San Francisco Hyaluronidase doctors

George Commons, MD George Commons, MD
Palo Alto Plastic Surgeon
1515 El Camino Real Suite C, Palo Alto
4 answers
William Ting, MD William Ting, MD
Bay Area Dermatologic Surgeon
2262 Camino Ramon Suite #200, San Ramon
3 answers
Steven H. Williams, MD Steven H. Williams, MD
San Francisco Plastic Surgeon
4000 Dublin Blvd Suite 300, Dublin
2 answers
Umang Mehta, MD Umang Mehta, MD
Bay Area Facial Plastic Surgeon
3351 El Camino Real Suite 201, Atherton
1 answer
Miguel Delgado, Jr., MD Miguel Delgado, Jr., MD
San Francisco Plastic Surgeon
450 Sutter Street Suite 2433, San Francisco

Recent Answers

Hollow After Hyaluronidase Injection

i have juverderm injected on my nasolabial and it was really bad,so the doctor injected me 3 time hyaluronidase,and the hyaluronidase make me a big hollow around my skin,and after 6 month the hollow still the same.yes it was hyaluronidase because i ask im what was the product and he tell me and he show me too.i tell you because i know a lot of doctor say that hyaluronidase can not make hollow,but yes he can. what can i do for the hollow? i don't won't anymore juverderm or other charge.

A: No hollow with hyaluronidase!

If it caused a hollow, then it wasnt hyaluronidase.  Period.   Thats my opinion.  Unless you had an infection or some prodess like that. You could tro Sculptra, or fat, or Radiesse.  Best   Dr G Commons.

George Commons, MD
Palo Alto Plastic Surgeon
Horribly Lumpy Lips from Juvederm. Had Hyaluronidase Injection-looks Even Worse. Could They Be Permanently Ruined?

I am 19, had Juvederm twice before in lips with perfect results. Went somewhere new this time had 1.5 syringes. Lips were uneven, lumpy, HORRIBLE. Went in today and had hyaluronidase injected (something I'd never heard of) they look even more weird and bumpy now. I know it takes time but what are the risks? Now I have found out it can ruin the natural tissue. I am terrified and fear that I have permanently ruined my face. I was given NO consent form listing risks. Is that normal? Can i sue?

A: Hyaluronidase for juvederm removal.

Hyaluronisase really works so you simply did not have enough.  You describe spotty removal which would be worse of course.  You simply need the  juvederm cleared out tnen wait 2 months and reconsider.  Juvederm really is great so its unfortunate you have had a bad experience.   Go back, get a lot more hyaluronidase.  It cannot hurt you.  I have been amazed at the quick and total clean out when used properly.  You lips will be fine .  Absolutely fine.   Juvederm and Allergan will take great care of you and will likely cover your costs for future treatment but I cannot guarantee that of course.  Allergan is a spectacular company.   Dr George Commons
 

George Commons, MD
Palo Alto Plastic Surgeon
How Can a Dent Under Eye After an Overcorrection of Hyaluronidase Be Treated?

3 weeks ago an MD injected my eyes with hyaluronidase(I wantedYAG 1064). He used too much, now I have a deep dent under 1 eye. The next week he refilled the tear troughs, which didn't hold well. On 3rd week, yesterday, he did a touch up, but the dent, still didn't fill--may be similar to the doughnut effect that people with acne pits sometimes get with fillers. Has any doc had any experience with revising such problems? Thanks. :)

A: Juvederm in lower orbit.

     Juvederm  is tricky in the lower orbital areas. Wonderful but tricky.  Stick with you doctor and you will get there.  IT SOUNDS LIKE THE DOCTOR IS REALLY TRYING.   HYALURONIDASE IS ALSO GREAT BUT HARD TO SPOT CONTROL.  I find that a tiny dose really wipes out the Juvederm in a given area.  It is not a tiny spot reducer .  Good luck. 

George Commons, MD
Palo Alto Plastic Surgeon
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