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Do Juvederm and Restylane Have a Remedy if Results Are Unsatisfactory?

asked 2 years ago by roseburg in Sultan, Wa
Latest answer by Edward Szachowicz, MD, PhD
Question viewed 3,738 times
Tags: results

It is my understanding that there is an injectable remedy to reverse the effects of Juvederm and Restylane if a patient is experiencing unsatisfactory results. Is this true? If so, why wouldn't patients who are reporting results such as lumps and ongoing swelling, etc. be advised of a remedial option instead of waiting and suffering?

23 answers to Do Juvederm and Restylane Have a Remedy if Results Are Unsatisfactory?

Restylane and Juvederm can be "training wheels" for fillers

My practice is in the conservative Midwest, where too much can be a bad thing. Also, some of my patients are so new to fillers that even subtle changes can be scary. I often recommend starting out with a gel filler, letting the patient know that it is reversible. Experienced injectors can "read" their patients, and sense how much correction would be appropriate. The enzyme, hyaluronidase, can be titrated to make subtle corrections without losing the whole result. more

Edward Szachowicz, MD, PhD
Minneapolis Facial Plastic Surgeon

Yes, there is a medicine to dissolve Restylane/Juvederm/Perlane

If you feel your filler is lumpy then vigorous massage is the first choice. Certainly, in time, it will absorb over time. As a last resort, you can have a enzyme medicine placed in to the area which rapidly dissolves the filler. Your doctor can easily perform this and within a day or two you can see the results. Sometimes you can just dissolve only a small amount of the filler if that is all you need. Good Luck!

Robert F. Gray, MD
Bay Area Facial Plastic Surgeon

Juvederm and Restylane remedy for unsatisfactory results

If Juvederm and Restylane injections are unsatisfactory because of poor placement of over fill, they may be appropriately massaged to decrease the bulk. With time, however, both Juvederm and Restylane will disappear. Obviously, under correction requires more injection of the filler.

Sigmund L. Sattenspiel, MD
Freehold Facial Plastic Surgeon

Hyaluronidase is effective remedy for undesirable Restylane and Juvederm

Roseburg, You are correct that there is an enzyme available to essentially dissolve unwanted Hyaluronic acid-type fillers (Restylane, Perlane, Juvederm, etc.). In most practices it is not commonly used, but available. Undesirable HA filler highlights how important it is for a patient to consider the doctor using the material, more than the material itself. Patients aren't simply purchasing "one cc of filler X for $500," they are purchasing the skill and expertise of the man or... more

Sutton Graham II, MD
Greenville Plastic Surgeon

Unsatisfactory Juvederm and Restylane can immediately be treated with hyaluronidase

As the expert posters have stated here, time is the best healer. But if you need immediate treatment, then the Hyaluronidase injections can help. Regards and Good Luck.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Hyaluronidase for Restylane and Juvederm

Dear Roseburg They hyaluronidase is an egg-based enzyme so there is a small incidence of allergies. As the Restylane and Juvederm were first being introduced, many dermatologist were very concerned about a potential allergic reaction from the enzyme. However, eye plastic surgeons have a very different experience with hyaluronidase. This product has been used in ophthalmology for over 20 years mixed with the local anesthesia used for cataract surgery. I don't believe I have ever seen an... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

What you can do if your facial filler is lumpy

Hi Roseburg - Yes, there is a remedy to dissolve the fillers known as hyaluronidase. However, this will get rid of all of the filler and you'll lose any beneficial effects. Instead, we recommend massaging out any lumps to smooth out the filler. This way, you'll maintain the effects and get a smoother feel and appearance. Time also helps, as the filler will slowly dissolve on its own and any significant lumps may improve.

Jeffrey E. Schreiber, MD
Baltimore Plastic Surgeon

Go to a good dermatologist or cosmetic surgeon for fillers

While there are answers for poorly placed Restylane or Juvederm, the best idea is to go to a reputable surgeon first and foremost. If you do, the results will be much better and you will probably avoid a procedure that is absolutely unnecessary. In 5 years plus of performing these procedures I have NEVER had to remove poorly placed product. Never. It's a pretty big deal to remove it and not all that pleasant, so make sure you do your homework and make sure it is the doctor who is... more

Joel Schlessinger, MD
Omaha Dermatologist

www.LovelySkin.com

Reversing Restylane and Juvederm Results

Having injected alot of the products you have mentioned, I have yet to need to add hyaluronidase to reverse the results. The main issue is that I can't imagine how unsatisfactory a result has to be to undergo another series of injections to reverse it. I would say at this point that the injection does go away in time and at times if you are not too far out you can massage the area to help improve what you are tryin to fix. But yes there is a a so called cure. Good luck.

Farbod Esmailian, MD
Orange County Plastic Surgeon

It is a judgement call

The use of hyaluronidase to dissolve unwanted Restylane or Juvederm can totally reverse a complication. If it just minor assymetry, time usually works out the swelling. I do use the enzyme when the patient is unhappy with the result. I have found it to work quickly and effectively.

Mary Lupo, MD
New Orleans Dermatologist

Hyaluronidase fixes bad juvederm or restylane

Both Juvederm and Restylane are hyaluronic acid fillers. Fortunately, if you get a result you do not like, hyaluronidase can be injected to reverse the effects of the hyaluronic acid. I have injected a considerable amount of Juvederm and Restylane and fortunately have not had to use hyaluronidase on my patients. I have used it on patients who had injections with other inexperienced injectors or at various salons and spas. I would agree that choosing a dermatologist, plastic surgeon, or... more

D.J. Verret, MD
Dallas Facial Plastic Surgeon

Treating complications of Juvederm or Restylane

If Juvederm or Restylane is over done, hyaluronidase can be used to dissolve it. This is good for areas of lumpiness. However, this process may cause more swelling and that is why it is not usually performed unless there is a significant problem.

