
In a viral TikTok video, Dr. Kami Parsa, an oculoplastic surgeon from Beverly Hills, shared MRI footage of a 33-year-old woman’s face, revealing how her hyaluronic acid fillers had not only remained but had migrated over time. The patient had received over 12 milliliters of filler over six years, but the MRI showed that the material had increased to 28 milliliters—more than double the injected amount. Dr. Parsa explained that this occurs because hyaluronic acid is hydrophilic, meaning it attracts water and can stimulate tissue growth, which may cause fillers to expand and shift.
The revelation sparked widespread reactions, with many viewers sharing their experiences of fillers not dissolving as expected. Some users claimed that their fillers, which were supposed to last only six months to a year, had remained intact for years. The discussion also touched on concerns about the safety of excessive filler use, with some questioning the long-term effects on the lymphatic system and facial structure.
While the video focused on hyaluronic acid fillers, the conversation expanded to other injectables like Botox, with experts cautioning against excessive use. The video serves as a reminder that, while fillers can enhance appearance, they can also have unexpected long-term effects that may not align with initial expectations.