Santa Barbara Hyaluronidase doctors

	David Alessi, MD Beverly Hills Facial Plastic Surgeon 8670 Wilshire Boulevard. Suite 200, Beverly Hills		1 answer
	Brent Moelleken, MD Beverly Hills Plastic Surgeon 120 S Spalding Dr Suite 110, Beverly Hills		1 answer
	Arnold W. Klein, MD Beverly Hills Dermatologic Surgeon 9415 Brighton Way M110, Beverly Hills
	Michael Sundine, MD Orange County Plastic Surgeon 1640 Newport Blvd #450, Costa Mesa

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 Not Working After 3 Tries Under Eyes I've had hyaluronidase 3 times to remove dermal fillers I had injected under the eyes, It still has not removed it all. I'm really down and off work as this is depressing me so much. I cry every night. I just don't know what else to do now as I'm left thinking I'm going to be left looking like this for months on end. It's coming up to 5 weeks now. The dermal filler used was varioderm, can you please help anyway, many thanks.

A: Varioderm and hyaluronidase

Hopefully you did receive a hyaluronic acid and not some semipermanent or permanent filler. Unfortunately this is a frequent scenario. We only ascertain that it was not hyaluronic acid after the fact when we surgically have to remove the offending lumps only to find the characteristic pathologic signs of silicone or Artefill.

The new crosslinking for Varioform has not been completely studied but there is no intrinsic reason to suspect hyaluronidase shouldn't accelerate the removal of it.

Your doctor should have medical records with lot numbers that he or she could send to you to confirm the nature of the injected substance.

If the lumps persist long term, you may be a candidate for surgical removal. It is rare but possible that the body can form a granulomatous reaction around the filler, especially if large volumes are used. Remember, filler has no blood supply and if placed in large quantities has no natural defenses.

Brent Moelleken, MD

Beverly Hills Plastic Surgeon