like the look of. Hyaluronic acid fillers, which are the most common, contain hyaluronic acid that dissolves over time. S. . In areas such as the tear-trough, migration can be seen as little lumps and ridges around the lower eye area. Filler migration and permanence is a very common problem because there are many different types of HA fillers on the market and each is specified for a specific part of the face. Feb 2, 2021 · The cost of under-eye filler ranges from roughly $800 to $3,000, depending on what filler is used and how much of it. In the unlikely event that your filler does migrate, then it’s a temporary problem with an easy solution. One tell-tale sign is experiencing fullness in an undesired region of the face that has not received any filler. I am sorry to hear about you filler difficulties. C. Visit us online at http://bit. Tijion Esho, founder of Esho Clinic and ESHO lip products, says true filler migration is actually quite rare. These include injection site redness, swelling, or bruising. A. Antihistamines: Sometimes, puffiness can be due to an Apr 6, 2022 · Since certain fillers are more hydrophilic (meaning it holds onto water) than others, this presents the potential for the filler to puff a bit. It is important to wait this 2-4 week period before re-injecting with filler. This can occur anywhere the filler is injected, including the lacrimal Aug 24, 2022 · What Does Migrated Lip Filler Look Like? The filler isn't traveling far, according to Kay Durairaj, M. I’d start with . Results: Clinical manifestations of the possible filler migration in the 3 cases included eyelid swelling in 2 patients and a noninflammatory mass adjacent to the area of filler injection Feb 23, 2022 · Dr. Though filler migration is very uncommon, its likelihood increases when fillers are performed by an May 10, 2023 · Under eye fillers can migrate from the injection site over time, causing the area under the eyes to look uneven and lumpy. Once it does, results can appear unnatural and asymmetrical. Then, we wait at least 2 weeks to allow time for the tissue to heal before re-injecting the lips again. Dermal fillers are injectable substances that are used to Jan 25, 2022 · “Filler migration is the movement of dermal filler from its intended injection site to another site,” explains Dr Janine. Dec 4, 2023 · Though it can happen in any area of your face, filler migration is most noticeable on thinner areas of skin, like under your eyes or on the upper lip. Non surgical. I recommend fillers with lasers and microneedling/prp. 7. Migration occurs when the filler material moves from the initial injection site, potentially leading to unevenness, swelling, or a distorted appearance. Under-eye filler provides incredible results. Several factors can cause filler migration, including poor injection technique, excessive facial movement, and the type of filler used. See an expert. "Most dermatologist will quietly tell you that the evil thing with Feb 1, 2024 · The problem lies in correctly defining the best candidate,” says Dr. Three vials of filler were used to produce this result. Most cases of migration I have seen were from lip filler and filler in the under eye region. ly/2RxoJfb or call 206-859-5777 Jan 4, 2022 · Under-eye filler is amazing when it works well but it is a very difficult area for fillers, for many reasons. Peredo. If there is a problem with a lump or a bulge or a discoloration ( tyndall effect) or a bubble Jun 26, 2022 · Lip filler migration is defined as the movement of the filler away from the injection site. However, it's true that they can sometimes lead to complications such as migration, malar bags, puffiness, edemas, and festoons. Mar 26, 2023 · Yes, you would be allowed to wear fillers under your eyes. Helpful. Generally, people notice a pronounced fullness outside the border of their lips. Identifying Filler Migration Above the Lip Identifying filler migration is crucial for corrective measures Aug 4, 2022 · Some aesthetic clinicians, especially at the start of their careers tend to try and solve problems in unsustainable ways, and by this, Dr Tim explains that you might think that adding a little bit more filler should get the definition back in the lip, in someone who has a beak-like migration pattern; unfortunately, this is a short-term strategy, and it will likely make the problem worse. If they bother you that much it is probably worth scheduling an appointment with a professional. In just a few hours, hyaluronidase softens the filler and returns the lips to a more natural shape, projection and size. They have options besides just filler. Swelling is relieved by continuous application of an ice pack. Dr Schwarcz likes it, due to its lightweight formula, which he notes has “a lot of stretch. Daines and Williams in 2013 15 in a 5-year review of filler complications found that out of a total of 2,089 injectable filler treatments, 50% were HA filler treatments. In this case, you may want to consult your aesthetic provider for appropriate remediation of excess dermal fillers applied in the midface. Fillers. Jan 4, 2024 · Tear trough filler migration is a concern for individuals seeking under-eye rejuvenation through dermal fillers. Filler migration is the term used when a filler doesn’t stay where it’s injected but spreads to surrounding areas of the face. I was in the room when it was injected. Sherber, filler migration tends to be most noticeable in thin-skinned areas, like under your eyes. These potential side effects are not a guaranteed outcome for everyone, but they are possibilities. A smooth transition from lower lids to cheeks. 