Hyaluronidase Not Working After 3 Tries Under Eyes

asked 3 years ago by diane1966 in barnsley
Latest answer by Steven Wallach, MD
Question viewed 3,173 times
Tags: hollow

I've had hyaluronidase 3 times to remove dermal fillers I had injected under the eyes, It still has not removed it all. I'm really down and off work as this is depressing me so much. I cry every night. I just don't know what else to do now as I'm left thinking I'm going to be left looking like this for months on end. It's coming up to 5 weeks now. The dermal filler used was varioderm, can you please help anyway, many thanks.

7 answers to Hyaluronidase Not Working After 3 Tries Under Eyes

Varioderm and hyaluronidase

Hopefully you did receive a hyaluronic acid and not some semipermanent or permanent filler. Unfortunately this is a frequent scenario. We only ascertain that it was not hyaluronic acid after the fact when we surgically have to remove the offending lumps only to find the characteristic pathologic signs of silicone or Artefill. The new crosslinking for Varioform has not been completely studied but there is no intrinsic reason to suspect hyaluronidase shouldn't accelerate the removal of... more

Brent Moelleken, MD
Beverly Hills Plastic Surgeon

Varioderm and hyaluronic acid

You may need some more injections. The eyelid area can also have residual swelling that may take some time to resolve. Varioderm is highly cross linked and may not dissolve as easily though it should dissolve theoretically.

Chris Thiagarajah, MD
Washington DC Oculoplastic Surgeon

Hyaluronidase works!

We can not be sure that the HA-dase is working for you. The look you may have may be the rediual hollow after loss of HA. Even tightly cross-linked HA, like Varioderm should respond the this enzyme. Perhaps consult another doctor or consider filling the area with Fat.

Robert M. Freund, MD
New York Plastic Surgeon

Hyaluronidase to dissolve hyaluronic acid fillers

Although I am not personally familiar with varioderm because it is not FDA approved in the USA, it is purported to be very highly cross linked, and thus less suseptible to Hyaluronidase. Higher concentrations and more treatments may be necessary. The eyelid area is very unforgiving. More patients have complications in the eye area with fillers than anywhere else on the face. Second is lips. I see many patients for revisions in these areas. In general I... more

Yoash R. Enzer, MD
Providence Oculoplastic Surgeon

Expert Advice on Treating Facial Fillers: Hyaluronidase and Facial Filler Complications

Expertise in injecting facial fillers is equally as important as being able to correct complications associated with facial fillers. Hyaluronidase works on a specific class of fillers containing hyaluronic acid. The enzyme destroys the hyaluronic acid filler and restores the original volume of the facial area. In some cases, the dermal filler may not be made of hyaluronic acid and thus does not respond to the hyaluronidase filler. Also, an inflammatory, granulomatous, or scar component... more

Raffy Karamanoukian, MD
Los Angeles Plastic Surgeon

Hyaluronidase andf filler resorption

Hyaluronidase should work on varioderm if that is what was injected. If it was one of the other fillers like radiesse, sculptra, fat, etc.. it will not work.

Steven Wallach, MD
Manhattan Plastic Surgeon

Wydase after Hyaluronic acid fillers

This is one of the reasons we like the hyaluronic acid fillers - they can be reversed. I would agree with the other doctors here. First I would confirm that this is in fact the type of filler that was used. If so, then I would consider more injections to dissolve it. I have had one case with Juvederm where the filler was placed in the posteptal region and I too have injected the patient several times and it it getting better but is disconcerting for both me and our patient. As long as it... more

Jon E. Mendelsohn, MD
Cincinnati Facial Plastic Surgeon

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