{"id":83962,"date":"2026-01-20T13:21:40","date_gmt":"2026-01-20T13:21:40","guid":{"rendered":"https:\/\/thetweakmentsguide.com\/?p=83962"},"modified":"2026-02-02T10:00:54","modified_gmt":"2026-02-02T10:00:54","slug":"how-long-does-filler-last-alice-mri-result","status":"publish","type":"post","link":"https:\/\/thetweakmentsguide.com\/blog\/how-long-does-filler-last-alice-mri-result\/","title":{"rendered":"My Face\u2026 and The Filler Beneath: What My Second MRI Revealed"},"content":{"rendered":"<p><span style=\"color: #00a4ad;\"><strong>Two years ago, my article about an MRI scan that showed some 35ml of filler quietly residing in my face went a bit viral. Since that first scan, I\u2019ve had more filler \u2013 and now I\u2019ve had another MRI. Here\u2019s the update, with expert input from key voices in the ongoing discussion around how long \u2018temporary\u2019 hyaluronic acid fillers may last \u2013 and what this means for our faces. <\/strong><\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<h2><span style=\"color: #00a4ad;\">The story so far<\/span><\/h2>\n<p><span data-contrast=\"auto\">Over the 25 years I\u2019ve been reporting on cosmetic procedures I\u2019ve had a fair amount of <a href=\"https:\/\/thetweakmentsguide.com\/tweakments\/dermal-fillers\/\" target=\"_blank\" rel=\"noopener\">dermal filler<\/a> injected &#8212; the sort made from hyaluronic acid that, we are told, last for six to 18 months. Just a millilitre here and there, to support whichever parts of my face were starting to look a little deflated as the years took their toll \u2013 my cheeks, my lips, my temples\u2026<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Back in 2021, I was already aware of concerns being raised by some <a href=\"https:\/\/thetweakmentsguide.com\/practitioners\/\" target=\"_blank\" rel=\"noopener\">aesthetic doctors<\/a> and radiologists around the world who were finding that, in some patients, these supposedly temporary fillers appear to hang around far longer than expected. So, curious to see what my own face would show, I booked in for an MRI scan.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\"><a href=\"https:\/\/thetweakmentsguide.com\/blog\/how-much-filler-did-alices-mri-reveal\/\" target=\"_blank\" rel=\"noopener\">What the scan revealed was a big shock<\/a>.<\/span><\/p>\n<p><span data-contrast=\"auto\">Despite having had no filler injections for four years, an estimated 35ml of hyaluronic-acid filler was still visible throughout my face.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><\/p>\n<figure id=\"attachment_30234\" aria-describedby=\"caption-attachment-30234\" style=\"width: 411px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\"size-full wp-image-30234\" src=\"https:\/\/thetweakmentsguide.com\/wp-content\/uploads\/2022\/12\/3dfiller-map.jpg\" alt=\"3dfiller map\" width=\"411\" height=\"461\" srcset=\"https:\/\/thetweakmentsguide.com\/wp-content\/uploads\/2022\/12\/3dfiller-map.jpg 411w, https:\/\/thetweakmentsguide.com\/wp-content\/uploads\/2022\/12\/3dfiller-map-285x320.jpg 285w\" sizes=\"(max-width: 411px) 100vw, 411px\" \/><figcaption id=\"caption-attachment-30234\" class=\"wp-caption-text\">2021 MRI: The red patches indicate hyaluronic acid filler. MRI scan of Alice Hart-Davis&#8217;s face interpreted by Dr Simon Morley<\/figcaption><\/figure>\n<p><span data-contrast=\"auto\">Why shocked? That\u2019s a lot of filler. I\u2019m sure I\u2019ve had at least that much injected, but wasn\u2019t this stuff meant to break down and vanish? Also, you might expect someone with that much filler in their face to look a bit \u2018done\u2019, or possibly like a puffer fish. I don\u2019t. I look reasonably normal.\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">When the <\/span><a href=\"https:\/\/www.dailymail.co.uk\/lifestyle\/article-11620871\/Ive-got-20-years-filler-stuck-face-meant-dissolve-MRI-scan-revealed-truth.html\"><span data-contrast=\"none\">Daily Mail<\/span><\/a><span data-contrast=\"auto\"> picked up the story, the reaction was extraordinary. Some senior practitioners took issue. It\u2019s ridiculous, said one. The entire global filler industry is based on the premise that these products break down, so patients need regular retreatment. I know, I replied, but this is what my MRI shows. Another requested my scan, so he could get it analysed by a radiologist of his own choosing. I became used to delegates at aesthetic-industry conferences scrutinising my face like some real-life exhibit.