{"id":3404,"date":"2025-12-20T10:57:58","date_gmt":"2025-12-20T07:27:58","guid":{"rendered":"https:\/\/drakbarbayat.com\/en\/?p=3404"},"modified":"2025-12-20T13:53:26","modified_gmt":"2025-12-20T10:23:26","slug":"methods-for-dissolving-filler-gel-and-selecting-the-best-treatment-approach-based-on-individual-conditions","status":"publish","type":"post","link":"https:\/\/drakbarbayat.com\/en\/methods-for-dissolving-filler-gel-and-selecting-the-best-treatment-approach-based-on-individual-conditions\/","title":{"rendered":"Methods for dissolving filler gel and selecting the best treatment approach based on individual conditions"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"3404\" class=\"elementor elementor-3404\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6cf3129 e-flex e-con-boxed e-con e-parent\" data-id=\"6cf3129\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-80b22da elementor-widget elementor-widget-heading\" data-id=\"80b22da\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Incorrect Methods of PAAG Gel Removal and Their Dangerous Consequences<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-881198c elementor-widget elementor-widget-text-editor\" data-id=\"881198c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>In the early years following the emergence of PAAG gel complications, due to a lack of awareness about the nature of this substance and its pathophysiological behavior in the body, some treatment interventions aimed at removing PAAG gel were performed incorrectly. These measures not only failed to improve the situation but, in many cases, caused even more serious damage.<br \/>Since 2011, Dr. Bayat, with over 14 years of experience as a head and neck surgeon, has dedicated a significant part of his professional activity to studying, reviewing, and treating complications arising from PAAG filler injections. Over the years, with a special focus on the removal of PAAG filler through both open and closed surgical methods, he has gained, without exaggeration, one of the most extensive practical experiences in this field.<br \/>Throughout this journey, he has consistently aimed not only to treat patients but also to share his knowledge and experiences honestly and scientifically with colleagues and aesthetic patients. This text has been prepared with the same goal: to be understandable for the general public while also being practical and informative for professional colleagues.<br \/>Colleagues who require further consultation or support in managing similar cases can, by introducing themselves through the centre\u2019s staff, benefit from direct guidance and assistance from Dr. Bayat.<\/p><p><iframe title=\"Facelift surgery is the last therapeutic option for filler removal | Dr. Akbar Bayat\" src=\"https:\/\/www.youtube.com\/embed\/ezr6VHm7b48\" width=\"1071\" height=\"602\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p><p><span style=\"font-weight: 400;\">Below, we will refer to some of these incorrect methods and their potential risks<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-42d9b88 elementor-widget elementor-widget-heading\" data-id=\"42d9b88\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Incorrect Methods of PAAG Gel Removal and Their Dangerous Consequences<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a82b3d4 elementor-widget elementor-widget-text-editor\" data-id=\"a82b3d4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">In the early years following the appearance of PAAG gel complications, due to a lack of understanding of the nature of this substance and its pathophysiological behaviour in the body, some treatment interventions were performed incorrectly. These measures not only failed to improve the condition but, in many cases, caused even more serious damage.<\/span><\/p><p><span style=\"font-weight: 400;\">Below, we highlight some of these incorrect methods and their potential risks.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6a15a28 elementor-widget elementor-widget-heading\" data-id=\"6a15a28\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">1. Massaging PAAG Gel to Spread It<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a28db8c elementor-widget elementor-widget-text-editor\" data-id=\"a28db8c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<span style=\"font-weight: 400;\">Many patients reported that after feeling firmness or accumulation of gel in a specific area, their physician attempted to massage and spread it with the aim of improving the appearance. While this approach may be appropriate and safe for modern standard fillers, such as hyaluronic acid, in the case of PAAG filler, any massage or pressure applied to the injection site is extremely dangerous. It can cause the gel to spread to healthy areas, create new cysts, and increase the risk of complications.