⏮️ Reversing the effects of permanent fillers and rigorous steroid treatments. This face tells a complex story. One that speaks to how unskilled interventions often by untrained, non-medical providers can lead to serious long-term consequences, both physically and psychologically. It’s a powerful reminder of how much is at stake in our field. But these before and after photos also carry something equally important: Hope.. And for me, that’s at the heart of what plastic surgery is about; restoring identity, correcting damage, and helping patients move forward with confidence. This particular patient had a difficult journey. She received permanent #filler injections 💉 from a non-medical provider, which resulted in #granuloma formation. These were then treated with multiple rounds of high-dose steroid injections, leading to atrophic scarring and significant thinning of the dermis, epidermis, and subdermal fat. Both superficial and deep fat compartments were compromised. Ultrasound eve...