TOPIC: Do you have to remove or existing filler to add different type of filler?

I have the juva voluma filler and thinking to get Ellanse. Was wondering if I heave to remove the first filler to get the elanse ?

I had a consult with AD and they said it either needs to be dissolved or naturally be gone before you can do PMMA or Ellanse. Otherwise you risk lumps etc.

One question I’ve asked without a clear answer … dr Carney indicated to me that he thinks juvederm results in some vascularization and collagen - certainly nothing like PMMA or Ellanse, but I’m wondering if some of the filler doesn’t stay around much longer than 2 years. I’d love for dr Oates or someone to chime in on this topic. I think most of us who have had HA would like our next filler to be something more long term, and this is an important question.

This is likely a case-by-case basis; having some residual filler isn't necessarily an obstacle to the introduction of new filler, but I'm sure a lot of factors are likely considered, including filler types and the amount of filler present in your penis.

I know many of the Sponsors of this site have performed on patients that have had previous treatments done, so this isn't out of the realm of possibility.

Isn't PMMA injected in a deeper layer by Avanti than what HA usually is?

From what I've been told... You can get HA after PMMA. If you had it in the reverse order you'd need to dissolve the HA first. I'd assume even just visually the injector would have a hard time seeing placement if there was HA in the way while trying to place PMMA or Ellanse?