\u00a0 <\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">After a popular Brazilian news outlet reposted the story, dermatologists over there shared it enthusiastically on social media. I don\u2019t read Portuguese, but the gist of their comments was clear enough:\u2018Is this true or is she lying?\u2019<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Readers were aghast. What was I going to do? Wasn\u2019t I going to have all that <a href=\"https:\/\/thetweakmentsguide.com\/blog\/will-dissolving-my-filler-ruin-my-face\/\" target=\"_blank\" rel=\"noopener\">filler dissolved<\/a>? (No, it\u2019s all sitting exactly where it was placed, doing a great job at holding my face up, and doing no harm). Was their own filler going to be with them forever? (Probably not, but we\u2019ll come back to that). And wasn\u2019t my filler migrating from where it was injected? Would theirs? (More on that later).\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Some people developed their own theories. \u2018You just faked the pictures,\u2019 said one clinic-owner. \u2018You\u2019ve lied, haven\u2019t you,\u2019 said another, filming me on her phone as she approached at a conference. \u2018You had it all dissolved and won\u2019t admit it!\u2019<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<blockquote class=\"instagram-media\" style=\"background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);\" data-instgrm-permalink=\"https:\/\/www.instagram.com\/p\/CnRAZuZItzV\/?utm_source=ig_embed&amp;utm_campaign=loading\" data-instgrm-version=\"14\">\n<div style=\"padding: 16px;\">\n<p>&nbsp;<\/p>\n<div style=\"display: flex; flex-direction: row; align-items: center;\">\n<div style=\"background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;\"><\/div>\n<div style=\"display: flex; flex-direction: column; flex-grow: 1; justify-content: center;\">\n<div style=\"background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;\"><\/div>\n<div style=\"background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;\"><\/div>\n<\/div>\n<\/div>\n<div style=\"padding: 19% 0;\"><\/div>\n<div style=\"display: block; height: 50px; margin: 0 auto 12px; width: 50px;\"><\/div>\n<div style=\"padding-top: 8px;\">\n<div style=\"color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;\">View this post on Instagram<\/div>\n<\/div>\n<div style=\"padding: 12.5% 0;\"><\/div>\n<div style=\"display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;\">\n<div>\n<div style=\"background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);\"><\/div>\n<div style=\"background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;\"><\/div>\n<div style=\"background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);\"><\/div>\n<\/div>\n<div style=\"margin-left: 8px;\">\n<div style=\"background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;\"><\/div>\n<div style=\"width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);\"><\/div>\n<\/div>\n<div style=\"margin-left: auto;\">\n<div style=\"width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);\"><\/div>\n<div style=\"background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);\"><\/div>\n<div style=\"width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);\"><\/div>\n<\/div>\n<\/div>\n<div style=\"display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;\">\n<div style=\"background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;\"><\/div>\n<div style=\"background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;\"><\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<p style=\"color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;\"><a style=\"color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;\" href=\"https:\/\/www.instagram.com\/p\/CnRAZuZItzV\/?utm_source=ig_embed&amp;utm_campaign=loading\" target=\"_blank\" rel=\"noopener\">A