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hi im dr tiana city at rejuvenation md and i am sitting here with a patient who had tear trough filler done a few years ago and then repeated it about a year ago and she does not care for the look so theres a little extra you can kind of see where i had circled theres little pockets of filler left under there and so i just wanted to show everybody how easy it is to reverse filler and just for the record this was not our filler that we put in that she had put in this was done at two other locations so before we start building up her tear troughs again with filler thats correctly placed were going to reverse the filler that she does not like how it clumped up so im going to just ive already put some lidocaine right here and so this should be pretty painless just a little bit im going to make a port can you feel that right here there we go and our patient was mentioning how she was nervous about reversing it because she had read or seen online recommendations to not reverse it but