The Truth About Dermal Fillers: A Shocking MRI Reveal and Expert Insights
Have you ever wondered about the true effects of the cosmetic injectables we use, like hyaluronic acid fillers? We often hear about them as a way to plump lips, smooth wrinkles, or restore youthful volume to the face.
But what happens after those injections? A recent viral video revealed some surprising facts that left many viewers in shock.
Dr. Kami Parsa, an oculoplastic surgeon from Beverly Hills, California, took to TikTok to share a fascinating MRI scan of a 33-year-old patient who had received hyaluronic acid filler injections over the past six years.
The footage, which has now been viewed over 7.2 million times, showed the patient’s face under an MRI scan. What was so shocking? The hyaluronic acid filler hadn’t just stayed put; it had actually migrated and grown over time.
As Dr. Parsa explained in his video, this was a clear example of how the filler moved within the skin and even doubled in volume. The patient had originally received 12 milliliters (CC) of filler, but the MRI showed a total of 28 CC—more than twice the amount injected.
“This shows us that hyaluronic acid fillers are hydrophilic,” Dr. Parsa explained, meaning they attract water and cause tissue to expand.
A Closer Look at Dermal Fillers: What Are They?
Dermal fillers are gel-like substances injected beneath the skin to restore lost volume, smooth wrinkles, soften creases, and enhance facial contours. The American Board of Cosmetic Surgery says these fillers are used by millions every year. In fact, more than a million men and women choose this popular procedure annually.
The most common type of injectable fillers are made from hyaluronic acid, a substance that naturally exists in our bodies. These fillers are considered temporary, usually lasting anywhere from 6 to 18 months, depending on various factors.
However, the footage shared by Dr. Parsa has raised some questions: what happens to these fillers after they’re injected?
What Happens When Fillers Don’t Dissolve?
The viral MRI video sparked a lot of reactions, and many viewers shared their own experiences. One viewer commented: “I keep telling people I only got my lips done three times, 0.5ml each time, and it’s been 5 years since then, and my lips are still the same because it DOES NOT DISSOLVE.”
This is a common concern—many people have noticed that their fillers seem to last much longer than expected.
Another commenter wrote, “When it first came out, all injectors said it would only last 6 months,” a sentiment echoed by Dr. Parsa, who agreed: “That’s what the filler companies were telling us.” Yet, the evidence seems to show that these fillers may last far longer and behave in unexpected ways, like migrating and expanding within the skin.
Viewers React: Concerns and Questions About Fillers
After the MRI was shared, some viewers were concerned about the possible long-term effects of hyaluronic acid fillers. One user wrote, “I just don’t see how this wouldn’t completely destroy the lymphatic system.”
Dr. Parsa addressed the concern, reassuring viewers that the procedure is safe when done properly, and that Botox, another popular injectable, has a long and proven safety record.
Despite the reassurances, the video led to many discussions about the overuse of cosmetic injectables and their impact on facial aesthetics. A commenter stated, “FINALLY THIS IS BEING TALKED ABOUT. The mass production and insane usage without WARNING. I need to know more. What about Botox?”
The concerns continued, with one viewer admitting, “Okay, so water is key to keeping my filler.” This reflects how the hydrophilic nature of the filler attracts water, which can affect the filler’s behavior over time.
The Celebrity Effect: Overuse of Fillers and Botox
As dermal fillers become more popular, many celebrities have faced scrutiny for their changing appearances. Ryan Gosling and Eva Mendes, for example, found themselves at the center of online discussions when their before-and-after photos surfaced earlier this year, showing noticeable changes in their facial features.
Meredith West, a physician assistant with over 15 years of experience in plastic surgery, shared a reel on Instagram where she analyzed the images.
She suggested that both Ryan and Eva may have undergone facial surgeries, Botox, and facial fillers. She explained that the couple seemed to have a “puffier” appearance compared to their earlier pictures.
“There’s a chance Eva might have had facial surgery, possibly a facelift or fat grafting,” she wrote, commenting on their facial transformations. “And they both probably had Botox and facial fillers.”
The Dangers of Overdoing It: Negative Effects of Fillers and Botox
While cosmetic procedures can enhance our looks, overuse of injectables can have undesirable effects. Nurse Gemavie explained that too much Botox can weaken facial muscles, resulting in an unnatural look.
Meanwhile, dermatologist Jessica Weiser pointed out that “overdone filler” can create a “pillow-face” appearance—puffy and with odd proportions.
Meredith also expressed concern about this trend, stating, “I think they both looked amazing before and didn’t need anything other than a little preventative toxin and maybe some biostim (like Sculptra) for collagen stimulation.” These procedures are meant to keep the skin looking youthful without overloading it with filler.
Ryan Gosling: A Case Study in Changing Appearances
Ryan Gosling’s transformation has also been analyzed by aesthetics physician Jonny Betteridge, who shared his thoughts on the actor’s appearance in a popular Instagram reel.
Jonny analyzed Ryan’s earlier photos, pointing out the “masculine-looking features” he had, including well-defined cheekbones and a strong jawline.
However, Jonny also noted that Ryan’s mid-face had become more “overfilled” in recent years, with a fuller appearance around the cheeks. “This is classic of what I see when someone’s had too much filler put in this area,” Jonny explained. “When someone smiles, it becomes more noticeable, and it can look unnatural.”
What’s the Verdict?
The viral MRI footage and the online discussions that followed have sparked a lot of questions about the safety and long-term effects of dermal fillers.
Many people have shared their own experiences, noting that their fillers haven’t dissolved as expected and have even grown over time. While some viewers are concerned about the impact on their health, others are simply amazed by the transformation of their faces over the years.
So, what do you think about all of this? Are you considering getting dermal fillers or Botox, or have you already had them? Share your thoughts and experiences in the comments below!