post shared by Alice Hart-Davis &#8211; your tweakments guide (@alicehartdavis)<\/a><\/p>\n<\/div>\n<\/blockquote>\n<p><script async src=\"\/\/www.instagram.com\/embed.js\"><\/script><\/p>\n<p><span data-contrast=\"auto\">But many <a href=\"https:\/\/thetweakmentsguide.com\/practitioners\/\" target=\"_blank\" rel=\"noopener\">aesthetic practitioners<\/a>, in the UK and around the world, messaged me to say that surprisingly-long-lasting-filler was not news to them at all. They saw it regularly among their own patients. At industry and press events, I began spotting my own MRI images in presentations, usually being used as a warning against filler, often conveniently followed by a pitch for a <a href=\"https:\/\/thetweakmentsguide.com\/tweakments\/laser-skin-rejuvenation\/\" target=\"_blank\" rel=\"noopener\">skin-tightening device<\/a>.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">What really irked the anti-filler brigade \u2013 particularly the facial plastic and oculoplastic surgeons who spend a good deal of time dissolving old filler from patients\u2019 faces before they can operate (so I totally understand where they\u2019re coming from) \u2013 was that, despite having this detailed picture of what lay beneath the surface of my skin, I had been foolish enough to have more filler&#8230; \u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<h2><span style=\"caret-color: #00a4ad;\" data-contrast=\"none\"><span style=\"color: #00a4ad;\">The nitty gritty: What have I had injected since my first MRI?<\/span><\/span><\/h2>\n<ul>\n<li><span data-contrast=\"auto\">Nov 2021 &#8211; 7.2 ml of Belotero in small increments all over the face with Dr Raj Aquilla \u2013 lips, cheeks, chin, jawline, brow<\/span><\/li>\n<li><span data-contrast=\"auto\">November 2022 \u2013 3.5ml of <a href=\"https:\/\/thetweakmentsguide.com\/brands\/juvederm-allergan\/\" target=\"_blank\" rel=\"noopener\">Juvederm<\/a> in cheeks temples chin with Dr Sophie Shotter<\/span><\/li>\n<li><span data-contrast=\"auto\">December 2022\u00a0\u00a0 &#8211; 4 vials of\u00a0 <a href=\"https:\/\/thetweakmentsguide.com\/video\/ttg-live-2024-harmoncyca-the-hybrid-filler-how-does-it-work-with-dr-eithne-brenner\/\" target=\"_blank\" rel=\"noopener\">HarmonyCa<\/a> (5ml) in the buccal area with Dr Sophie Shotter<\/span><\/li>\n<li><span data-contrast=\"auto\">March 2023 \u2013 2 vials of HarmonyCa (2.5ml) with Dr Sophie Shotter in buccal area\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">September 2023 4ml of Juvederm in my mid-face with Dr Sophie Shotter<\/span><\/li>\n<li><span data-contrast=\"auto\">Nov 2024 &#8211; 0.5ml <a href=\"https:\/\/thetweakmentsguide.com\/brands\/restylane-galderma\/\" target=\"_blank\" rel=\"noopener\">Restylane<\/a> Kysse between upper and lower lips and 0.5ml Restylane Classic above and below my mouth with <a href=\"https:\/\/thetweakmentsguide.com\/practitioners\/kuldeep-minocha\/\">Dr Kuldeep Minocha<\/a><\/span><\/li>\n<\/ul>\n<h3><span style=\"color: #00a4ad;\" data-contrast=\"auto\">Why on earth would I go and do that? <\/span><\/h3>\n<p><span data-contrast=\"auto\">In my view, appropriate treatment with filler remains the best non-surgical option for a face that is losing volume with age. Other treatments tighten, but nothing else helps with volume. The practitioners who treated me were some of the very best in the country. They felt my face merited treatment and afterwards \u2013 I didn\u2019t look bizarre. I just looked fresher.\u00a0 Of course I\u2019d say that\u00a0 \u2013 but then so do experts. <\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<h2><span style=\"color: #00a4ad;\"><span style=\"caret-color: #00a4ad;\">So I had another MRI&#8230;<\/span><\/span><\/h2>\n<p><span data-contrast=\"auto\">That was the prequel. Last year, I decided it was time for another MRI. I was curious to see what would show up now I had almost 16ml of newer filler on board (in my cheeks, temples, brow, lips, around my mouth, in my nose-to-mouth lines, my chin, my jaw) since that first scan. <\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Had the older filler gone? How much of the recent stuff was still around? And would there again be more of it showing than had been injected? I asked <a href=\"https:\/\/thetweakmentsguide.com\/practitioners\/dr-sophie-shotter\/\" target=\"_blank\" rel=\"noopener\">Dr Sophie Shotter<\/a>, who did my most recent injections, to refer me for the scan, and Dr Simon Morley, the expert aesthetic radiologist who analysed my previous MRI, to talk us through the result.