Steven Wallach, MD
Manhattan Plastic Surgeon

Fixing "Bad" Juvederm and Restylane Injections

Both Restylane and Juvederm are Hyaluronic acid fillers. If too much was put in or you are not happy with the result, the filler can be dissolved by placing an enzyme that breaks the filler up (Hyaluronidase). I have done A LOT of Juvederm and Restylane and Juvederm but have yet to have to administer it to any of my patients. But I have Hyaluronidase in my fridge for the rare case that may need it and for those who are unhappy with their filler results from other offices or salons / spas. more

Peter A. Aldea, MD
Memphis Plastic Surgeon

No reason not to remedy unsatisfactory Restylane or Juvederm

Of course, a patient should always return if they have a lump or bump from excessive or misplaced filler. I remember reading in a beauty magazine of a woman that walked around a year with a lump from a filler. There is no need for this physician induced deformity , since hyaluronidase can work so well when appropriately applied. Patients should be informed of this and told to return if there are any lumps, bumps or blue discoloration (from the filler being placed too superficially)... more

Arnold R. Oppenheim, MD
Virginia Beach Dermatologist

Remedy for Restylane or Juvederm bumps

If there is overcorrection with Juvederm or Restylane, or product in an area that is not desired, or a bluish color of the overlying skin which might be from the product and not a bruise, then hyaluronidase can be injected to shrink the swelling. Patients can be allergic to the hyaluronidase, especially if they have a history of being allergic to bee stings. A small test spot can be done in the office, prior to the treatment so that it can be observed prior to injecting a larger amount.... more

Ronald Shelton, MD
Manhattan Dermatologist

Hyaluronidase to remove unsatisfactory Juvederm or Restylane

Juvederm and Restylane; as well as, all hyaluronic acid fillers can be dissolved quickly and easily with an injection of hyaluronidase. Individual lumps or bumps cannot be removed selectively. All the filler in the area in which the hyaluronidase is injected will disappear.

Pamela Carr, MD
Sugar Land Dermatologist

Removing hyaluronic acids

If you are unhappy with results then methods can be done to help diminish the hyaluronic acid. Massage will help with swelling, an enzyme can be added to the area to help break up the hyaluronic acid. Lastly, piercing the area and squeezing the material out will help remove the unwanted material.

Sharon Theresa McLaughlin MD
Long Island City Plastic Surgeon

Juvederm or Restylane reversal needs hyaluronidase

Hyaluronidase is used to digest (soften) any of the hyaluronic acid products injected. One of the most common areas that I am asked to digest is the area around the eyes which have a tendency to bulge when injected. This area is the most unpredictable. Another way to reverse hyaluronic acids is to simply nick them and squeeze them out. This works well when the HA has been injected too closely to the surface and gives the dreaded "blue worm" or blue blebs. The HAs are very forgiving... more

Kenneth Beer, MD
Palm Beach Dermatologic Surgeon

www.palmbeachcosmetic.com

Restylane and Juvederm reversal

Reversal of side effects from any of the above hyaluronic acid fillers can be easily taken care of with a simple injection of hyaluronidase which will remedy any lumps or bumps. However, the real trick is just dissolving the untoward effects while preserving thebenefits of the rest of the injection. Therefore, if someone is otherwise happy with their filler, then your surgen must put just enough hyaluronidase to take care of the irregularity while preserving the bulk of the product,... more

Scott Trimas, MD
Jacksonville Facial Plastic Surgeon

When to consider injections to reverse Restylane

Unsatisafactory results from the "HA" fillers Restylane, Perlane, and Juvederm are not all that common with experienced injectors. Most of the swelling and lumps go away on their own so it is very rare to need the hyaluronidase enzyme injection. One problem with doing the reversal is that it is "all or none" so that all of it usually goes away, not just the lump. One reason to do it is if there is a lot too close to the surface, where it can be seen as a bluish color;... more

Richard Baxter, MD
Seattle Plastic Surgeon

Hyaluronidase to reverse Juvederm and Restylane

Hyaluronidase can be very effective at dissolving Juvederm or Restylane when needed, however, it should only rarely be needed. I agree with Dr. Persky that conservative use of fillers to avoid over-filling should be the approach. These fillers are quite forgiving in that lumps and bumps from hyaluronic acid fillers can usually be massaged out.

Bryan K. Chen, MD
San Diego Dermatologist

Juvederm and Restylane Remedy for Unsatisfactory Results...Lumps and Bumps

Hi Rose, Hyaluronidase is used to dissolve Restylane and Juviderm when the filler is causing untoward effects. The best defense against this is to have the fillers placed properly and conservatively in the first place. Sometimes we hear reports that hyaluronidase does not "work". That can be either due to its being injected in too low of a dose, or in a plane where the filler was not injected initially. More ominously, too frequently patients are told that they are getting either... more

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon

Reversing Juvederm and Restylane

Yes, we have a medication that we inject that can "melt" the Juvederm and Restylane. Many doctors do have the medication or have no experience with the medication so they do not offer it as a option. We get several patients each month who come in from other doctors office who have had injections in the eyelids which lead to lumps and bumps. In most cases, we inject the medication and the Juvederm or Restylane "melts" away in 24 to 48 hours. Good luck.