Re-injecting Filler or Botox After Hyaluronidase?

asked 3 years ago by curiousity in Austin
Latest answer by Steven Wallach, MD
Question viewed 1,548 times

I had Juvederm injected into my tear trough area. The results were horrible, so after a month, my doctor injected the Hyaluronidase to break it down. How long do I have to wait to have Restylane or Botox injected in same area? The Juvederm appears to be gone. I have always used Restylane with exellent results, but I decided to try something different.

9 answers to Re-injecting Filler or Botox After Hyaluronidase?

Wait then try a different filler or fat transfer

The differences between Restylane and Juvederm are subtle, so I would not necessarily attribute the problem you had with the choice of filler. You could definitely try Restylane to see if it does any better, and if not the hyaluronidase would still work. On the other hand, a different filler may end up working better, but only the HA fillers (Restylane, Juvederm) can be quickly reversed. I do agree that about 3 months is a minimum waiting period before doing more.

Richard Baxter, MD
Seattle Plastic Surgeon

Restylane after Juvederm

It is best to allow a bit of time to transpire, to allow all inflammation to diminish. This would probably be in the order of three months in my opinion. It is best to get a very accurate and precise picture of the anatomy before injecting any more filler Juvederm seems to be associated with more problems in the periorbital area, particularly with swelling, than Restylane.

Brent Moelleken, MD
Beverly Hills Plastic Surgeon

Tear trough

First, you didn't mention how long ago that you had the hyaluronidase injected. I would wait a few weeks for the filler. I do not recommend Botox to the tear trough it will not do anything.

Steven Wallach, MD
Manhattan Plastic Surgeon

Don't hurry

While you likely only need to wait a few days to a week before re-injection, why hurry. You need to be very careful when having injections around your eyes - especially repeat injections. These tissues are very thin and fragile. If you develop scar tissue or tissue reactions, you may not be able to resolve these problems so easily. Good luck.

David Shafer, MD
New York Plastic Surgeon

www.ShaferPlasticSurgery.com

No need to wait too long for Botox or filler reinjections

Curiosity, You have heard many different answers to this question, so far. Remember, there is probably no real "right" answer. The effects of hyaluronidase are rather quick. The substance also happens to absorb quickly. Thus, you can re-treat the area a few days after the hyaluronidase treatment. I have preformed under-eye filler injections with both Juvederm, and Restylane. In my patients, I have noticed a definite difference between Juvederm and Restylane. Restylane-injected... more

Behrooz Torkian, MD
Beverly Hills Facial Plastic Surgeon

About a week.

Dear Curiosity As I have indicated in other post on RealSelf, for a number of reasons, I am not a big Juvederm fan for the undereye area. For this area, I get the best results with Restylane. The effects of hyaluronidase are pretty immediate. One sees perhaps 50% of the treatment effects almost immediately after the injection but there is some further deflation of the filling effects in the next few days. I would have no qualms about retreating this area with Restylane a week after... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Restylane after Juvederm

I would wait 2-3 months before considering Restylane injections into the tear trough area. If you currently have no more swelling or inflammation from the previous Juvederm, Botox should not be a problem at this time. Good luck.

Bryan K. Chen, MD
San Diego Dermatologist

You don't have to wait long for filler or Botox reinjections

Hyaluronidase dissolves Juvederm quickly and also spreads through the tissues and is gone very quickly. It would certainly be fine to get more injections of filler or Botox a day after the Hyaluronidase treatment. The only issue is that you should wait if there is still some residual swelling. Botox can reduce the pumping action of the eyelid muscles. This movement helps your body clear away the fluid from swelling. Restylane injections also can cause swelling and that is more likely to... more

Marc Cohen, MD
Philadelphia Oculoplastic Surgeon

I usually wait about 2 weeks

Unfortunately the tear trough is a very difficult area to treat, and occasionally lumps do form. Luckily, we have a filler eraser called hyaluronidase. I find that the hyaluronidase literally works overnight to break down the Juvederm. I re-treat patients about 2 weeks following hyaluronidase injection.