\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><\/p>\n<h2><span style=\"color: #00a4ad;\"><span style=\"caret-color: #00a4ad;\">How much filler did the scan show?<\/span><\/span><\/h2>\n<figure id=\"attachment_83972\" aria-describedby=\"caption-attachment-83972\" style=\"width: 670px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\"size-medium wp-image-83972\" src=\"https:\/\/thetweakmentsguide.com\/wp-content\/uploads\/2026\/01\/1-2-670x447.jpg\" alt=\"Alice MRIs\" width=\"670\" height=\"447\" srcset=\"https:\/\/thetweakmentsguide.com\/wp-content\/uploads\/2026\/01\/1-2-670x447.jpg 670w, https:\/\/thetweakmentsguide.com\/wp-content\/uploads\/2026\/01\/1-2-320x213.jpg 320w, https:\/\/thetweakmentsguide.com\/wp-content\/uploads\/2026\/01\/1-2-768x512.jpg 768w, https:\/\/thetweakmentsguide.com\/wp-content\/uploads\/2026\/01\/1-2-1536x1024.jpg 1536w, https:\/\/thetweakmentsguide.com\/wp-content\/uploads\/2026\/01\/1-2-1200x800.jpg 1200w, https:\/\/thetweakmentsguide.com\/wp-content\/uploads\/2026\/01\/1-2.jpg 1620w\" sizes=\"(max-width: 670px) 100vw, 670px\" \/><figcaption id=\"caption-attachment-83972\" class=\"wp-caption-text\">Alice&#8217;s MRIs showing the amount of filler in 2025 (left) compared to 2021<\/figcaption><\/figure>\n<p><span data-contrast=\"auto\">As Dr Morley began his explanation, I realised I was holding my breath. When he said that at least 60ml of filler was visible, my mind froze up. That\u2019s an awful lot.\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><\/p>\n<blockquote><p><span data-contrast=\"auto\">When he said that at least 60ml of filler was visible, my mind froze up. That\u2019s an awful lot.\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><\/p><\/blockquote>\n<p><span data-contrast=\"auto\">\u201cThe overall distribution of filler looks fairly similar to the previous scan,\u201d explained Dr Morley. \u201cBut it\u2019s more extensive in the lips and chin, and there are some differences in the temple region.\u201d Crucially, he adds that the earlier scan may have underestimated the true volume present. \u201cIt\u2019s the same scanner,\u201d he says, \u201cbut we\u2019re now using a different sequence, which gives us greater confidence in identifying filler and estimating volume.\u201d<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">But it\u2019s clear that a good deal of what was there before has not gone away.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Dr Shotter points out that we have precise records of exactly how much filler I\u2019ve had injected between the two scans. \u201cIt\u2019s interesting,\u201d she says, \u201cthat the change from last time to this time shows slightly more filler than Alice has actually had injected in that period.\u201d<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><\/p>\n<figure id=\"attachment_83973\" aria-describedby=\"caption-attachment-83973\" style=\"width: 670px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\"size-medium wp-image-83973\" src=\"https:\/\/thetweakmentsguide.com\/wp-content\/uploads\/2026\/01\/2-2-670x447.jpg\" alt=\"Alice's MRIs showing the amount of filler in 2025 (left) compared to 2021\" width=\"670\" height=\"447\" srcset=\"https:\/\/thetweakmentsguide.com\/wp-content\/uploads\/2026\/01\/2-2-670x447.jpg 670w, https:\/\/thetweakmentsguide.com\/wp-content\/uploads\/2026\/01\/2-2-320x213.jpg 320w, https:\/\/thetweakmentsguide.com\/wp-content\/uploads\/2026\/01\/2-2-768x512.jpg 768w, https:\/\/thetweakmentsguide.com\/wp-content\/uploads\/2026\/01\/2-2-1536x1024.jpg 1536w, https:\/\/thetweakmentsguide.com\/wp-content\/uploads\/2026\/01\/2-2-1200x800.jpg 