IMCAS Asia 2025
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Objectives: This recent IMCAS Alert Submission related to a patient case of "Facial Overfilled Syndrome (FOS)" presenting for the first time to a highly respected aesthetic practitioner colleague's practice:
The colleague posed a number of questions for valuable discussion:
How would you approach these cases?
Would you recommend dissolving all the filler and to build up again?
Would you try to remove only some of it?
If so, How would you target the parts to remove to improve the overall appearance?
Would you do it with a cannula to remove what is most superficial or would you “tower “ with a needle?

Introduction: "Facial Overfilled Syndrome (FOS)" has emerged as a major problem challenging experienced aesthetic practitioners who have generally "inherited" such patients from overzealous and frequently aesthetically misinformed practitioners.

Materials / method: An informed, candid collegiate discussion on the IMCAS Alert forum, exploring remedial strategies for the specific case presentation of "FOS" is an effective formula that can assist both the submitting colleague and indeed advance learning opportunities for viewers and responders to the forum.

Results: The forum discussion proved to be a catalyst for insightful strategies for remedial treatment of "FOS".

Conclusion: Iatrogenically driven "FOS" complications in distressed patients are frequent presentations that confront experienced practitioners in their clinics. Sharing these presentations for the purpose of collegiate discussion can be of great assistance to all discussion participants.

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