<\/span>\n\t\t<div data-elementor-type=\"section\" data-elementor-id=\"2299\" class=\"elementor elementor-2299\" data-elementor-post-type=\"elementor_library\">\n\t\t\t<section class=\"elementor-element elementor-element-17c888c e-flex e-con-boxed e-con e-parent\" data-id=\"17c888c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-3115f1fd e-con-full e-flex e-con e-child\" data-id=\"3115f1fd\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-fbc4a4d elementor-widget elementor-widget-heading\" data-id=\"fbc4a4d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">Contact us via WhatsApp for offline consultation.<\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4787f5f8 elementor-align-end elementor-list-item-link-inline elementor-icon-list--layout-traditional elementor-widget elementor-widget-icon-list\" data-id=\"4787f5f8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/wa.me\/+989120606335\" target=\"_blank\" rel=\"noopener\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fab-whatsapp\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M380.9 97.1C339 55.1 283.2 32 223.9 32c-122.4 0-222 99.6-222 222 0 39.1 10.2 77.3 29.6 111L0 480l117.7-30.9c32.4 17.7 68.9 27 106.1 27h.1c122.3 0 224.1-99.6 224.1-222 0-59.3-25.2-115-67.1-157zm-157 341.6c-33.2 0-65.7-8.9-94-25.7l-6.7-4-69.8 18.3L72 359.2l-4.4-7c-18.5-29.4-28.2-63.3-28.2-98.2 0-101.7 82.8-184.5 184.6-184.5 49.3 0 95.6 19.2 130.4 54.1 34.8 34.9 56.2 81.2 56.1 130.5 0 101.8-84.9 184.6-186.6 184.6zm101.2-138.2c-5.5-2.8-32.8-16.2-37.9-18-5.1-1.9-8.8-2.8-12.5 2.8-3.7 5.6-14.3 18-17.6 21.8-3.2 3.7-6.5 4.2-12 1.4-32.6-16.3-54-29.1-75.5-66-5.7-9.8 5.7-9.1 16.3-30.3 1.8-3.7.9-6.9-.5-9.7-1.4-2.8-12.5-30.1-17.1-41.2-4.5-10.8-9.1-9.3-12.5-9.5-3.2-.2-6.9-.2-10.6-.2-3.7 0-9.7 1.4-14.8 6.9-5.1 5.6-19.4 19-19.4 46.3 0 27.3 19.9 53.7 22.6 57.4 2.8 3.7 39.1 59.7 94.8 83.8 35.2 15.2 49 16.5 66.6 13.9 10.7-1.6 32.8-13.4 37.4-26.4 4.6-13 4.6-24.1 3.2-26.4-1.3-2.5-5-3.9-10.5-6.6z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">WhatsApp conversation<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ba990e2 elementor-widget elementor-widget-heading\" data-id=\"ba990e2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">2. Using Enzymes to Dissolve PAAG Filler<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-debb483 elementor-widget elementor-widget-text-editor\" data-id=\"debb483\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">While many physicians are aware that the enzyme hyaluronidase has no effect on PAAG gel, there have been multiple cases in which this enzyme was injected in an attempt to reduce swelling. Unfortunately, in some of these cases, the injection of hyaluronidase itself led to the onset of infection. It must be clearly emphasized that no enzyme to date has been able to break down PAAG gel, and its use only causes further harm.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-382b4ab elementor-widget elementor-widget-heading\" data-id=\"382b4ab\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Review of Common Methods for PAAG Gel Removal<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-97d82ae elementor-widget elementor-widget-heading\" data-id=\"97d82ae\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">1. Aspiration (Needle Extraction)<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c9ef76c elementor-widget elementor-widget-text-editor\" data-id=\"c9ef76c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<span style=\"font-weight: 400;\">One of the commonly used initial methods, which is still occasionally performed, involves removing PAAG gel using a needle and applying gentle pressure to the injection site. In this technique, only the liquid and diluted portions of the gel are extracted, while the solid components, debris, necrotic tissues, and the cyst wall remain intact.<\/span>\n\n<iframe title=\"Important points in filler removal from the perspective of Dr. Akbar Bayat\" src=\"https:\/\/www.youtube.com\/embed\/6KKvsE0yItQ\" width=\"932\" height=\"622\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-40dc4eb elementor-widget elementor-widget-heading\" data-id=\"40dc4eb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Important Note:<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ecef95b elementor-widget elementor-widget-text-editor\" data-id=\"ecef95b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">\u00a0If the cyst wall is ruptured during aspiration, the gel can spread into surrounding areas and form new cysts, increasing both the dispersion and severity of complications. Many patients report that after this procedure, the firmness of the gel is felt not in a single spot but scattered across multiple areas.