1200w, https:\/\/thetweakmentsguide.com\/wp-content\/uploads\/2026\/01\/2-2.jpg 1620w\" sizes=\"(max-width: 670px) 100vw, 670px\" \/><figcaption id=\"caption-attachment-83973\" class=\"wp-caption-text\">Alice&#8217;s MRIs showing the amount of filler in 2025 (left) compared to 2021<\/figcaption><\/figure>\n<p><span data-contrast=\"auto\">As well as having filler between the two scans, I\u2019ve also had injections of <a class=\"wpil_keyword_link\" title=\"biostimulators\" href=\"https:\/\/thetweakmentsguide.com\/tweakments\/biostimulators\/\" data-wpil-keyword-link=\"linked\" data-wpil-monitor-id=\"513\">biostimulators<\/a> &#8211; six vials (7.5ml) of HarmonyCa, a hybrid injectable combining hyaluronic acid with a biostimulator, in my buccal cheek area (that\u2019s the bit where, if you suck your cheeks in, you get a dimple). \u201cThere\u2019s no trace of that on the scan,\u201d she says. \u201cEven though it contains cross-linked HA. That\u2019s a real question mark for me.\u201d I had Sculptra last year, too \u2013 though that contains no HA, so it wouldn\u2019t show up on the scan.\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><\/p>\n<h2><span style=\"color: #00a4ad;\"><span style=\"caret-color: #00a4ad;\">How can 16ml of filler look more like 30ml on the scan?\u00a0<\/span><\/span><\/h2>\n<p><span data-contrast=\"auto\">One of the most puzzling aspects of facial MRIs is why filler so often appears at a greater volume than was injected. \u2018The whole premise of this imaging interpretation is that it is visualising water,\u2019 says Dr Morley. \u201cHyaluronic-acid fillers are hydrophilic, sucking up water and expanding, and that\u2019s what we can see on the scan. My impression is that the volume we see on MRI is often two to three times the volume that was injected.\u201d<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<h2><span style=\"color: #00a4ad;\"><span style=\"caret-color: #00a4ad;\">Has my filler migrated?<\/span><\/span><\/h2>\n<figure id=\"attachment_83974\" aria-describedby=\"caption-attachment-83974\" style=\"width: 670px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\"size-medium wp-image-83974\" src=\"https:\/\/thetweakmentsguide.com\/wp-content\/uploads\/2026\/01\/3-1-670x447.jpg\" alt=\"Alice's MRIs showing the amount of filler in 2025 (left) compared to 2021\" width=\"670\" height=\"447\" srcset=\"https:\/\/thetweakmentsguide.com\/wp-content\/uploads\/2026\/01\/3-1-670x447.jpg 670w, https:\/\/thetweakmentsguide.com\/wp-content\/uploads\/2026\/01\/3-1-320x213.jpg 320w, https:\/\/thetweakmentsguide.com\/wp-content\/uploads\/2026\/01\/3-1-768x512.jpg 768w, https:\/\/thetweakmentsguide.com\/wp-content\/uploads\/2026\/01\/3-1-1536x1024.jpg 1536w, https:\/\/thetweakmentsguide.com\/wp-content\/uploads\/2026\/01\/3-1-1200x800.jpg 1200w, https:\/\/thetweakmentsguide.com\/wp-content\/uploads\/2026\/01\/3-1.jpg 1620w\" sizes=\"(max-width: 670px) 100vw, 670px\" \/><figcaption id=\"caption-attachment-83974\" class=\"wp-caption-text\">Alice&#8217;s MRIs\u00a0 (left: 2025 and right: 2021) show that her filler has not migrated<\/figcaption><\/figure>\n<p><span data-contrast=\"auto\">One of the biggest anxieties around filler in many people\u2019s minds is the idea that it may wander off from where it was placed. Filler certainly CAN migrate, but as London-based aesthetic specialist <a href=\"https:\/\/thetweakmentsguide.com\/practitioners\/dr-ahmed-el-muntasar\/\" target=\"_blank\" rel=\"noopener\">Dr Ahmed El Muntasar<\/a> frequently has to tell his patients, filler migration is measured in millimetres, not inches (one of them had asked him, in all seriousness, if a small lump on her clavicle was migrated filler from her nose).\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Dr Mobin Master, an aesthetic radiologist based in Australia, was one of the first to discuss the issues of long-lasting filler and migration, and has become exasperated by the way people\u2019s imaginations exaggerate the issue. \u201cFiller doesn\u2019t just walk off and get the bus to somewhere else,\u201d he says.