Dissolve juviderm injection in lips

If you are not happy your doctor should be able to inject hylauronidase in to the lip to dissolve the hylauronic acid product and that will help.

Dissolving Hyaluronic Acid fillers such as Juvederm, Restylane and Perlane is quite simple. A tiny amount of Hyaluronidase can be injected into the filler with minimal pain. Most of the excess filler will be gone within 24 hours, and nearly all of it will dissolve within a few days. If there is any left over, you can be injected again with more of the Hyaluronidase. To be extra safe, I do a skin test with the Hyaluronidase the day before I do the actual injection. If you are willing to come to Florida, I will be happy to inject you for free (it only takes a few seconds to do the test and treatment and the Hyaluronidase is very inexpensive).

Michael J. Sinclair, MD

i have i believe silicon injections in my lip and they keep bleeding and cracking and they hurt and and mis shaped

Unfortunately, Silicone will not dissolve with any injection. If you are having problems with a Silicone injection, you may need to have the silicone surgically removed.

I've recently had Juviderm injected in my lips.
I am unhappy with my duck like appearance. I hear that there is a solutions that can dissolve the filler.

Would it be possible to dissolve the unwanted areas only? I really would like to avoid having to go through the entire process of getting the nerve block again.

Any assistance is appreciated

5 years ago i had a new fill in my lips although i was meant to have hylronic asid . this as turned lumpy and hard .please can anyone tell me what i can do to remove the lumps .i went back to the docter that gave me this injection he siad i had a reaction from the 2 poducts.as new fill was injectead in the smile lines ans he says this as traveled inthe lips giving me a reation of lumps.he injectead steriod and some of the lumps have gone but i want to know if i can go somewere to get rid of it all .will hylauronidase work for me .

Dear Gianna,
If you have a small lump, then Hyaluronidase will work to dissolve it. If you have too much material everywhere, then you will probably need to remove all of it and start over. The Hyaluronidase is quite good at removing all the Hyaluronic Acid Filler material that is near the injection point. In my office, we do not use dental blocks any more. We use a custom made topical anesthetic and we mix anesthetic into the material before injecting. By injecting slowly there is VERY little pain. Most of the patients rate the pain as a 1 or 2 out of 10.
Michael Sinclair, MD
www.epilution.com

Dear Heather,
It sounds to me like you have granulomas or scar tissue in your lips. Neither one of those problems will get better with Hyaluronidase. The Hyaluronic Acid fillers would have dissolved years ago. There won't be any Hyaluronic Acid left to dissolve at this point. Without seeing you, I really can't give you any more advice. I would strongly suggest you get a second opinion from a plastic surgeon.
Michael Sinclair, MD
www.epilution.com

I had juviderm injection on my upper lip for the first time 3 days ago and my lip is very swollen, hard and I have small lumps on the naso labial. I look terrible with this swollen upper lip and it is also very uncomfortable to even talk. I would like to know if this is a normal reaction and how long it will take for the swelling to come down. I would also like to know if there is anything I can do, like putting some ice on it, to speed up the process. If the swelling doesn't come down can it be taken care of with some Hyaluronidase, if so, will I have to get the Juvederm injected again?

Dear Jeanette,
What are you are describing sounds like the swelling is from bruising. My concern is that after 3 days it should be getting better. If it is not getting better, an infection would also be possible....and much more serious. Have a doctor look at your lip. If it is not infected, then there is no harm in waiting a few more days to see if the swelling goes away. If the swelling does not go away, then it may be that you have too much Juvederm or a lump of Juvederm which could be treated with Hyaluronidase. If you just have a small lump, then you may not need to be retreated. If there is too much Juvederm, then you may have to start over. Don't guess or wait.....go see a doctor asap. If your lip is infected, you need to be treated immediately.

Michael Sinclair, MD
www.epilution.com

I was injected with 1cc Juvederm on Sunday 4-27-08 and I am not happy at all. The RN that injected it told me that she could correct my uneven upper lip which she didn't she just made it worse. I had Restylane about 6 months ago and decided to try Juvederm I personally don't see a difference other than the skills of the person injecting the filler. Can this be corrected by using an enzyme in the area that has too much or can I have .25cc of Restylane injected into the area that doesn't have enough as I don't want to pay for 1cc of filler when I won't use that much?

Please help!

Zoey

Dear Zoey,
A small amount of assymetry is not unusal after a treatment. Some of the assymetry may resolve within a week as the swelling and bruising get better. If there is still too much assymetry, then you can have a correction by adding more to the side that is too small. It is hard to reduce the side that is too big without dissolving too much. Isolated lumps can usually be treated with hyaluronidase quite easily. There are tubes of Restylane and Juvederm that are smaller and made for touch ups. They are less expensive so if your practioner has the small tubes that may save you some money. If all else fails, you can be sure that the Juvederm will dissolve over time.
Michael Sinclair, MD

I am thinking of have my lips injected to remove fine lines. what is the difference between juvederm and restylane. which has fewer reported reactions? IF you have a reaction to the injections who pays for the hyalauronidase, you or the doctor?
emma

Dear Emma,
I prefer the Restylane because I think it is a little smoother. It also appears to absorb a little less water which means your lips may appear a little less swollen for a few days. They are very similar. The injector's comfort level with each product, ie how it feels in their hands is more important than the difference between the two products. I don't charge for injecting hyaluronidase but many injectors due charge for it. You should ask that question before you agree to be injected.
Michael Sinclair, MD

Bless your heart....I'm so sorry. The only thing I do know for sure is that the more the area injected is stimulated, the quicker it is absorbed into the body (dissolved). I was told that if the area is massaged regularly, it will go away faster. I hope that helps some.