5. Hyaluronic acid is one of the components of the normal skin, forming part of the extracellular matrix of the dermis, providing tissue support. For a chin filler that could mean that the chin successively loses its shape after the treatment. Picture credit: Vo. If you experience bruising, swelling, lumps, and bumps, this is often the normal part of the healing process. View all videos by this doctor. Jennifer Reichel, Seattle & Renton. When fillers are injected by a board-certified doctor who has extensive training in the treatment, they will not migrate. Under Eye Filler vs. Outcomes. 2 It is a nonpermanent biodegradable Apr 22, 2024 · Once this is injected into the filler it can take up to one week to fully dissolve. Your immune response when sick can increase risks of complications and sinus problems from fillers. Nov 16, 2021 · Massage: Gently massaging the area can sometimes help distribute the filler more evenly, but it's essential to do this only if advised by your practitioner. Some specialists charge more for under-eye specifically for that reason. I got filler under my eyes once — I have hereditary tired-looking eyes. We may also need to add Kenalog to the mix in order to reduce fibrous tissue. Answered 2020-02-01. Also, If injected properly, facial filler should not migrate drastically to other parts of your face. ago. true. ” “There’s less chance of it forming bumps, and it’s a nice option When I found out recently that filler can migrate around your face and even into the eye socket, I decided never to get it again. May 12, 2022 · There are times when someone had filler placed under the eyes several years prior and expected the filler to disappear. You’ll also Jul 30, 2023 · The Juvederm migration is exactly what it seems. Her botox and fillers were always done by the same PA in a Dermatologists office, which many of her friends went to. So far, the only negative experience I had was the one time i got under eye filler, which lasted a whooping 6 years and then clumped together in 2 little bulges under my eyes. Nov 13, 2018 · Answer: Crying after fillers. Dec 10, 2020 · Similar to any cosmetic treatments, there can be side effects or complications associated with fillers. They are most likely to migrate around the lips or under the eyes. It often is shown on social media as protruding [or receding] slightly, like an artificial trail of lumps. Not worth the $600. The average cost of a hyaluronic acid filler typically used under the eyes is about $652 per syringe, with most patients requiring multiple syringes, according to the American Society of Plastic Surgeons (ASPS). You may want to get a second opinion with another Plastic surgeon who performs injections on a regular basis. He adds that true spontaneous migration is usually a result of damaged or naturally weaker facial regions, like the Jun 1, 2021 · Filler migration is the movement of a dermal filler from its injection site to another area of the body. 02% to 2. The under eye area is also more prone to filler migration than many other areas, and it carries risk of the Tyndall effect, in which the skin in the under eye area appears slightly blue due to improper placement of filler. For these reasons, under eye filler should only be injected by a provider with years of injection experience to minimize Jun 2, 2023 · It can cause lumps or bumps, a puffy upper lip, a lack of a defined border, prevent lips from closing properly, and other such symptoms. Under eye filler require in depth knowledge of anatomy, and special skills in The safest fillers for the under-eyes and tear trough (HA gel) Currently the best fillers for the under-eyes for the vast majority of people are made of cross-linked hyaluronic acid (HA) gel. Additionally, migration can be due to the way the body breaks down the filling over time. Oct 12, 2023 · The RHA Collection of fillers, which debuted in the United States in 2020, features RHA 2, which is FDA approved for moderate facial wrinkles but can be used under the eyes too. Once the filling comes out of place, the lip (often the upper one) looks like a duck or distorted, which is a look Feb 2, 2024 · A substance called hyaluronidase breaks down hyaluronic acid filler. wc uy cz ut kw ga ta mn qq mh