Removing permanent fillers from the complex anatomical regions of the face can be a difficult procedure, and requires extensive knowledge of the craniofacial region. In managing the complications of permanent fillers, preoperative radiological MR imaging with contrast – where a contrast medium is injected into the patient at the time of the scan to enhance visualisation of certain tissues – will help determine the anatomical site and whether the filler is sufficiently encapsulated to be able to be removed by open or surgical needle and stab incision expression. Other procedures include approaches to the mid-face via the lower eyelid, rhytidectomy approaches to the lateral cheek element, and bicoronal approaches to the upper third of the face. #facesurgery #facelift #liftingfacial #foreheadlift #removefiller #necklift