A medical surgeon recently captured widespread attention after sharing an MRI scan that revealed a surprising phenomenon—hyaluronic acid fillers expanding and shifting on their own over time. The revelation left thousands of viewers astonished, many of whom expressed concern about their own fillers that seemingly never dissolved as expected.

According to the American Board of Cosmetic Surgery, dermal fillers are gel-like substances injected beneath the skin to enhance facial features, smooth out wrinkles, reduce creases, and restore lost volume. Every year, over a million people opt for this facial rejuvenation treatment, making it one of the most popular non-surgical cosmetic procedures.

Hyaluronic acid fillers, the most commonly used type of injectable filler, are often regarded as the most temporary option, typically lasting between six to eighteen months. However, recent findings suggest that these fillers may persist far longer than initially believed.

Dr. Kami Parsa, an oculoplastic surgeon based in Beverly Hills, California, recently sparked a major discussion on social media after posting a TikTok video on July 12 featuring a patient’s MRI scan. The scan showcased the changes in the patient’s face following years of injectable treatments.

The patient, a 33-year-old woman, had received over 12 CC (12 milliliters) of hyaluronic acid filler over a six-year period. In the viral video—now viewed more than 7.2 million times—the MRI scan displayed a grey-toned image of the patient’s face with glowing green spots in areas such as the lips and cheeks, marking where the filler had remained.

Although Dr. Parsa did not specify which exact procedures the patient had undergone, he conducted a volumetric analysis and found that the total amount of filler in the woman’s face had reached 28 CC.

“This is more than twice the amount of filler that was originally injected,” Dr. Parsa explained in the video. He further clarified, “This indicates that hyaluronic acid fillers are hydrophilic, meaning they attract water and can lead to tissue expansion.”

A medical surgeon recently captured widespread attention after sharing an MRI scan that revealed a surprising phenomenon—hyaluronic acid fillers expanding and shifting on their own over time. The revelation left thousands of viewers astonished, many of whom expressed concern about their own fillers that seemingly never dissolved as expected.

@kamiparsamd #kamiparsa #fillers #hylenex #dissolvingfiller #dermalfillers #lips #teartroughfiller ♬ Blade Runner 2049 – Synthwave Goose

According to the American Board of Cosmetic Surgery, dermal fillers are gel-like substances injected beneath the skin to enhance facial features, smooth out wrinkles, reduce creases, and restore lost volume. Every year, over a million people opt for this facial rejuvenation treatment, making it one of the most popular non-surgical cosmetic procedures.

Hyaluronic acid fillers, the most commonly used type of injectable filler, are often regarded as the most temporary option, typically lasting between six to eighteen months. However, recent findings suggest that these fillers may persist far longer than initially believed.

Dr. Kami Parsa, an oculoplastic surgeon based in Beverly Hills, California, recently sparked a major discussion on social media after posting a TikTok video on July 12 featuring a patient’s MRI scan. The scan showcased the changes in the patient’s face following years of injectable treatments.

The patient, a 33-year-old woman, had received over 12 CC (12 milliliters) of hyaluronic acid filler over a six-year period. In the viral video—now viewed more than 7.2 million times—the MRI scan displayed a grey-toned image of the patient’s face with glowing green spots in areas such as the lips and cheeks, marking where the filler had remained.

Although Dr. Parsa did not specify which exact procedures the patient had undergone, he conducted a volumetric analysis and found that the total amount of filler in the woman’s face had reached 28 CC.

“This is more than twice the amount of filler that was originally injected,” Dr. Parsa explained in the video. He further clarified, “This indicates that hyaluronic acid fillers are hydrophilic, meaning they attract water and can lead to tissue expansion.”

This revelation sparked concern among viewers. One TikTok user commented, “I just don’t understand how this wouldn’t completely harm the lymphatic system.” Another user expressed relief that this issue was finally being addressed, writing, “FINALLY, THIS IS BEING DISCUSSED. The mass production and excessive use without any WARNING. I need more information. What about Botox?”

Dr. Parsa reassured his audience that Botox has a long-established safety record when administered correctly.

The MRI findings also fueled further discussion among individuals who had undergone filler treatments. Some viewers shared their own experiences, highlighting how their fillers seemed to have lasted far longer than they were initially told.