\u00a0 <\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Mine, thank goodness, is fine. \u201cIt\u2019s reassuring to see that all your filler is where we want it to be,\u201d says Dr Sophie Shotter.\u00a0\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<blockquote><p><span data-contrast=\"auto\">\u201cIt\u2019s reassuring to see that all your filler is where we want it to be,\u201d says Dr Sophie Shotter.\u00a0\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p><\/blockquote>\n<h2><span style=\"color: #00a4ad;\"><span style=\"caret-color: #00a4ad;\">What MRI research tells us about filler longevity?<\/span><\/span><\/h2>\n<p><span data-contrast=\"auto\">In short \u2013 a lot of filler lasts a long time. Dr Master published the largest review to date of facial MRI studies looking at filler longevity in 2024. Across 33 patients, every single one showed evidence of hyaluronic-acid filler on MRI, including many who hadn\u2019t had injections for five, 10 or even 15 years.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">\u201cThe midface seems to be the biggest problem,\u201d he explains. \u201cWe don\u2019t know why the mid-face &#8211; tear troughs, cheeks, over the zygoma, the buccal fat pad \u2013 lasts so long. It seems to be dose-dependent \u2013 the higher the dose, the more likely it is seen to last. The filler here seems to have diffused and flattened, but it is still there, whereas filler in the lower face tends to dissolve on its own.\u201d<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">In his experience, newer filler is easier to dissolve. \u201cFresh filler, under two years old, tends to respond better. Long-standing filler, particularly in patients who\u2019ve had repeated injections over many years, can be very resistant, even after multiple dissolving sessions.\u201d<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><\/p>\n<h2><span style=\"color: #00a4ad;\"><span style=\"caret-color: #00a4ad;\">Why has this frightened people?<\/span><\/span><\/h2>\n<p><span data-contrast=\"auto\">There\u2019s no doubt that MRI images of filler have contributed to a growing fear of filler among the public.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">\u201cThe conversation around filler longevity and lymphatic drainage has scared a lot of people,\u201d says Dr Shotter. \u201cMy personal view is that filler isn\u2019t something to be scared of if it\u2019s a good product, injected by good practitioners, under proper clinical conditions. You\u2019re a great example of that. You look natural. You look really well.\u201d<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Along with every other person I spoke to for this article, she is keen for manufacturers to step up. \u201cWhat we really need is funded research. We need proper scientific explanations for why this is happening, not just speculation.\u201d<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<h2><span style=\"color: #00a4ad;\">The eye surgeons&#8217; perspective<\/span><\/h2>\n<p><span data-contrast=\"auto\">US oculoplastic surgeon Dr Kami Parsa is well-known for his cautious stance on filler but is even-handed in his approach (here\u2019s a link to <\/span><a href=\"https:\/\/www.instagram.com\/reel\/C-s3dO3ymem\/?utm_source=ig_web_copy_link\"><span data-contrast=\"none\">his Instagram post<\/span><\/a><span data-contrast=\"auto\"> where he discussed my face as an example of someone who looks normal despite the quantity of filler stacked up under the surface).\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">My more recent MRI results didn\u2019t surprise him. \u201cWe order facial MRIs regularly and see this pattern often,\u201d he says. \u201cHyaluronic acid fillers have a cumulative effect. They don\u2019t simply disappear and over time they can persist and expand beyond what was originally injected.\u201d<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">\u201cMy advice in these cases is that any future HA filler use should be extremely selective. The biggest problem arises when patients begin chasing perfection. Fillers don\u2019t lift the face, they don\u2019t smooth every contour irregularity, and they don\u2019t reverse time. When that line is crossed, both the patient and injector can gradually lose perspective on what\u2019s realistic or even necessary.