Is Using Vitrase an Effective Way of Dissolving Filler?

The problem is my top lip is huge and very uneven. I heard Vitrase is a safe and effective way to correct and dissolve part of the filler. My concern is that the injector has never used Vitrase.

Could it make the area worse if injected improperly? What is the correct way to inject Vitrase?

Doctor Answers (1)

Vitrase is good for Hyaluronic acid fillers


Dear DawnDLH,

Vitrase is effective at deflating HA (hyaluronic acid) fillers like Juvederm, Restylane, and Perlane. It is ineffective for non-HA fillers like Sculptra, Radiesse, Artefil, or Silicone oil.

Vitrase is very safe. However, the enzyme is egg based. So, if you have ever had a reaction to an egg based vaccine, you should be skin tested prior to treatment with Vitrase.

Vitrase can be used to shape and sculpt fullness related to HA filler. However, this type of shaping requires a great deal of experience. If your doctor does not have this level of experience, it is unrealistic to expect them to have this level of finesse. However, given the issue that you are describing, significantly knocking down the volume you have in your lip and filling in more conservatively if needed may be a good option. You and your doctor should do fine with the Vitrase.

Los Angeles Oculoplastic Surgeon
5.0 out of 5 stars 14 reviews

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.

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