<\/span><\/p><p><span style=\"font-weight: 400;\">This method can only reduce some of the risks associated with PAAG gel when a portion of the gel can be removed without applying pressure. Experience shows that, more often than not, this technique causes more harm than benefit. Except in rare and exceptional cases, I do not recommend using this method.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-db3732e elementor-widget elementor-widget-heading\" data-id=\"db3732e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">2. Suction of PAAG Gel (With or Without Ultrasound Guidance)<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4ff37af elementor-widget elementor-widget-text-editor\" data-id=\"4ff37af\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">This method is performed using continuous negative pressure, either in a simple manner or, in some cases, under ultrasound guidance. While the use of ultrasound can provide the physician with better visualization, any pressure applied to the cysts must still be avoided.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Risks of this method: It should be noted that although ultrasound guidance is better than a blind approach, it never provides the three dimensional view and full precision available in open surgery. Suction may remove not only the gel but also natural facial fat tissue, potentially leading to depressions, asymmetry, and facial deformities. Additionally, a false sense of confidence in the physician (due to ultrasound visibility) may result in excessive pressure and further damage.<\/span><br>\t\t<div data-elementor-type=\"section\" data-elementor-id=\"502\" class=\"elementor elementor-502\" data-elementor-post-type=\"elementor_library\">\n\t\t\t<section class=\"elementor-element elementor-element-c8d1c2f e-flex e-con-boxed e-con e-parent\" data-id=\"c8d1c2f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-f3af413 e-con-full e-flex e-con e-child\" data-id=\"f3af413\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4c059c7 elementor-widget elementor-widget-heading\" data-id=\"4c059c7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">Contact us via WhatsApp for offline consultation.<\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cff653b elementor-align-end elementor-list-item-link-inline elementor-icon-list--layout-traditional elementor-widget elementor-widget-icon-list\" data-id=\"cff653b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/wa.me\/+989120903029\" target=\"_blank\" rel=\"noopener\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fab-whatsapp\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M380.9 97.1C339 55.1 283.2 32 223.9 32c-122.4 0-222 99.6-222 222 0 39.1 10.2 77.3 29.6 111L0 480l117.7-30.9c32.4 17.7 68.9 27 106.1 27h.1c122.3 0 224.1-99.6 224.1-222 0-59.3-25.2-115-67.1-157zm-157 341.6c-33.2 0-65.7-8.9-94-25.7l-6.7-4-69.8 18.3L72 359.2l-4.4-7c-18.5-29.4-28.2-63.3-28.2-98.2 0-101.7 82.8-184.5 184.6-184.5 49.3 0 95.6 19.2 130.4 54.1 34.8 34.9 56.2 81.2 56.1 130.5 0 101.8-84.9 184.6-186.6 184.6zm101.2-138.2c-5.5-2.8-32.8-16.2-37.9-18-5.1-1.9-8.8-2.8-12.5 2.8-3.7 5.6-14.3 18-17.6 21.8-3.2 3.7-6.5 4.2-12 1.4-32.6-16.3-54-29.1-75.5-66-5.7-9.8 5.7-9.1 16.3-30.3 1.8-3.7.9-6.9-.5-9.7-1.4-2.8-12.5-30.1-17.1-41.2-4.5-10.8-9.1-9.3-12.5-9.5-3.2-.2-6.9-.2-10.6-.2-3.7 0-9.7 1.4-14.8 6.9-5.1 5.6-19.4 19-19.4 46.3 0 27.3 19.9 53.7 22.6 57.4 2.8 3.7 39.1 59.7 94.8 83.8 35.2 15.2 49 16.5 66.6 13.9 10.7-1.6 32.8-13.4 37.4-26.4 4.6-13 4.6-24.1 3.2-26.4-1.3-2.5-5-3.9-10.5-6.6z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">WhatsApp conversation<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-79ea537 elementor-widget elementor-widget-heading\" data-id=\"79ea537\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">3. Removal via Small Skin or Mucosal Incisions<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-090681f elementor-widget elementor-widget-text-editor\" data-id=\"090681f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<span style=\"font-weight: 400;\">This method, commonly used among surgeons, involves making small incisions at the point closest to the surface of the skin and the cyst wall. If the PAAG cyst in the face has the following characteristics, this method can be considered an appropriate option:<\/span>\n\n&nbsp;<iframe width=\"932\" height=\"622\" src=\"https:\/\/www.youtube.com\/embed\/h0UF-F7gM2Q\" title=\"Video of PAAG Filler removal from the lip | Dr. Akbar Bayat\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n\n\u25cf The cyst is close to the skin or mucosa.