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">He doesn\u2019t believe everyone with residual filler needs to rush to dissolve it. \u201cIf the filler isn\u2019t causing functional or aesthetic problems, I wouldn\u2019t routinely recommend dissolving it. The exception would be if the patient is planning surgery \u2014 particularly facial fat grafting or lower eyelid blepharoplasty \u2014 where residual filler can interfere with outcomes and surgical precision.\u201d<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Another eye surgeon who orders a lot of MRIs and does a lot of dissolving is Mr Daniel Ezra, who uses the <a href=\"https:\/\/thetweakmentsguide.com\/video\/endolift-facial-tightening-with-professor-ali-ghanem\/\" target=\"_blank\" rel=\"noopener\">Endolift laser<\/a> as well as injections of dissolving enzyme hyaluronidase to break up long-lasting filler. Like Dr Master, he points out that older fillers can be very hard to shift, since the hyaluronic acid in them tends to be more heavily cross-linked (the process that binds the HA molecules together in the filler gel) than in newer fillers. \u201c<\/span><span data-contrast=\"none\">Patients will also ask for MRIs to simply get a snapshot of their facial filler status, often after many years of injecting. We have seen an enormous spike in people wanting to remove filler, either because of complications like swelling or lumpiness but also, for those who have just decided they do not want any foreign material in their face even if they are not having any symptoms from it.\u201d<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<h2><span style=\"color: #00a4ad;\"><span style=\"caret-color: #00a4ad;\">So&#8230; would I have more filler?<\/span><\/span><\/h2>\n<p><span data-contrast=\"auto\">D\u2019you know what? I would. I still think it\u2019s a great treatment when used sparingly, thoughtfully, and by experienced hands (and I&#8217;m happy with my results as shown in the pictures below). What these MRIs really demonstrate is not that filler is inherently dangerous, but that it is far more persistent than we once believed and deserves more respect than it\u2019s often given.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><\/p>\n<figure id=\"attachment_83977\" aria-describedby=\"caption-attachment-83977\" style=\"width: 670px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\"wp-image-83977 size-medium\" src=\"https:\/\/thetweakmentsguide.com\/wp-content\/uploads\/2026\/01\/Alice-mris-670x447.jpg\" alt=\"Alice Mris before and after\" width=\"670\" height=\"447\" srcset=\"https:\/\/thetweakmentsguide.com\/wp-content\/uploads\/2026\/01\/Alice-mris-670x447.jpg 670w, https:\/\/thetweakmentsguide.com\/wp-content\/uploads\/2026\/01\/Alice-mris-320x213.jpg 320w, https:\/\/thetweakmentsguide.com\/wp-content\/uploads\/2026\/01\/Alice-mris-768x512.jpg 768w, https:\/\/thetweakmentsguide.com\/wp-content\/uploads\/2026\/01\/Alice-mris-1536x1024.jpg 1536w, https:\/\/thetweakmentsguide.com\/wp-content\/uploads\/2026\/01\/Alice-mris-1200x800.jpg 1200w, https:\/\/thetweakmentsguide.com\/wp-content\/uploads\/2026\/01\/Alice-mris.jpg 1620w\" sizes=\"(max-width: 670px) 100vw, 670px\" \/><figcaption id=\"caption-attachment-83977\" class=\"wp-caption-text\">Alice in the flesh in 2024 (left) and 2021 (right)<\/figcaption><\/figure>\n<h2><span style=\"color: #00a4ad;\"><span style=\"caret-color: #00a4ad;\">What next?<\/span><\/span><\/h2>\n<p><span data-contrast=\"auto\">We really need long-term, imaging-based research into dermal fillers. \u201cWhat I&#8217;m trying really hard to do is encourage the filler manufacturers to do some research on this,\u201d says Dr Sophie Shotter. \u201cLet&#8217;s actually have a scientific explanation for why this is happening. <\/span><span data-contrast=\"auto\">Another key question is:\u00a0 how can Alice look so natural if she&#8217;s got 60 mils of filler sitting there?