Blessings,
Linda

I have lines on my upper lip and deep frown lines between my eyebrows from squinting. Will Restilyn correct this?

Dear Julesc,
Hyaluronic acid fillers are much better at fixing contour defects than fixing wrinkles. The area between your eye brows should probably be treated with Botox first and then a resurfacing laser. The Botox will relax the muscles underneath the frown lines so the wrinkle stops getting worse. The laser can stimulate the growth of new collagen to try to smooth out the wrinkle you already have. Fillers between the eyebrows can be risky. Putting filler in between the eyebrows can cause an ulcer that will last for months. By treating the frown lines first with Botox and then waiting 2 weeks, you will minimize the volume of filler you will need.

The upper lip wrinkles (aka smoker's lines or kisser's lines in non smokers) are very hard to treat with fillers. The best result I have seen using fillers is to have the filler injected perpendicular to the lines and then massage the filler to try to flatten the skin of the upper lip. Trying to inject filler into each individual wrinkle usually raises the skin underneath the wrinkle but does very little to get rid of the wrinkle. In my opinion, treatment of upper lip wrinkles is much better performed with a resurfacing laser.

Michael Sinclair, MD
www.epilution.com

Hi Dr. Sinclair,

I wish I was in Florida (I live in California) so that I could come see you to take care of the line between my brows (frown line). I hate it! I had Botox a few weeks ago and it has improved a great dal but hte docotor recommended restylane to "puff it back up". I see that you recommend laser treatment. It seems like you really know your stuff and I am now completely confused!

Rose

Dear Rose,
Most of the time, the injections of dermal fillers into the frown lines work out very well. The problem is that the area between the eyebrows is especially prone to vascular compromise (decreased blood supply) due to fillers. If that happens, there is very little that can be done to fix the problem, which might leave you with a very ugly ulcer that could last for months. Cosmetic proceudures should be fun and low risk! If the injector tries to inject this area, and sees that the skin is blanching (turning white)they can try to prevent the ulcer by massagin the area, applying nitroglycerin paste and possibly injecting hyaluronidase. Those maneuvers don't always work. If you are going to try it anyway, it might be a little safer to inject small amounts, very slowly and waiting a few weeks between injections. If you want to try for a longer term result, then Botox, followed by a fractional resurfacing laser, such as a Palomar Lux 2940 or a Fractional CO2 laser would be a great combination. I hope this helps!

Michael Sinclair, MD
www.epilution.com

Hi,
I wonnder if you could give me some advice, I had perlane injections when I was about 18, im now 23 and my lips have never returned to their pre-injected look, they are substansially bigger and not the same shape they also seem to swell up randomly now and again. Would the hyalauronidase have any effect on this and are there any possible side effects?
Kind Regards,
Sally

Dear Sally,
After 5 years I would expect that the Perlane would have dissolved long ago. If you can feel a nodule it might be worth a try. If not, it still might work but I would look for another cause of the lip swelling. I don't think the Hyaluronidase would be harmful to you but I wouldn't think that the Perlane would still be causing problems 5 years later. Although Perlane is made out of Hyaluronic acid which is a naturally occurring substance, the Hyaluronic Acid in Perlane is crosslinked. Theoretically, this could lead to an allergic reaction. Tiny injections of steroid into your lip might also help.

Michael Sinclair, MD
www.epilution.com

Dear Kaykay,
Juvederm that is injected too superficially will feel a little bumpy and may turn somewhat blue in color. This is called the Tyndall effect. If you want to wait until it dissolves on it's own, you could be waiting a long time. In areas with little movement, Juvederm can lost for a year, even longer. If it really bothers you, then Hyaluronidase would be a reasonable treatment.

Michael Sinclair, MD
www.epilution.com

I have Restylane, is it the same as Juvederm or will it go away sooner, what about massage?

Hi Dr. Sinclair:

I had my lower lids done about 6 years ago when I was 43. After surgery, at my follow up visit, The Plastic Surgeon I went to at the time suggested taking fat from my abdomen and injecting it under my eyes. I couldn't understand why he would suggest doing that after just removing the fatty pockets under my eyes to remove the bags, so I never got it done. Now...6 years later, I have noticed how hollow it looks under my eyes especially when I smile, so I went back to the same doctor and he suggested Juviderm injections to fill them in. I was all for it...but After reading some of the post here at the web site, I am afraid that the eyes will look uneven or I may have some major swelling and lumps or bumps. He told me if I didn't like it, it would disolve within 6 months or so. I am really self conscience of how hollow my eyes look and don't know what to do. Any suggestions?

Hi
I had teosyl injected into my lips a week ago. Happy with results from front view, but side view looks like a ducks beak. Can I inject a tiny amount of enzyme to just slightly dissolve the pointed tips without dissolving all the filler?
Thanks
Roslin