Widase or Vitrase for Juvederm corrections
I had Juvederm injections - two vials and and 15 of Botox a week ago and am not happy with the results. I only had it done around the mouth. Now the area above my lip looks too puffy, as well as the other side of my lower lip. You mentioned that Widase or Vitrase can correct the problem. How is it administered and how quickly does it work?
Answers (4)
Hyaluronidase is a good option
My suggestion at this point is to visit with the physician that performed your procedure. In some cases especially only a week after injection, time and some massage can get the desired results. If hyaluronidase (tradenames Vitrase and Wydase) is necessary, the results are usually seen fairly quickly. If you do proceed with hyaluronidase injections, be sure to visit with an experienced facial plastic surgeon, plastic surgeon, or dermatologist for the injections.
Correcting Contour Problems from Fillers
Facial Plastic Surgeon
Widase and Vitrase are both preparations of hyaluronidase. They will both be effective in correcting contour irregularities from hyaluronic acid injections. 2 vials can be a lot for a patient to handle, especially on the first injection.
The skin sometimes has a hard time redraping around this much new volume, especially if it is all placed in a concentrated area. It's the equivalent of trying to get a fitted sheet over a new mattress. You really have to strech hard to get it to fit. After the mattress settles and softens, then it fits without a problem.
I usually limit filler treatments to 1 vial and then invite patients to come back in 2 weeks if they feel additional correction is necessary. Most patients don't feel they need it and the ones that do are much easier to inject (the mattress has already settled).
Either way, with or without hyaluronidase injections to smooth out your result, your problems are not permanent.
In addition to the two agents you mentioned, one may also use generic hyaluronidase to help reduce the bulk of the filler you received. The good news for you in this situation is that Juvederm is pretty temporary. As the previous panelist pointed out, the look you achieve is terribly "operator dependent." This is true of all fillers and procedures, without exception.
"It's the Filler, not the filler"
Facial Plastic Surgeon
Hi Loretta,
Widase and Vitrase are administered by injection into the area where the hyaluronic acid filler has been placed. They work rather quickly and you should see improvement within 24 hours. Sometimes it may be necessary to return for a second or third injection. Sorry that you have had unsatisfactory results, but the good news is that it should be reversible. Your experience is another example of the importance of choosing your treating physician most carefully. Correcting the deformity is also a procedure to have done by an experienced cosmetic physician. Good luck and be well.
Dr. P
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