Beside Hyaluronidase , Restylane Can Removal by Surgery ?

asked 10 months ago by hanji in california
Latest answer by Grant Stevens, MD
Question viewed 266 times
Tags: 4 months post-op, alternative, options, surgery

Beside Hyaluronidase to dissolving Restylane , Restylane can removal by surgery ? i had injected Restylane 4 months ago, but now, 2 side at my cheek have blue bruise , seem it will never fade away. But i don't want use Hyaluronidase.

9 answers to Beside Hyaluronidase , Restylane Can Removal by Surgery ?

What's the best way to remove Restylane

Surgery is not a good alternative for the removal of unwanted Restylane. Besides the possibility of scarring with surgery their is no well defined mass that can be surgically excised. Hyaluronidase is a highly safe and effective means of removing unwanted Restylane.

Ted Brezel, MD
Long Island Dermatologist

Surgery is not the Best Option for Removal of Restylane

Surgery will leave a scar and is not the way to remove Restylane 4 months after the injection. Even hyaluronidase may or may not give you any improvement but it is worth a try because it is relatively harmless. Ultimately, time will be the solution.

Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon

dorsetstreetdermatology.com

Blue streaks and hyaluronidase

Hyaluronidase is a great product to help dissolve the filler material. It really is the best way to start and certainly the simplest solution if it works.

Steven Wallach, MD
Manhattan Plastic Surgeon

Removal of Restylane

The use of Hyaluronidase is by far the best option and we routinely use it on lower lid Blepharoplasty patients prior to surgery if they have had filler in that area in the past. The persistent appearance of bruising may be due to hemocitron staining that is caught in the filler. Once again the injection is best to eliminate this issue. If this is completely out of the question try warm moist compresses. The heat will speed the metabolism of the product as well as help... more

Lee Robinson, MD
Portland Facial Plastic Surgeon

No this is not a place for surgery.

Is there some reason why you don't want hyaluronidase? I personally will not inject someone with hyaluronic acid fillers who is allergic to enzyme or won't have enzyme for some reason. The existence of the enzyme is what makes lower eyelid and tear trough treatment with fillers possible.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Hyaluronidase is a better alternative to surgery

Greetings Hanji~ If you have some blue discoloration in the areas the Restylane was injected this long after the procedure the Restylane may have been injected too superficially. Hyaluronidase is a safe way to dissolve the Restylane and get you back to the way you looked prior to injection. If the product is very superficial sometimes it can just be extracted by making a small incision with the end of a needle and massaging the product out. Surgery is really... more

Grant Stevens, MD
Los Angeles Plastic Surgeon

Restylane - Beside Hyaluronidase, Can Restylane Be Removed by Surgery ?

Not really. Hyaluronidase is the first line of treatment for excess hyaluronic acid (the primary component of Restylane/Perlane and Juvederm). That includes both (a) complications related to its use, such as pressure phenomena and (b) issues of aesthetic concern, such as overfilling in specific areas, lumps, irregularities and contours that are not what the patient wanted. It is by far the best thing to do. However, it normally works best early on. At four months,... more

Alan Engler, MD
New York Plastic Surgeon

Hyaluronidase is the best option

Hyaluronidase is the best option, i do not think any physician would surgically remove the restylane. If you really do not want hyaluronidase, then give it time, restylane is not perminant and should last 6-9 months.

Mitchel Goldman, MD
San Diego Dermatologic Surgeon

Restylane

It's quite unusual to have bruising four months after injection of Restylane. This should be evaluated by a physician who has extensive experience with Restylane at the earliest opportunity.