May Need Hyaluronidase: How Can I Get the BEST Injector? Touchy Issue!

may need to reduce or reverse Juvederm tear trough injections. Swelling persists at 2 weeks: I will wait one month, that's it. My injector (board certified plastic surgeon) Has never used hyaluronidase; I want to get his total assistance with resolving this, hoping he will communicate with another doc that uses hyaluronidase a lot. I know it's best if the original injector reverses it, but it seems I should get an expert at the reversal technique, and not be a test subject! Please, any suggestions?

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12 Doctor Answers | Asked by uphill in Colorado Springs, CO

Doctor Answers (12)
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Hyaluronidase

Thank you for your question. Hyaluronidase is injected in the area where you want to dissolve unwanted hyaluronic filler. If your doctor is comfortable with injecting it, I would stay with the same provider, as he knows you and your skin best . Whatever you decide, be sure you stay with a board certified dermatologist or plastic surgeon for the safest and best results. I hope this helps.

Juvederm and hyaluronidase

Most well-trained and experienced injectors (surgeon or other) know proper technique for injecting hyaluronidase - if your surgeon doesn't feel comfortable providing the treatment, do some research and find a provider who does. It's not complicated, but does need to be done with care and expertise.

Sam Naficy, MD

80 reviews

Seattle Facial Plastic Surgeon

www.seattleface.com

Using hyaluronidase to dissolve filler

It is not abnormal to still have some swelling from tear trough injections 2 weeks following your procedure. After you have reached the one month mark, I would reevaluate everything and ask the physician who performed the injections to determine whether or not he/she feels that dissolving the filler is necessary. Dissolving filler with hylauronidase takes precision and experience. If the surgeon who performed your Juvederm treatment is not comfortable with using hyaluronidase, I would... more

Receiving hyaluronidase

I would certainly give your eye swelling more time before making a decision on reversal. If you are still swollen at 4-6 weeks after injection, I think hyaluronidase is a good decision because filler material in the tear trough area can last 1-2 years! The fact that your injector is not experienced with hyaluronidase does not speak to his ability to use it appropriately. It is a relatively straight-forward procedure, although any injection and medication carries risks. If your injector... more

Eye lid swelling after Juvederm

There maybe a few causes for the persistent swelling around your eye lids. Too soon to tell. Its possible that you may tend to swell more than average and it may take more than two weeks for this to subside. I would give it at least 4 weeks to make the final decision. Possible that you have very thin eye lid skin. In these situations, less is more when it comes to Juvederm injections as it holds onto water and can therefore create a watery swollen appearance... more

Hyaluronidase - finding a good injector

I'm surprised that anyone who does a lot of filler wouldn't have hyaluronidase in their arsenal of abilities. I've fixed a lot of bad fillers from other injectors (quite frankly because in Nevada anyone can inject under a physician's license and so there are many incompetent injectors out there). Thus, it's not always necessary to have the same injector take it out. Like you said, it's more about competency - especially around the eyes.

Hyaluronidase after Juvederm

Its very important to allow the swelling to subside to see the final result. if the final outcome is not acceptable its possible to dissolve the Juvederm with Hyaluronidase. this enzyme is best used in the hands of an experienced doctor. I would recommend you follow the advice of your plastic surgeon and seek medical advice form who ever he/she recommends

Misbah Khan, MD

5 reviews

New York Dermatologic Surgeon

Tear Trough filler...

It's unfortunate you've had a less than ideal result in the tear trough area. If you have a good relationship with your injector, I agree it is best to stick with him or her, and allow them the opportunity to address your concerns. Waiting a few weeks is reasonable, and possibly massaging the area (based upon instruction by your injector) will assist with reducing swelling and mobilizing some of the filler out of the area. After having injected hyaluronidase... more

How to find a "good" hyaluronidase injector

This is an interesting and very "touchy" issue. Someone who has a lot of experience injecting hyaluronidase, unless they are fixing other physician's mistakes, must have a lot of patients that are not happy with their results. So therefore, by definition, anyone with a lot of experience injecting hyaluronidase has had a lot of less than satisfactory results. I also don't buy into the theory that if you inject a lot you will have lots of experience with everything. I have been injecting... more

Hyaluronidase and over fill

Sorry that you are unhappy with your tear trough region fill. Yes, hyaluronidase can dissolve product. I agree, I think you should give it a month for the swelling to dissipate.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Hyaluronidase

I'm sorry to hear about your experience. Many times, the person placing hyaluronidase to dissolve the filler is not the original injector. It is probably best to go to someone who has experience using it as he/she will need to be knowledgeable about how to use it appropriately. Please consult with a board certified specialist who can assist you in achieving the results you seek.

Hyaluronidase for juvederm in tear trough

I would go to a dermatologist or plastic surgeon who has extensive experience using hyaluronidase. One of the best dermatologists in Colorado with tremendous experience with fillers & hyaluronidase (& amongst the top guys in North America) would be Dr. Joel Cohen. Best of luck!, Dr. Benjamin Barankin, Toronto Dermatology Centre.