One user remarked, “Water is essential for maintaining my filler.” Another shared, “I keep telling everyone I’ve only had my lips done three times, 0.5ml each time, and it’s been five years since then, yet my lips look the same because it DOES NOT DISSOLVE.”

Another viewer recalled, “When it was first introduced, all injectors claimed it would last only six months.” Dr. Parsa responded, “That’s what the filler companies were telling us.”

Other users described their own long-lasting results, with one stating, “I had chin filler ONCE a decade ago, and I’ve never needed a touch-up since. It has remained unchanged all this time.” Another added, “I had my lips done eight years ago, and they still haven’t faded.”

The rising popularity of fillers has also led to increased scrutiny, particularly toward celebrities who appear to have undergone excessive procedures.

Recently, Hollywood stars Ryan Gosling and Eva Mendes faced criticism from social media users who speculated about their changing facial appearances. In March, physician assistant Meredith West—who holds a Master of Science and has 15 years of experience in plastic surgery—shared a video with Mountcastle Medical Spa, a Virginia-based medical spa, analyzing their transformations.

Side-by-side images of the couple showcased a noticeably “puffier” appearance in recent years. “I suspect they’ve both undergone some cosmetic enhancements recently,” West wrote in the video caption. She suggested that Eva Mendes might have undergone facial surgery, potentially including a facelift and fat grafting, while also speculating that both stars had received Botox and facial fillers.

Hyaluronic acid remains the most widely used ingredient in injectable fillers, but Botox, formally known as botulinum toxin injections, works differently. It relaxes facial muscles to reduce wrinkles and fine lines, such as frown lines and crow’s feet. However, excessive use of Botox and fillers can lead to unintended consequences.

Aesthetic nurse Gemavie has warned that too much Botox can result in significant muscle weakness, which may impair facial expressions and create an unnatural look. Dermatologist Jessica Weiser also pointed out in a March 2023 article for Allure that an overfilled appearance—often described as the “pillow-face look”—has become increasingly common due to excessive filler use.

Weiser explained that while numerous factors contribute to this issue, poor decision-making by some injectors plays a significant role. “Overdone fillers create an unnatural puffiness and exaggerated facial proportions,” she noted.

Meredith West, reflecting on Ryan Gosling and Eva Mendes’s transformations, emphasized in her post that she believed they originally looked fantastic and only required minimal touch-ups, such as preventative Botox and collagen-stimulating treatments like Sculptra. She also recommended medical-grade skincare, CO2 laser treatments, radiofrequency therapy, and microneedling as effective alternatives for maintaining youthful skin.

Aesthetics expert Jonny Betteridge has also weighed in on the visible changes in Gosling’s face. In a viral video posted on March 28, which has garnered 2.2 million views, Betteridge analyzed the actor’s appearance over the years.

“He has always had very masculine features, with well-defined cheekbones, a strong jawline, and a broad chin,” Betteridge noted while reviewing older photos of Gosling. However, he pointed out that Gosling’s face has changed significantly in recent years, appearing noticeably fuller.

“One of the defining features of his look is the flatness in the mid-face area. You can see in earlier photos that his face appeared somewhat sunken. Many of my clients seeking dermal filler treatments need some level of mid-face enhancement, which I achieve by injecting filler at key points,” Betteridge explained.

The goal of such procedures, he noted, is to restore structure to the cheekbones and add back lost volume. However, in Gosling’s case, Betteridge believes the actor’s facial proportions have shifted too dramatically.

“It’s evident that his mid-face and cheeks have become significantly fuller. This is especially noticeable when he smiles—his facial dynamics suggest that he may have received excessive filler in that area,” Betteridge remarked.

One viewer reacted to the discussion with a sense of alarm, commenting, “Me and my fillers are panicking right now.”

As the debate over dermal fillers continues, experts urge individuals considering cosmetic enhancements to thoroughly research their options and consult with experienced professionals. While fillers and Botox can provide remarkable results, improper use or excessive treatments may lead to long-term consequences that are only now becoming fully understood.

This revelation sparked concern among viewers. One TikTok user commented, “I just don’t understand how this wouldn’t completely harm the lymphatic system.” Another user expressed relief that this issue was finally being addressed, writing, “FINALLY, THIS IS BEING DISCUSSED. The mass production and excessive use without any WARNING. I need more information. What about Botox?”

