Hi and thank you for your question! While it is hard to tell based on the pictures, some improvements are still evident in the new picture. In general, while every patient is different, it is very rare for hyaluronic acid filler to get dissolved and broken down by the body this fast. Keep in mind that hyaluronic acid is a vital component of extra cellular matrix in our body and if a patient’s body is breaking the external filler so quickly, it should do the same to the internal hyaluronic acid, which is expected to result in serious health problems. Hence, in vast majority of cases, what happens is that right after the filler injection as there is some swelling, the swelling will make the results look more prominent, but during the 1-2 weeks after the filler and as the swelling goes away, the volume will also go down and it gives the impression that the filler has gone away, while it’s still there. In cases like you, it is critical to have a follow up in person, to be able to carefully and objectively assess and compare the results with the baseline, and then if needed, further filler injection can be done. I hope it helps and good luck!
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