After sharing footage of magnetic resonance imaging (MRI), a medical surgeon gained widespread attention for demonstrating how a patient’s injected amount of hyaluronic acid fillers had grown and autonomously migrated over time.

The results stunned thousands of viewers, who admitted that their injected fillers never dissolved.

Dermal fillers are gel-like substances that are injected beneath the skin to restore lost volume, smooth lines and soften creases, or enhance facial contours, the American Board of Cosmetic Surgery states.

According to the American Board of Cosmetic Surgery, dermal fillers are gel-like compounds that are injected beneath the skin to improve facial features, smooth wrinkles, soften creases, and restore lost volume.

Over a million men and women select this well-liked face rejuvenation procedure every year, according to the board.

The most popular type of injectable fillers are made of hyaluronic acid and tend to be the most temporary option. Hyaluronic acid fillers typically last from 6 to 18 months.

Oculoplastic surgeon Dr. Kami Parsa went viral after showing footage of an MRI

Dr. Kami Parsa, an oculoplastic surgeon in Beverly Hills, California, posted a video of a patient’s MRI on his TikTok page on Friday, July 12. The video showed how the patient’s face had changed due to injectables.

The patient, a 33-year-old lady, had received injections of hyaluronic acid filler over the previous six years totaling more than 12 CC, or 12 milliliters.

In the video, which has amassed over 7.2 million views, the MRI showed a grey face with green spots lighting up in various areas, including the lips and the cheeks, representing where the hyaluronic acid filler was still located.

Dr. Parsa didn’t specify what procedures the patient in question had undergone. However, he did explain that upon conducting a volumetric analysis, measuring the amount of the woman’s filler, the substance amounted to a total of 28 CC.

“Which is more than twice the amount of filler that was injected,” the doctor said in his video.

He further explained: “What this shows us is that hyaluronic acid fillers are hydrophilic.

“That means they love water and they also cause tissue expansion.”

The MRI sparked concerns, as a TikTok user commented: “I just don’t see how this wouldn’t completely destroy the lymphatic system.”

“FINALLY THIS IS BEING TALKED ABOUT,” a person wrote. “The mass production and insane usage without WARNING. I need to know more. What about Botox?”

Dr. Parsa replied: “Botox has a long history and is safe if performed correctly.”

The MRI showed how the amount of hyaluronic acid fillers injected into a patient had doubled

Someone retained: “Okay so water is key to keeping my filler.”

A viewer admitted: “I keep telling people I only got my lips done 3 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.”

“When it first came out, all injectors said it would only last 6 months,” a netizen penned, to which the medical expert responded: “That’s what the filler companies were telling us.”

An observer noted: “I got chin filler ONCE a decade ago, never needed a touch-up since. It’s stayed the same this whole time.”

A separate individual chimed in: “Had my lips done 8 years ago. It still hasn’t gone away.”

Over time, fillers have gained popularity, and celebrities who overuse them are frequently chastised.

Ryan Gosling and Eva Mendes had to endure the wrath of social media beauty reviewers last month after images of the couple’s older and more recent pictures began to circulate online this year.

On March 29, Meredith West, a physician assistant with a Master of Science and 15 years of experience in plastic surgery and injectables, shared a joint reel with Mountcastle Medical Spa, a Virginia-based medical spa, on her Instagram profile.

Ryan and Eva’s “before and after” photos in the film seemed to show a dramatic change in their physical appearance, with the married couple appearing somewhat “puffier” than they had in the past.

“I assume they’ve both had recent cosmetic procedures,” Meredith captioned the Reel.

“I think Eva might have had facial surgery (possibly a facelift +/- fat grafting), and they both probably had Botox and facial fillers,” the spokesperson said in her explanation.

The most popular type of injectable fillers are made of hyaluronic acid

Is it just me or does anybody else think it looks like Ryan Gosling has gotten fillers in his face? His cheeks look unnatural. pic.twitter.com/nRc0HXWJAs

— IntellectualDorkWeb (@Intel_Dork) May 6, 2024

According to the NHS, botulinum toxin injections, like Botox, relax the facial muscles to minimize wrinkles and lines like frown lines and crow’s feet.

Overuse of both Botox and fillers can lead to negative effects. According to Nurse Gemavie, overdosing on Botox can lead to excessive muscle weakness, which can cause problems with facial expression and lead to an unnatural appearance.

According to dermatologist Jessica Weiser, “we see a good amount of [overdone filler], unfortunately,” Allure reported in March 2023. “That classic pillow-face appearance—very puffy with strange anatomic proportions” is how it appears.

While a myriad of factors contribute to the condition, poor judgment on the part of select injectors is, no doubt, a root cause, Allure reported.

“I think they both looked amazing before and didn’t need anything other than a little preventative toxin and maybe some biostim (i.e., Sculptra) for collagen stimulation,” Meredith said in the caption of her hypothetical Ryan-Eva cosmetic procedure reel.

Of course, medical-grade skincare products, including CO2, radiofrequency, laser, and microneedling for upkeep and prevention, are all included.

Aesthetics physician Jonny Betteridge is among the medical professionals who have commented on the Barbie star’s physical transformation.

In a Reel that was uploaded on March 28 and garnered 2.2 million views, Jonny talked about the actor, 43, and how his face has changed over time.

“He’s always had very masculine-looking features, well-structured, cheekbones, a squared jawline, and a wide chin,” the doctor admitted as he analyzed Ryan’s pictures from earlier years.

Dr. Parsa conducted a volumetric analysis to measure a 33-year-old patient’s fillers

Jonny continued: “The certain part of his face which is very characteristic of his appearance and that’s this mid-face flatness.

“Again, you can see this here where the face has a sunken-like appearance.

“Most patients that I see for dermal filler treatments need some form of mid-face restoration and I carry that out by placing dermal filler in these four points.

“Aiming to restore the cheekbone structure and restoring volume.”

The aesthetics expert continued by saying that the Canadian native’s appearance has become more “overfilled” in recent years.

“It’s clear to see the change in his facial proportions and the fullness to his mid-face and cheeks,” Jonny said. “This is further exacerbated [by] dynamic movement of the face when someone smiles, and this appearance is classic of what I see when someone’s had too much filler put in this area.”

One person said, “Me and my fillers panicking [right now].”