All of the panel members offered a broad range of valuable feedback. However, in reading the original posting, it would appear that possibly the product was not placed under the muscle in the second treatment. Although hyaluronidase was used to dissolve the product, unless it was placed exactly where the... more










341 posts
4 Jul 2009
Thank you so much for taking the time to answer my question Dr Oppenheim. I will make the appointment with the opthalmologic plastic surgeon as you have suggested. At the time of injection I asked about side effects of hyaluronidase. I was told there are none. I was not told that anyone has allergic reactions to hyaluronidase (or I would have just waited for the restylane to dissolve). Thanks again.
341 posts
4 Jul 2009
Please note that my review should be NOT worth it!
341 posts
6 Jul 2009
Thank you all for taking the time to reply. Much appreciated. However, I am confused as to why some of you have assumed that I had the filler put in by "the nurse at the local medispa". I have never been to a medispa and don't really know what that means. I assume the concept is not very common in Australia, at least not where I am from. The juvederm in Oct 08 and the top-up restylane in April 09 were appropriately timed at six months apart. The juvederm had broken down considerably by the end of six months. These two procedures and the refill with juvederm in June 09 were all done by a board certified doctor who is a specialist in this field. I was too embarrassed to tell this doctor (who is exceeding well-qualified and I also like personally) that I hated the restylane so I went elsewhere to have it dissolved. The person who dissolved it was a nurse, but I was unaware at the time that dissolving requires as much precision and care as filling. Following the dissolving of the filler, I intended to go back to my original doctor (who does not use hyaluronidase at all) and start again. I was told by a representative of Allergan that it would be okay to have the area refilled around a fortnight after dissolving. I now agree that it was too early after dissolving the restylane to have refilling with juvederm, but I have a high-profile job in the public eye and I looked absolutely dreadful. Further, I was not able to take time off work to recover. I am not a medical professional so I am not sure if it was an allergic reaction to hyaluronidase or the hyaluronidase solution was too concentrated or injected incorrectly. I believe it was an allergy. There was minimal bruising, although the hyaluronidase burned under the skin when injected, presumably from the chemical reaction of the enzyme working. The appearance I described as 'black' in respect of my lower eyelids was more of a reference to the shadows created by the large, bloated bags of fluid that appeared under my eyes almost immediately. In addition to the incredible swelling, the reaction also included photophobia, a burning sensation in my eyes and redness/welts on the skin of my lower eyelids. I was not self treating with the Advantan steroid cream. I was prescribed it by an opthalmologist. I only used it for three days as instructed by the doctor. It helped with the outer symptoms on the eyelids, but not very much with the swelling. I accept that I should have waited until the situation completely resolved before having more filler put in, but this was not possible given the public nature of my job. Thank you all again for your assistance and encouragement. I will let you know how long it takes for the situation to finally resolve because this was a question I and two other RealSelf members with similar experiences - kakie and ANAN - were very anxious to find out but we could not find an answer. I understand from Dr Persky's response that the eyelid edema may take some time to resolve completely. At least the refill of juvederm has made this bearable in the interim. Cheers.