Hyaluronidase: Q&A

Ask a Question

Hyaluronidase Risks

You state that hyaluronidase can more rapidly break down fillers in face. Does it break down natural acids in face, too? Can it cause perminant holes or scars in face? Is it FDA approved?

9 Doctor Answers | Asked by anon
+4

Hyaluronidase can rapidly reverse the effects of hyaluronic acid fillers

Hyaluronidase can rapidly reverse the effects of hyaluronic acid fillers. It is a very safe product and I have been using it for 15 years. I also use hyaluronidase for dispersing the effects of local anesthesia when I do eyelid surgery and it works very well. When used in small doses, it can quickly within 24-48 hours reverse the effect of the most common fillers such as Restylane and Juvederm. It has no visible effects itself and when the filler is gone, the net result will be a return to... more
+3

Hyaluronidase side effects

Hyaluronidase is an enzyme that is very useful in breaking down hyaluronic acid fillers such as Restylane, Perlane and Juvederm if and when too much filler is injected or a nodule develops. It is injected most commonly by a dermatologist or plastic surgeon directly into the nodule or overfilled area with minimal discomfort. Interestingly, it is very specific for the filler it is injected into and doesn't seem to affect the person's natural hyaluronic acid.
+3

Hyaluronidase can break down bumps from Juvederm and Restylane

Hyaluronidase is great at smoothing down bumps from Juvederm or Restylane but may take a few weekly injections and doesn't affect the normal skin at all so it has no permanent problems with regular use.
+3

Hyaluronidase is not FDA-approved

Hyaluronidase is an enzyme which accelerates the absorption of hyaluronic acid based dermal fillers. When used in small quantities it can help to smooth bumpy areas after cosmetic filler injection. When restricted to overfilled areas, the response can take a few days to be noticeable. It does not seem to cause any degeneration of the surrounding normal tissue when used in this manner. It is not FDA approved for this purpose as no clinical trials have ever been conducted. This is an off... more
+2

Very safe despite off-label use

The use of hyaluronidase to dissolve hyaluronic acid dermal fillers is very effective and safe. Although its use in this manner is not FDA-approved, this off-label use is very acceptable and beneficial. In fact, using HA dermal fillers anywhere besides the laugh lines (nasolabial folds) is also considered off-label but considered a standard of practice. We know of no adverse events as those suggested in the question.
+1

Hyaluronidase safety

Hyaluronidase is used to dissolve products such as Juvederm and it does not seem to have untoward side effects as you describe. It works within 48 hours.and has been widely used in cosmetic practices.
+1

Hyaluronidase side effects

Hyaluronidase is FDA approved to help anesthetics spread when injected into the skin and various areas. It should not create a permanent effect. There has been a case report of a patient having an allergic reaction to hyaluronidase as it is porcine or bovine derived. This is one case report in the literature and it is injected every day thousands of times so I would say it is a very safe medication. 
+1

Hyaluronidase effective, safe but off-labelled for reversing Restylane, Perlane, Juvederm

Hyaluronidase is officially approved by the FDA to improve the dispersion and absorption of other drugs, such as anesthetic agents. The use of hyaluronidase to reverse hyaluronic acid fillers such as Restylane, Juvederm, or Perlane, while safe and effective, is not officially approved by the FDA and thus is considered an off-labelled indication. Ideally, allergy testing should be performed along an inner forearm area and observed for 24-48 hours to minimize risk of very unlikely chance of... more
+1

Hyaluronidase has been used for decades with minimal side effects

Hyaluronidase is an enzyme that breaks down hyaluronic acid such as fillers used for cosmetic purposes like restylane, juvederm, perlane, etc. It doesn't seem to affect natural hyaluronic acid and has a predominate affect on filler injected. The reason for this is due to the fact that natural hyaluronic acid is found around a substructure within the skin. When natural hyaluronic acid is degraded it is reformed almost just as quickly. In fact, natural hyaluronic acid is turned over on a... more
Doctors will not see your comments on their answers. If you'd like to follow up, please go here to ask another question.

Comments (2)

I had terrible results with hyaluronidase. Total ruined my skin. DO NOT USE THIS My doctor inject 200 units into my face to dissolve filler. It dissolved everything else, too I have no fat left And that was after fat grafting and spending a ton of money.
  • Reply
Rubbish! Hyaluronidase CAN dissolve your own tissue. I have deep sunken areas and scarring on both sides of my face after an alergic reaction to Juvederm and black areas appearing on my face removal of the Juvederm with hyaluronidase has made it worse!
  • Reply

Ask a Question

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

Welcome Back

Sign in with Facebook

Your information remains private and will not be posted without your permission.

Forgot your password?

Don't have an account? Create one now.

Join RealSelf

Join with Facebook

Your information remains private and will not be posted without your permission.

Please enter a valid email address
 Did you mean ?

By creating an account, you are indicating that you have read and accept the RealSelf Terms of Use.

Already a member? Sign In.

Retrieve your password

Enter your username or email address and we will send you a link to login.

Check your email

Check your email. We've sent you a link to reset your password.

Ok