Orange County Hyaluronidase doctors

	Harold J. Kaplan, MD Los Angeles Facial Plastic Surgeon 23211 Hawthorne Blvd. Suite 200, Torrance		11 answers
	David Alessi, MD Beverly Hills Facial Plastic Surgeon 8670 Wilshire Boulevard. Suite 200, Beverly Hills		1 answer
	Amir M. Karam, MD San Diego Facial Plastic Surgeon 4765 Carmel Mountain Road 201, San Diego		1 answer
	Lorrie Klein, MD Laguna Niguel Dermatologic Surgeon 30201 Golden Lantern Ste B, Laguna Niguel		1 answer
	Hisham Seify, MD, PhD Los Angeles Plastic Surgeon 20072 SW Birch St Suite 110, Newport Beach		1 answer

Recent Answers

Which is Best, Ultherapy Vs Hyaluronidase, at Removing Restylane Under Eyes? Hi. I want to remove restylane from under my eyes. I am considering trying ultherapy first and then assessing the need for hyaluronidase. I believe ultherapy to be the safer but expensive option (and also maybe less likely to work) but im not fussed about cost vs safety. I would appreciate any professional advice/opinions regarding my planned approach. Many thanks.

A: Restylane and Ultherapy

Ultherapy does not have an indication for removing Restylane. Hyaluronidase is very safe (barring allergies) and is the best way to remove misplaced or migrated Restylane.

David Alessi, MD

Beverly Hills Facial Plastic Surgeon

Hyaluronidase to Dissolve Restylane on my Nose? Recently I had restylane injected to my nose for about 0.5 cc and I extremely hate it. I don't want anything but having the old one back. I really miss it. Would it be okay to my nose if I do the hyaluronidase thing? I have heard about it but not sure. Can anyone please help clarify the work of hyaluronidase thing to me and some effects that I might get? I'd kill for this to be over. thank you.

A: Hyaluronidase to reverse Restylane

The reassuring thing about the Hyaluronic Acid fillers (Restylane, Perlane and Juvederm) are that you can reverse them using the enzyme Hyaluronidase. So the answer to your question is- yes. I agree with the other physicians, that you should wait until the swelling is down. In the future, when it comes to your nose, you absolutely need to have a rhinoplasty surgeon treat you. Whether it is for a surgical or non-surgical indication, understanding of the nasal anatomy and nuances of nasal balance need to be firmly understood before treating the nose with fillers. The good news, is that in this case, it is reversible.

Good luck.

Amir M. Karam, MD

San Diego Facial Plastic Surgeon

Will Hyaluronidase Correct an Uneven Lip Augmentation Result? I have recently had half a syringe of Hydrafill with a bad result - the product has collected in the wrong part of the lip and it's uneven. If I was to use hyaluronidase to correct an uneven result I have had recently with Hydrafill, would it dissolve all product in the mouth or would you be able to inject a tiny amount into certain areas without it spreading? I have been having injections for 10 years and am happy with the size of my lips, so I'm worried it will completely dissolve the Hydrafill and I will have to start from scratch. Thanks for any help.

A: Can Hyaluronidase spot treat?

Hyaluronidase injections are a valuable option when hyaluronic acid fillers need to be dissolved. You are correct in being concerned with whether or not the hyaluronidase can "spot treat" just the one area that appears over-filled. There is no way to tightly control where the enzyme will work and no way to contain the effects. However, we have found that using very small amounts of hyaluronidase, combined with patience, makes this a good treatment option for many without reversing the total effects of the original treatment.

Harold J. Kaplan, MD

Los Angeles Facial Plastic Surgeon