What it is, and what it is not
A second opinion is an examination. It looks at how your tissue, skin or filler is behaving today, and at what could reasonably be done next. It is open to people treated in Singapore or overseas.
It is not a review of another clinic's work. The doctor will not give a verdict on another clinician, compare clinics, or guess what could have been done differently. You will hear findings in plain language, including risks and the option of no treatment. With any further treatment, results vary.
Do you have urgent signs?
Any vision change, eye pain, stroke signs, or lip, tongue or throat swelling with trouble breathing: go to the nearest emergency department or call 995.
After filler, skin that turns white, dusky or mottled, or severe or worsening pain, needs same-day assessment. So do fever, spreading redness, pus or severe pain at any treated site.
A second opinion is for concerns that can wait. See complication care for urgent signs.
Who an aesthetic second opinion in Singapore suits
It looks heavy, puffy or lumpy, or it seems to have moved. See pillow face.
The result did not match what you expected.
Your skin looks darker or more uneven.
They are visible or uncomfortable.
Your face looks unbalanced.
You are unsure whether a proposed plan addresses your real problem.
What the doctor may look for
A rounded look can come from filler layered over product still present. Ultrasound helps to show this.
Published reviews describe filler outside its intended plane, more often in mobile areas such as the lips.
A firm or painful nodule may be an inflammatory reaction and needs examination.
Heat over thin areas of a lean face can leave it looking drawn.
This is usually post-inflammatory hyperpigmentation. If the condition was melasma, heat may have driven it.
A heavy brow or drooping lid after botulinum toxin should be reported, and it can be assessed.
Who may be better off waiting
Filler that was injected recently often looks worse in the first weeks. Swelling or weight change can also mimic excess product. So if your treatment was very recent, the right advice may be to wait, with a planned review date. That is a proper outcome, not a brush-off. If you are pregnant or breastfeeding, or have an infection at the site, tell the doctor, as treatment may need to wait for that reason too.
What the review involves
What to bring
Bring whatever you have. That may include product names, treated areas and dates, receipts, aftercare sheets, messages from the clinic, a list of medicines and supplements, and older photographs for reference. The assessment goes ahead without these. You can also ask the treating clinic for your record. Without records, the exact product cannot always be identified with certainty, although examination and ultrasound can show where material sits. Please do not delay a visit because you cannot find your paperwork. A name, a rough date or a message from the clinic can still help.
Possible outcomes
The tissue may still be settling, so a review date is set.
Excess or misplaced product may be addressed, sometimes in stages.
A different concern may be the real one, and it can be treated if suitable.
Some problems need a dermatologist or a surgical opinion.
This can be the right answer, and it carries no treatment fee.
What a second opinion cannot do
It cannot undo everything. Only hyaluronic acid filler can be dissolved with hyaluronidase. Calcium hydroxylapatite, polycaprolactone and poly-L-lactic acid are managed case by case as they resorb. It cannot always name an unknown product, and it cannot predict how a recent treatment will finally settle. It cannot promise that a correction will give the look you want. If you are thinking about correction, read about Ellansé, Sculptra or Radiesse as relevant.
Risks of further treatment
Correction is itself a treatment, and it has its own risks. Hyaluronidase needs allergy screening, and it also acts on the body's own hyaluronic acid. Dissolving filler all at once can reveal laxity and hollowing, so correction is often staged. Any further filler, laser or energy treatment carries the usual risks of bruising, swelling, pigment change or worse. The doctor will explain these for your situation before you consent. See clinic standards for how products are recorded.
Fees
The consultation has a fee, which is stated when you book. Booking does not oblige you to have treatment. Any treatment is quoted in writing after assessment, and the factors include the area, the findings, the product or device, the amount needed, combinations and staging. See how we quote. If the advice is to wait or do nothing, there is no treatment fee. You can begin through our contact page.