\u201d She would also like to do a biopsy on a filler-rich part of my face, to take a detailed look at the skin tissues. We\u2019re still discussing that. But if it happens, you\u2019ll be the first to hear the results&#8230; <\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><\/p>\n<h2><span style=\"color: #00a4ad;\"><span style=\"caret-color: #00a4ad;\">What the filler companies say:<\/span><\/span><\/h2>\n<p><span style=\"text-decoration: underline;\">Allergan, makers of Juvederm:\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\"> \u201cWe appreciate your efforts to inform the public and are pleased to hear that your \u2018<\/span>filler is all in the right place and has not moved\u2019<span data-contrast=\"none\">\u202f and as such continues to achieve the desired aesthetic result while remaining in place.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">We recognise that the longevity of hyaluronic acid (HA) fillers, can vary depending on product type, treatment area, and individual patient factors. While our clinical studies typically track results for up to 12\u201324 months (24 months is considered an industry standard that balances meaningful clinical information with study feasibility), to satisfy regulatory requirements and evaluate safety and efficacy, we understand that, in some cases, filler may remain visible beyond this timeframe.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">\u202f<\/span><span data-contrast=\"none\">This reaffirms the fundamental importance of having treatments administered by qualified healthcare professionals (HCPs); doctors, dentists, or nurses, who possess expertise in facial anatomy, safe injection techniques, and tailored treatment planning. Their knowledge helps maximise both safety and aesthetic outcomes, ensuring product placement remains optimal and complications can be managed appropriately.&#8221;<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span style=\"text-decoration: underline;\">Merz: makers of Belotero HA\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">We are writing in response to your request for comment regarding hyaluronic acid\u202f filler \u202flongevity.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">We can confirm that the lifetime of \u202fMerz\u202fAesthetics UK Ltd\u2019s Belotero portfolio ranges from 3 to 18 months, depending on the specific product and the degree of cross-linking.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><span data-contrast=\"none\">Regarding the study of their longevity, the degradation of hyaluronic acid \u202ffillers is typically assessed as part of the medical device approval process. For the Belotero portfolio, the required evidence was submitted during this approval process.&#8221;<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><\/p>\n<p><em>I know you\u2019ll have lots of questions around this whole topic \u2013 send them through to me on Instagram <a href=\"https:\/\/www.instagram.com\/alicehartdavis\/\" target=\"_blank\" rel=\"noopener\">@alicehartdavis<\/a> and I\u2019ll do my best to address them all.\u00a0\u00a0<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Two years ago, my article about an MRI scan that showed some 35ml of filler quietly residing in my face went a bit viral. Since that first scan, I\u2019ve had more filler \u2013 and now I\u2019ve had another MRI. Here\u2019s the update, with expert input from key voices in the ongoing discussion around how long &hellip; <a href=\"https:\/\/thetweakmentsguide.com\/blog\/how-long-does-filler-last-alice-mri-result\/\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;My Face\u2026 and The Filler Beneath: What My Second MRI Revealed&#8221;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":83982,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","inline_featured_image":false,"footnotes":""},"categories":[60],"tags":[1556,1284],"class_list":["post-83962","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tweakments","tag-mri","tag-tweakments"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.8 (Yoast SEO v26.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>What My MRI Revealed About Fillers - 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