Dr. Parsa reassured his audience that Botox has a long-established safety record when administered correctly.

The MRI findings also fueled further discussion among individuals who had undergone filler treatments. Some viewers shared their own experiences, highlighting how their fillers seemed to have lasted far longer than they were initially told.

One user remarked, “Water is essential for maintaining my filler.” Another shared, “I keep telling everyone I’ve only had my lips done three times, 0.5ml each time, and it’s been five years since then, yet my lips look the same because it DOES NOT DISSOLVE.”

Another viewer recalled, “When it was first introduced, all injectors claimed it would last only six months.” Dr. Parsa responded, “That’s what the filler companies were telling us.”

Other users described their own long-lasting results, with one stating, “I had chin filler ONCE a decade ago, and I’ve never needed a touch-up since. It has remained unchanged all this time.” Another added, “I had my lips done eight years ago, and they still haven’t faded.”

The rising popularity of fillers has also led to increased scrutiny, particularly toward celebrities who appear to have undergone excessive procedures.

Recently, Hollywood stars Ryan Gosling and Eva Mendes faced criticism from social media users who speculated about their changing facial appearances. In March, physician assistant Meredith West—who holds a Master of Science and has 15 years of experience in plastic surgery—shared a video with Mountcastle Medical Spa, a Virginia-based medical spa, analyzing their transformations.

Side-by-side images of the couple showcased a noticeably “puffier” appearance in recent years. “I suspect they’ve both undergone some cosmetic enhancements recently,” West wrote in the video caption. She suggested that Eva Mendes might have undergone facial surgery, potentially including a facelift and fat grafting, while also speculating that both stars had received Botox and facial fillers.

Hyaluronic acid remains the most widely used ingredient in injectable fillers, but Botox, formally known as botulinum toxin injections, works differently. It relaxes facial muscles to reduce wrinkles and fine lines, such as frown lines and crow’s feet. However, excessive use of Botox and fillers can lead to unintended consequences.

Aesthetic nurse Gemavie has warned that too much Botox can result in significant muscle weakness, which may impair facial expressions and create an unnatural look. Dermatologist Jessica Weiser also pointed out in a March 2023 article for Allure that an overfilled appearance—often described as the “pillow-face look”—has become increasingly common due to excessive filler use.

Weiser explained that while numerous factors contribute to this issue, poor decision-making by some injectors plays a significant role. “Overdone fillers create an unnatural puffiness and exaggerated facial proportions,” she noted.

Meredith West, reflecting on Ryan Gosling and Eva Mendes’s transformations, emphasized in her post that she believed they originally looked fantastic and only required minimal touch-ups, such as preventative Botox and collagen-stimulating treatments like Sculptra. She also recommended medical-grade skincare, CO2 laser treatments, radiofrequency therapy, and microneedling as effective alternatives for maintaining youthful skin.

Aesthetics expert Jonny Betteridge has also weighed in on the visible changes in Gosling’s face. In a viral video posted on March 28, which has garnered 2.2 million views, Betteridge analyzed the actor’s appearance over the years.

“He has always had very masculine features, with well-defined cheekbones, a strong jawline, and a broad chin,” Betteridge noted while reviewing older photos of Gosling. However, he pointed out that Gosling’s face has changed significantly in recent years, appearing noticeably fuller.

“One of the defining features of his look is the flatness in the mid-face area. You can see in earlier photos that his face appeared somewhat sunken. Many of my clients seeking dermal filler treatments need some level of mid-face enhancement, which I achieve by injecting filler at key points,” Betteridge explained.

The goal of such procedures, he noted, is to restore structure to the cheekbones and add back lost volume. However, in Gosling’s case, Betteridge believes the actor’s facial proportions have shifted too dramatically.

“It’s evident that his mid-face and cheeks have become significantly fuller. This is especially noticeable when he smiles—his facial dynamics suggest that he may have received excessive filler in that area,” Betteridge remarked.

One viewer reacted to the discussion with a sense of alarm, commenting, “Me and my fillers are panicking right now.”

As the debate over dermal fillers continues, experts urge individuals considering cosmetic enhancements to thoroughly research their options and consult with experienced professionals. While fillers and Botox can provide remarkable results, improper use or excessive treatments may lead to long-term consequences that are only now becoming fully understood.