By Bond Robertson 
Kami Parsa, a plastic surgeon from Beverly Hills, California, has created a series of videos about Tik Tok Which has spread around the world recently.
The first video has been viewed by over 9.5 million TikTok users, generating massive engagement with over 5,000 comments.
Shock suit: – double
The videos show MRI images of a 33-year-old woman who received more than a dozen injections of facial fillers over the course of six years.
The green areas in the pictures show where the filling is.
The man knows nothing.
Parsa claims that the actual amount of filler in the patient's face has doubled – the equivalent of 28 injections. He explains this by the fact that hyaluronic acid attracts and absorbs water.
“It causes tissue expansion,” Parsa says in the video.
shake the internet
Furthermore, Parsa believes that facial fillers can clog the body's lymphatic system, especially around the eyes, which can lead to swelling and potential complications.
– Double: This is what filler looks like under the skin of a 33-year-old woman. Photo: TikTok/@kamiparsamd
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The photos shocked viewers, with many writing that they were surprised at how the filling had apparently doubled in size.
– Finally, there are those who talk about this: mass production and intensive use without prior notice. I need to know more about this, someone writes under the video.
Norwegian dermatologist reacts
Parsa's claims are met with skepticism by Norwegian dermatologist Miray Al-Mustafa, who believes American plastic surgeons are often opposed to nonsurgical treatments.
She says she was provoked by the video.
– It is a constant theme of American plastic surgeons that they are against “non-surgical rejuvenation,” that is, skin rejuvenation treatments that do not involve surgery. Keep in mind that this is a plastic surgeon talking about non-surgical treatments, says Mustafa.
She stresses that she understands the doubts of plastic surgeons because they make their living from surgery, and that nothing can replace surgery, whether in terms of results or duration.
Provocation: Dermatologist Mirai Al-Mustafa. Photo: Mirai Al-Mustafa.
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It may be set incorrectly.
Mustafa acknowledges that Parsa is absolutely right in what he says, but at the same time says that other relevant factors must also be taken into account – for example, the type of filling used.
Hyaluronic acid is a natural substance in the body, and differences between filler products can significantly affect results, according to the dermatologist.
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She explains that the differences lie in the amount of water they attract, their size, how long they last, and how hard or soft they are.
For example, a filler that is too firm on the skin can appear lumpy, attract too much water, and compress lymphatic vessels.
“pillow face”
Mustafa also points out that many people overdo stuffing their faces.
– People inject large amounts to “lift” but end up with unnaturally full cheeks, known as “pillow face.” Fillers are not supposed to lift, they just give the illusion of lift by replacing lost volume or creating more balance and harmony in the face.
She explains that to avoid complications, it is important for therapists to know the anatomy of the face well. According to Mustafa, the patient in the video took a piece of cloth over a common but complex area that can be easily filled.
She also notes that the patient appears to have received a lot of filler.
Mustafa thinks it’s a good thing that the video is going viral so people can see it. At the same time, she has some objections:
“We have to take this with a grain of salt, because this is a plastic surgeon. He’s not picking a patient who looks great with fillers. Think of all the people you meet where you can’t tell if they’ve had anything done. They may have had treatment, but it was done the right way,” she says.
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Mirai Al-Mustafa is not the only one who criticized the plastic surgeon after the video went viral.
He answers in a new TikTok video. He says it's already known that fillers attract water, last for years and cause tissue to expand.
– Should I panic? Will your face double in size? No. He says it's a process that takes years.
Furthermore, he says he has received a lot of criticism from others in the industry, who believe more research is needed before anything can be concluded.
– All an MRI does is show what's underneath the skin. I support research, and we do a lot of research at my clinic. Are you saying I have to prove that these fillers are the reason why all these people are walking around with “stuffed faces”? Come on.
Get gigarefs after this
He stresses that he is not against fillers, and that if used correctly – and in a gentle way – they certainly have a role.
– We use fillers all the time. What I am against is this narrative that the size of the fillers will decrease over time. This is not true. Overuse of such products leads to body deformity. This is what I am against.