\n\u25cfThe cyst is small and palpable.Inflammatory reactions, such as fibrosis or granuloma around the cyst, are minimal, so palpation and access to the cyst are not impeded\n\u25cf The PAAG cyst is located in areas of the face, such as around the lips or eyes, where access via open surgery is difficult or would require more extensive surgery.\n<ul>\n \t<li><span style=\"font-weight: 400;\"> The cyst is close to the skin or mucosa.<\/span><\/li>\n \t<li><span style=\"font-weight: 400;\">The cyst is small and palpable.Inflammatory reactions, such as fibrosis or granuloma around the cyst, are minimal, so palpation and access to the cyst are not impeded<\/span><\/li>\n \t<li><span style=\"font-weight: 400;\"> The PAAG cyst is located in areas of the face, such as around the lips or eyes, where access via open surgery is difficult or would require more extensive surgery.<\/span><\/li>\n<\/ul>\n<span style=\"font-weight: 400;\">\u00a0*Note:* Even with this method, pressure on the cyst should be avoided, and PAAG filler removal must be performed with minimal trauma to the surrounding health.<\/span>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-19036d6 elementor-widget elementor-widget-heading\" data-id=\"19036d6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Note:<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a634530 elementor-widget elementor-widget-text-editor\" data-id=\"a634530\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Even with this method, pressure on the cyst should be avoided, and PAAG filler removal must be performed with minimal trauma to the surrounding health.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9ebb99c elementor-widget elementor-widget-heading\" data-id=\"9ebb99c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">4. PAAG Gel Removal via Open Surgery Under Direct Visualization (with Magnification)<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3cd4a62 elementor-widget elementor-widget-text-editor\" data-id=\"3cd4a62\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">This method is recognized as the most effective and safest approach for PAAG gel removal. Using open surgery under a microscope or surgical loupes, it is possible to:<\/span><\/p><ul><li><span style=\"font-weight: 400;\"> Completely remove all cyst contents along with the cyst wall.<\/span><\/li><li><span style=\"font-weight: 400;\"> Reconstruct damaged areas (using fat grafts or tissue flaps).<\/span><\/li><li><span style=\"font-weight: 400;\"> Prevent pressure on the cyst and the spread of gel into healthy tissues.<\/span><\/li><li><span style=\"font-weight: 400;\"> Preserve healthy tissues with high precision and minimize damage.<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">The key to the success of this method lies in the combination of magnification tools (loupes or microscope) and extensive surgical experience in PAAG removal.<\/span><\/p><p><span style=\"font-weight: 400;\">Very Important Points in Choosing a PAAG Gel Removal Method.<\/span><\/p><ul><li><span style=\"font-weight: 400;\"> Any pressure or manipulation of the cyst and injected areas should be strictly avoided.<\/span><\/li><li><span style=\"font-weight: 400;\"> In many cases, refraining from manipulation is safer than performing incorrect treatment interventions.<\/span><\/li><li><span style=\"font-weight: 400;\"> For open removal, the use of magnification (loupes or microscope) is essential. Unfortunately, not all surgeons are equipped with these tools or skilled in their use.<\/span><\/li><\/ul><ul><li><span style=\"font-weight: 400;\"> Only certain surgeons with experience in microscopic surgery (such as ENT specialists or vascular surgeons) are capable of properly utilizing magnification.<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">The primary goal is the surgical removal of cysts containing PAAG. Even surgery has limitations in managing complications such as granulomas and other inflammatory reactions caused by PAAG gel.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9928787 elementor-widget elementor-widget-heading\" data-id=\"9928787\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">How to Assess a Physician\u2019s Ability to Use Magnification<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bb35783 elementor-widget elementor-widget-text-editor\" data-id=\"bb35783\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Since the success of open PAAG gel removal depends not only on the surgeon\u2019s experience but also on the proper use of magnification tools, I recommend the following:<\/span><\/p><p><span style=\"font-weight: 400;\">For colleagues: ensure that you perform this surgery with high precision using a loupe or microscope.<\/span><\/p><p><span style=\"font-weight: 400;\">For patients: consider the following points when selecting your physician:<\/span><\/p><ul><li><span style=\"font-weight: 400;\"> Check whether the physician\u2019s office is equipped with a microscope or surgical loupes.