Dr. Kami Parsa, an oculoplastic surgeon, gained attention after sharing an MRI video showing how injected hyaluronic acid fillers can grow and migrate over time.

The patient in the video, who had received over 12 milliliters of fillers across six years, displayed filler buildup totaling 28 milliliters due to the hydrophilic nature of hyaluronic acid, which absorbs water and stimulates tissue growth.

The findings sparked concern online, with many users sharing personal experiences of long-lasting fillers and questioning the implications for the lymphatic system. Dr. Parsa clarified that while fillers are typically marketed to last 6–18 months, they often persist much longer.

Overuse of fillers and Botox has also been criticized, with experts warning about risks like “pillow-face” and unnatural appearances caused by excessive injections. While these treatments can enhance features when done correctly, poor judgment by injectors often leads to overfilled, disproportionate results.