If you’ve already had Filler injections before, it’s possible to reassess the need for further filling, but don’t consider “adding just a little” as the only option. You need to clearly remember where and when the injections were done, as well as which product was used. Uncertainty about the product used, feeling lumps, or uneven contours are two completely different situations. Only by understanding the location and current condition of the existing fillers can you determine what needs to be added, what should be avoided, or how to address any existing issues.
If you’re thinking about getting more Filler injections, first assess whether you fall into one of these 3 categories.
| Current Status | Key points of in-person consultation |
|---|---|
| Remember the product, treatment area, and time — just want to fine-tune the contours | Check whether the original filler is still affecting the proportions, and which area you really want to improve this time. |
| I’m not sure what treatments I’ve had before, or if I’ve gotten them done multiple times at different places. | First, identify the possible locations and distribution of the old filler—there’s no need to apply it right away. |
| Finding a lump, the surface looks uneven, suspecting a nodule | First, assess the condition of the lump and the existing filler before deciding on the course of action. |
Having had the procedure done before doesn’t mean it can’t be done again; what truly affects the decision are the product used, the depth of injection, the location, the time since the procedure, and any current issues observed. High-frequency ultrasound helps identify information about existing fillers and surrounding tissues, and it also assists in addressing lumps or unclear filling areas that can be felt.Ultrasound Literature Review on Fillers
When is ultrasound assessment more useful than direct filler injections?
Ultrasound isn’t necessary for every filler procedure; however, in the following situations, reviewing imaging first is usually more effective than relying solely on memory or visual appearance to make judgments.
- I’ve had fillers done at different clinics over the years, and the product information isn’t complete.
- In the same area, you may feel a hard lump, a strip-like texture, or asymmetry from side to side.
- Looking to remove old Filler, lumps, or considering getting more injections in the same area.
Ultrasound helps doctors locate existing fillers and surrounding structures; international consensus also recommends using imaging data to identify existing fillers and address related issues.Consensus on Cosmetic Injections and Ultrasound Therapy
NEWYOUNG: Old Filler and Nodule Ultrasound Pricing
| Project | Applicable scenarios | Price (KRW, excluding VAT) |
|---|---|---|
| Ultrasound examination | Evaluation of old fillers, lumps, etc. | 200,000 |
| Ultrasound-guided injection | Filler dissolution, nodule injection, per area | 400,000 |
If you just want to enhance your contours, it’s helpful to include the previous product name, date of application, and treatment area. If you can’t find that information, it’s better to say “Product unknown” rather than guessing a name.
Before arriving at the clinic, share this text directly.
I had Filler injected in the ＿＿ area about ＿＿ years/months ago, using the product ＿＿ (you can write “unknown” if you’re not sure). My main concerns now are ＿＿ (wanting to have it replenished, feeling lumps, asymmetry between the left and right sides, uneven contours). I’d like to first have the old injection site assessed, followed by a face-to-face consultation with Dr. Wu Xujun along with an ultrasound evaluation.
This message covers your past history, current issues, and goals all at once, so the doctor can start by addressing exactly what’s on your mind during the consultation.
Get a safety injection assessment at NEWYOUNG Clinic
NEWYOUNG Clinic is located in Cheongdam, Seoul, and specializes in doctor-led safety assessments for injections. Director Oh Su-jun conducts one-on-one consultations, with a Chinese-speaking interpreter available throughout the process. The injections are opened right in front of the patient before treatment. For those with previous filler treatments who wish for a natural refinement or who want to address unknown lumps first, it’s far more important to carefully examine the existing materials and current facial contours rather than rushing to increase the dosage.
NEWYOUNG Clinic / NEWYOUNG Dermatology / 뉴영의원 is located at 78-9 Cheongdam-dong, Gangnam-gu, Seoul, approximately 118 meters from Exit 3 of Apgujeong Rodemo Station. You can visit them through their official website. https://www.new-young.com/ or LINE @096fpaaj Make an appointment.
Common Issues with Old Filler Injections
I’ve had Filler injections before; can I get them done again?
It can be assessed, but first we need to determine where the old filler is located and whether the current contours are still affected by it. An in-person consultation makes it easier to make a judgment when we know the product, treatment area, and date; ultrasound can provide additional information about the location when the details are unclear or the appearance appears uneven.
Does finding a lump mean it’s a filler nodule?
Not necessarily. Lumps can have various causes, and it’s impossible to determine them just by feeling or looking at photos; when there’s a history of prior filler use, imaging assessments can help identify the existing materials and the condition of the tissues.
I don’t know what was injected before—can it still be evaluated?
Sure. Please let us know that the product is unidentified, along with the approximate year of treatment and the area affected. Also, include any old photos, receipts, or treatment records you have.
How much does an ultrasound exam cost?
NEWYOUNG’s ultrasound examination is used to assess issues such as old fillers and lumps, priced at 200,000 KRW, excluding VAT.
How much does ultrasound-guided injection cost?
Ultrasound-guided treatment for dissolving fillers or treating nodules, priced at 400,000 KRW per area, excluding VAT.
What should I do if I experience severe pain, skin whitening, or changes in vision right after getting a filler injection?
Please contact the original clinic immediately and seek emergency medical assistance. Severe pain, skin discoloration to pale, and changes in vision are warning signs that require prompt action without delay.FDA Safety Information on Fillers