<\/span><\/li><li><span style=\"font-weight: 400;\"> Review photos or videos of the physician\u2019s surgeries available online, paying attention to the use of magnification tools.<\/span><\/li><li><span style=\"font-weight: 400;\"> Consider the physician\u2019s speciality and their experience in precise microscopic surgeries.<\/span><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7462c6a elementor-widget elementor-widget-heading\" data-id=\"7462c6a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Who Can Benefit from Complete PAAG Gel Removal?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c7c0e48 elementor-widget elementor-widget-text-editor\" data-id=\"c7c0e48\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li><span style=\"font-weight: 400;\"> Individuals who have not undergone any previous manipulation of the gel so that the areas affected by PAAG remain limited.<\/span><\/li><li><span style=\"font-weight: 400;\"> Patients who have only PAAG gel cysts in the face, with no evidence of other reactions such as granulomas or tissue fibrosis.<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">These individuals, after complete removal of PAAG gel, can return to normal life just like any other person.<\/span><\/p><p><span style=\"font-weight: 400;\">In Practice, for Most Individuals:<\/span><\/p><p><span style=\"font-weight: 400;\">The presence of inflammatory reactions such as granulomas, or areas that are inaccessible due to anatomical conditions, often results in some portions of PAAG gel or the cyst wall remaining in the face. Therefore, long term follow up care after gel removal remains essential.<\/span><\/p><p><span style=\"font-weight: 400;\">In addition to surgical skills, it is important for the physician to know which issues should not be treated surgically and instead require medical therapy.<\/span><\/p><p><span style=\"font-weight: 400;\">Years of experience in managing PAAG filler complications have demonstrated the following facts:<\/span><\/p><ul><li><span style=\"font-weight: 400;\"> Preventing PAAG gel complications is far easier than treating them.<\/span><\/li><li><span style=\"font-weight: 400;\"> The greatest harm to the face is not caused by PAAG gel itself but by manipulations and incorrect treatments.<\/span><\/li><li><span style=\"font-weight: 400;\"> Treatment of PAAG gel complications is often not a single step process, and post treatment care must be considered lifelong.<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">If you or a loved one are dealing with PAAG filler complications, choosing an experienced physician, the correct treatment method, and avoiding improper manipulations can play a key role in restoring both the health and aesthetic appearance of your face.<\/span><\/p><p><span style=\"font-weight: 400;\">Dr. Akbar Bayat<\/span><\/p><p><span style=\"font-weight: 400;\">Board Certified Facial Plastic Surgeon (Europe)<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Incorrect Methods of PAAG Gel Removal and Their Dangerous Consequences In the early years following the emergence of PAAG gel complications, due to a lack of awareness about the nature of this substance and its pathophysiological behavior in the body, some treatment interventions aimed at removing PAAG gel were performed incorrectly. These measures not only [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":3406,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-3404","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-face-beauty"],"_links":{"self":[{"href":"https:\/\/drakbarbayat.com\/en\/wp-json\/wp\/v2\/posts\/3404","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drakbarbayat.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drakbarbayat.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drakbarbayat.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/drakbarbayat.com\/en\/wp-json\/wp\/v2\/comments?post=3404"}],"version-history":[{"count":16,"href":"https:\/\/drakbarbayat.com\/en\/wp-json\/wp\/v2\/posts\/3404\/revisions"}],"predecessor-version":[{"id":3427,"href":"https:\/\/drakbarbayat.com\/en\/wp-json\/wp\/v2\/posts\/3404\/revisions\/3427"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drakbarbayat.com\/en\/wp-json\/wp\/v2\/media\/3406"}],"wp:attachment":[{"href":"https:\/\/drakbarbayat.com\/en\/wp-json\/wp\/v2\/media?parent=3404"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drakbarbayat.com\/en\/wp-json\/wp\/v2\/categories?post=3404"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drakbarbayat.com\/en\/wp-json\/wp\/v2\/tags?post=3404"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}