Can Hyaluronidase injections dissolve Juvederm several months later?

I had Juvederm injected in my laugh lines and under my eyes to fill out the hollows. It was too swollen and the doctor dissolved some of it with enzyme, but she did it unevenly, resulting in unnatural lumpiness and swelling that has still not decreased after 9 months! I am certain it is the product because I never had bags or swelling prior to this procedure. I also have lumps under my smile lines that now appear as jowls. Can these lumps still be dissolved by hyaluronidase injections?

Can Hyaluronidase injections dissolve Juvederm several months later?
3 answers to “Can Hyaluronidase injections...”

A: Eye Lid Hollow Lumpiness After Juviderm

Michael A. Persky, MD

Hi Debhon, Sorry to hear about your complication.  You have received excellent advice from the docs here on RealSelf.com.  Your case further emphasizes the admonition that it is crucial to choose an injecting physician most carefully, especially around the eye lid area.  Patients should... more

A: Hyaluronidase Should Dissolve Juvederm

Mark Berkowitz, MD

I am sorry to learn of the difficulty that you are experiencing. Perlane, Juvederm, Restylane or Elevess are all Hyaluronic Acids (HA).   The beauty of them is that  they are soft and work well to fill in lines and wrinkles around the face.  Side effects from these fillers and... more

A: Very likely

Mary Lupo, MD

Hyaluronidase should definitely work, as would just a well-placed nick into the skin and manual extrusion.

Comments

ericbergerm
36 posts
18 Dec 2008

I'm so sorry to hear about your problem. Every day I see the results of poor injection technique and, even in excellent, experienced hands, problems may occur. That's why Juvaderm, which absorbs after 6 months, is a much better option than "permanent fillers" which don't disappear and may leave unsightly lumps and bumps that you're just stuck with. The advice you received thus far is accurate. All the best, Eric Berger MD

drbanda
95 posts
17 Dec 2008

At 9 months there should not be much juvederm left. But sure what is left can still be dissolved. Hyaluronidase will also affect your natural collagen by breaking it up. It is this particular aspect that may have led to the protrusion you see under your eye. What you have there is likely to be a pocket of fat and not Juvederm. Get evaluated.

Steven A. Schlosser M.D.
92 posts
17 Dec 2008

If there is still juvederm present, the hyaluronidase will probably dissolve it and help.If the swelling or bag is actually due to fat herniation, then you probably need a surgical treatment ie., blepharoplasty. Try the hyaluronidase. It works quickly. If no improvement I would suggest a consult with a plastic surgeon. Good luck !

A complete eye examination is required to determine the nature of the irregularity. I could be fat or product. Either was it could be surgically removed.

Post your question
Post your question
IMPORTANT: As noted in our Terms of Service, the information found on RealSelf.com, including that provided by professionals in the Questions & Answers area, is a general educational aid. The Questions and Answers contain opinions and views created by community members. RealSelf.com is not responsible for the accuracy of any information posted by community members. Do not rely on this information as a substitute for personal medical or healthcare advice, or for diagnosis or treatment purposes.