Santa Monica Hyaluronidase doctors
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Raffy Karamanoukian, MD
Los Angeles Plastic Surgeon
1301 20th St St. Johns Medical Plaza - Suite 240, Santa Monica |
2 answers | |
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David Alessi, MD
Beverly Hills Facial Plastic Surgeon
8670 Wilshire Boulevard. Suite 200, Beverly Hills |
1 answer | |
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Karyn Grossman, MD
Santa Monica Dermatologist
1301 20th St Ste 350, Santa Monica |
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Gerald Minniti, MD
Beverly Hills Plastic Surgeon
120 South Spalding Drive Suite 330, Beverly Hills |
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Michael Zarrabi, MD
Los Angeles Plastic Surgeon
2001 Santa Monica Blvd. 890w , Santa Monica |
Recent Answers
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.
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.
What is a granuloma and can they be a side effect caused by dermal filler injections?
Granulomas are a specific inflammatory reaction that is seen in soft tissue as a response to foreign bodies. The popularity of Juvederm and Restylane came about as a result of their high safety profiles and hence, their low rates of granuloma formation. Granulomas can occur, nonetheless, from any foreign body and require either surgical excision or TAC injection.
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.
Expertise in injecting facial fillers is equally as important as being able to correct complications associated with facial fillers. Hyaluronidase works on a specific class of fillers containing hyaluronic acid. The enzyme destroys the hyaluronic acid filler and restores the original volume of the facial area.
In some cases, the dermal filler may not be made of hyaluronic acid and thus does not respond to the hyaluronidase filler. Also, an inflammatory, granulomatous, or scar component may have arisen that is unresponsive to the hyaluronidase.
In these cases, it is important to determine the exact component of the filler or reaction that is causing you complications. If it is granulomatous or scar related, hyaluronidase will not correct the problem.
Consider consultation with an expert focused on treating complications of facial fillers. Our office is a tertiary referral center for facial fillers and their inherent complications.
