Aesthetic complications clinic in Liverpool

Perhaps your lips look overfilled or uneven. There is a ridge above your upper lip, sometimes called a filler moustache, or a lump you can feel when you smile. You may have noticed fullness outside the area you expected, often described as filler migration.

We assess concerns after lip, cheek, chin, jawline, nose, tear-trough and other facial filler treatments. The first step is to establish what is causing the appearance or discomfort. Not every lump is misplaced filler, and not every uneven result needs more injections.

Persistent under-eye puffiness, swollen lips or a cheek that becomes sore and swollen again can be unsettling. This is particularly confusing when the original treatment seemed fine.

Filler does not always disappear within a few months. It can remain for years. Tell us about earlier treatments, even if you thought the product had gone.

Swelling, tenderness, hard lumps or nodules that appear weeks, months or years later need assessment. We will consider your treatment history and what has changed rather than assume that dissolving is automatically the answer.

Under-eye filler can leave patients concerned about bags, puffiness, unevenness, visible lumps or a blue-grey tint sometimes called the Tyndall effect. You may feel that you look more tired than before treatment.

Different problems can look similar around the eyes. Dr MJ can assess the area and use ultrasound where it will help investigate remaining filler and plan appropriate care.

Read about Dr MJ’s complications clinic

You may have had filler dissolved several times and still see a lump or unwanted fullness. Perhaps swelling keeps returning, or you have been given different explanations by different practitioners.

You can come to us for another opinion. Bring details of the original treatment and anything done since, if you have them. Dr MJ will review the history, assess the area and explain whether further investigation, treatment or referral is appropriate.

You do not have to commit to another procedure to ask for advice.

No. Hyaluronidase works on hyaluronic acid filler. It does not dissolve every injectable product. Treatments such as Sculptra and Radiesse are different materials and need a different assessment and management approach.

If you do not know what was injected, tell us. Bring any product details or records you can obtain, but missing information should not stop you asking for help.

You may have read accounts of hollowing, changes in skin texture or other problems after hyaluronidase. You may already have had treatment and feel that things are worse.

Tell Dr MJ what you have experienced and what you are afraid of. Those concerns deserve a careful discussion. An appointment can be for assessment and advice; it does not commit you to dissolving.

Hyaluronidase has risks, including allergic reactions. Your medical history, previous reactions, the reason for treatment and the alternatives all matter. These should be discussed before treatment.

Possibly. Longstanding, extensive or difficult-to-treat filler may need several interventions. Swelling and tissue changes can also affect how the area looks, so removing filler does not necessarily return your appearance exactly to how it was before.

Further appointments are booked and charged separately. We cannot promise complete resolution or a particular cosmetic result.

Yes. Patients treated elsewhere are welcome. You do not need permission or a referral from your original practitioner. Clinicians can also refer patients to Dr MJ.

Bring treatment dates, product names, amounts, photographs and details of any corrective treatment, if available. A medication list and information about allergies or previous reactions are also useful. If you do not have all your records, we can still discuss your concern.

Yes. An online complication consultation costs £75 and may be a useful first step if you live far away. It allows discussion and preliminary advice, but cannot replace a physical examination or ultrasound. Urgent symptoms should not wait for an online consultation.

Swelling, bruising and tenderness can occur after treatment. The area may continue to change as it settles. Dr MJ will explain what to expect in your case, when to review the result and which symptoms should prompt you to contact a clinician.

If you are planning treatment around work, travel or an event, discuss this before booking. Do not assume the result will be settled immediately.

Sometimes, but the complication needs to be appropriately addressed first. Further aesthetic treatment is a separate decision based on your tissues, recovery and clinical assessment. There is no automatic dissolve-and-refill plan.

If you are worried about heavy brows, a drooping eyelid or a changed smile after Botox, or a problem following skin boosters, polynucleotides, threads, an energy-based treatment or surgery, contact the team before choosing an appointment.

Explain what treatment you had and what has changed. The team can check whether Dr MJ’s clinic is an appropriate place for assessment or whether you need another service. Different treatments have different complications; hyaluronidase is not a general reversal treatment for all of them.